Medical Treatment In The Low Back Pain (Review)

42010

Chronic low back pain (LBP) is the second most common neurological problem after headache. Chronic LBP is the most common cause of activity limitation in persons younger than 45 years.. Generally, Chronic LBP is results from traumatic and degenerative and malign diseases conditions of the spine. Traumatic or degenerative conditions of the spine are the most common causes of chronic LBP. Although disk protrusion and herniation have been popularized as causes of LBP and sciatica, asymptomatic disk herniations on CT and MRI are common. The estimated yearly prevalence of LBP is 5-20% in the United States and 25-45% in Europe. It is classificated by the type of pain as discogenic, radicular, sacroiliac, muscular and facet- joint pain. Epidemiologic data suggest that risk factors include cigarette smoking; morbid obesity; occupations that require repetitive lifting, especially in forward bending and twisting positions. Principles for medical management in the chronic stages of LBP and disability differ in several ways from those in the acute phase. Tricyclic antidepressants are useful in chronic LBP Anticonvulsant medications may reduce paroxysmal or neuropathic pain. Calcium channel blockers and alpha-adrenergic antagonists are useful for treating LBP when it is associated with a complex regional pain syndrome. Acetaminofen, nonsteroidal antiinflamatuar drugs, narcotics may be used to maintain function and mobility in the chronic pain.

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Chronic , low back pain , medical treatment , analgesics

Kocatepe Medical Journal

54

Kocatepe Medical Journal