Chronic low back pain: possibilities for prevention and treatment

Abstract

Low back pain (LBP) is a very common syndrome that is associated with the extremely high rate of temporary disability and the development of chronic pain syndrome. In addition to structural changes in the locomotor system, psychological and social factors contribute to the development and maintenance of chronic pain. Drug therapy for chronic LBP frequently gives rise to complications. A physician’s important task in this situation is to prevent pain chronization and to reduce the risk of side effects of treatment. One of the ways to solve this task is to use the vitamin B complex (milgamma) along with analgesics and myorelaxants. The review considers the possible effects of combination therapy in patients with LBP and discusses whether it should be used.

Keywords

• low back pain
• chronic pain
• psychological factors
• nonsteroidal anti-inflammatory drugs
• side effects
• thiamine
• benfothiamine
• cyanocobalamin
• milgamma