Strengthening Capacities for Higher Education of Pain Medicine in Western Balkan Countries

This project aims to enhance the capacity for pain medicine education in the Western Balkan region. It focuses on acute and chronic pain management, diagnosis, and treatment, with a specific emphasis on lower back pain. The initiative encompasses research, education, and collaboration to address the epidemiology and best practices in managing pain syndromes. Funded by the European Commission, the project reflects the commitment to improving healthcare education in the region.

• Pain Medicine
• Education
• Western Balkan
• Chronic Pain
• Back Pain

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1. Strengthening Capacities for Higher Education of Pain Medicine in Western Balkan countries HEPMP AKUTNA LUMBALNA BOL dijagnostika i li enje Prof.dr Danko vkovi Medicinski fakultet u Podgorici Podgorica 15.februar 2020 g. Project number: 585927-EPP-1-2017-1-RS-EPPKA2-CBHE-JP (2017 3109 / 001 001) "Thisprojecthas been funded withsupportfromthe EuropeanCommission.This publicationreflectstheviews onlyof theauthor, and the

2. Strengthening Capacities for Higher Education of Pain Medicine in Western Balkan countries HEPMP Definicija Naglo nastala i jaka bol u podru ju slabinskog dijela ki menog stuba Prati je smanjena pokretljivost Akutna i hroni na Project number: 585927-EPP-1-2017-1-RS-EPPKA2-CBHE-JP (2017 3109 / 001 001) "This project has been funded with support from the European Commission. This publication reflects the views only of the author, and the Commission cannot be held responsible for any use which may be made of the information contained therein"

3. Strengthening Capacities for Higher Education of Pain Medicine in Western Balkan countries HEPMP Definicija Akutna bol: podizanje tereta ili nakon direktne traume lumbalnog segmenta ki mene mo dine Hroni na sa povremenom akutizacijom: podizanja tereta du eg hodanja rada u prisilno-pognutom polo aju nezgodnog pokreta Project number: 585927-EPP-1-2017-1-RS-EPPKA2-CBHE-JP (2017 3109 / 001 001) "This project has been funded with support from the European Commission. This publication reflects the views only of the author, and the Commission cannot be held responsible for any use which may be made of the information contained therein"

4. Strengthening Capacities for Higher Education of Pain Medicine in Western Balkan countries HEPMP Epidemiologija lumbalnog bolnog sindroma est problem... ali koliko est? Project number: 585927-EPP-1-2017-1-RS-EPPKA2-CBHE-JP (2017 3109 / 001 001) "This project has been funded with support from the European Commission. This publication reflects the views only of the author, and the Commission cannot be held responsible for any use which may be made of the information contained therein"

5. Strengthening Capacities for Higher Education of Pain Medicine in Western Balkan countries HEPMP Epidemiologija lumbalnog bolnog sindroma II naj e i razlog za posjet ljekaru porodi ne medicine III naj e i razlog za hirur ko lije enje Project number: 585927-EPP-1-2017-1-RS-EPPKA2-CBHE-JP (2017 3109 / 001 001) "This project has been funded with support from the European Commission. This publication reflects the views only of the author, and the Commission cannot be held responsible for any use which may be made of the information contained therein"

6. Strengthening Capacities for Higher Education of Pain Medicine in Western Balkan countries HEPMP Epidemiologija lumbalnog bolnog sindroma 80% osoba u toku ivota bar 1 epizodu boli SAD: 50% radno sposobnih ljudi 1 epizodu boli godi nje Prevalenca raste u ranoj odrasloj dobi max 35-55 god ivota Project number: 585927-EPP-1-2017-1-RS-EPPKA2-CBHE-JP (2017 3109 / 001 001) "This project has been funded with support from the European Commission. This publication reflects the views only of the author, and the Commission cannot be held responsible for any use which may be made of the information contained therein"

7. Strengthening Capacities for Higher Education of Pain Medicine in Western Balkan countries HEPMP Epidemiologija lumbalnog bolnog sindroma Socio-ekonomski zna aj vrlo va an Vode i razlog nesposobnosti mla ih od 45 god 1% populacije SAD hroni no nesposobno za rad + 1% privremeno nesposobno u bilo kojem trenutku Godi nji tro kovi u SAD 38-50 bilijuna dolara Project number: 585927-EPP-1-2017-1-RS-EPPKA2-CBHE-JP (2017 3109 / 001 001) "This project has been funded with support from the European Commission. This publication reflects the views only of the author, and the Commission cannot be held responsible for any use which may be made of the information contained therein"

