Kiselev D V, Lavrukhin V V
Yaroslavl State Medical University, Yaroslavl, Russia.
Yaroslavl Clinical Hospital No 2, Yaroslavl, Russia.
Zh Nevrol Psikhiatr Im S S Korsakova. 2023;123(3):122-129. doi: 10.17116/jnevro2023123031122.
Acute pain syndromes caused by discogenic lumbosacral radiculopathy and lumboischialgia are not uncommon in clinical practice and characterized by a high risk of becoming chronic. The pathogenetic aspects, features of the clinical picture, existing approaches to conservative treatment of these conditions are analyzed in this paper. Data on the efficacy and safety of a fixed combination of diclofenac and orphenadrine (Neodolpasse) use in the treatment of vertebrogenic pain syndromes based on the NEODOLEX study results are presented, and the authors' own clinical observations are given. Possible reasons for the high efficacy of Neodolpasse in patients with discogenic radiculopathies and nonspecific back and neck pain are discussed.
由椎间盘源性腰骶神经根病和腰坐骨神经痛引起的急性疼痛综合征在临床实践中并不少见,且具有转变为慢性疼痛的高风险。本文分析了这些病症的发病机制、临床表现特点以及现有的保守治疗方法。基于NEODOLEX研究结果,给出了双氯芬酸与奥芬那君固定组合(Neodolpasse)用于治疗脊椎源性疼痛综合征的有效性和安全性数据,并阐述了作者自身的临床观察结果。讨论了Neodolpasse对椎间盘源性神经根病以及非特异性颈肩腰背痛患者疗效显著的可能原因。