LUMBAR SPINAL PAIN SYNDROMES IN ELDERLY PATIENTS
- Authors: Vorob'eva O.V.1, Vorobyova OV1
-
Affiliations:
- Issue: No 15 (2011)
- Pages: 94-98
- Section: Articles
- URL: https://journals.eco-vector.com/2073-4034/article/view/278992
- ID: 278992
Cite item
Full Text
Abstract
Among the causes of low-back pain in elderly patients, lumbar spinal syndrome and facet syndrom have a special place. The article considers the pathogenesis, diagnostic criteria, clinical features of these pain syndromes, and modern potentials for their relief. NSAID ketorolac is proposed as a drug of choice for relief of low back pain back. Along with high analgesic activity, ketorolac has a rapid (10-15 minutes) and long-term (more than 6 hours) effect. In addition, muscle relaxants, antidepressants, and anticonvulsants can be used in the treatment of low-back pain.
References
- Dionne CE, Kunn KM, Croft PR. Does back pain prevalence really decrease with increasing age? A systematic review. Age Ageing 2006;35:229-34.
- Leboeuf-Yde C, Nielsen J, Kyvik KO, Fejer R, Hartvigsen J. Pain in the lumbar, thoracic or cervical regions: do age and gender matter? A population-based study of 34,902 Danish twins 20-71 years of age. BMC Musculoskelet Disord 2009;20:39.1.
- Bussche H, Koller D, Kolonko T, et al. Which chronic diseases and disease combinations are specific to multimorbidity in the elderly? Results of a claims data based cross-sectional study in Germany. BMC Public Health 2011;11:101-5.
- Deyo RA, Diehl AK. Cancer as a cause of back pain: frequency, clinical presentation, and diagnostic strategies. J Gen Intern Med 1988;3:230-8.
- Olmarker K, Holm S, Rosenqvist AL, Rydevik B. Experimental nerve root compression: a model of acute, graded compression of the porcine cauda equina and an analysis of neural and vascular anatomy. Spine 1991;16:61-9
- Katz JN, Dalgas M, Stucki G, et al. Degenerative lumbar spinal stenosis: diagnostic value of the history and physical examination. Arthritis Rheum 1995;38:1236-41.
- de Graaf I, Prak A, Bierma-Zeinstra S, et al. Diagnosis of lumbar spinal stenosis: a systematic review of the accuracy of diagnostic tests. Spine 2006;31:1168-76.
- Armon C, Argoff CE, Samuels J, Backonja MM. Assessment: use of epidural steroid injections to treat radicular lumbosacral pain: report of the Therapeutics and Technology Assessment Subcommittee of the American Academy of Neurology. Neurology 2007;68:723-9.
- Katz JN, Lipson SJ, Chang LC, et al. Seven- to 10-year outcome of decompressive surgery for degenerative lumbar spinal stenosis. Spine 1996;21:92-98
Supplementary files
