Saratov JOURNAL of Medical and Scientific Research

Chronic back pain: Diagnostic criteria and analysis of coping strategies (review)


The review presents modern data on epidemiology, mechanisms of pathogenesis, clinical picture, diagnostics of chronic pain. A complete system of flags of risk factors for pain chronicity used in Europe and the United States is demonstrated. Criteria for diagnostics, physical and instrumental examination of patients with chronic back pain are presented; the issues of back prevention are considered. Conditions aimed at expanding the range of diagnostic studies and coping strategy are discussed. It is concluded that a multidisciplinary approach to the treatment of patients with back pain is advisable and the use of cognitive behavioral therapy is important. The studies on chronic back pain and coping strategies published in the PubMed and eLibrary databases were examined for the period since 2000. The final analysis of the review included 37 studies.

1. Breivik H, Collett В, Ventafridda V, et al. Survey of chronic pain in Europe: Prevalence, impact on daily life, and treatment. European Journal of Pain 2006; (10): 287-333.
2. Melkumova KA, Podchufarova EV. Features of cognitive functions in patients with chronic back pain. S.S. Korsakov Journal of Neurology and Psychiatry 2009; 11: 20-4.
3. Pergolizzi J, Bbger RH, Budd К, et al. Opioids and the management of chronic severe pain in the elderly: consensus statement of an International Expert Panel with focus on the six clinically most often used World Health Organization Step III opioids (buprenorphine, fentanyl, hydromorphone, methadone, morphine, oxycodone). Pain Pract 2008; 8 (4): 287-313. DOI: 10.1111/j. 1533-2500.2008.00204. x.
4. Jahno NN, Kukushkin ML. Chronic pain: biomedical and socio-economic aspects. Annals of the Russian Academy of Medical Sciences 2012; 9: 54-8.
5. Ivanichev GA. Myofascial pain. Kazan: Volga-Business, 2007; 392 p.
6. Davydov OS, Yakhno NN, Kukushkin ML, et al. Neuropathic pain: clinical guidelines on the diagnostics and treatment from the Russian Association for the Studying of Pain. Russian Journal of Pain 2018; 4: 5-41.DOI: 10.25731 /RASP 2018.04.025.
7. Danilov АВ. Mixed-type pain. Pathophysiological mechanisms — significance for clinical practice. Approaches to the diagnosis and treatment of mixed types of pain syndromes. RMJ 2014; 22 (32): 10-4.
8. Podchufarova EV, Yakhno NN. Back pain. Moscow: GEOTAR-Media, 2010; 368 p.
9. Burchiel KJ. Surgical Management of Pain. Second edition. Thieme, 2015; p. 37-42.
10. Davydov OS. Chronization of pain: risk factors, mechanisms, and possibilities of prevention. Lechaschi Vrach Journal 2017; (5): 6-11.
11. Spirin N, Kiselev DV The problem of chronic back pain: facet syndrome. RMJ 2015; (17): 1025.
12. Harwood Ml. Low back pain: a primary care approach. Clin Fam Pract 2005; 7 (2): 279-303.
13. Airaksinen O, Brox Jl, Cedraschi C, et al. European Guidelines for the management of chronic non-specific low back November 2004; p. 207. URL:
14. Boos N, Aebi M, eds. Spinal Disorders: Fundamentals of Diagnosis and Treatment. Berlin: Springer, 2008; p. 165-7. 15. Cherubino P, Sarzi-Puttini P, Zuccaro SM, et al. The Management of Chronic Pain in Important Patient Subgroups. Clin Drug Investig 2012; (32): 35-44. URL: https://doi.Org/10.216 5/11630060-000000000-00000
16. Yakupov EZ, Yakupova SP, Muslimova EA. Multivector nature of relief of acute and chronicpain and necessity of using pain coping strategies. Journal of Neurology and Psychiatry 2015; 115 (12): 98-103. DOI: 10.17116/jnevro2015115 11298-103.
17. Crofford LJ. Chronic Pain: Where the Body Meets the Brain. Trans Am Clin Climatol Assoc 2015; (126): 167-83.
