Low back pain and radicular pain
Боль в пояснице и корешковая боль
2017-01-01
SCID: 54.1/g27avnvx
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low back painmultidisciplinary rehabilitationradicular painrisk stratificationspinal decompression
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Abstract (AI)
FOREWORD 1 -- ALGORYTHM. 4 -- SUMMARY 5 -- 1. INTRODUCTION 7 -- 1.1. METHODS 7 -- 2. ASSESSMENT OF LOW BACK PAIN AND RADICULAR PAIN 8 -- 2.1. HISTORY TAKING AND CLINICAL EXAMINATION 8 -- 2.2. RISK STRATIFICATION 11 -- 2.3. IMAGING 13 -- 3. NON-INVASIVE MANAGEMENT 14 -- 3.1. SELF-MANAGEMENT 14 -- 3.2. SUPERVISED EXERCISE PROGRAMME 15 -- 3.3. MANUAL TECHNIQUES 15 -- 3.4. PSYCHOLOGICAL INTERVENTIONS 16 -- 3.5. MULTIDISCIPLINARY REHABILITATION PROGRAMME 16 -- 3.6. RETURN TO WORK 17 -- 4. PHARMACOLOGICAL INTERVENTIONS 18 -- 4.1. NSAIDS, OPIOIDS OR PARACETAMOL 18 -- 4.2. ANTIDEPRESSANTS AND ANTICONVULSANTS 20 -- 5. INVASIVE INTERVENTIONS 21 -- 5.1. EPIDURAL INFILTRATIONS FOR (SUB)ACUTE RADICULAR PAIN 21 -- 5.2. RADIOFREQUENCY DENERVATION: FOR SUSPECTED CHRONIC FACET JOINT PAIN 22 -- 5.3. SURGICAL SPINAL DECOMPRESSION FOR PERSISTENT RADICULAR PAIN 23 -- 5.4. ARTHRODESIS: ONLY FOR VERY SPECIFIC CASES OF LOW BACK PAIN 23 -- 6. INTERVENTIONS NOT RECOMMENDED 24 -- 7. INTERVENTIONS WITHOUT A CLEAR RECOMMENDATION 26 -- 8. RESEARCH PROPOSITIONS 27 -- 9. TOPICS NOT STUDIED 28 -- 10. IMPLEMENTATION 28 -- 11. GLOSSARY 29 -- 12. QUESTIONNAIRES 30
Key Findings
1
Assessment emphasizes history-taking, clinical examination, risk stratification, and selective use of imaging.
2
Invasive treatments are reserved for specific indications, including epidural infiltrations, radiofrequency denervation, surgical decompression, and arthrodesis in very specific cases.
3
Pharmacological options discussed include NSAIDs, opioids, paracetamol, antidepressants, and anticonvulsants.
4
Recommended non-invasive care includes self-management, supervised exercise, manual techniques, psychological interventions, multidisciplinary rehabilitation, and return-to-work support.
5
The document provides a clinical algorithm for assessing and managing low back pain and radicular pain.
Research Object
low back pain and radicular pain
Research Subject
assessment and management, including non-invasive, pharmacological, and invasive interventions
Publication Details
Publication Date
2017-01-01
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