Back pain treatment
Authors:
Marek Hakl
Authors place of work:
Ambulance algeziologie a preventivní péče, Medicinecare, s. r. o.
Published in the journal:
Čas. Lék. čes. 2018; 157: 62-66
Category:
Review Article
Summary
Spine pain is one of the most common medical problems. Yearly incidence is reported between 15 and 45 %, lifelong is 60–90 %. Neurological examination, radiology examination, CT or magnetic resonance imaging are the basic diagnostics. Acute back pain is usually treated monotherapeutically, NSAIDs is the base. Chronic back pain treatment is multidisciplinary, it combines pharmacotherapy, physiotherapy, psychotherapy and other methods. In pharmacotherapy we proceed according to the WHO three-step ladder, including strong opioid medication for strong back pain. Neuropathic component of pain is usually eased with antidepressants or anticonvulsants.
Keywords:
back pain, non-opioid analgesics, opioid analgesics, antidepressants, anticonvulsants
Zdroje
1. Adamová B. Bolesti páteře. In: Hakl M a kol. Léčba bolesti. Mladá fronta, Praha, 2013: 170–182.
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3. Attal N, Cruccu G, Baron R et al. EFNS guidelines on the pharmacological treatment of neuropathic pain: 2009 revision. Eur J Neurol 2009; 8: 1010–1018.
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6. Slíva J. Myorelaxancia ve světle „evidence based medicine“. Practicus 2008; 7(5): 27–29.
Štítky
Addictology Allergology and clinical immunology Angiology Audiology Clinical biochemistry Dermatology & STDs Paediatric gastroenterology Paediatric surgery Paediatric cardiology Paediatric neurology Paediatric ENT Paediatric psychiatry Paediatric rheumatology Diabetology Pharmacy Vascular surgery Pain management Dental HygienistČlánok vyšiel v časopise
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Najčítanejšie v tomto čísle
- Non-opioid analgesics
- Pathophysiology of pain and its clinical application
- Opioids and new trends in pain therapy
- Back pain treatment