scholarly journals SEVERAL ASPECTS OF CONSERVATIVE TREATMENT OF PATIENTS WITH CERVICAL OSTEOCHONDROSIS

2016 ◽  
Vol 1 (4) ◽  
pp. 72-77 ◽  
Author(s):  
Скляренко ◽  
Oksana Sklyarenko ◽  
Кошкарёва ◽  
Zinaida Koshkareva ◽  
Cороковиков ◽  
...  
Keyword(s):  
Pain Management ◽  
Conservative Treatment ◽  
Analgesic Effect ◽  
Severe Pain ◽  
Pain Syndrome ◽  
Neurological Manifestations ◽  
Treatment Results ◽  
Treatment Measures ◽  
Inflammatory Drugs ◽  
Treatment Number

The aim of the research was to develop an algorithm of complex conservative treatment of patients with cervical osteo-chondrosis. We examined and provided conservative treatment to 40patients with cervical osteochondrosis in periods I–II with severe pain syndrome. The treatment was mainly aimed at pain management. For this purpose, we assigned non-steroidal anti-inflammatory drugs (NSAID) to the patients. NSAID are the most effective medicinal agents, first of all due to their analgesic effect. Also, the treatment included physiotherapy and acupuncture. As a result of the treatment, neurological manifestations were reduced. Number of cervicalgia cases decreased from 12 (before the treatment) to 6 (after the treatment), number of cervical cranialgia cases – from 12 to 7, number of cervicobrachialgia cases – from 16 to 8 correspondingly. Developed complex of conservative treatment measures al-lows to obtain successful treatment results in most cases. It is important to note that proposed treatment regimen is available, simple and can be applied in all neurological and neurosurgical units and hospitals.

Non-steroidal anti-inflammatory drugs in practice of cardiologist: choice of drug

2020 ◽  
pp. 22-26
Author(s):  
M. Yu. Omelchenko
Keyword(s):  
Conservative Treatment ◽  
Severe Pain ◽  
Pain Syndrome ◽  
Original Study ◽  
Lumbosacral Spine ◽  
Efficacy And Safety ◽  
High Efficacy ◽  
Good Tolerability ◽  
Daily Dose ◽  
Inflammatory Drugs

Data from an original study evaluating the efficacy and safety of dexketoprofen in the conservative treatment of pain syndrome in patients are presented. This paper presents three clinical cases of successful conservative treatment of pain in patients. Patients, depending on the therapy they received, were divided into three groups: patient S., 50 years old, (pain in the joints) received Dexketoprofen-SZ at a dose of 25 mg twice a day for 5 days; a patient, 50 years old, (severe pain in the lumbosacral spine) received Dexketoprofen-SZ 25 mg every 8 hours (daily dose not more than 75 mg) for 5 days; the patient, 20 years old, (painful heavy periods) received Dexketoprofen-SZ, depending on the intensity of pain, 25 mg every 8 hours. Conclusions. The drug Dexketoprofen-SZ at a dosage of 25 mg 2–3 times a day has shown high efficacy and good tolerability in various patients in the practice of an outpatient cardiologist.

Changes in management of patients with diseases of musculoskeletal system and joints

2021 ◽  
pp. 36-40
Author(s):  
A. L. Vertkin ◽  
A. N. Barinov ◽  
G. Yu. Knorring
Keyword(s):  
Side Effects ◽  
Pain Relief ◽  
Severe Pain ◽  
Pain Syndrome ◽  
Cooperative Action ◽  
Pain Syndromes ◽  
Adequate Pain Relief ◽  
Inflammatory Drugs ◽  
Group B ◽  
Group B Vitamins

Pain syndrome accompanies the vast majority of diseases; therefore, the issues of adequate pain relief remain topical not only for urgent conditions, but also for everyday medical practice. Modern and changed in recent years approaches to the appointment of anesthetic therapy should take into account not only the pathogenetic mechanisms of the development of pain syndrome in a particular patient, but also the need to use drug combinations. This allows for the potentiation of the analgesic effect, reduction of effective dosages of individual drugs and minimization of side effects. In case of severe pain syndrome in the presence of signs of impaired nociception, neuropathic and muscle-fascial pain syndromes, the use of non-steroidal anti-inflammatory drugs in conjunction with group B vitamins is justified. The article considers the pathogenetic details of such a combination therapy, reveals the mechanisms of the cooperative action of the proposed combination of drugs.

