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<article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xmlns:ali="http://www.niso.org/schemas/ali/1.0/" article-type="other" dtd-version="1.2" xml:lang="en"><front><journal-meta><journal-id journal-id-type="publisher-id">Neuromuscular Diseases</journal-id><journal-title-group><journal-title xml:lang="en">Neuromuscular Diseases</journal-title><trans-title-group xml:lang="ru"><trans-title>Нервно-мышечные болезни</trans-title></trans-title-group></journal-title-group><issn publication-format="print">2222-8721</issn><issn publication-format="electronic">2413-0443</issn><publisher><publisher-name xml:lang="en">Publishing House ABV Press</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="publisher-id">56</article-id><article-id pub-id-type="doi">10.17650/2222-8721-2013-0-3-32-39</article-id><article-categories><subj-group subj-group-type="toc-heading" xml:lang="en"><subject>LECTURES AND REVIEWS</subject></subj-group><subj-group subj-group-type="toc-heading" xml:lang="ru"><subject>ЛЕКЦИИ И ОБЗОРЫ</subject></subj-group><subj-group subj-group-type="article-type"><subject></subject></subj-group></article-categories><title-group><article-title xml:lang="en">Management of a patient with low back pain: the problems of efficiency and safety</article-title><trans-title-group xml:lang="ru"><trans-title>Ведение пациента с поясничной болью – проблемы эффективности и безопасности</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author"><name-alternatives><name xml:lang="en"><surname>Kamchatnov</surname><given-names>P. R.</given-names></name><name xml:lang="ru"><surname>Камчатнов</surname><given-names>П. Р.</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><email>pavkam7@gmail.com</email><xref ref-type="aff" rid="aff1"/></contrib><contrib contrib-type="author"><name-alternatives><name xml:lang="en"><surname>Umarov</surname><given-names>Kh. Ya.</given-names></name><name xml:lang="ru"><surname>Умарова</surname><given-names>Х. Я.</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><xref ref-type="aff" rid="aff2"/></contrib><contrib contrib-type="author"><name-alternatives><name xml:lang="en"><surname>Chugunov</surname><given-names>A. V.</given-names></name><name xml:lang="ru"><surname>Чугунов</surname><given-names>А. В.</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><xref ref-type="aff" rid="aff1"/></contrib><contrib contrib-type="author"><name-alternatives><name xml:lang="en"><surname>Kazakov</surname><given-names>A. Yu.</given-names></name><name xml:lang="ru"><surname>Казаков</surname><given-names>А. Ю.</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><xref ref-type="aff" rid="aff1"/></contrib></contrib-group><aff-alternatives id="aff1"><aff><institution xml:lang="en">N.I. Pirogov Russian National Research Medical University, Moscow</institution></aff><aff><institution xml:lang="ru">ГБОУ ВПО «Российский национальный медицинский исследовательский университет им. Н.И. Пирогова», Москва</institution></aff></aff-alternatives><aff-alternatives id="aff2"><aff><institution xml:lang="en">Chechen State University, Grozny</institution></aff><aff><institution xml:lang="ru">ГБОУ ВПО «Чеченский государственный университет», Грозный</institution></aff></aff-alternatives><pub-date date-type="pub" iso-8601-date="2013-09-20" publication-format="electronic"><day>20</day><month>09</month><year>2013</year></pub-date><volume>3</volume><issue>3</issue><issue-title xml:lang="en"/><issue-title xml:lang="ru"/><fpage>32</fpage><lpage>39</lpage><history><date date-type="received" iso-8601-date="2015-02-20"><day>20</day><month>02</month><year>2015</year></date><date date-type="accepted" iso-8601-date="2015-02-20"><day>20</day><month>02</month><year>2015</year></date></history><permissions><copyright-statement xml:lang="en">Copyright ©; 2013, Kamchatnov P.R., Umarov K.Y., Chugunov A.V., Kazakov A.Y.</copyright-statement><copyright-statement xml:lang="ru">Copyright ©; 2013, Камчатнов П.Р., Умарова Х.Я., Чугунов А.В., Казаков А.Ю.</copyright-statement><copyright-year>2013</copyright-year><copyright-holder xml:lang="en">Kamchatnov P.R., Umarov K.Y., Chugunov A.V., Kazakov A.Y.</copyright-holder><copyright-holder xml:lang="ru">Камчатнов П.Р., Умарова Х.Я., Чугунов А.В., Казаков А.Ю.</copyright-holder><ali:free_to_read xmlns:ali="http://www.niso.org/schemas/ali/1.0/"/><license><ali:license_ref xmlns:ali="http://www.niso.org/schemas/ali/1.0/">https://creativecommons.org/licenses/by/4.0</ali:license_ref></license></permissions><self-uri xlink:href="https://nmb.abvpress.ru/jour/article/view/56">https://nmb.abvpress.ru/jour/article/view/56</self-uri><abstract xml:lang="en"><p>Low back pain (LBP) is a common condition occurring in the population in different age groups; it is characterized by a tendency to relapse.Acute pain may transform to chronic pain, causing patient disability. The goal of LBP treatment is to timely relieve painful sensations so that the patient can return to his/her normal life as soon as possible. The patient is required to participate in the therapeutic process. Ketonal that shows high efficacy and good tolerability is widely used to treat patients with LBP. The medication is available in different dosage forms, which makes it possible to individualize the therapeutic process and to reduce drug load due to its possible topical application.</p></abstract><trans-abstract xml:lang="ru"><p>Поясничная боль (ПБ) – распространенное в популяции состояние, встречающееся в различных возрастных группах, характеризующееся склонностью к рецидивированию. Острая боль может трансформироваться в хроническую, вызывая инвалидизацию больного. Задача лечения пациента с ПБ – своевременно купировать болевые ощущения, чтобы он максимально скоро вернулся к привычному образу жизни. Обязательным является участие самого больного в лечебном процессе. При лечении пациентов с ПБ широко используется кетонал, характеризующийся высокой эффективностью и хорошей переносимостью. Препарат выпускается в различных лекарственных формах, что позволяет индивидуализировать лечебный процесс и снизить лекарственную нагрузку за счет возможности местного применения.</p></trans-abstract><kwd-group xml:lang="en"><kwd>lumbago</kwd><kwd>low back pain</kwd><kwd>ketoprofen</kwd><kwd>ketonal duo</kwd><kwd>ketonal cream</kwd><kwd>ketonal thermo</kwd></kwd-group><kwd-group xml:lang="ru"><kwd>поясничная боль</kwd><kwd>боль в нижней части спины</kwd><kwd>кетопрофен</kwd><kwd>кетонал дуо</kwd><kwd>кетонал крем</kwd><kwd>кетонал термо</kwd></kwd-group><funding-group/></article-meta></front><body></body><back><ref-list><ref id="B1"><label>1.</label><citation-alternatives><mixed-citation xml:lang="en">1. Kim T., Montejano L., Cao Z., Zhao Y. Health care costs in US patients with and without a diagnosis of osteoarthritis. 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