Back pain treatment
Authors:
Marek Hakl
Authors‘ workplace:
Ambulance algeziologie a preventivní péče, Medicinecare, s. r. o.
Published in:
Čas. Lék. čes. 2018; 157: 62-66
Category:
Review Article
Overview
Spine pain is one of the most common medical problems. Yearly incidence is reported between 15 and 45 %, lifelong is 60–90 %. Neurological examination, radiology examination, CT or magnetic resonance imaging are the basic diagnostics. Acute back pain is usually treated monotherapeutically, NSAIDs is the base. Chronic back pain treatment is multidisciplinary, it combines pharmacotherapy, physiotherapy, psychotherapy and other methods. In pharmacotherapy we proceed according to the WHO three-step ladder, including strong opioid medication for strong back pain. Neuropathic component of pain is usually eased with antidepressants or anticonvulsants.
Keywords:
back pain, non-opioid analgesics, opioid analgesics, antidepressants, anticonvulsants
Sources
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Labels
Addictology Allergology and clinical immunology Angiology Audiology Clinical biochemistry Dermatology & STDs Paediatric gastroenterology Paediatric surgery Paediatric cardiology Paediatric neurology Paediatric ENT Paediatric psychiatry Paediatric rheumatology Diabetology Pharmacy Vascular surgery Pain managementArticle was published in
Journal of Czech Physicians
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