Efficacy of Spine Segments Radiofrequency Denervation

2013 ◽  
Vol 20 (2) ◽  
pp. 26-31
Author(s):  
G. I Nazarenko ◽  
A. M Cherkashov ◽  
V. I Kuzmin ◽  
A. G Nazarenko ◽  
M. A Gorokhov ◽  
...  
Keyword(s):  
Soft Tissue ◽  
Conservative Treatment ◽  
Pain Syndrome ◽  
Soft Tissue Injuries ◽  
Long Term Results ◽  
Control Group ◽  
Treatment Results ◽  
Radiofrequency Denervation ◽  
One Year

Early and long-term results of radiofrequency facet destruction for 245 patients with cervical, thoracic and lumbar spondyloarthrosis were presented. One hundred six patients (control group) were treated conservatively. Treatment results were assessed by pain syndrome intensity using pain audit. One year after operation good result was observed in 62 (32%) out of 195 patients and satisfactory results — in 117 (60%) patients. That method enabled to eliminate considerably vertebrogenic pain localized in one dermatome when conservative treatment failed. Our experience showed that radiofrequency facet nerves destruction was safe and did not result in soft tissue injuries. All that enabled patients to return to work at maximum short terms.

scholarly journals Conservative treatment of traumatic injuries of the rotatory-bicepital complex

2019 ◽  
Vol 16 (1) ◽  
pp. 7-12
Author(s):  
О. A. Danilenko ◽  
E. R. Makarevich ◽  
N. S. Serdiuchenko
Keyword(s):  
Conservative Treatment ◽  
Clinical Manifestations ◽  
Pain Syndrome ◽  
Regional Hospital ◽  
Long Term Results ◽  
Treatment Results ◽  
Traumatic Injuries ◽  
Treatment Indications

The effectiveness of the developed approaches to the conservative treatment of traumatic injuries of the rotatory-bicepital complex is assessed. The long-term results of conservative treatment of 29 patients for the period from 2004 to 2017 and treated in the Mogilyov regional hospital and the SCTC of the 6th Minsk city clinical hospital were studied. The conservative treatment indications were considered to be the cases with traumatic partial local or extensive injuries of the rotator-bicepital complex in the presence of clinical manifestations in the form of pain syndrome and limitation of limb movements and in the absence of a decrease in limb strength in the sectoral testing of elements. The proposed tactical approaches implied immobilization, physiotherapy, local injection therapy.The developed conservative approaches to treating patients with damage to the rotary element of RBC allowed one to achieve a favorable outcome in the absolute majority of cases with long periods of patient follow-up, which improved the performance evaluation indicators according to the Oxford questionnaire for Me shoulder from 56 [48–58] to 12 [12–32] (Me [Q25–Q75]). The applied conservative approaches to treating patients with damage to the rotary element of RBC are a promising way to improve the clinical treatment results of patients with partial injuries of the rotator-bicepital complex.

scholarly journals Use of Perfotran at Conservative Treatment of Early Stages of Femoral Head Avascular Necrosis

2015 ◽  
Vol 22 (4) ◽  
pp. 26-31
Author(s):  
V. M Prokhorenko ◽  
A. G Shusharin ◽  
M. P Polovinka
Keyword(s):  
Femoral Head ◽  
Conservative Treatment ◽  
Avascular Necrosis ◽  
Pain Syndrome ◽  
Harris Hip Score ◽  
Treatment Results ◽  
Early Stages ◽  
Reduction Of Pain ◽  
Group 2

Conservative treatment results are presented for 328 patients with I-II stages of femoral head avascular necrosis (FHAN) at 3 years follow up term. Uni- or bilateral coxarthrosis was observed in 157 patients. Patients were on intraarticular injections of perfotran (1st group; n=102) or perfotran+dimexide mixture (2nd group; n=226). Clinical and functional hip joint condition was evaluated by Harris Hip Score. Positive dynamics was noted in all patients however in group 2 it was more marked: absence of negative dynamics was recorded in 204 (90.2%) patients; restorative process, by MRI examination results, was noted in 105 (46.5%) patients; significant reduction of pain syndrome was achieved. Algorithm for the management of patients with early stages of FHAN was proposed.

