Chronic back pain: potentials for the treatment and prevention
- Authors: Levin O.S.1
-
Affiliations:
- Russian medical academy of postgraduate education
- Issue: No 5 (2016)
- Pages: 104-109
- Section: Articles
- URL: https://journals.eco-vector.com/2412-4036/article/view/277526
- ID: 277526
Cite item
Open Access
Access granted
Abstract
The article presents data on the causes of chronization of back pain and the possibilities of its prevention. Along with a more rapid pain relief in the acute period, rational psychotherapy, measures aimed at correcting kinesiophobia and maladaptive pain behavior, prospects for the application of chondroprotectors to prevent chronic back pain are discussed. The data of 2-year follow-up of patients who after participating in a study of the effectiveness of Alflutop continued to regularly use the chondroprotector or stopped its use are presented. It is shown that regular use of Alflutop 2 times a year and more frequently led to significantly lower number of exacerbations, than in the absence of use of chondroprotectors.
Keywords
Full Text
About the authors
Oleg Semenovich Levin
Russian medical academy of postgraduate education
Email: neurolev@mail.ru
MD, professor, head of the Department of neurology
References
- Богачева Л.А., Снеткова Е.П. Дорсалгии: классификация, механизмы патогенеза, принципы ведения. Неврологический журнал. 1996;2:8-12. [Bogacheva L.A., Snetkova Ye.P. Dorsalgia: classification, mechanisms of pathogenesis, principles of management. Neurological journal. 1996;2:8-12 (in Russian)]
- Веселовский В.П. Практическая вертеброневрология и мануальная терапия. Рига, 1991:30-145. [Veselovsky V.P Practical vertebroneurology and manual therapy. Riga, 1991:30-145 (in Russian)]
- Вознесенская Т.Г. Боли в спине и конечностях. Болевые синдромы в неврологической практике. Под ред. А.М. Вейна. М.: Медпресс, 1999:217-83. [Voznesenskaya T.G. Pain in the back and limbs. Pain syndromes in neurological practice. Ed. by A.M. Vein. M.: Medpress, 1999:217-83 (in Russian)]
- Лебедева Р.Н., Никода В.В. Фармакотерапия острой боли. М.: Аир-Арт, 1998. 183 с. [Lebedev R.N, Nikoda V.V. Pharmacotherapy of acute pain. Moscow: Air-Art, 1998. 183 p. (in Russian)]
- Левин О.С. Диагностика и лечение неврологических проявлений остеохондроза позвоночника. Consilium medicum. 2004;8:547-54. [Levin O.S. Diagnostics and treatment of neurological manifestations of osteochondrosis. Consilium medicum. 2004;8:547-54 (in Russian)]
- Левит К., Захсе Й.Ю., Янда В. Мануальная медицина. М.: Медицина, 1993. 511 с. [Levit K., Zakhse J.Yu., Janda V. Manual medicine. Moscow: Medicine, 1993. 511 p. (in Russian)]
- Подчуфарова Е.В. Боль в пояснично-крестцовой области: диагностика и лечение. Русский медицинский журнал. 2004;10:581-4. [Podchufarova Ye.V. Pain in the lumbosacral region: diagnosis and treatment. Russian medical journal. 2004;10:581-4 (in Russian)]
- Подчуфарова Е.В., Яхно Н.Н. Боль в спине. М.: ГЭОТАР-Медиа, 2010. 356 с. [Podchufarova Ye.V., Yakhno N.N. Pain in the back. Moscow: GEOTAR-Media, 2010. 356 p. (in Russian)]
- Попелянский Я.Ю., Штульман Д.Р. Боли в шее, спине и конечностях. Болезни нервной системы. Под ред. Н.Н. Яхно, Д.Р. Штульман. М.: Медицина, 2001:293-316. [Popelyansky Ya.Yu., Shtulman D.R. Pain in the neck, back and extremities. Diseases of the nervous system. Ed. By N.N. Yakhno, D.R. Shtulman. Moscow: Medicine, 2001:293-316 (in Russian)]
- Штульман Д.Р., Левин О.С. Неврология. Справочник практического врача. М.: Медпресс-информ, 2012:70-90. [Shtulman D.R., Levin O.S. Neurology. Directory of practitioners. M.: Medpress-inform, 2012:70-90 (in Russian)]
- Chou R., McCarberg B. Managing acute back pain patients to avoid the transition to chronic pain. Pain manage. 2011;1:69-79.
- Hush J., Marcuzzi A. Prevalence of neuropathic features of back pain in clinical populations. Pain manage. 2012;2:363-72.
- Maigne R. Diagnosis and treatment of pain of vertebral origin. Baltomore. Williams&Wilkins, 1996. 550 р.
- McCulloch J.A., Transfeldt E.E. Macnab's Backache. Baltimore. Williams&Wilkins, 1997. 795 р.
- Waddel G. The back pain revolution. Edinburg. Churchill Livingstone, 1998. 438 р.
Supplementary files
