Chronic Benign Pain

AbstractChronic benign pain (CBP) can be defined as a type of unpleasant sensory experience that arises from inflammation, visceral stress or damage, or other such pathophysiologic process(es), and that is not associated with a metastatic process. A patient's complaint of pain should be taken seriously by the practitioner, both in terms of the discomfort evoked and the likelihood that the potential cause of the pain requires diagnostic evaluation. This article reviews the diagnosis and treatment of the following common conditions associated with CBP syndromes: fibromyalgia, lower back pain syndrome, sickle-cell disease, reflex sympathetic dystrophy syndrome, and peripheral neuropathies.

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Effectiveness of a home-based therapeutic exercise program on lower back pain and functionality in Sickle Cell Disease (SCD) patients

Hematology Transfusion and Cell Therapy ◽

10.1016/j.htct.2020.05.004 ◽

2020 ◽

Author(s):

Camila Tatiana Zanoni ◽

Fábio Galvão ◽

Renata Manzano Maria ◽

Roberto Zulli ◽

Janaina Bosso Ricciardi ◽

...

Keyword(s):

Back Pain ◽

Sickle Cell Disease ◽

Sickle Cell ◽

Lower Back Pain ◽

Exercise Program ◽

Therapeutic Exercise ◽

Cell Disease ◽

Lower Back ◽

Home Based

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LIGAMENTOSIS OF THE LONG DORSAL SACROILIAC LIGAMENT: OUTSTANDING ISSUES OF RADIOTHERAPY

Health and Ecology Issues ◽

10.51523/2708-6011.2017-14-2-1 ◽

2017 ◽

pp. 4-7

Author(s):

I. V. Nazarenko

Keyword(s):

Back Pain ◽

Diagnostic Criteria ◽

Lower Back Pain ◽

Imaging Techniques ◽

Pain Syndrome ◽

Degenerative Changes ◽

X Ray ◽

Information Portal ◽

Lower Back ◽

Modern Methods

Objective: to systematize the data on the possibility of application of imaging techniques for the diagnosis of ligamentosis of the long dorsal sacroiliac ligament. Materials. Publications containing information about the use of imaging techniques for the diagnosis of ligamentosis of the long dorsal sacroiliac ligament deposited in PubMed resources and information portal eLIBRARY.RU. Results. The work has sorted out the most important aspects regarding the possibility of application of imaging techniques for the diagnosis of ligamentosis of the long dorsal sacroiliac ligament. Conclusion. Modern methods of X-ray diagnostics are able to provide visualization of the posterior long sacroiliac ligaments, but the absence of reliable diagnostic criteria does not make it possible to diagnose degenerative changes (ligamentosis) confidently and, accordingly, to verify the related cases of lower back pain syndrome.

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Algorithm of Radiological Diagnostics of Dystrophic Damage to Ligaments of the Lumbosacral Spine in the Lower Back Pain Syndrome: the Potential of Sonography

Health and Ecology Issues ◽

10.51523/2708-6011.2018-15-4-21 ◽

2018 ◽

pp. 109-114

Author(s):

A. N. Mihailov ◽

A. M. Yurkovskiy ◽

I. V. Nazarenko

Keyword(s):

Back Pain ◽

Lower Back Pain ◽

Structural Changes ◽

Clinical Manifestations ◽

Diagnostic Errors ◽

Diagnostic Algorithm ◽

Pain Syndrome ◽

Lumbosacral Spine ◽

Lower Back ◽

Magnetic Resonance Imaging Mri

Objective: to formulate the main points of the diagnostic algorithm in the lower back pain syndrome caused by pathology of the ilio-lumbar, posterior long sacroiliac, and sacrotuberal ligaments based on the limits and potential of visualization methods. Material. Data of X-ray, multispiral computer tomography (MSCT), magnetic resonance imaging (MRI) and sonography of 184 patients aged 19-79 with clinical manifestations of the lower back pain syndrome caused by pathology of the ilio-lumbar, posterior long sacroiliac, and sacrotuberal ligaments were analyzed. Results. The potential of the visualization methods in the assessment of structural changes of the ilio-lumbar, posterior long sacroiliac, and sacrotuberal ligaments has been identified. The main points of the algorithm which makes it possible to diagnose the lower back pain syndrome, caused by pathology of ilio-lumbar, posterior long sacroiliac and sacrotuberal ligaments have been formulated. Conclusion. The choice of the visualization method in the lower back pain syndrome, caused by ligamentosis of the ilio-lumbar, posterior long sacroiliac, and sacrotuberal ligaments must be made taking into account the limits and potential of MSCT, MRI and sonography, which will shorten the time of diagnostic search and reduce the risk of diagnostic errors.