8. Strengthening Capacities for Higher Education of Pain Medicine in Western Balkan countries HEPMP Klini ki aspekti anatomije LS regije Uzroci: degenerativne promjene na iv diskovima uro ene i ste ene anomalije upale, traume, tumori, osteoporoza mehani ki uzroci lo e dr anje tijela skolioza fizi ki napori oslabljena muskulatura le a gojaznost Project number: 585927-EPP-1-2017-1-RS-EPPKA2-CBHE-JP (2017 3109 / 001 001) "This project has been funded with support from the European Commission. This publication reflects the views only of the author, and the Commission cannot be held responsible for any use which may be made of the information contained therein"

9. Strengthening Capacities for Higher Education of Pain Medicine in Western Balkan countries HEPMP Klini ki aspekti anatomije LS regije 23 iv diska C2-L5 amortizaciji i boljoj pokretljivosti ki menog stuba Gra a iv diska: anulus fibrosus i nucleus pulposus NP: kolagena i elasti na vlakna uronjena u ekstracelularni matriks mali jastu i Resorpcijom vode postaje tvrd i neelasti an Pove ano optere enje na fasetne zglobove Degeneracije i hipertrofije Spondiloartroti ne promjene ki menog stuba Project number: 585927-EPP-1-2017-1-RS-EPPKA2-CBHE-JP (2017 3109 / 001 001) "This project has been funded with support from the European Commission. This publication reflects the views only of the author, and the Commission cannot be held responsible for any use which may be made of the information contained therein"

10. Strengthening Capacities for Higher Education of Pain Medicine in Western Balkan countries HEPMP Klini ki aspekti anatomije LS regije Puknu e niti anulus fibrosusa i pove ani intradiskalni pritisak n.pulposus izbo uje na mjestu pukotine vr e pritisak na korijenove nerava koji izlaze iz kanala ki menogstuba Puknu e anulusa nastaje jednim traumatskim doga ajem(podizanje te kog tereta, padom ili tokom sportskihaktivnosti) ili ponavljanim mikrotraumama Project number: 585927-EPP-1-2017-1-RS-EPPKA2-CBHE-JP (2017 3109 / 001 001) "This project has been funded with support from the European Commission. This publication reflects the views only of the author, and the Commission cannot be held responsible for any use which may be made of the information contained therein"

11. Strengthening Capacities for Higher Education of Pain Medicine in Western Balkan countries HEPMP Klini ki aspekti anatomije LS regije Posterolateralni prolaps diska koji komprimira nerv naizlasku iz kanala ki menog stuba ili centralna hernijacija kada sve niti kaude ekvine mogubiti kompromitovane Project number: 585927-EPP-1-2017-1-RS-EPPKA2-CBHE-JP (2017 3109 / 001 001) Project number: 585927-EPP-1-2017-1-RS-EPPKA2-CBHE-JP (2017 3109 / 001 001) "This project has been funded with support from the EuropeanCommission. This publication reflectsthe views only theauthor, and the Commissioncannot be held responsibleforany use which may be made of the informationcontained therein" "This project has been funded with support from the European Commission. This publication reflects the views only of the author, and the Commission cannot be held responsible for any use which may be made of the information contained therein"

12. Strengthening Capacities for Higher Education of Pain Medicine in Western Balkan countries HEPMP Klini ki aspekti anatomije LS regije Prednja longitudinalna sveza kada pukne dovede do ekstruzije diska ili slobodnog fragmenta diska unutar kanala ki menog kanala Naj e a protruzija diska L4/L5, zatim izme u L5/S1 pr ljenova Project number: 585927-EPP-1-2017-1-RS-EPPKA2-CBHE-JP (2017 3109 / 001 001) "This project has been funded with support from the European Commission. This publication reflects the views only of the author, and the Commission cannot be held responsible for any use which may be made of the information contained therein"

13. Strengthening Capacities for Higher Education of Pain Medicine in Western Balkan countries HEPMP Klini ki aspekti anatomije LS regije Kompresija spinalnog korijena hernijom iv diska- mehani ka deformacija vlakana i promjene u mikrocirkulaciji korijena - intra neuralni edem i demijelinizacija Bol Promjena senzibiliteta Slabost

