ĐẶC ĐIỂM LÂM SÀNG, CẬN LÂM SÀNG VÀ HIỆU QUẢ ĐIỀU TRỊ ĐAU LƯNG KÈM ĐAU THẦN KINH TỌA BẰNG THUỐC KHÁNG VIÊM KẾT HỢP VỚI THUỐC GIẢM ĐAU THẦN KINH TẠI BỆNH VIỆN ĐẠI HỌC VÕ TRƯỜNG TOẢN

Abstract

Background: Lumbar spondylosis is the cause of low back pain globally, causing loss of working capacity and creating a large socio-economic burden. The main symptoms are low back pain and neuralgia due to nerve root compression. Treatment methods include pain relievers, anti-inflammatory drugs, muscle relaxants, paravertebral corticosteroid injections, including treatment with anti-inflammatory drugs. NSAIDs combined with neuropathic pain relievers are widely applied and clearly effective. Objectives: 1) To describle the clinical and paraclinical characteristics of patients with lumbar spondylosis and sciatica. 2. To evaluate the effectiveness of NSAIDs treatment combined with nerve pain reduction drug for low back pain due to lumbar spondylosis and sciatica. Materials and methods: A cross-sectional descriptive study was conducted on 60 patients with lumbar spondylosis and sciatica presenting for examination and treatment at the Musculoskeletal Center of Vo Truong Toan University Hospital using convenient sampling method. Results: The severity of low back pain on the VAS scale revealed that 60% of the subjects experienced severe pain, while 40% had moderate pain. The effectiveness of pain reduction showed that among subjects with severe pain, 14% experienced moderate pain, 69% experienced mild pain, and 17% were pain-free; among subjects with moderate pain, 67% experienced mild pain, and 33% were pain-free. No undesirable side effects of the intervention treatment were observed. Conclusions: Internal medicine treatment using NSAIDs and neuropathic pain medication were effective in improving the VAS pain scores of patients, The level of effectiveness is quite high when patients use NSAIDs in combination with neuropathic pain relievers