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Possibilities of pain syndrome therapy in patients with diabetes mellitus

Russian Medical Inquiry ◽

10.32364/2587-6821-2021-5-5-307-315 ◽

2021 ◽

Vol 5 (5) ◽

pp. 307-315

Author(s):

O.A. Shavlovskaya ◽

◽

I.A. Bokova ◽

N.I. Shavlovsky ◽

Yu.D. Yukhnovskaya ◽

...

Keyword(s):

Diabetes Mellitus ◽

Back Pain ◽

Treatment Regimen ◽

Lower Back Pain ◽

Muscle Relaxant ◽

Pain Syndrome ◽

B Vitamins ◽

Lower Back ◽

Patients With Diabetes ◽

Anti Inflammatory

The prevalence of lower back pain (LBP) in type 2 diabetes mellitus (DM2) is almost 2 times higher than in the similar control group (by age and gender). The association of DM2 with the severity, chronicity and recurrence of LBP was revealed. DM2 duration correlates with the severity and prevalence of degenerative-dystrophic changes. The representation of concomitant somatic pathology in patients with DM2 is significantly higher than in patients without DM2. Rational selection of the therapy regimen for LBP should be based on comorbid pathology. The molecular mechanisms of synergism of muscle relaxant (tolperizone), nonsteroidal anti-inflammatory drug (NSAID) (meloxicam), and B vitamins as part of complex pharmacotherapy of pain were analyzed. This treatment regimen has a number of benefits: lack of dependence, anti-inflammatory effect, neuroprotective and remyelinating effect, reduction of muscular hypertonus. A number of studies have shown the efficacy of such combination therapy in patients of different age groups with comorbid conditions. It does not require an increase in NSAID doses and significantly reduces the risk of adverse events (AE). The applied treatment regimen is a combination of a muscle relaxant (tolperizone), NSAID (meloxicam) and a complex of B vitamins has already demonstrated its efficacy in the treatment of LBP in patients with comorbid diseases, according to the effect on the inflammatory process indicators (in the absence of AE). KEYWORDS: diabetes mellitus, lower back pain, body mass index, nonsteroidal anti-inflammatory drugs, meloxicam, muscle relaxants, tolperizone, B vitamins. FOR CITATION: Shavlovskaya O.A., Bokova I.A., Shavlovsky N.I., Yukhnovskaya Yu.D. Possibilities of pain syndrome therapy in patients with diabetes mellitus. Russian Medical Inquiry. 2021;5(5):307–315 (in Russ.). DOI: 10.32364/2587-6821-2021-5-5-307-315.

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TO THE QUESTION OF THE EPIDEMIOLOGICAL ASSESSMENT OF OCCUPATIONAL HEALTH RISK FOR THE DEVELOPMENT OF LOWER BACK PAIN SYNDROME

10.31089/978-5-6042929-2-1-2021-1-579-583 ◽

2021 ◽

Author(s):

V.A. Shirokov ◽

◽

N.L. Terehov ◽

A.V. Potaturko

Keyword(s):

Back Pain ◽

Working Conditions ◽

Lower Back Pain ◽

Odds Ratio ◽

Pain Syndrome ◽

Epidemiological Survey ◽

Dynamic Exercise ◽

Cross Sectional ◽

Lower Back ◽

Working Posture

Abstract: The aim of the paper was to study the influence of adverse occupational factors on the prevalence and odds ratio of the development of lower back pain syndrome. A cross-sectional epidemiological survey was performed based on the findings of a periodic medical examination of 2,915 individuals engaged in various working conditions. The greatest adverse effect on the pain syndrome development was caused by a dynamic exercise (OR 5.22 and 95 % of CI – 3.50-7.81), lifting and manual moving of the load (OR 3.01 and 95% of CI -2.41-3.75) as well as an unfavorable working posture (OR 7.10 and 95 % of CI -5.65-8.94).

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