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Health

Back pain treatment

The use of local anesthetics in the treatment of back pain

Has antiarrhythmic (lb class) properties. Stabilizes cell membranes, blocks sodium channels, increases membrane permeability for K +. Almost without affecting the electrophysiological state of the atrium, accelerates repolarization in the ventricles, inhibits the depolarization phase IV in the Purkinje fibers

The use of adjuvants in the treatment of back pain

Miorelaxant of central action, a derivative of gamma-aminobutyric acid (GABAb-stimulant). Reducing the excitability of the end sections of the afferent sensitive fibers and suppressing the intermediate neurons, inhibits the mono- and polysynaptic transmission of nerve impulses; reduces the preliminary stress of the muscle spindles. Has no effect on neuromuscular transmission.

The use of anticonvulsants in the treatment of back pain

Antiepileptic agent (dibenzazepine derivative), which also has a normotimic, antimanic, antidiuretic (in patients with diabetes insipidus) and analgesic (in patients with neuralgia).

The use of antidepressants in the treatment of back pain

Antilepressant (tricyclic antidepressant). It also has some analgesic (central genesis), H2-histamine-blocking and antiserotonin action, contributes to the elimination of urinary incontinence and reduces appetite.

Treatment of depression and anxiety with back pain

According to the primary request for medical care, up to 80% of patients suffering from depression present complaints of a purely somatic nature, for example, headache, abdominal pain, muscular pains in the back, joints, and neck.

Surgical methods of treating pain

Anatomic operations are represented by decompression, transposition and neurolisis. In the presence of indications they are more often performed at the first stage of surgical treatment and are in many cases pathogenetically directed.

Placebo and nocebo in the treatment of back pain

Placebo is a physiologically inert substance used as a medicine, a positive therapeutic effect is due to unconscious psychological expectation of the patient.

Algorithm for treating chronic back pain

In 1998, WHO proposed a so-called anesthesia staircase, demonstrating the principles of escalating analgesic treatment. Proposed originally for the treatment of cancer pain, this scheme has become universal.

Treatment of nociceptive back pain

From the focus of damage is achieved using local (local) anesthetics, the most popular of which are procaine (novocain), lidocaine. The mechanism of their action is the blockade of the sodium channels of the membrane of the neuron and its processes.

Combined analgesics and chronic pain

For the treatment of chronic pain syndrome (HBS) of different myologies, combined therapies based on acetaminophen in combination with small narcologically safe doses of weak opioid analgesics such as codeine or tramadol are of particular interest.

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