Причины болей в нижней части спины
https://doi.org/10.30629/2658-7947-2019-24-5-14-20
Аннотация
Боли в нижней части спины (БНЧС) представляют одну из наиболее частых причин временной инвалидности. Анализируются основные причины БНЧС: 1) неспецифическая (скелетно-мышечная) боль; 2) специфическая боль, вызванная «серьезной патологией» (опухоль, перелом, инфекция и др.); 3) компрессионная радикулопатия, поясничный стеноз. Неспецифические БНЧС встречаются наиболее часто (90–95% случаев), имеют благоприятное течение и могут быть вызваны грыжей межпозвонкового диска (с компрессией и без компрессии спинномозгового корешка), поражением фасеточных или крестцово-подвздошных суставов либо мышц спины (миофасциальный синдром). Обсуждаются психосоциальные факторы хронического течения БНЧС.
Об авторе
В. А. Парфенов
Кафедра нервных болезней и нейрохирургии Института клинической медицины ФГАОУ ВО Первый Московский медицинский университет им. И.М.Сеченова (Сеченовский Университет)
Россия
Россия
Москва, 119091.
Список литературы
1. Global Burden of Disease Study 2013 Collaborators. Global, regional, and national incidence, prevalence, and years lived with disability for 301 acute and chronic diseases and injuries in 188 countries, 1990-2013: a systematic analysis for the Global Burden of Disease Study 2013. Lancet. 2015;386: 743–800.
2. Vos T., Flaxman A.D., Naghavi M., et al. Years lived with disability (YLDs) for 1160 sequelae of 289 diseases and injuries 1990–2010: a systematic analysis for the Global Burden of Disease Study 2010. Lancet. 2012;380:2163–2196.
3. Hoy D., Bain C., Williams G., et al. A systematic review of the global prevalence of low back pain. Arthritis Rheum. 2012;64(6):2028–2037.
4. Urits I., Burshtein A., Sharma M. et al. Low Back Pain, a Comprehensive Review: Pathophysiology, Diagnosis, and Treatment. Current Pain and Headache Reports. 2019;23:23.
5. van Tulder M., Becker A., Bekkering T., Breen A., Gil del Real M.T., Hutchinson A., et al. Chapter 3 European guidelines for the management of acute nonspecific low back pain in primary care. Eur. Spine J. 2006;15:s169–91.
6. Koes B.W., van Tulder M., Lin C.W., et al. An updated overview of clinical guidelines for the management of non-specific low back pain in primary care. Eur. Spine J. 2010;19(12):2075–2094.
7. Bardin L.D., King P., Maher C.G. Diagnostic triage for low back pain: a practical approach for primary care. Med. J. Aust. 2017;206(6):268–273.
8. Oliveira C.B., Maher C.G., Pinto R.Z., Traeger A.C., Lin C.C., Chenot J.F., van Tulder M., Koes B.W. Clinical practice guidelines for the management of non-specific low back pain in primary care: an updated overview. Eur. Spine J. 2018; 27(11):2791–2803.
9. Парфенов В.А., Исайкин А.И. Боли в поясничной области. М., 2018. 200 с.
10. Парфенов В.А., Яхно Н.Н., Кукушкин М.Л. и др. Острая неспецифическая (скелетно-мышечная) поясничная боль: Рекомендации Российского общества по изучению боли (РОИБ). Неврология, нейропсихиатрия, психосоматика. 2018;10(2):4–11.
11. Chou R., Qaseem A., Snow V., et al. Diagnosis and treatment of low back pain: a joint clinical practice guideline from the American College of Physicians and the American Pain Society. Ann. Intern. Med. 2007; 147:478–491.
12. Chou R., Atlas S.J., Stanos S.P., et al. Nonsurgical interventional therapies for low back pain: a review of the evidence for an American Pain Society clinical practice guideline. Spine (Phila Pa 1976). 2009;34:1078–1093.
13. Henschke N., Maher C.G., Refshauge K.M., et al. Prevalence of and screening for serious spinal pathology in patients presenting to primary care settings with acute low back pain. Arthritis Rheum. 2009;60(10):3072–3080.
14. Sieper J., van der Heijde D., Landewé R. New criteria for inflammatory back pain in patients with chronic back pain: a real patient exercise by experts from the Assessment of SpondyloArthritis international Society (ASAS). Ann. Rheum Dis. 2009;68:777–83.
15. Cohen S.P., Chen Y., Neufeld N.J. Sacroiliac joint pain: a comprehensive review of epidemiology, diagnosis and treatment. Expert Rev. Neurother. 2013;13(1):99–116.
16. Schmidt G.L., Bhandutia A.K., Altman D.T. Management of Sacroiliac Joint Pain. J Am Acad Orthop Surg. 2018;26:610–616.
17. King W., Ahmed S.U., Baisden J. et al. Diagnosis and treatment of posterior sacroiliac complex pain: a systematic review with comprehensive analysis of the published data. Pain Med. 2015;16:257–265.
18. Fortin J.D., Dwyer A.P., West S., et al. (). Sacroiliac joint: pain referral maps upon applying a new injection/arthrography technique. Part I: asymptomatic volunteers. Spine (Phila Pa 1976). 1994;19:1475–1482.
