[Local and general anti-inflammatory treatment of common low back pain].
Non-steroidal anti-inflammatory drugs are often prescribed with analgesics. They are proposed at the acute phase of low back pain or sciatica, or during flares of chronic back pain. Efficacy of NSAIDs have been demonstrated in acute back pain with randomised clinical trials. Efficacy is less clearly demonstrated in chronic back pain and sciatica. Local injections of steroids are required after failure of analgesics and NSAIDs, in patients with sciatica and chronic back pain. Different routes of injection are possible, depending of the symptoms and the mechanism of compression.
Rozenberg
S
S
Service de rhumatologie du Pr Bourgeois Groupe hospitalier La Pitié-La Salpêtrière, Paris. sylvie.rozenberg@psl.ap-hop-paris.fr
D000208:Acute Disease; D000700:Analgesics / Q000008:administration & dosage / Q000627:therapeutic use; D000893:Anti-Inflammatory Agents / Q000008:administration & dosage / Q000627:therapeutic use*; D000894:Anti-Inflammatory Agents, Non-Steroidal / Q000008:administration & dosage / Q000627:therapeutic use; D002908:Chronic Disease; D006801:Humans; D007268:Injections, Epidural; D007278:Injections, Spinal; D017116:Low Back Pain / Q000188:drug therapy*; D012585:Sciatica / Q000188:drug therapy
D000700:Analgesics; D000893:Anti-Inflammatory Agents; D000894:Anti-Inflammatory Agents, Non-Steroidal