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Причины болей в нижней части спины

https://doi.org/10.30629/2658-7947-2019-24-5-14-20

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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

Москва, 119091.



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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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