14. Strengthening Capacities for Higher Education of Pain Medicine in Western Balkan countries HEPMP Klini ki aspekti anatomije LS regije Dorzolateralni prolaps bol se iri du miotoma i dermatoma zahva enog korijena Bol u ekstremitetu obi no nadilazi bol u le ima Ako do e do o te enja nerva neurolo ki simptomi motori kog ispada ili ispada senzibiliteta. Klini ki simptomi: bol, ograni ena pokretljivost antalgi na skolioza i deficit funkcije. Project number: 585927-EPP-1-2017-1-RS-EPPKA2-CBHE-JP (2017 3109 / 001 001) "This project has been funded with support from the European Commission. This publication reflects the views only of the author, and the Commission cannot be held responsible for any use which may be made of the information contained therein"

15. Strengthening Capacities for Higher Education of Pain Medicine in Western Balkan countries HEPMP Lazarevi ev znak Lazarevi ev znak - najstarijiznak anglo-ameri ka literatura dizanje ispru ene noge straight-leg raisingtest Kod ischialgije dizanje noge izaziva bol u le ima i unozi uzdu n.ischiadicusa. Pritisak na korijen nerva velik bol se na pogo enojstrani mo e jo pove ati odignemo li i zdravu nogu. Project number: 585927-EPP-1-2017-1-RS-EPPKA2-CBHE-JP (2017 3109 / 001 001) "This project has been funded with support from the European Commission. This publication reflects the views only of the author, and the Commission cannot be held responsible for any use which may be made of the information contained therein"

16. Strengthening Capacities for Higher Education of Pain Medicine in Western Balkan countries HEPMP Lazarevi ev znak Pozitivan Lasseque-Lazarevi ev znak, za ugao ve i od60 stepeni, zna i da pritisak nijevelik. Dorzifleksija stopala dodatno poja avabol. Podizanjem zdrave noge tako e mo e dovesti do irenjaboli du aficirane noge. Test femoralnog istezanja pri le anju na trbuhu bol - prolaps diska u segmentu iznad L4 lumbalnog kralje ka. Project number: 585927-EPP-1-2017-1-RS-EPPKA2-CBHE-JP (2017 3109 / 001 001) "This project has been funded with support from the European Commission. This publication reflects the views only of the author, and the Commission cannot be held responsible for any use which may be made of the information contained therein"

17. Strengthening Capacities for Higher Education of Pain Medicine in Western Balkan countries HEPMP Simptomi lateralne hernijacije iv diska L4 korijen prolaps izme u L3 i L4 pr ljena unutar spinalnog kanala ili prolaps izme u L4 i L5 pr ljena izvan spinalnog kanala smanjen volumen m.quadriceps, hipoestezija u dermatomu L4 medijalna strana koljena i potkoljenice oslabljen patelarni refleks Project number: 585927-EPP-1-2017-1-RS-EPPKA2-CBHE-JP (2017 3109 / 001 001) "This project has been funded with support from the European Commission. This publication reflects the views only of the author, and the Commission cannot be held responsible for any use which may be made of the information contained therein"

18. Strengthening Capacities for Higher Education of Pain Medicine in Western Balkan countries HEPMP Simptomi lateralne hernijacije iv diska L5 korijen prolaps izme u L4 i L5 pr ljena unutar spinalnog kanala ili izme u L5 i S1 pr ljena izvan spinalnog kanala oslabljeni m.extensor digitorum longus et brevis te m.extensor hallucis longus hipoestezija lateralne strane potkoljenice i dorzuma stopala te podru ja izme u palca i drugog prsta nema poreme aja refleksa Project number: 585927-EPP-1-2017-1-RS-EPPKA2-CBHE-JP (2017 3109 / 001 001) "This project has been funded with support from the European Commission. This publication reflects the views only of the author, and the Commission cannot be held responsible for any use which may be made of the information contained therein"

19. Strengthening Capacities for Higher Education of Pain Medicine in Western Balkan countries HEPMP Simptomi lateralne hernijacije iv diska S1 korijen prolaps izme u L5 i S1 pr ljenova unutar spinalnog kanala slabljenje plantarne ekstenzije stopala hipoestezija lateralne strane potkoljenice i stopala oslabljen refleks Ahilove tetive Kod afekcije korijena L5 zahva en je palac kod afekcije S1 korijena zahva en 3,4,5 prst na stopalu zahva ene strane Project number: 585927-EPP-1-2017-1-RS-EPPKA2-CBHE-JP (2017 3109 / 001 001) "This project has been funded with support from the European Commission. This publication reflects the views only of the author, and the Commission cannot be held responsible for any use which may be made of the information contained therein"

