Neurophysiological aspects of pathogenesis. questions of diagnosis and treatment of back pain

Abstract

Healthcare and socio-economic significance of back pain is determined by the fact that it is one of the most common complaints of patients in outpatient and hospital settings resulting in temporary disability. In view of the etiological factor, musculoskeletal back pain is subdivided into specific and non-specific. The article discussed neurophysiological aspects of pain, mechanisms of development and clinical manifestations of lumbodynia. As pathogenetic treatment of musculoskeletal back pain, we examined the use of systemic and topical NSAIDs, muscle relaxants, antidepressants, as well as non-pharmacological methods including therapeutic exercises, physiotherapy, and cognitive behavioral therapy.

Keywords

• скелетно-мышечные боли в спине
• нейрофизиология боли
• клиническая диагностика
• лечение
• musculoskeletal pain
• back pain
• pain neurophysiology
• clinical diagnostics
• treatment