Management of a patient with back pain in general medical practice
DOI: https://dx.doi.org/10.18565/therapy.2018.7-8.32-37
O.V. Vorobyova
The Department of nervous diseases of I.M. Sechenov First Moscow State Medical University FSAEI of HE of the Ministry of Health of Russia (Sechenov University)
Patients with back pain is one of the most numerous categories in primary care chain. The main purpose of their clinical examination is to identify, on the one hand, the cases with symptomatic pain, and on the other, patients with a high probability of serious pathologies (vertebral fracture, malignancy, etc.), which may require additional diagnostic measures and special treatment. Fast recognition of radicular pain and knowledge of predictors of chronic pain syndrome are very important for the adequate management of patients with pain in general medical practice. Aims of the therapy include reduction of pain symptoms, increasing of moving activity, and influence at distress associated with pain syndrome persistence.
Keywords: nonspecific back pain, radicular pain, symptoms of danger, factors of pain chronicity
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About the Autors
Olga V. Vorobyova, MD, professor of the Department of nervous diseases of the Institute of Professional Educationof «I.M. Sechenov First Moscow State Medical University» FSAEI of HE of the Ministry of Healthcare of Russia (Sechenov University). Address: 119991, Moscow, 2, bld. 4, Bolshaya Pirogovskaya St. Tel.: +74956091400. E-mail: ovvorobeva@mail.ru
Русский