20. Strengthening Capacities for Higher Education of Pain Medicine in Western Balkan countries HEPMP Simptomi kod centralne hernijacije iv diskova Obostrani, iako asimetri ni - ja e izra eni na jednojstrani. Bol du zadnje strane obje noge i mo e nestati ukolikose pojavi paraliza. Hipoestezija kao i bol i zahvata perianogenitalnopodru je (saddle anesthesia) motori ki deficiti - potpuna paraliza i dorzalne fleksijei plantarne ekstenzije stopala kao i paraliza sfinktera sa djelimi nom ili potpunom retencijom urina istolice. Sy caude equine mo e biti parcijalni i kompletni. Project number: 585927-EPP-1-2017-1-RS-EPPKA2-CBHE-JP (2017 3109 / 001 001) "This project has been funded with support from the European Commission. This publication reflects the views only of the author, and the Commission cannot be held responsible for any use which may be made of the information contained therein"

21. Strengthening Capacities for Higher Education of Pain Medicine in Western Balkan countries HEPMP Lumbosakralna radikulopatija radikularni bol - kidanje, upanje, uvrtanje put irenja boli je jasno odre en i pacijent ga mo e prstima pokazati Bol se poja ava pri du em stojanju ili kod odre enih polo aja tijela kao i u odre eno doba dana Pri ka ljanju, kijanju i defekaciji - pogor anje bolova Bolesnik zauzima antalgi an polo aj tede i bolesnu nogu Nakon mirovanja i le anja dolazi do smanjivanja boli Project number: 585927-EPP-1-2017-1-RS-EPPKA2-CBHE-JP (2017 3109 / 001 001) "This project has been funded with support from the European Commission. This publication reflects the views only of the author, and the Commission cannot be held responsible for any use which may be made of the information contained therein"

22. Strengthening Capacities for Higher Education of Pain Medicine in Western Balkan countries HEPMP Dijagnoza Anamneza i klini ka slika Neurolo ki nalaz RTG dijagnostika (ko tane promjene: osteofiti, hipertrofije zglobnih nastavaka ili su enja iv otvora, znaci diskopatije, frakture pr ljenova ili metastaze, ko taneanomalije (sakralizacija L5 i lumbalizacija S1 kralje ka). CT - promjene na kostima i zglobovima kao i hernijacijuiv diska MRI - hernijacija iv diska, degenerativne promjene, stenoza spinalnog kanala, spondilolisteza, spinalni tumori ianomalije Project number: 585927-EPP-1-2017-1-RS-EPPKA2-CBHE-JP (2017 3109 / 001 001) "This project has been funded with support from the European Commission. This publication reflects the views only of the author, and the Commission cannot be held responsible for any use which may be made of the information contained therein"

23. Strengthening Capacities for Higher Education of Pain Medicine in Western Balkan countries HEPMP MRI snimak Protruzija iv diskaL5/S1 Project number: 585927-EPP-1-2017-1-RS-EPPKA2-CBHE-JP (2017 3109 / 001 001) "This project has been funded with support from the European Commission. This publication reflects the views only of the author, and the Commission cannot be held responsible for any use which may be made of the information contained therein"

24. Strengthening Capacities for Higher Education of Pain Medicine in Western Balkan countries HEPMP Diferencijalna dijagnoza spondilodiscitis vertebralne metastaze (dojka, prostata,bubrezi) multipli mijelom, multipli vanomi primarni ko tani tumori (rijetko) spondilolisteza sinovijalne ciste traume ki me renalne kolike retroperitonealne adenopatije vaskularne uzroke ( visceralnilumbago ) Project number: 585927-EPP-1-2017-1-RS-EPPKA2-CBHE-JP (2017 3109 / 001 001) "This project has been funded with support from the European Commission. This publication reflects the views only of the author, and the Commission cannot be held responsible for any use which may be made of the information contained therein"

25. Strengthening Capacities for Higher Education of Pain Medicine in Western Balkan countries HEPMP Diferencijalna dijagnoza Miksopapilarni ependimom Multipli vanomi Project number: 585927-EPP-1-2017-1-RS-EPPKA2-CBHE-JP (2017 3109 / 001 001) "This project has been funded with support from the European Commission. This publication reflects the views only of the author, and the Commission cannot be held responsible for any use which may be made of the information contained therein"

