Lumbosacral dorsopathies: modern aspects of diagnosis and pharmacological treatment
- 作者: Zhivolupov S.1, Kozhevnikov E.1, Samartsev I.1, Rashidov N.1
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隶属关系:
- Military medical academy of S.M. Kirov
- 期: 卷 24, 编号 1 (2022)
- 页面: 125-133
- 栏目: Review
- URL: https://journals.rcsi.science/1682-7392/article/view/75997
- DOI: https://doi.org/10.17816/brmma75997
- ID: 75997
如何引用文章
详细
Lumbosacral dorsopathy is the most common diagnosis in patients with lower back pain. Issues of conservative treatment of lumbosacral dorsopathies are considered based on the analysis of scientific materials contained in large databases such as PubMed, Cochrane library, MEDLINE, and eLibrary. From all publications, 40 of the most relevant works were selected and considered in detail, and key figures and short conclusions for each work are displayed in a table. Symptoms of lumbosacral dorsopathies often have an extremely negative effect on the patient’s ability to work and quality of life; therefore, effective and prompt treatment is important. Given the complex and multifactorial pathogenesis and multitudes of options for lumbosacral dorsopathies, conservative treatment should be complex and individualized, and drugs should have a high safety profile, especially those used in the treatment of chronic diseases. These requirements are met by some nonsteroidal anti-inflammatory drugs and co-analgesics, such as chondroprotectors and B vitamins. For the treatment of acute and exacerbated lumbosacral dorsopathies, the local use of hormonal drugs, anticonvulsants, antidepressants, muscle relaxants, etc., is possible, while treatment dosage and duration should be strictly limited. The local use of hormonal drugs and hodroprotectors such as therapeutic and diagnostic blockades is justified in the absence of contraindications and availability of opportunities, which helps reduce the likelihood of systemic adverse reactions and provides greater bioavailability.
作者简介
Sergey Zhivolupov
Military medical academy of S.M. Kirov
Email: peroslava@yandex.ru
ORCID iD: 0000-0003-0363-102X
SPIN 代码: 4627-8290
Scopus 作者 ID: 321638
doctor of medical sciences, professor
俄罗斯联邦, Saint PetersburgEvgeny Kozhevnikov
Military medical academy of S.M. Kirov
编辑信件的主要联系方式.
Email: kozh.evgeniy@yandex.ru
ORCID iD: 0000-0001-8016-0394
SPIN 代码: 4402-6613
residency student
俄罗斯联邦, Saint PetersburgIgor Samartsev
Military medical academy of S.M. Kirov
Email: alpinaigor@mail.ru
ORCID iD: 0000-0002-7659-9756
SPIN 代码: 9857-4986
doctor of medical sciences
俄罗斯联邦, Saint PetersburgNariman Rashidov
Military medical academy of S.M. Kirov
Email: info@honestmed.ru
SPIN 代码: 9793-4275
candidate of medical sciences
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补充文件
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