Myofascial Pain in the Internist Practice: Diagnostics and Topical Therapy

Цурко, В В; Малышева, Н. В.; Krasnova, L.; Шавловская, О. А.

doi:10.21518/2079-701x-2016-11-74-78

Cited by 2 publications

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“…Цурко и соавт. (2016) дана оценка эффек-тивности наружных форм геля диклофенак 2%-ного (Вольтарен Эмульгель 12 часов) в терапии миофасциаль-ного болевого синдрома [29]. Авторами отмечается, что препараты, изготовленные с помощью трансферсомной технологии, способны обеспечивать более эффективный транспорт НПВП в мышцы, чем стандартные формы.…”

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Efficacy of Local Nsaids Therapy With Osteoarthritis Different Localization

Шавловская¹

2017

Med. sov.

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Современные стандарты лечения предпочитают один из самых популярных неселективных НПВП -диклофенак, который по соотношению «эффективность/безопасность» по праву называют «золотым стандартом» анальгетической терапии. В последние годы при лечении болей в суставах широкое применение получил Вольтарен Эмульгель 1% и 2%. В настоя-щее время имеется убедительная доказательная база, свидетельствующая о его анальгетическом и противовоспалитель-ном действии как при травматических повреждениях связок и мышц, сопровождающихся выраженным болевым синдро-мом, так и при хронических воспалительных процессах в суставах у пациентов всех возрастов.Ключевые слова: нестероидные противовоспалительные препараты, диклофенак, Вольтарен Эмульгель, остеоартроз, болевой синдром. O.A. SHAVLOVSKAYA, MD, Sechenov First Moscow State Medical University EFFICACY OF LOCAL NSAIDS THERAPY WITH OSTEOARTHRITIS DIFFERENT LOCALIZATIONModern standards of treatment prefer one of the most popular non-selective NSAIDs -diclofenac, which is the ratio efficiency/ safety is rightly called the «gold standard» analgesic therapy. In recent years in the treatment of joint pain widely used Voltaren Emulgel 1% and 2%. Currently, there is a convincing evidence base testifying to its analgesic and anti-inflammatory action, as in traumatic injuries of the ligaments and muscles, accompanied by severe pain syndrome, and chronic inflammatory processes in the joints, patients of all ages.

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Efficacy of Local Nsaids Therapy With Osteoarthritis Different Localization

Шавловская¹

2017

Med. sov.

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Topical nonsteroidal anti-inflammatory drugs for management of pain syndrome

2021

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Chronic pain continues to remain one of the urgent problems of modern medicine. From 15 to 25% of the adult population suffers from chronic pain. Medical treatment includes the appointment of non-steroidal anti-inflammatory drugs (NSAIDs) and muscle relaxants. The greatestform for the appointment of NSAIDs is the topical form. According to the recommendations of International and National societies for the treatment of pain syndrome, osteoarthritis (OA) therapy are recommended to start with topical NSAIDs, as drugs with less systemic adverse side effects (NSAIDs).Topical NSAIDs have proven analgesic and antiinflammatory efficacy in the treatment of diseases of the musculoskeletal system, musculoskeletal pain, but have a low risk of developing systemic NSAIDs in comparison with oral forms, which expands the possibilities of their appointment in patients with comorbid pathology (diseases of the gastrointestinal tract, cardiovascular risks).Among NSAIDs, diclofenac is the "gold standard" of analgesia. After topical application, diclofenac penetrates through the skin and further into the deeper underlying tissues while maintaining sufficient concentration to provide a therapeutic effect. The topical form of diclofenac – diclofenac diethylamine 2%, when used correctly, can cause an analgesic effect comparable to the oral form. This topical form has a high clinical efficacy in the treatment of acute musculoskeletal pain (sprains), the course of therapy takes 1 week, for chronic pain syndromes (knee OA or hand) the course of therapy is from 2 to less than 6 weeks. The clinical efficacy of diclofenac diethylamine monotherapy is comparable to that for complex therapy in combination with oral forms of NSAIDs, while having good tolerability.

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Myofascial Pain in the Internist Practice: Diagnostics and Topical Therapy

Cited by 2 publications

References 8 publications

Efficacy of Local Nsaids Therapy With Osteoarthritis Different Localization

Efficacy of Local Nsaids Therapy With Osteoarthritis Different Localization

Topical nonsteroidal anti-inflammatory drugs for management of pain syndrome

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