18. Blumer D, Heiborn M. Chronic pain as a variant of depressive disease: the pain prone disorder. J Nerv Dis 1981; (170): 381-406. DOI: 10.1097/00005053-198207000-00001
19. Nasution K, Lubis I, Dwe N, et al. The correlation of pain intensity and quality of life in cronic LBP patients in Adam Malik general hospital. IOP Conf. Series: Earth and Environmental Science 2018; (125).
20. Krupatkin Al, Kuleshov AA, Sokolova TV, Gospod АО. Pathopsychological aspects of pain syndromes in the lower back. Journal of Neurology and Psychiatry 2017; 117 (4): 102-6. DOI: 10.17116/jnevro201711741102-106.
21. Marras WS, Davis KG, Heany CA, et al. The influence of psychosocial stress, gender and personality on mechanical loading on the lumbar spine. Spine 2000; 25 (23): 3045-54.
22. Waddell G, Main CJ. Illness behavioral: The back pain revolution. 2th ed. Edinburgh, Churchill Livingstone, 2004; p. 155-173.
23. Voznesenskaya TG. Chronic pain and depression. Medical Bulletin 2008; (6): 135.
24. Absi MA, Rokke MA. Can anxiety help us tolerate pain? Pain 1991; (46): 4351.
25. Lazarus RS, Folkman S. Stress, coping, and adaptation. New York: Springer, 1984. DOI: 10.2190/t43t-84p3-qdur-7rtp.
26. Kraaimaat FW, Evers AWM. Pain-coping strategies in chronic pain patients: Psychometric characteristics of the pain-coping inventory. International Journal of Behavioral Medicine 2003, 10 (4): 343-63. DOI: IJBM1004_5.
27. Crowe M, Gillon D, Jordan J, McCall С Older peoples' strategies for coping with chronic non-malignant pain: A qualitative meta-synthesis. Int J NursStud 2017; 68: 40-50. DOI: 10.1016/j. ijnurstu. 2016.12.009.
28. lives OE, Hermsen LAH, van der Wouden JC, et al. Are changes in pain, cognitive appraisals and coping strategies associated with changes in physical functioning in older adults with joint pain and chronic diseases? Aging Clin Exp Res 2019; 31 (3): 377-83. DOI: 10.1007/s40520-018-0978-x.
29. Sherbourne CD, Ryan GW, Whitley MD, et al. Coping and Management Techniques Used by Chronic Low Back Pain Patients Receiving Treatment from Chiropractors. J Manipulative Physiol Ther 2019; 42 (8): 582-93. DOI: 10.1016/j. jmpt. 2019.07.002.
30. Orhan C, Van Looveren E, Cagnie B, et al. Are Pain Beliefs, Cognitions, and Behaviors Influenced by Race, Ethnicity and Culture in Patients with Chronic Musculoskeletal Pain: A Systematic Review Pain Physician 2018; 21 (6): 541-58.
31. Shtribel HV. Therapy of chronic pain: a practical guide. Moscow: GEOTAR-Media, 2005.
32. Dezutter J, Dewitte L, Thauvoye E, Vanhooren S. Meaningful coping with chronic pain: Exploring the interplay between goal violation, meaningful coping strategies and life satisfaction in chronic pain patients. Scand J Psychol 2017; 58(1): 29-35. DOI: 10.1111/sjop. 12339.
33. Waddell G, Pilowsky I, Bond MR. Clinical assessment and interpretation of illness behavior in low back pain. Pain 1989; 39:41-53.
34. Bunzli S, McEvoy S, Dankaerts W, et al. Patient Perspectives on Participation in Cognitive Functional Therapy for Chronic Low Back Pain. J Phys Ther 2016; 96 (9): 1397-407. DOI: 10.2522/ptj. 20140570.
35. Eccleston C, Hearn L, Williams AC. Psychological therapies for the management of chronic neuropathic pain in adults. Cochrane Database Syst Rev 2015; 10: CD011259
36. Cabak A, Dabrowska-Zimakowska A, Truszczyiiska A, et al. Strategies for Coping with Chronic Lower Back Pain in Patients with Long Physiotherapy Wait Time. Med Sci Monit 2015;21:3913-20. DOI: 10.12659/msm. 894743.
37. Kallhed C, Martensson L. Strategies to manage activities in everyday life after a pain rehabilitation program. Scand J OccupTher2018;25(2): 145-52. DOI: 10.1080/11038128.2017. 1283442.

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