Back pain treatment

Use of antidepressants in the treatment of back pain

Anti-anxiety drug (tricyclic antidepressant). It also has some analgesic (central genesis), H2-histamine blocking and antiserotonin effects, helps eliminate nocturnal urinary incontinence and reduces appetite.

Treatment of depression and anxiety for back pain

According to primary medical care requests, up to 80% of patients suffering from depression present complaints of an exclusively somatic nature, such as headaches, abdominal pain, muscle pain in the back, joints, and neck area.

Surgical treatments for pain

Anatomical operations are represented by decompression, transposition and neurolysis. If indicated, they are 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

A placebo is a physiologically inert substance used as a medicine, the positive therapeutic effect of which is associated with the unconscious psychological expectation of the patient.

Algorithm for the treatment of chronic back pain

In 1998, the WHO proposed the so-called pain relief ladder, which demonstrates the principles of escalating analgesic treatment. Initially proposed for the treatment of cancer pain, this scheme has become universal.

Treatment of nociceptive back pain

From the site of damage, local anesthetics are used, the most popular of which are procaine (novocaine), lidocaine. Their mechanism of action is to block the sodium channels of the neuron membrane and its processes.

Combination analgesics and chronic pain

For the treatment of chronic pain syndrome (CPS) of various myologies, combination drugs based on acetaminophen in combination with small, drug-safe doses of weak opioid analgesics - codeine or tramadol - are of particular interest.

Potent opioids and chronic pain

It was said earlier that chronic pathological pain can become an independent disease, which has serious consequences for many organs and systems.

Treatment of neuropathic pain

Currently, treatment of neuropathic pain involves the use of: antidepressants, anticonvulsants...