19. Hooten W.M., Cohen S.P. Evaluation and Treatment of Low Back Pain: A Clinically Focused Review for Primary Care Specialists. Mayo Clin Proc. 2015;90(12):1699–1718.
20. Cohen S.P., Huang J.H., Brummett C. Facet joint pain — advances in patient selection and treatment. Nat. Rev. Rheumatol. 2013;9(2):101–116.
21. Bykowski J.L., Wong W.H. Role of facet joints in spine pain and image-guided treatment: a review. AJNR Am. J. Neuroradiol. 2012;33(8):1419–1426.
22. Zhen S., Ming Z., Xu-Hong Z., et al. Immune cascades in human intervertebral disc: the pros and cons. Int. J. Clin. Exp. Pathol. 2013;6:1009–1014.
23. Schistad E.I., Espeland A., Pedersen L.M., et al. Association between baseline IL-6 and 1-year recovery in lumbar radicular pain. Eur. J. Pain. 2014;18:1394–1401.
24. Chiu C.C., Chuang T.Y., Chang K.H., et al. The probability of spontaneous regression of lumbar herniated disc: a systematic review. Clin Rehabil. 2014;29:184–195.
25. Подчуфарова Е.В., Яхно Н.Н. Боль в спине. М.; 2010. 368 с.
26. Bogduk N. On the definitions and physiology of back pain, referred pain, and radicular pain. Pain. 2009;147:17–29.
27. Zhang Y., Guo T., Guo X., Wu S. Clinical diagnosis for discogenic low back pain. International journal of biological sciences. 2009;5(7):647–658.
28. Kim S.J., Lee T.H., Lim S.M. Prevalence of disc degeneration in asymptomatic korean subjects. Part 1: lumbar spine. Journal of Korean Neurosurgical Society. 2013;53:31–38.
29. Steurer J., Roner S., Gnannt R., Hodler J. LumbSten Research Collaboration. Quantitative radiologic criteria for the diagnosis of lumbar spinal stenosis: a systematic literature review. BMC Musculoskelet Disord. 2011;12:175.
30. Covaro A., Vilà–Canet G., de Frutos A.G. Management of degenerative lumbar spinal stenosis: an evidence-based review. EFORT Open Rev. 2017;1(7):267–274.
31. Koc Z., Ozcakir S., Sivrioglu K., Gurbet A., Kucukoglu S. Effectiveness of physical therapy and epidural steroid injections in lumbar spinal stenosis. Spine (Phila Pa 1976). 2009;34:985–989.
32. Clauw D.J. Fibromyalgia: a clinical review. JAMA. 2014; 311(15):1547–1555.
33. Cohen H. Controversies and challenges in fibromyalgia: a review and a proposal. The Adv Musculoskel Dis. 2017; 9(5): 115–127.
34. Bennett R., Friend R., Marcus D., et al. Criteria for the diagnosis of fibromyalgia: validation of the modified 2010 preliminary ACR criteria and the development of alternative criteria. Arthritis Care Res. 2014;66(9):1364–1373.
35. George S.Z., Calley D., Valencia C., Beneciuk J.M. Clinical investigation of pain related fear and pain catastrophizing for patients with low back pain. Clin. J. Pain. 2011;27(2):108–115.
36. Калимеева Е.Ю., Парфенов В.А. Оптимизация ведения пациентов с хронической неспецифической люмбалгией. Неврология, нейропсихиатрия, психосоматика. 2017;9(2):25–29.
37. Hartvigsen J., Hancock M.J., Kongsted A., et al. What low back pain is and why we need to pay attention. Lancet. 2018;391: 2356–2367.
38. Pinto R.Z., Ferreira P.H., Kongsted A., Ferreira M.L. et al. Self-reported moderate-to-vigorous leisure time physical activity predicts less pain and disability over 12 months in chronic and persistent low back pain. Eur. J. Pain. 2014;18(8):1190–1198.
39. DiNapoli E.A., Craine M., Dougherty P. et al. Deconstructing chronic low back pain in the older adult step-by-step evidence and expert-based recommendations for evaluation and treatment. Part V: Maladaptive coping. Pain Med. 2016;17(1): 64–73.
40. Kamper S.J., Apeldoorn A.T., Chiarotto A., et al. Multidisciplinary biopsychosocial rehabilitation for chronic low back pain. Cochrane Database Syst. Rev. 2014;9:CD000963.
41. Foster N.E., Anema J.R., Cherkin D. et al. Prevention and treatment of low back pain: evidence, challenges, and promising directions. Lancet. 2018;391:2368–2383.
42. Kent P.M., Keating J. L., Taylor N.F. Primary care clinicians use variable methods to assess acute nonspecific low back pain and usually focus on impairments. Man. Ther. 2009;14(1):88–100.
Рецензия
Для цитирования:
Парфенов В.А. Причины болей в нижней части спины. Российский неврологический журнал. 2019;24(5):14-20. https://doi.org/10.30629/2658-7947-2019-24-5-14-20
For citation:
Parfenov V.A. Causes of lower back pain. Russian neurological journal. 2019;24(5):14-20. (In Russ.) https://doi.org/10.30629/2658-7947-2019-24-5-14-20
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