26. Strengthening Capacities for Higher Education of Pain Medicine in Western Balkan countries HEPMP Diferencijalna dijagnoza Metastaza melanoma Sinovijalnacista Project number: 585927-EPP-1-2017-1-RS-EPPKA2-CBHE-JP (2017 3109 / 001 001) "This project has been funded with support from the European Commission. This publication reflects the views only of the author, and the Commission cannot be held responsible for any use which may be made of the information contained therein"

27. Strengthening Capacities for Higher Education of Pain Medicine in Western Balkan countries HEPMP Lije enje Epizode lumbalnog sindroma u 90% slu ajeva prolaze spontano ne treba uriti u dodatnu laboratorijsku ili radiolo ku obradu sem u nejasnim slu ajevima op ti simptomi, slabost ili odre eni neurolo ki simptomi koji upu uju na akutno zbivanje Project number: 585927-EPP-1-2017-1-RS-EPPKA2-CBHE-JP (2017 3109 / 001 001) "This project has been funded with support from the European Commission. This publication reflects the views only of the author, and the Commission cannot be held responsible for any use which may be made of the information contained therein"

28. Strengthening Capacities for Higher Education of Pain Medicine in Western Balkan countries HEPMP Mirovanje U akutnom lumbalnom bolnom sindromu bez neurolo kih ispada ne bi trebalo da bude du e od 2-3 dana Nikako ne bi smjelo da bude du e od 7 dana i to u slu ajevima sa izra enim neurolo kim deficitom Treba uvijek promovisati to raniju mobilizaciju i kretanje bolesnika Svako mirovanje u krevetu du e od 7 dana zna ajno uti e na slabost muskulature Project number: 585927-EPP-1-2017-1-RS-EPPKA2-CBHE-JP (2017 3109 / 001 001) "This project has been funded with support from the European Commission. This publication reflects the views only of the author, and the Commission cannot be held responsible for any use which may be made of the information contained therein"

29. Strengthening Capacities for Higher Education of Pain Medicine in Western Balkan countries HEPMP Farmakoterapija paracetamol, NSAR, blagi opijati (tramadol, kodein), mi i ne relaksanse i antidepresivi Prvi posjet ljekaru: 80% Amerikanaca koristi 1 ili vi e lijekova 69% slu ajeva koriste NSAR 4% paracetamol 20% ne dobije lijek zaALBS U Europi svega 45% bolesnika dobije lijek od specijaliste porodi ne nesteroidni antireumatici i manje benzodiazepini). medicine (uglavnom Project number: 585927-EPP-1-2017-1-RS-EPPKA2-CBHE-JP (2017 3109 / 001 001) "This project has been funded with support from the European Commission. This publication reflects the views only of the author, and the Commission cannot be held responsible for any use which may be made of the information contained therein"

30. Lijek izbora u lijeenju ALBS u SAD-u Propisani lijek Samo NSAR NSAR + mi i ni relaksansi NSAR + opijati Samo mi i ni relaksansi Mi i ni relaksansi + opijati NSAR + relaksansi + opijati Bez lijeka % 34,7 24,2 4,1 3,7 3,2 2,7 20,5 Prema Mens J.M.A. Best Practice and Research. Clin Rheumathol 2005; 19(4):620-624

31. Strengthening Capacities for Higher Education of Pain Medicine in Western Balkan countries HEPMP NSAR Bolesnici se javljaju u ordinaciju ljekara porodi ne medicine radi dobivanja NSAR parenteralnim putem (naj e e intramuskularno) Mehanizam djelovanja NSAR (oralnih i parenteralnih) vezan uz inhibiciju sinteze pojedinih prostaglandina Nema potrebe za svakodnevne dolaske u ordinaciju ljekara i nepotrebnom izlaganju pogor anja klini ke slike radi ne- mirovanja u akutnoj fazi. Project number: 585927-EPP-1-2017-1-RS-EPPKA2-CBHE-JP (2017 3109 / 001 001) "This project has been funded with support from the European Commission. This publication reflects the views only of the author, and the Commission cannot be held responsible for any use which may be made of the information contained therein"

32. Strengthening Capacities for Higher Education of Pain Medicine in Western Balkan countries HEPMP Mi i ni relaksansi vrlo popularna skupina lijekova ak 91% ljekara porodi ne medicine u ALBL uSADu U slu aju akutne jake boli tokom 10-14 dana 89% ljekara porodi ne medicine u Nizozemskoj, ali samo 5% u novim epizodama boli. Naj e e propisivan lijek diazepam Project number: 585927-EPP-1-2017-1-RS-EPPKA2-CBHE-JP (2017 3109 / 001 001) "This project has been funded with support from the European Commission. This publication reflects the views only of the author, and the Commission cannot be held responsible for any use which may be made of the information contained therein"

