Disease
Disease
Disease

The standard of care to patients with lumbago, sciatica, low back pain

click fraud protection

approved
the order of the Ministry of Health and
Social Development of the Russian Federation
on December 24, 2007 № 797

Standards of medical care to patients with lumbago with sciatica, pain in the lower back

patient model.

Age category: adults

Nosological form: lumbago from sciatica, Low back pain

ICD-10 Code: M54.4, M 54.5

Phase: aggravation

Stage: any

Complication: No complications

The condition of providing: outpatient care

1.1. DIAGNOSTICS

insta story viewer

The code

Name

The frequency of

Average

quantity

A01.24.001

Medical history and complaints in the pathology of the peripheral nervous system

1

2

A01.24.002

Visual examination of the pathology of the peripheral nervous system

1

2

A14.31.014

Assessment of pain intensity

1

1

A01.24.003

Palpation of the pathology of the peripheral nervous system

1

2

A01.24.004

Investigation of sensitivity and motor areas in the pathology of the peripheral nervous system

1

2

A01.02.002

Visual examination of the muscles

1

2

A12.03.001

Biomechanical study of the spine

1

2

A01.31.012

auscultation obscheterapevticheskoy

1

2

A01.31.016

percussion obscheterapevticheskoy

1

2

A02.12.002

Blood pressure measurement on peripheral arteries

1

2

A02.31.001

thermometry total

1

2

A13.30.001

patopsihologicheskih survey

1

1

V03.016.03

Total (clinical) blood test detailed

1

2

V03.016.06

Urinalysis total

1

2

A06.03.017

Radiography of the lumbosacral spine

1

1

A06.03.019

X-ray of the spine, special studies and projections

0,2

1

A06.03.030

X-ray of the entire basin

0,05

1

A06.03.059

Computed tomography of the spine

0,1

1

A05.03.002

Magnetic resonance imaging of the spine

0,1

1

A07.03.001

bone scintigraphy

0,05

1

1.2. TREATMENT OF CALCULATING THE 10 DAYS

The code

Name

The frequency of

Average

quantity

A01.24.001

Medical history and complaints in the pathology of the peripheral nervous system

1

10

A01.24.002

Visual examination of the pathology of the peripheral nervous system

1

10

A14.31.014

Assessment of pain intensity

1

2

A01.24.003

Palpation of the pathology of the peripheral nervous system

1

10

A01.24.004

Investigation of sensitivity and motor areas in the pathology of the peripheral nervous system

1

10

A01.31.012

auscultation obscheterapevticheskoy

1

10

A01.31.016

percussion obscheterapevticheskoy

1

10

A02.12.002

Blood pressure measurement on peripheral arteries

1

10

A02.12.002

Blood pressure measurement on peripheral arteries

1

10

V03.016.03

Total (clinical) blood test detailed

1

1

V03.016.06

Urinalysis total

1

1

A25.24.003

Appointment of medical health regime in diseases of the peripheral nervous system

1

1

A25.24.001

Appointment of drug therapy for diseases of the peripheral nervous system

1

10

A19.03.002

Therapeutic exercises in spinal disorders

1

10

A21.03.002

Massage the spine diseases

1

10

A21.24.001

Manual therapy for diseases of the peripheral nervous system

0,75

10

A21.24.002

Reflex therapy at diseases of the peripheral nervous system

0,5

10

A22.04.002

Exposure to ultrasound in diseases of the joints

0,2

10

A17.31.020.001

Exposure to magnetic fields with muscle diseases

0,2

10

A13.30.003

Psychological adaptation

1

2

A11.02.002

Intramuscular administration of drugs

0,5

5

Pharmacotherapeutic group

ATX Group *

International non-proprietary name

The frequency assignment

UDM **

EDC ***

Analgesics, non-steroidal anti-inflammatory drugs for treatment of rheumatic diseases and gout

1

Non-narcotic analgesics and non-steroidal anti-inflammatory agents

1

Diclofenac (*)

0,2

150 mg

1050 mg

Ketoprofen (*)

0,2

150 mg

1050 mg

Ibuprofen (*)

0,1

1200 mg

8400 mg

lornoxicam

0,1

8 mg

56 mg

Meloxicam (*)

0,1

15 mg

105 mg

nimesulide

0,1

200 mg

2000 mg

Celecoxib (*)

0,1

200 mg

1400 mg

flupirtine

0,01

300 mg

3000 mg

Paracetamol (*)

0,1

3000 mg

21000 mg

narcotic analgesics

0,2

Tramadol (*)

1

100 mg

500 mg

Anesthetics, muscle relaxants

0,6

Muscle relaxants

0,6

Tizanidine (*)

0,4

12 mg

120 mg

tolperisone

0,4

450 mg

4500 mg

Baclofen (*)

0,2

30 mg

300 mg

local anesthetics

0,4

procaine

0,5

250 mg

750 mg

lidocaine

0,5

250 mg

750 mg

Hormones and drugs affecting the endocrine system

0,3

Asexual hormones, anti-hormones and synthetic substances

1

1

dexamethasone

0,5

4 mg

16 mg

betamethasone

0,5

7 mg

7 mg

Drugs affecting the central nervous system

0,3

Antidepressants, and mood stabilizer action

0,8

Amitriptyline (*)

0,5

75 mg

750 mg

Venlafaxine (*)

0,25

75 mg

750 mg

duloxetine

0,25

60 mg

600 mg

Paroxetine (*)

0,1

20 mg

200 mg

Fluoxetine (*)

0,1

20 mg

200 mg

Pirlindol

0,1

50 mg

500 mg

tranquilizers

0,2

Alprazolam (*)

0,5

1 mg

10 mg

Clonazepam (*)

0,5

1.5 mg

15 mg

* - Anatomical Therapeutic Chemical Classification System

** - the approximate daily dose

*** - equivalent course dose

(*) - The drugs are available in the prescribed manner, in accordance with the List of drugs, prescription by prescription (Assistant) with the provision of additional free medical care for certain categories of citizens eligible for state social help.

  • Share
Trophic ulcer
DiseaseDiseaseDisease

Trophic ulcer

This disease should be treated as early as possible at the initial stage of the disease, while the tissues are still capable of healing and h...

Scoliosis of the 2nd degree - what treatment and exercises are needed for prevention?
DiseaseDiseaseDisease

Scoliosis of the 2nd degree - what treatment and exercises are needed for prevention?

Page contents 1 Description of the disease 1 Description of the disease 2 Symptoms of scoliosis of the 2nd degree - p...

How does cholestasis appear in pregnant women?
DiseaseDiseaseDisease

How does cholestasis appear in pregnant women?

Contents of the page 1 The causes of bile congestion in pregnant women 2 Classification of cholestasis of pregnant women 3...