medsovetМедицинский СоветMeditsinskiy sovet = Medical Council2079-701X2658-5790REMEDIUM GROUP Ltd.10.21518/2079-701X-2018-1-52-56medsovet-2268Research ArticleТЕРАПИЯ БОЛИPAIN THERAPYВедение пациентов с острой поясничной болью: рекомендации экспертов и реальная практикаMANAGEMENT OF PATIENTS WITH ACUTE LUMBARY PAIN: RECOMMENDATIONS OF EXPERTS AND ACTUAL PRACTICEГерасимоваО. Н.GerasimovaO. N.ПарфеновВ. А.ParfenovV. A.

д.м.н., профессор

MD, Prof.

«Медицинские услуги», поликлиника №6, МоскваРоссияMedical Services, Outpatient Clinic No 6, MoscowRussian FederationПервый Московский государственный медицинский университет им. И.М. Сеченова Минздрава России (Сеченовский университет)РоссияSechenov First Moscow State Medical University of the Ministry of Health of Russia (Sechenov University)Russian Federation201805022018015256Copyright © Герасимова О.Н., Парфенов В.А., 20182018Герасимова О.Н., Парфенов В.А.Gerasimova O.N., Parfenov V.A.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.med-sovet.pro/jour/article/view/2268

Изложены современные рекомендации экспертов по обследованию и лечению пациентов с острой неспецифической поясничной болью. Представлено клиническое наблюдение пациента с острой неспецифической поясничной болью, на основе которого обсуждаются рекомендации экспертов и реальная практика. Отмечается, что диагноз неспецифической поясничной боли устанавливается на основе клинического обследования, в большинстве случаев не требуется инструментальных обследований, например магнитно-резонансной томографии. При ведении пациента с острой поясничной болью ведущее значение имеет информация о высокой вероятности быстрого выздоровления, целесообразности сохранения активного образа жизни, социальной и бытовой деятельности, для ослабления боли эффективны нестероидные противовоспалительные средства.

 

The article outlines the current recommendations of experts on the examination and treatment of patients with acute non-specific lumbar pain. It presents a case study of a patient with acute non-specific lumbar pain, which gave rise to the discussion of experts’ recommendations and actual practice. It is noted that the non-specific lumbar pain diagnosis is established on the basis of clinical examination, and in most cases no instrumental examinations, such as magnetic resonance imaging, are required. Information on the high likelihood of rapid recovery, the desirability of maintaining an active lifestyle, social and household activities is of primary importance for the management of a patient with acute lumbar pain. Non-steroidal anti-inflammatory drugs are effective in the alleviation of pain.

 

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The authors declare that there are no conflicts of interest present.