scholarly journals Possibilities of pain management during photodynamic therapy

2020 ◽  
Vol 9 (3) ◽  
pp. 13-20
Author(s):  
S. A. Shinkarev ◽  
V. A. Borisov ◽  
S. N. Boldyrev ◽  
V. N. Podolsky ◽  
Z. I. Abdurashidov ◽  
...  
Keyword(s):  
Photodynamic Therapy ◽  
Pain Management ◽  
Skin Cancer ◽  
Nerve Block ◽  
Squamous Cell ◽  
Basal Cell ◽  
Severe Pain ◽  
Pain Syndrome ◽  
Effective Control ◽  
Nerve Block Anesthesia

The authors consider the possibilities of pain management during photodynamic therapy (PDT) of visible tumors based on the observation of 102 patients. Of the total number of patients, 62 had verified basal cell skin cancer, 10 people - squamous cell skin cancer, another 10 - oral and oropharynx mucosa cancer, 8 - oral leukoplakia and dysplasia, in 6 - lower lip cancer, in 4 - breast cancer, in 2 - other localizations of neoplasms. In 15 patients, nonsteroidal anti-inflammatory drugs (NSAID) were used as pain management, in 69 - a combination of NSAID with tramadol, in 14 - nerve block anesthesia, in 4 - PDT was performed under general anesthesia. The intensity of pain syndrome during laser irradiation of the tumor was assessed on the verbal rating scale (VRS). The absence of pain was recorded in 9% of cases. Mild pain was noted by 58% of patients, moderate pain - 20%, severe pain - 10%, very severe pain was noted by 3% of patients.The degree of expression of pain syndrome during PDT depends on the incidence of a lesion, histological form of tumor, and method of anesthesia. NSAID alone, or in combination with an opioid analgesic, allows effective control of pain syndrome in PDT of basal cell skin cancer in 89%, in PDT of squamous cell skin cancer in 66% of observations. Nerve block anesthesia allows stoping pain syndrome during PDT of oropharyngeal tumors.

scholarly journals Use of Artificial Movement Correction and Orthotics in Complex Conservative Treatment of Patients with Lumbar-Sacral Osteochondrosis

2003 ◽  
Vol 10 (2) ◽  
pp. 41-47
Author(s):  
A A Skoblin ◽  
A A Skoblin
Keyword(s):  
Pain Relief ◽  
Conservative Treatment ◽  
Pain Syndrome ◽  
Medical Rehabilitation ◽  
High Efficacy ◽  
Treatment Results ◽  
Movement Correction ◽  
Complex Approach

Examination and treatment results of 925 patients with lumbar-sacral ostechondrosis are analyzed. Two groups of patients were defined: patients with mainly chronic recurrent radiculitis and patients with radiculoneuritis. Complex approach to the treatment included pain relief, orthotics and artificial movement correction using muscular electrostimulation at walking. Studies using biomechanic and electrophysiologic methods showed high efficacy of that medical rehabilitation complex. Orthotics provided fixation and unloading of the spine, promoted elimination of pain syndrome. Use of corset and artificial movement correction resulted in pain relief, normalization of biomechanic and innervative gait structure, achievement of firm long remission.

scholarly journals Determinants of complex regional pain syndrome type I in patients with scaphoid waist fracture- a multicenter prospective observational study

2022 ◽  
Vol 23 (1) ◽  
Author(s):  
Hao Gong ◽  
Gang Zhao ◽  
Yuzhou Liu ◽  
Zhengfeng Lu
Keyword(s):  
Diabetes Mellitus ◽  
Logistic Regression ◽  
Conservative Treatment ◽  
Observational Study ◽  
Severe Pain ◽  
Prospective Observational Study ◽  
Pain Syndrome ◽  
Type I ◽  
Syndrome Type ◽  
Multicenter Prospective Observational Study

Abstract Background The aim of this prospective study was to assess the incidence of complex regional pain syndrome type I (CRPS I) in patients with scaphoid waist fracture and to explore associated factors. Methods This was a multicenter, prospective observational study. Demographic, imaging indicators and clinical data were collected before the conservative treatment of scaphoid waist fracture patients. The occurrence of CRPS I and pain condition were the main outcomes. To explore the factors associated with CRPS I, multivariate logistic regression model was used. Results A total of 493 scaphoid waist fracture participants undergoing conservative treatment were recruited for this study. The incidence of CRPS I was 20% (n = 87). The average time between injury and the onset of CRPS I was 6.7 ± 2.1 weeks. Multivariable logistic regression analysis revealed that female sex (odds ratio (OR): 1.669; 95% confidence interval (CI): 1.189–2.338), diabetes mellitus (OR: 3.206; 95% CI: 2.284–4.492), and severe pain condition before treatment (visual analog scale (VAS) score more than 4 cm) (OR: 27.966; 95% CI: 19.924–39.187) were independently associated with CRPS I. Conclusions Patients suffering from scaphoid waist fracture may be at a higher risk of CRPS I, especially in women with diabetes mellitus who report severe pain before treatment. Early screening and regular follow up evaluation are recommended in these patients.