33. Strengthening Capacities for Higher Education of Pain Medicine in Western Balkan countries HEPMP Antidepresivi u lije enju ALBS ak 23% ljekara porodi ne medicine u SAD U Evropi sporadi no Mehanizam djelovanja antidepresiva u LBL nije jasanali postoje tri hipoteze: 1.direktan antidepresivni u inak 2.sedativni efekat (pobolj avanje sna u bolesnika sa no nom boli) 3.analgetski efekat Project number: 585927-EPP-1-2017-1-RS-EPPKA2-CBHE-JP (2017 3109 / 001 001) "This project has been funded with support from the European Commission. This publication reflects the views only of the author, and the Commission cannot be held responsible for any use which may be made of the information contained therein"

34. Strengthening Capacities for Higher Education of Pain Medicine in Western Balkan countries HEPMP Lije enje ALBS Prognoza dobra, ak i bez lije enja Svrha lije enja: ne lije enje nego umanjenje simptoma boli Smanjenje ili prekid terapije sa smanjenjem ili nestankom boli Preporuke za lije enje akutne boli u le ima: 1.Analgetici i nesteroidni antireumatici samostalno 2. Mi i ni relaksansi samostalno 3. Kombinacija 1. i 2. (dokazano efektnije i mnogo popularnije) Prvih dana je mogu e pove ati maksimalnu dozu za 25% za sve lijekove. Project number: 585927-EPP-1-2017-1-RS-EPPKA2-CBHE-JP (2017 3109 / 001 001) "This project has been funded with support from the European Commission. This publication reflects the views only of the author, and the Commission cannot be held responsible for any use which may be made of the information contained therein"

35. Strengthening Capacities for Higher Education of Pain Medicine in Western Balkan countries HEPMP Hirur ko lije enje Apsolutna indikacija....sindrom caude aquine Relativne indikacije neurolo ki deficit (pareza tibialisa, peroneusa) hiperalgi ne forme (ne prolaze ni nakon 4-6 sedmica) Project number: 585927-EPP-1-2017-1-RS-EPPKA2-CBHE-JP (2017 3109 / 001 001) "This project has been funded with support from the European Commission. This publication reflects the views only of the author, and the Commission cannot be held responsible for any use which may be made of the information contained therein"

36. Strengthening Capacities for Higher Education of Pain Medicine in Western Balkan countries HEPMP Hirur ko lije enje Project number: 585927-EPP-1-2017-1-RS-EPPKA2-CBHE-JP (2017 3109 / 001 001) "This project has been funded with support from the European Commission. This publication reflects the views only of the author, and the Commission cannot be held responsible for any use which may be made of the information contained therein"

37. Strengthening Capacities for Higher Education of Pain Medicine in Western Balkan countries HEPMP Postoperativni failed back sindrom Epiduralni o iljak Infekcija postoperativna Recidiv prolapsa Project number: 585927-EPP-1-2017-1-RS-EPPKA2-CBHE-JP (2017 3109 / 001 001) "This project has been funded with support from the European Commission. This publication reflects the views only of the author, and the Commission cannot be held responsible for any use which may be made of the information contained therein"

38. Strengthening Capacities for Higher Education of Pain Medicine in Western Balkan countries HEPMP Zaklju ak ALBS treba shvatiti ozbiljno i pravilnom dijagnostikom izdvojiti one za hitan neurohirur ki zahvat Lije enje simptomatsko, vode i simptom je bol Pri primjeni analgetika i NSAR treba voditi ra una o po etku djelovanja tih lijekova (ve ina djeluje 1-2 dana) Ne treba prebrzo promijeniti lijek jer ne djeluje Odgovor na lijekove individualan. Project number: 585927-EPP-1-2017-1-RS-EPPKA2-CBHE-JP (2017 3109 / 001 001) "This project has been funded with support from the European Commission. This publication reflects the views only of the author, and the Commission cannot be held responsible for any use which may be made of the information contained therein"

39. AKUTNA LUMBALNA BOL dijagnostika i li enje HVALA NA PA NJI Project number: 585927-EPP-1-2017-1-RS-EPPKA2-CBHE-JP (2017 3109 / 001 001) "This project has been funded with support from the European Commission. This publication reflects the views only of the author, and the Commission cannot be held responsible for any use which may be made of the information contained therein"