Acute nonspecific (musculoskeletal) low back pain Guidelines of the Russian Society for the Study of Pain (RSSP)

  title={Acute nonspecific (musculoskeletal) low back pain Guidelines of the Russian Society for the Study of Pain (RSSP)},
  author={Vladimir Anatolyevich Parfenov and Nikolay N. Yakhno and Mikhail L. Kukushkin and M. V. Churyukanov and O.S. Davydov and Veronika A. Golovacheva and A. I. Isaikin and Evgeniy E. Achkasov and G. Yu. Evzikov and Andrei E. Karateev and F. A. Khabirov and V. A. Shirokov},
  journal={Neurology, Neuropsychiatry, Psychosomatics},
The examination of a patient with acute low back pain (LBP) includes the clarification of complaints and history data, brief physical and neurological examinations, and an assessment of danger symptoms. The diagnosis of acute nonspecific (musculoskeletal) LBP is based on the exclusion of a specific cause of pain (a potentially dangerous disease), discogenic radiculopathy, and lumbar spinal stenosis. If there is typical musculoskeletal pain and no danger symptoms, radiography, X-ray computed… 
46 Citations
Diagnosis and treatment of acute lumbar pain
It is noted, that patients with acute LP are relatively rarely informed by doctors about its favorable forecast, the possibilities of the natural regression of the hernia of the disk and neurological symptoms at discogenic LP and radiculopathy.
Back pain: from diagnosis to treatment
Clinical symptoms of myofascial, muscular-tonic syndrome, facet syndrome, and sacral-iliac joint dysfunction in lower back pain are presented, as well as techniques of neuroorthopedic examination, which allow to detect one or more abrasions of back pain.
Low back pain: a case study
The considered clinical case illustrates both the difficulties arising in the diagnosis of LBP and the possibilities of successful conservative therapy of this disease.
[Rehabilitation of patients with chronic low back pain].
The article reflects the main etiological factors, describes the types of back pain: non-specific, radiculopathy, pain associated with potentially dangerous diseases, and issues of the pathogenesis of pain syndromes are highlighted with an indication of nociceptive, neuropathic, psychogenic components.
Effects of kinesitherapy on chronic non-specific low back pain: discussion based on clinical observations
In chronic nonspecific low back pain (CNLBP), an integrated approach is effective, which must include kinesitherapy, and regularity of physical exercises, exclusion of abrupt and excessive movements, and static loads are of leading importance.
[Diagnosis and treatment of acute low back pain].
Key steps in the treatment of patients with acute non - specific LBP are to inform of patients about good prognosis of pain, to recommend daily activity and avoidance of bed rest, and to prescribe nonsteroidal anti - inflammatory drug for pain reducing.
Practical guidelines for the treatment of chronic nonspecific low back pain and comorbid chronic insomnia: clinical observation
A clinical case of a patient with chronic nonspecific low back pain and comorbid chronic insomnia is described, and a modern approach to the management of this patient category is shown; the nonsteroidal anti-inflammatory drug dexketoprofen was used as pharmacotherapy according to a step-by-step regimen.
Management of acute nonspecific lumbosacral pain: modern guidelines and new approaches in pharmacotherapy
The article discusses the results of clinical trials of the efficacy and safety of NSAIDs combined with B vitamins, the advantages of this combination in patients with LSP and the use of B vitamins-containing Milgamma as a co-analgesic drug combined with NSAIDs in acute nonspecific back pain.
Pain reliever combinations in treatment of patients with acute musculoskeletal back pain
The combination of NSAIDs with a muscle relaxant and B vitamins can reduce the duration and the incidence of  adverse drug reactions of NSAID therapy, and reduce theduration of temporary disability.
Therapy for acute nonspecific back pain: new additional opportunities
The paper considers the practical significance of concomitant administration of B vitamins and NSAIDs in NLBP and notes the efficacy of milgamma used both alone and in combination withNSAIDs in the treatment of acute NLBP.