Musculoskeletal disorders in office employees: outpatient treatment options

Elena S. Akarachkova , Olga V. Kotova

For citation:

Abstract

Musculoskeletal neck, shoulder, upper extremity, low back pain is a disorder that is most common in office employees. Furthermore, neck pain and low back pain are the most prevalent. Neck pain and low back pain are in Top-5 of the disorders contributing to disability, ahead of other disorders, such as diabetes mellitus, chronic lung diseases, coronary artery disease. The paper considers pathogenetic features of musculoskeletal disorders developing in office employees, along with treatment options with emphasis on the neurotropic vitamins and their combinations with NSAIDs.
Keywords: neck pain, back pain, neurotropic vitamins, diclofenac, combination therapy.

References

1. Janwantanakul P, Pensri P, Jiamjarasrangsri W, Sinsongsook T. Prevalence of self-reported musculoskeletal symptoms among office workers. Occup Med. 2008;58(6):436-8.

2. Andersen LL, Mortensen OS, Hansen JV, Burr H. A prospective cohort study on severe pain as a risk factor for long-term sickness absence in blue- and white-collar workers. Occup Environ Med. 2011;68(8):590–92.

3. Staal JB, de Bie RA, Hendriks EJM. Aetiology and management of work-related upper extremity disorders. Best Practice and Research: Clin Rheumatol. 2007;21(1):123-33.

4. Juul-Kristensen B, Kadefors R, Hansen K et al. Clinical signs and physical function in neck and upper extremities among elderly female computer users: the NEW study. Euro J Appl Physiol. 2006;96(2):136-45.

5. Andersen LL, Hansen K, Mortensen OS, Zebis MK. Prevalence and anatomical location of muscle tenderness in adults with nonspecific neck/shoulder pain. BMC Musculoskel Dis. 2011;12(169).

6. Andersson GB: The epidemiology of spinal disorders. In The Adult Spine: Principles and Practice. 2nd edition. Edited by J.W. Frymoyer. New York: Raven Press, 1997; p. 93-141.

7. Juul-Kristensen B, Sogaard K, Stroyer J, Jensen C. Computer users' risk factors for developing shoulder, elbow and back symptoms. Scand J Work Environ Health. 2004;30:390-8.

8. Manchikanti L. Epidemiology of lowbackpain. Pain Physician. 2000;3:167-92.

9. Shiri R, Karppinen J, Leino-Arjas P et al. The association between smoking and lowbackpain: ameta-analysis. Am J Med. 2010;123 (87):e7-87,e35.

10. Spyropoulos P, Papathanasiou G, Georgoudis G et al. Prevalence of lowbackpain in Greek public off iceworkers. Pain Physician. 2007;10:651-9.

11. Hamberg-van Reenen HH, Ariens GA, Blatter BM et al. Physical capacity in relation to low back, neck, or shoulder pain in a working population. Occup Environ Med. 2006;63:371-7.

12. Murray C, Atkinson C, Bhalla K; US Burden of Disease Collaborators. The state of US health, 1990–2010: burden of diseases, injuries, and risk factors. JAMA. 2013;310:591-608.

13. Davis M, Yakusheva O, Gottlieb D, Bynum J. Regional Supply of Chiropractic Care and Visits to Primary Care Physicians for Back and Neck Pain. J Am Board Fam Med. 2015;28(4):481-90.

14. Котова О.В. Острая боль в нижней части спины: не дать болезни затянуться. Фарматека. 2012;14(247):60-4.

Kotova O.V Acute pain in the lower back: do not let the disease drag on. Pharmateca. 2012;14(247):60-4 (in Russian).

15. Franceschi F, Saviano L, Petruzziello C et al. Safety and efficacy of low doses of diclofenac on acute pain in the emergency setting. Eur Rev Med Pharmacol Sci. 2016;20(20):4401-8.

16. Камчатнов П.Р., Чугунов А.В., Умарова Х.Я. Применение диклофенака с витаминами группы В у пациентов с поясничной болью. Consilium Medicum. 2015;9:108-12.

Kamchatnov P.R., Chugunov A.V., Umarova Kh.Ya. The use of diclofenac with B vitamins in patients with lumbar pain. Consilium Medicum. 2015;(9):108-12 (in Russian).

17. Grosser T, Fries S, FitzGerald GA. Biological basis for the cardiovascular consequences of COX-2 inhibition: therapeutic challenges and opportunities. J Clin Invest. 2006;116:4-15.

18. Котова О.В. Болезни офисных работников: скелетно-мышечная патология. Справочник поликлинического врача. 2014;(11):10-2.

Kotova O.V. Diseases of office workers: musculoskeletal pathology. The directory of the polyclinic doctor. 2014;(11):10-2 (in Russian).]

19. Coxib and traditional NSAID Trialists’ (CNT) Collaboration. Vascular and upper gastrointestinal eff ects of non-steroidal anti-infl ammatory drugs: meta-analyses of individual participant data from randomised trials. Lancet. 2013;382:769–79.

20. Franceschi F, Saviano L, Petruzziello C et al. Safety and efficacy of low doses of diclofenac on acute pain in the emergency setting. European Review for Medical and Pharmacological Sciences. 20156;20:4401-8.

21. García Rodríguez LA, González-Pérez A. Long-term use of non-steroidal anti- inflammatory drugs and the risk of myocardial infarction in the general population. BMC Med. 2005;3:17.

22. Odom DM, Mladsi DM, Saag KG et al. Relationship between diclofenac dose and risk of gastrointestinal and cardiovascular events: meta-regression based on two systematic literature reviews. Clin Ther. 2014;36:906-17.

23. Котова О.В. НПВП: в поисках золотой середины – соотношение безопасность/эффективность. Справочник поликлинического врача. 2013;(1):15-8.

Kotova O.V. Nonsteroidal anti–inflammatory drugs: in search of a golden mean - the safety/effectiveness ratio. The directory of the polyclinic doctor. 2013;(1):15-8 (in Russian).

24. Mibielli M, Geller M, Cohen J. Diclofenac plus B vitamins versus diclofenac monotherapy in lumbago: the DOLOR study. Curr Med Res Opin. 2009;25(11):2589-99.

25. Geller M, Mibielli MA, Nunes CP et al. Comparison of the action ofdiclofenac alone versus diclofenac plus B vitamins on mobility in patients with low back pain. J Drug Assessment. 2016;5(1):1-3.

For citation:Akarachkova E.S., Kotova O.V. Musculoskeletal disorders in office employees: outpatient treatment options. Clinical review for general practice. 2024; 5 (2): 78–81 (In Russ.). DOI: 10.47407/kr2023.5.2.00367

All accepted articles publish licensed under a Attribution-NonCommercial-ShareAlike 4.0 International (CC BY-NC-SA 4.0) which allows users to read, copy, distribute and make derivative works for non-commercial purposes from the material, as long as the author of the original work is cited properly.

Clinical review for general practice