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Cir Cir ; 79(3): 264-79, 286-302, 2011.
Artigo em Inglês, Espanhol | MEDLINE | ID: mdl-22381000

RESUMO

It has been documented that pain in its diverse modalities is the most common cause of medical attention. In Mexico, an increase in its frequency has promoted its consideration in several health programs. On the other hand, inadequate pain management will cause severe physical, psychoaffective, and socioeconomic repercussions for patients, families, and public health services. Despite this panorama, there has not been an agreement to establish better diagnostic and therapeutic methods for the management of chronic pain. A consensus group was reunited and was integrated by medical experts from private and public institutions and from various states of the Mexican Republic. To assure the development of these practice guidelines, these experts had experience in the assessment and treatment of conditions causing pain. With the guidelines used by other consensus groups, meetings were held to analyze and discuss published literary evidence for the management of low back pain. The recommendations were classified according to their methodological strength. As a result of this meeting, consensus recommendations were based on evidence and operational conclusions of such proactive educational plans, institutional policies and diagnostic recommendations for pharmacological and nonpharmacological treatment in order for Mexican physicians to provide a better therapeutic approach to low back pain.


Assuntos
Dor Lombar/terapia , Adolescente , Adulto , Idoso , Analgésicos/uso terapêutico , Anti-Inflamatórios não Esteroides/uso terapêutico , Terapia Combinada , Diagnóstico por Imagem , Medicina Baseada em Evidências , Feminino , Humanos , Dor Lombar/diagnóstico , Dor Lombar/tratamento farmacológico , Dor Lombar/epidemiologia , Dor Lombar/reabilitação , Dor Lombar/cirurgia , Masculino , México/epidemiologia , Pessoa de Meia-Idade , Fármacos Neuromusculares/uso terapêutico , Medição da Dor , Educação de Pacientes como Assunto , Modalidades de Fisioterapia , Fatores de Risco , Abandono do Hábito de Fumar , Adulto Jovem
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