NON-SPECIFIC BACK PAIN: DIAGNOSIS AND THERAPY FROM THE POSITION OF EVIDENTIAL MEDICINE (REVIEW OF LITERATURE)

The purpose of this publication is an attempt to systematize modern data based on the principles of evidence-based medicine (controlled randomized trials, systematic reviews, meta-analyses) in the field of diagnosis and treatment of non-specific low back pain. It is shown that non-specific lumbar pa...

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Main Author: Sergey Yu. Tereshchenko
Format: Article
Language:English
Published: Science and Innovation Center Publishing House 2022-10-01
Series:Siberian Journal of Life Sciences and Agriculture
Subjects:
Online Access:http://discover-journal.ru/jour/index.php/sjlsa/article/view/631
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author Sergey Yu. Tereshchenko
author_facet Sergey Yu. Tereshchenko
author_sort Sergey Yu. Tereshchenko
collection DOAJ
description The purpose of this publication is an attempt to systematize modern data based on the principles of evidence-based medicine (controlled randomized trials, systematic reviews, meta-analyses) in the field of diagnosis and treatment of non-specific low back pain. It is shown that non-specific lumbar pain is the predominant type of lumbar pain syndrome. The basis for the diagnosis of nonspecific low back pain should be a detailed history taking and a thorough physical and neurological examination. The value of imaging diagnostic methods is limited to patients with red flags. Both in the case of acute and chronic non-specific low back pain, the basis of therapy with well-proven effectiveness is patient education, manipulative techniques and special physical therapy. In the case of chronic non-specific low back pain, behavioral therapy is highly effective. Non-steroidal anti-inflammatory drugs have proven efficacy in relation to pain and functioning of the patient. In the case of chronic non-specific low back pain, muscle relaxants and antidepressants may be additionally prescribed.
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spelling doaj.art-b65902fd6ed04736a43c84f8b12838772023-02-20T18:23:23ZengScience and Innovation Center Publishing HouseSiberian Journal of Life Sciences and Agriculture2658-66492658-66572022-10-0114539240110.12731/2658-6649-2022-14-5-392-401631NON-SPECIFIC BACK PAIN: DIAGNOSIS AND THERAPY FROM THE POSITION OF EVIDENTIAL MEDICINE (REVIEW OF LITERATURE)Sergey Yu. Tereshchenko0Federal State Budgetary Scientific Institution «Scientific Research Institute of medical problems of the North»The purpose of this publication is an attempt to systematize modern data based on the principles of evidence-based medicine (controlled randomized trials, systematic reviews, meta-analyses) in the field of diagnosis and treatment of non-specific low back pain. It is shown that non-specific lumbar pain is the predominant type of lumbar pain syndrome. The basis for the diagnosis of nonspecific low back pain should be a detailed history taking and a thorough physical and neurological examination. The value of imaging diagnostic methods is limited to patients with red flags. Both in the case of acute and chronic non-specific low back pain, the basis of therapy with well-proven effectiveness is patient education, manipulative techniques and special physical therapy. In the case of chronic non-specific low back pain, behavioral therapy is highly effective. Non-steroidal anti-inflammatory drugs have proven efficacy in relation to pain and functioning of the patient. In the case of chronic non-specific low back pain, muscle relaxants and antidepressants may be additionally prescribed.http://discover-journal.ru/jour/index.php/sjlsa/article/view/631reviewback paindiagnosistherapyevidence-based medicine
spellingShingle Sergey Yu. Tereshchenko
NON-SPECIFIC BACK PAIN: DIAGNOSIS AND THERAPY FROM THE POSITION OF EVIDENTIAL MEDICINE (REVIEW OF LITERATURE)
Siberian Journal of Life Sciences and Agriculture
review
back pain
diagnosis
therapy
evidence-based medicine
title NON-SPECIFIC BACK PAIN: DIAGNOSIS AND THERAPY FROM THE POSITION OF EVIDENTIAL MEDICINE (REVIEW OF LITERATURE)
title_full NON-SPECIFIC BACK PAIN: DIAGNOSIS AND THERAPY FROM THE POSITION OF EVIDENTIAL MEDICINE (REVIEW OF LITERATURE)
title_fullStr NON-SPECIFIC BACK PAIN: DIAGNOSIS AND THERAPY FROM THE POSITION OF EVIDENTIAL MEDICINE (REVIEW OF LITERATURE)
title_full_unstemmed NON-SPECIFIC BACK PAIN: DIAGNOSIS AND THERAPY FROM THE POSITION OF EVIDENTIAL MEDICINE (REVIEW OF LITERATURE)
title_short NON-SPECIFIC BACK PAIN: DIAGNOSIS AND THERAPY FROM THE POSITION OF EVIDENTIAL MEDICINE (REVIEW OF LITERATURE)
title_sort non specific back pain diagnosis and therapy from the position of evidential medicine review of literature
topic review
back pain
diagnosis
therapy
evidence-based medicine
url http://discover-journal.ru/jour/index.php/sjlsa/article/view/631
work_keys_str_mv AT sergeyyutereshchenko nonspecificbackpaindiagnosisandtherapyfromthepositionofevidentialmedicinereviewofliterature