scholarly journals TREATMENT OF OSTEOPOROTIC VERTEBRAL FRACTURES

2006 ◽  
pp. 043-047
Author(s):  
Shukhrat Numonzhonovich Rakhmatillaev ◽  
Viktor Viktorovich Rerikh ◽  
Mikhail Anatolyevich Sadovoy
Keyword(s):  
Surgical Treatment ◽  
Conservative Treatment ◽  
Vertebral Fractures ◽  
Osteoporotic Fractures ◽  
Pain Syndrome ◽  
Treatment Results ◽  
Transpedicular Fixation ◽  
Osteoporotic Vertebral Fractures ◽  
Spinal Brace ◽  
Vertebral Bodies

Objective. To analyze treatment results in patients with osteoporitic fractures of the thoracic and lumbar vertebral bodies. Material and Methods. The study was performed in 301 patients (aged 20 to 81 years) with noncomplicated fractures of thoracic and lumbar vertebral bodies associated with osteoporosis. Compression fractures were diagnosed in 42.5 % of patients, splintered – in 21.3 %, and burst – in 36.2 %. Grade I osteoporosis was observed in 12.6 %, Grade II – in 52.5 %, Grade III – in 27.5 %, and Grade IV – in 7.4 % of patients. Conservative treatment was performed in 188 patients. After pain syndrome relief and fixation with removable spinal brace the patients were discharged for follow-up care. Another 113 patients underwent surgical treatment: transpedicular fixation was done in 15.0 % of cases, transpedicular fixation with osteoplasty – in 50.4 %, two-stage surgical procedure – in 24.7 %, and vertebroplasty – in 9.9 %. Results. The outcomes after conservative treatment for osteoporotic vertebral fractures was good in 13.0 % of patients, satisfactory in 43.0 %, and nonsatisfactory in 44.0 %. Patients showed a progression of osteoporosis and deformity magnitude between 8 and 36 weeks after the treatment. Surgical treatment of veretbral fractures had excellent results in 27.4 % of patients, good results in 51.6 %, satisfactory in 19.7 %, and nonsatisfactory in 1,5 %. Correction of all deformity components of the injured spine segment was observed in the postoperative period. Conclusion. Differentiated treatment for osteoporotic fractures of the thoracic and lumber vertebral bodies associated with osteoporosis improves the treatment results and reduces the treatment failure rate.

scholarly journals Muscle pain

2017 ◽  
Vol 59 (3) ◽  
pp. 24-32 ◽  
Author(s):  
Omphile Mogole ◽  
Ralph Kandiwa ◽  
Oyetola Babarinde ◽  
Halima Ismail ◽  
Nokuthula Dlamini ◽  
...  
Keyword(s):  
Pain Management ◽  
Adenosine Triphosphate ◽  
Muscle Pain ◽  
Severe Pain ◽  
Viral Infections ◽  
Opioid Analgesics ◽  
Nerve Endings ◽  
Moderate Pain ◽  
Endogenous Substance ◽  
Inflammatory Drugs

Muscle pain, also known as myalgia, is most commonly associated with sprains or strains. It frequently presents as redness at the site of injury, tenderness, swelling and fever. Muscle pain may occur as a result of excitation of the muscle nociceptor due to overuse of the muscle, viral infections or trauma. The most important endogenous substance released in response to the damaged tissues or nociceptor nerve endings in regards with muscle pain is adenosine triphosphate (ATP). Optimal pain management involves a combination of non-opioid, opioid analgesics, adjuvants, as well as non-pharmacologic strategies. Non-opiod analgesics include paracetamol and non-steroidal anti-inflammatory drugs (NSAIDs) like ibuprofen, which are indicated for mild to moderate pain. Whereas moderate to severe pain acquires opiod analgesics. This article provides an overview of muscle pain, the management and treatment thereof.

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