Features of Treatment for Articular Syndrome in Elderly Patients With Arterial Hypertension Specific

Егоров, Ю. В.; Tsurko, V V

doi:10.14412/1996-7012-2008-508

Modern Rheumatology Journal

2008

DOI: 10.14412/1996-7012-2008-508

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Features of Treatment for Articular Syndrome in Elderly Patients With Arterial Hypertension Specific

Ю. В. Егоров¹,

V V Tsurko²

Abstract: Представлены данные об эффективности, безопасности, переносимости, основных механизмах действия, перспективах примене-ния в клинической практике мелоксикама -современного селективного в отношении циклооксигеназы 2 нестероидного противо-воспалительного препарата. Показаны преимущества инъекционной формы мелоксикама, характеризующейся быстрым и продол-жительным анальгетическим действием.Перспективы применения современного противовоспалительного препарата мелоксикам (Амелотекс) в клинической практике М.С. Елисеев… Show more

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Cited by 2 publications

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Diagnostic and treatment algorithms for acute low back pain

Головачева

Golovacheva

2021

Medicinskij sovet

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Low back pain (LBP) is one of the most common reasons to see a physician. In 90–95% of cases, LBP is nonspecific (musculoskeletal). Timely diagnosis of acute nonspecific LBP and its effective treatment are of practical importance, have a favorable effect on the prognosis of recovery and significantly reduce the risk of chronic pain. The diagnosis of acute nonspecific LBP is established on the basis of complaints, clinical picture, data of somatic and neurological examination, absence of “red flags” (symptoms and signs characteristic of specific causes of back pain, discogenic radiculopathy or lumbar stenosis). Drug and non-drug methods are used in the treatment of acute nonspecific LBP. In acute nonspecific LBP, great importance is attached to informing the patient about the causes of pain and a favorable prognosis, the need to stay active, avoid staying in bed and wearing corsets. As pharmacotherapy, the prescription of nonsteroidal anti-inflammatory drugs (NSAIDs) is effective. Nimesulide, an NSAID that is used to treat various pain syndromes, is effective and safe in the treatment of acute nonspecific LBP. In addition to NSAIDs, muscle relaxants and B vitamins may be prescribed. Therapeutic exercises are not prescribed during the acute period of back pain. Therapeutic exercises are effective in preventing exacerbations of LBP. We present our own clinical example of managing a patient with acute nonspecific LBP. Complex treatment based on international and Russian recommendations allowed to help her relatively quickly and effectively. The achieved positive effect was maintained for 3 months of follow-up of the patient.

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Diagnostic and treatment algorithms for acute low back pain

Головачева

Golovacheva

2021

Medicinskij sovet

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Cognitive functional therapy and non-steroidal anti-inflammatory drugs in the treatment of low back pain

Zinovyeva

Golovacheva

2023

Medicinskij sovet

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A multidisciplinary approach including drug and non-drug methods is recommended for the treatment of chronic low back pain (CLBP). Kinesiotherapy, psychological methods, and nonsteroidal anti-inflammatory drugs (NSAIDs) have been shown to be highly effective for CLBP. All of the listed methods contribute to significant relief and relief of pain, increase the patient’s social and physical activity, and improve the emotional state. Psychological methods help patients cope with catastrophizing pain, increase daily activities, and reduce the likelihood of disease recurrence. Results from clinical studies and systematic reviews demonstrate the effectiveness of psychological techniques such as cognitive behavioral therapy (CBT) and mindfulness therapy (mindfulness) in the treatment of CLBP. Cognitive Functional Therapy (CFT) is a promising new psychological method that was created on the basis of CPT. Clinical studies have been conducted confirming the efficacy of CFT in CLBP. CFT is aimed at regular therapeutic exercises, normalization of motor activity with avoidance of excessive physical and static exertion, avoidance of sedentary lifestyle and normalization of sleep, which is often disturbed in chronic back pain. In practice, patients with CLBP often have low adherence to increased physical activity during the day, to therapeutic exercises. In most cases, this is due to the fact that in the first days of increased physical activity there is an increase in pain. Patients mistakenly fear further progression of pain and disease. Prescribing NSAIDs usually results in pain reduction as early as the first days of administration, so patients with chronic musculoskeletal pain have an increased desire to engage in physical activity and therapeutic exercises. The choice of a particular NSAID medication is made individually, taking into account the co-morbidities and the risk of possible side effects. We discuss the use of nimesulide in CLBP.

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Features of Treatment for Articular Syndrome in Elderly Patients With Arterial Hypertension Specific

Cited by 2 publications

References 15 publications

Diagnostic and treatment algorithms for acute low back pain

Diagnostic and treatment algorithms for acute low back pain

Cognitive functional therapy and non-steroidal anti-inflammatory drugs in the treatment of low back pain

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