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<article article-type="research-article" dtd-version="1.3" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xml:lang="ru"><front><journal-meta><journal-id journal-id-type="publisher-id">medsovet</journal-id><journal-title-group><journal-title xml:lang="ru">Медицинский Совет</journal-title><trans-title-group xml:lang="en"><trans-title>Meditsinskiy sovet = Medical Council</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">2079-701X</issn><issn pub-type="epub">2658-5790</issn><publisher><publisher-name>REMEDIUM GROUP Ltd.</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.21518/2079-701X-2019-12-42-47</article-id><article-id custom-type="elpub" pub-id-type="custom">medsovet-3131</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="ru"><subject>НЕВРОЛОГИЯ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>NEUROLOGY</subject></subj-group></article-categories><title-group><article-title>Патогенетические подходы к терапии обострения хронической боли в спине: описание клинического случая</article-title><trans-title-group xml:lang="en"><trans-title>Pathogenic approaches to the treatment of acute exacerbation of chronic back pain: a clinical case report</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Бородулина</surname><given-names>И. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Borodulina</surname><given-names>I. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Бородулина Ирина Владимировна - кандидат медицинских наук, врач-невролог, старший научный сотрудник.</p><p>121099, Москва, ул. Новый Арбат, д. 32</p></bio><bio xml:lang="en"><p>Borodulina Irina Vladimirovna - Cand. of Sci. (Med.), Neurologist, Senior Researcher.</p><p>121099, Moscow, Novy Arbat St., 32</p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Рачин</surname><given-names>А. П.</given-names></name><name name-style="western" xml:lang="en"><surname>Rachin</surname><given-names>A. P.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Рачин Андрей Петрович - доктор медицинских наук, профессор, заместитель директора по научной деятельности.</p><p>121099, Москва, ул. Новый Арбат, д. 32</p></bio><bio xml:lang="en"><p>Rachin Andrei Petrovich - Dr. of Sci. (Med.), Professor, Deputy Director for Science.</p><p>121099, Moscow, Novy Arbat St., 32</p></bio><xref ref-type="aff" rid="aff-1"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru">Федеральное государственное бюджетное учреждение «Национальный медицинский исследовательский центр реабилитации и курортологии» Министерства здравоохранения Российской Федерации<country>Россия</country></aff><aff xml:lang="en">Federal State Budgetary Institution «National Medical Research Center for Rehabilitation and Health Resort» of the Ministry of Health of the Russian Federation<country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2019</year></pub-date><pub-date pub-type="epub"><day>29</day><month>08</month><year>2019</year></pub-date><volume>0</volume><issue>12</issue><fpage>42</fpage><lpage>47</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Бородулина И.В., Рачин А.П., 2019</copyright-statement><copyright-year>2019</copyright-year><copyright-holder xml:lang="ru">Бородулина И.В., Рачин А.П.</copyright-holder><copyright-holder xml:lang="en">Borodulina I.V., Rachin A.P.</copyright-holder><license license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>This work is licensed under a Creative Commons Attribution 4.0 License.</license-p></license></permissions><self-uri xlink:href="https://www.med-sovet.pro/jour/article/view/3131">https://www.med-sovet.pro/jour/article/view/3131</self-uri><abstract><p>В настоящее время болевые синдромы в области спины являются широко распространенной проблемой. Патофизиологически боль может развиваться по ноцицептивному или нейропатическому пути, но часто присутствуют и оба этих компонента в общей картине болевого синдрома. Приоритетом терапевтической стратегии при данном виде боли является назначение эффективных комплексов медикаментозных препаратов на основании патогенетической доминанты заболевания.</p></abstract><trans-abstract xml:lang="en"><p>Pain syndromes in the region of the back are currently a widespread problem. According to our understanding of the pathophysiology, pain can be divided into nociceptive and neuropathic pain, but both of these components are often present in the overall picture of the pain syndrome. The prescription of effective drug complexes based on the pathogenetic dominant of the disease is the priority of the therapeutic strategy for this type of pain.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>хроническая боль</kwd><kwd>дорсалгия</kwd><kwd>боль в спине</kwd></kwd-group><kwd-group xml:lang="en"><kwd>chronic pain</kwd><kwd>dorsalgia</kwd><kwd>back pain</kwd></kwd-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">. Турбина Л.Г., Гордеев С.А. Нейропатическая боль: патогенез, клиника, диагностика, лечение. Клиническая лекция. Доктор.ру. 2013;5(83):56-60.</mixed-citation><mixed-citation xml:lang="en">.	Turbina L.G., Gordeev S.A. Neuropathic pain: pathogenesis, clinical manifestations, diagnosis, treatment. Clinical lecture. Doctor. ru. 2013;5(83):56-60. 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