Neuromuscular DiseasesNeuromuscular DiseasesНервно-мышечные болезни2222-87212413-0443Publishing House ABV Press30610.17650/2222-8721-2018-8-4-61-70CLINICAL CASEКЛИНИЧЕСКИЙ РАЗБОРPain in the lumbar spine: etiology, differential diagnosis and treatment (literature review and clinical case)Боль в поясничном отделе позвоночника: этиология, дифференциальная диагностика и лечение (обзор литературы и клинический случай)KargaltsevA. A.КаргальцевА. А.
Russian Federation

34A Kashirskoe Shosse, Moscow 115522

Александр Александрович Каргальцев 

115522 Москва, Каширское шоссе, 34А

alexk10001@gmail.comMakarovM. A.МакаровМ. А.
Russian Federation

34A Kashirskoe Shosse, Moscow 115522

115522 Москва, Каширское шоссе, 34А

A. A. Nasonova Scientific Research Institute of of RheumatologyФГБНУ «Научно-исследовательский институт ревматологии им. В.А. Насоновой» Минздрава России120120198461701201201912012019Copyright ©; 2019, Kargaltsev A.A., Makarov M.A.Copyright ©; 2019, Каргальцев А.А., Макаров М.А.2019Kargaltsev A.A., Makarov M.A.Каргальцев А.А., Макаров М.А.https://creativecommons.org/licenses/by/4.0https://nmb.abvpress.ru/jour/article/view/306

The article is devoted to the etiology, prevalence, differential diagnosis and selection of therapy for pain in the lumbar spine. To determine the cause of lumbar pain, coordinated actions of a neurologist and an orthopedic surgeon are necessary, since chronic pain syndrome is often caused by systemic joint damage – osteoatrosis. Using the example of a clinical case, an algorithm for managing a patient with degenerative-dystrophic changes of the lumbar spine and osteoarthrosis using nonsteroidal anti-inflammatory drugs is considered. 

Статья посвящена этиологии, распространенности, дифференциальной диагностике и подбору терапии при болевом синдроме в поясничном отделе позвоночника. Для выяснения причины поясничного болевого синдрома необходимы согласованные действия невролога и ортопеда, так как хронический болевой синдром часто обусловлен системным поражением суставов – остеоартрозом. На примере клинического случая рассмотрен алгоритм ведения пациента с дегенеративно-дистрофическими изменениями поясничного отдела и остеоартрозом с использованием нестероидных противовоспалительных средств.

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