Comorbidities and therapy for chronic non-specific low back pain and fibromyalgia
| Autor: | T. I. Nasonova, E. V. Parfenova |
|---|---|
| Jazyk: | ruština |
| Rok vydání: | 2022 |
| Předmět: | |
| Zdroj: | Неврология, нейропсихиатрия, психосоматика, Vol 14, Iss 3, Pp 26-31 (2022) |
| Druh dokumentu: | article |
| ISSN: | 2074-2711 2310-1342 77668189 |
| DOI: | 10.14412/2074-2711-2022-3-26-31 |
| Popis: | Fibromyalgia (FM) often occurs under the mask of non-specific low back pain (NLBP).Objective: to compare the combined disorders and treatment efficacy in FM and chronic NLBP (chNLBP).Patients and methods. We examined 33 patients with chNLBP (27 women and 6 men, mean age 51.5±16.7 years) and 53 patients with FM (47 women and 6 men, mean age 46.8±14.6 years). Pain intensity was assessed using a numerical rating scale (NRS), using the Hospital Anxiety and Depression Scale (HADS), the Screening for Somatoform Symptoms-2 (SOMS-2), the Epworth Sleepiness Scale (ESS), Insomnia Severity Index (ISI), updated Fibromyalgia Impact Questionnaire (FIQR; disability in patients with FM), Oswestry Index (IO; disability in patients with chNLBP). Comprehensive treatment of patients included educational conversations, cognitive behavioral therapy, kinesitherapy, among drugs antidepressants, and in patients with FM anticonvulsants.Results and discussion. Previously, the diagnosis of FM was established only in 15% of patients, the diagnosis of chNLBP – in 82% of patients. The intensity of pain in FM was 7.1±1.9 points according to the NRS and was higher than in chNLBP (5.6±2.4 points; p=0.002). In the group of patients with FM compared to patients with chNLBP, significantly higher values of anxiety according to HADS (10.9±4.5 and 6.9±4.0 points; p |
| Databáze: | Directory of Open Access Journals |
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