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[Back Pain: osteochondrosis or osteoarthritis?].
R G Esin1, N Z Lotfullina2, O R Esin2
1GBOU DPO 'Kazanskaja gosudarstvennaja meditsinskaja akademija', Kazan'; FGAOU VPO 'Kazanskij federal'nyj universitet', Kazan'.
Zhurnal Nevrologii I Psikhiatrii Imeni S.S. Korsakova
|March 16, 2016
Summary
This article clarifies back pain diagnosis and treatment, recommending "spinal osteoarthritis" over "osteochondrosis." It details managing various spinal conditions and suggests dexketoprofen with adjuvants for nociceptive back pain.
Area of Science:
- Orthopedics and Rheumatology
- Pain Management
- Spinal Disorders
Context:
- Back pain is a prevalent condition with diverse etiologies.
- Current Russian medical literature uses "osteochondrosis" for spinal degenerative changes.
- Accurate terminology is crucial for effective communication and treatment.
Purpose:
- To provide a comprehensive overview of differential diagnosis for back pain.
- To recommend standardized terminology for spinal degenerative changes.
- To outline treatment strategies for various causes of back pain.
Summary:
- Advocates for the term "spinal osteoarthritis" to replace "osteochondrosis" in Russian medical literature.
- Details diagnostic and treatment approaches for myogenic pain, facet syndrome, herniated discs, radiculopathy, spinal stenosis, and interspinous bursitis.
- Suggests dexketoprofen (flamadex) combined with baclofen and flupirtine for nociceptive back pain.
Impact:
- Promotes consistent terminology for spinal osteoarthritis, improving diagnostic clarity.
- Offers evidence-based treatment recommendations for common and complex back pain conditions.
- Aims to enhance patient outcomes through optimized pain management strategies.
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