Болевой синдром при дегенеративно-дистрофических изменениях позвоночника

Artem O. Gushcha1, Elizaveta V. Gerasimova1, Ekaterina N. Poltorako1
1ФГБНУ «Научный центр неврологии», Москва, Россия

Аннотация


Хроническая боль в спине занимает первое место по инвалидизации. В подавляющем большинстве случаев не удается определить источник болевого синдрома, и такая боль классифицируется как неспецифическая боль в спине. Основой для формирования болевого синдрома при дегенеративно-дистрофических заболеваниях позвоночника могут быть различные структуры: межпозвонковый диск, суставы, связки, мышцы, что требует определения источника боли перед началом лечения. Кроме того, требуется определение вида боли: ноцицептивная или нейропатическая. Существует несколько подходов к лечению болевого синдрома: реабилитация, лекарственная терапия, интервенционные методы и оперативное лечение. В обзоре рассмотрены современные взгляды на возможные источники хронической боли в спине, медикаментозные и немедикаментозные методы ее лечения.

 

Литература


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Ключевые слова

боль в спине; классификация; механизмы; лечение

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DOI: http://dx.doi.org/10.25692/ACEN.2018.4.10