Affiliation:
1. Pirogov Russian National Research Medical University of Ministry of Health of the Russian Federation, Russian Gerontology Research and Clinical Centre
Abstract
The high incidence of back pain in older people, its effect on quality and duration of life, and insufficient effectiveness of existing treatment methods determine the need to search for methods of back pain treatment that will reduce inflammatory and degenerative changes and the pain syndrome itself. The review analyzes the epidemiology, pathogenesis, current methods of pharmacotherapy for back pain, the role of genetic changes and biomarkers of chronic pain, discusses current prospects for the use of targeted therapy for the treatment of chronic nonspecific back pain based on pathogenetic mechanisms (genetic changes, aseptic inflammation, immune disorders, disorders of chondrogenesis, etc.).
Publisher
Autonomous non-profit organization-Society of Specialists in the Field Innovative Medical Technology
Reference41 articles.
1. Macfarlane G.J., Barnish M.S., Jones G.T. Persons with chronic widespread pain experience excess mortality: longitudinal results from UK Biobank and meta-analysis. Annals of the Rheumatic Diseases. 2017; 76: 1815–1822. DOI: 10.1136/annrheumdis-2017-211476.
2. UK National Institute for Health and Care Excellence. Low back pain and sciatica in over 16 s: assessment and management. November 2016. https://www.nice.org.uk/guidance/ng59.Accessed Nov 7 2017
3. Krismer M., van Tulder M. Low Back Pain Group of the Bone and Joint Health Strategies for Europe Project. Strategies for prevention and management of musculoskeletal conditions. Low back pain (non-specific). Best Pract Res Clin Rheumatol. 2007 Feb; 21(1): 77–91.
4. Low back disorders. In: Hegmann K.T. editor(s). Occupational medicine practice guidelines. Evaluation and management of common health problems and functional recovery in workers. 3rd ed. Elk Grove Village (IL): American College of Occupational and Environmental Medicine (ACOEM). — 2011. — http://www.guideline.gov. — p. 333–796.
5. Golubev V.L., Danilov A.B., Vein A.M. Psikhosotsial'nye faktory, gender i bol' // Zhurnal nevrologii i psikhiatrii. — 2004. — T. 104 (11). — S. 70–73.
Cited by
2 articles.
订阅此论文施引文献
订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献