Tolperisone in the treatment of acute and chronic nonspecific back pain

Nonspecific back pain (NBP) is one of the most common reasons to see a neurologist or therapist. Acute (<4 weeks' duration), subacute (4 to 12 weeks), and chronic (>12 weeks) NBPs are recognized. The diagnosis of NBP is based on anamnestic data, somatic, neurological, and neurolog...

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Main Authors: V. A. Golovacheva, A. A. Golovacheva, O. E. Zinovyeva, V. L. Golubev
Format: Article
Language:Russian
Published: IMA-PRESS LLC 2020-08-01
Series:Неврология, нейропсихиатрия, психосоматика
Subjects:
Online Access:https://nnp.ima-press.net/nnp/article/view/1418
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author V. A. Golovacheva
A. A. Golovacheva
O. E. Zinovyeva
V. L. Golubev
author_facet V. A. Golovacheva
A. A. Golovacheva
O. E. Zinovyeva
V. L. Golubev
author_sort V. A. Golovacheva
collection DOAJ
description Nonspecific back pain (NBP) is one of the most common reasons to see a neurologist or therapist. Acute (<4 weeks' duration), subacute (4 to 12 weeks), and chronic (>12 weeks) NBPs are recognized. The diagnosis of NBP is based on anamnestic data, somatic, neurological, and neurologic-and-orthopedic examination findings and on the exclusion of the specific causes of back pain, discogenic radiculopathy, and vertebral canal stenosis. Nonsteroidal anti-inflammatory drugs (NSAIDs) and muscle relaxants are used in the pharmacotherapy of acute, subacute, and chronic NBP. Tolperisone is widely used as a muscle relaxant in Russia and in the countries of Europe and Asia. Clinical trials have shown the efficacy and good tolerance of tolperisone used alone and in combination with NSAIDs for NBP. The review presents clinical recommendations from different countries on the use of muscle relaxants in the treatment of acute and chronic NBP. It is concluded that a large-scale qualitative randomized trial should be conducted to investigate the efficacy of muscle relaxants, tolperisone in particular, in the treatment of acute, subacute, and chronic NBP.
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spelling doaj.art-e643c3e41e144143a64de879c5effc582024-10-17T16:15:27ZrusIMA-PRESS LLCНеврология, нейропсихиатрия, психосоматика2074-27112310-13422020-08-0112413714210.14412/2074-2711-2020-4-137-1421034Tolperisone in the treatment of acute and chronic nonspecific back painV. A. Golovacheva0A. A. Golovacheva1O. E. Zinovyeva2V. L. Golubev3I.M. Sechenov First Moscow State Medical University (Sechenov University), Ministry of Health of RussiaI.M. Sechenov First Moscow State Medical University (Sechenov University), Ministry of Health of RussiaI.M. Sechenov First Moscow State Medical University (Sechenov University), Ministry of Health of RussiaI.M. Sechenov First Moscow State Medical University (Sechenov University), Ministry of Health of RussiaNonspecific back pain (NBP) is one of the most common reasons to see a neurologist or therapist. Acute (<4 weeks' duration), subacute (4 to 12 weeks), and chronic (>12 weeks) NBPs are recognized. The diagnosis of NBP is based on anamnestic data, somatic, neurological, and neurologic-and-orthopedic examination findings and on the exclusion of the specific causes of back pain, discogenic radiculopathy, and vertebral canal stenosis. Nonsteroidal anti-inflammatory drugs (NSAIDs) and muscle relaxants are used in the pharmacotherapy of acute, subacute, and chronic NBP. Tolperisone is widely used as a muscle relaxant in Russia and in the countries of Europe and Asia. Clinical trials have shown the efficacy and good tolerance of tolperisone used alone and in combination with NSAIDs for NBP. The review presents clinical recommendations from different countries on the use of muscle relaxants in the treatment of acute and chronic NBP. It is concluded that a large-scale qualitative randomized trial should be conducted to investigate the efficacy of muscle relaxants, tolperisone in particular, in the treatment of acute, subacute, and chronic NBP.https://nnp.ima-press.net/nnp/article/view/1418back painacute painchronic paintreatmentmuscle relaxantstolperisone
spellingShingle V. A. Golovacheva
A. A. Golovacheva
O. E. Zinovyeva
V. L. Golubev
Tolperisone in the treatment of acute and chronic nonspecific back pain
Неврология, нейропсихиатрия, психосоматика
back pain
acute pain
chronic pain
treatment
muscle relaxants
tolperisone
title Tolperisone in the treatment of acute and chronic nonspecific back pain
title_full Tolperisone in the treatment of acute and chronic nonspecific back pain
title_fullStr Tolperisone in the treatment of acute and chronic nonspecific back pain
title_full_unstemmed Tolperisone in the treatment of acute and chronic nonspecific back pain
title_short Tolperisone in the treatment of acute and chronic nonspecific back pain
title_sort tolperisone in the treatment of acute and chronic nonspecific back pain
topic back pain
acute pain
chronic pain
treatment
muscle relaxants
tolperisone
url https://nnp.ima-press.net/nnp/article/view/1418
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AT oezinovyeva tolperisoneinthetreatmentofacuteandchronicnonspecificbackpain
AT vlgolubev tolperisoneinthetreatmentofacuteandchronicnonspecificbackpain