Osteoarthrosis of facet and costotransverse joints is the cause of chronic thoracic back pain
Osteoarthrosis of facet and costotransverse joints is the cause of chronic thoracic back pain
E.V. Yakovleva1, A.N. Barinov2
1I.M. Sechenov First Moscow State Medical University (Sechenov University), Moscow
2JSC Group of companies Medsi, Moscow
Osteoarthrosis (or osteoarthritis) is one of the most common causes of reduced working capacity and quality of life. Disorders of facet and costotransverse joints is considered to be one of the leading causes of chronic thoracic and thoracic back pain. The authors describe their experience with diagnosing and treating chronic thoracic back pain in 52 patients aged 30–68 years. Facet and costotransverse joint syndrome as the leading cause of thoracic back pain was identified in 12 patients (23.07%). Patients were informed of a favorable prognosis, received recommendations on physical activity, and were prescribed non-steroidal anti-inflammatory drugs and myorelaxants. Within a month, the clinically significant analgesic effect of this therapy was achieved in 13 patients (25%). Thirty-nine patients (75%) proceeded to treatment using interventional techniques. This study has demonstrated that the interdisciplinary approach is most effective to manage chronic thoracic back pain.
Keywords: osteoarthrosis, osteoarthritis, facet syndrome, musculoskeletal pain, myofascial pain syndrome, interventional therapy, cognitive behavioral treatment, rehabilitation, etoricoxib.
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