| Author/Editor | Kamenik, Mirt | |
| Title | Kaj lahko algolog nudi bolniku s kronično bolečino v križu | |
| Translated title | What an algologist can offer to the patient suffering from chronic back pain | |
| Type | članek | |
| Source | Družinska medicina | |
| Vol. and No. | Letnik 4, št. Suppl 5 | |
| Publication year | 2006 | |
| Volume | str. 64-9 | |
| Language | slo | |
| Abstract | In modern industrial world chronic back pain is a large health problem. In addition to the family physician specialists of different specialities are involved in the treatment of these patients. The article describes the role of an algologist working at Pain clinic in the treatment of the patient with chronic back pain. The causes of back pain are presented with the characteristics of the pain having the nociceptive and neuropathic component. The neuropathic component of the pain is the basis for treatment of the pain with tricyclic antidepressants and the inflammatory component of the pain can be influenced by the injection of steroids in the vicinity of the diseased anatomical structures. Since the basic treatment of chronic back pain with nonsteroidal anti-inflammatory drugs and physical therapy is the responsibility of physicians of other specialities, this article presents the therapeutic options that are partially or completely under the responsibility of an algologist. Drug treatment with antidepressants, anticonvulsives and opioids in patients with chronic back pain is presented as well as interventional treatment with diagnostic and therapeutic blocks. | |
| Summary | Kronična bolečina v križu je v sodobnih industrijskih državah velik zdravstveni problem. V zdravljenju sodelujejo poleg zdravnika družinske medicine tudi specialisti različnih specialnosti. V prispevku je predstavljena vloga algologa v ambulanti za zdravljenje bolečine pri značilnih komponentah: nociceptivna in nevropatska bolečina. Nevropatska komponenta kronične bolečine v križu se zdravi z antidepresivi, na vnetno komponento bolečine pa lahko vplivamo z vbrizganjem steroidov v okolico obolelih anatomskih struktur. Ker je temeljno zdravljenje bolečine z nesteroidnimi protirevmatskimi zdravili in fizikalno terapijo bolj domena drugih specialnosti, so v prispevku predstavljene zlasti metode zdravljenja, ki sodijo delno ali v celoti v domeno algologa. Predstavljene so medikamentozna terapija z antidepresivi, antikonvulzivi in opiati ter diagnostične in terapevtske blokade, ki se izvajajo pri bolnikih s kronično bolečino v križu. | |
| Descriptors | LOW BACK PAIN CHEMOTHERAPY, ADJUVANT ANTIDEPRESSIVE AGENTS ANTICONVULSANTS ANALGESICS, OPIOID NERVE BLOCK |