CLINICAL AND DIAGNOSTIC SIGNIFICANCE OF THE ANATOMICAL SHORT LEG

Vestnik ◽  
2021 ◽  
pp. 356-359
Author(s):  
У.А. Абдуразаков ◽  
В.И. Нечаев ◽  
А.У. Абдуразаков
Keyword(s):  
Chronic Pain ◽  
Knee Arthroplasty ◽  
Pharmacological Treatment ◽  
Pain Syndrome ◽  
Chronic Pain Syndrome ◽  
Leg Length ◽  
Diagnostic Significance ◽  
Hip And Knee Arthroplasty ◽  
The Difference

В статье изучены клинические и диагностические значимости анатомической короткой ноги у 150 пациентов с деформацией стоп, патологией крупных суставов нижних конечностей, а у 24 пациентов было произведено эндопротезирование тазобедренных и коленных суставов. Они страдали хроническими болевыми синдромами, принимали консервативное лечение без эффекта. У всех наблюдавшихся при обследовании выявили наличие разницы в длине ног в 10 и более мм, соответственно перекоса таза с искривлением позвоночника. Одной из основных причин асимметрий осанки, повышенной утомляемости и хронических болей опорно-двигательной системы является нераспознанная структуральная разница в длине ног. При такой ситуации всякое мануальное и фармакологическое лечение носит лишь симптоматический характер. Решение механической проблемы требует механического подхода путем биомеханической коррекции с помощью индивидуальных ортезов стопы по системе Формтотикс. The article describes the clinical and diagnostic significance of the anatomical short leg in 150 patients. Hip and knee arthroplasty was performed in 24 patients. The patients had chronic pain syndrome. All those observed during the examination revealed the presence of a difference in the length of the legs of more than 10 mm. In this situation, pharmacological treatment is symptomatic. One of the solutions to the problem is to correct the difference in leg length with the help of individual Formtotics orthoses.

scholarly journals Complicated Cases of Knee Arthroplasty

2014 ◽  
pp. 52-56
Author(s):  
N. V. Zagorodniy ◽  
S. V. Kagramanov ◽  
O. A. Kudinov ◽  
I. A. Nikolaev ◽  
G. A. Chragyan ◽  
...  
Keyword(s):  
Rheumatoid Arthritis ◽  
Chronic Pain ◽  
Knee Arthroplasty ◽  
Weight Bearing ◽  
Life Quality ◽  
Pain Syndrome ◽  
Joint Mobility ◽  
Chronic Pain Syndrome ◽  
Early Loading ◽  
Knee Deformity

Experience in treatment of 190 patients (mean age 61 years) with marked (> 15°) knee deformity due to various pathology (idiopathic gonarthrosis, rheumatoid arthritis, posttraumatic gonarthrosis) is presented. In 19 cases revision interventions for aseptic instability of implant were performed. In all cases «Smith & Nephew» RT-PLUS system of either standard or modular modification was used. In 183 (96.3%) cases satisfactory results were noted: steady remission of chronic pain syndrome was achieved, limb axis, joint mobility and weight bearing ability were restored, conditions for early loading and mobilization were provided. All that promoted the improvement of patients’ life quality. Complications included 1 case of periprosthetic fracture, 5 cases of deep purulent inflammation 2 of which required implant removal with creation of arthrodesis in functionally favorable position, and 3 cases of arthrofibrosis. As a whole the achieved results enable to recommend the use of RT-PLUS system in complicated cases of arthroplasty.

scholarly journals Complicated Cases of Knee Arthroplasty

2014 ◽  
Vol 21 (1) ◽  
pp. 52-56
Author(s):  
N. V Zagorodniy ◽  
S. V Kagramanov ◽  
O. A Kudinov ◽  
I. A Nikolaev ◽  
G. A Chragyan ◽  
...  
Keyword(s):  
Rheumatoid Arthritis ◽  
Chronic Pain ◽  
Knee Arthroplasty ◽  
Weight Bearing ◽  
Life Quality ◽  
Pain Syndrome ◽  
Joint Mobility ◽  
Chronic Pain Syndrome ◽  
Early Loading ◽  
Knee Deformity

Experience in treatment of 190 patients (mean age 61 years) with marked (> 15°) knee deformity due to various pathology (idiopathic gonarthrosis, rheumatoid arthritis, posttraumatic gonarthrosis) is presented. In 19 cases revision interventions for aseptic instability of implant were performed. In all cases «Smith & Nephew» RT-PLUS system of either standard or modular modification was used. In 183 (96.3%) cases satisfactory results were noted: steady remission of chronic pain syndrome was achieved, limb axis, joint mobility and weight bearing ability were restored, conditions for early loading and mobilization were provided. All that promoted the improvement of patients’ life quality. Complications included 1 case of periprosthetic fracture, 5 cases of deep purulent inflammation 2 of which required implant removal with creation of arthrodesis in functionally favorable position, and 3 cases of arthrofibrosis. As a whole the achieved results enable to recommend the use of RT-PLUS system in complicated cases of arthroplasty.

CHRONIC PAIN SYNDROME IN PEDIATRIC ONCOLOGICAL PALLIATIVE PATIENTS IN RUSSIA

2019 ◽  
Vol 98 (1) ◽  
pp. 115-121
Author(s):  
A.V. Pshonkin ◽  
◽  
I.V. Serkova ◽  
N.V. Myakova ◽  
N.N. Kotskaya ◽  
...  
Keyword(s):  
Chronic Pain ◽  
Pain Syndrome ◽  
Chronic Pain Syndrome ◽  
Palliative Patients

Alexithymia and hypnotisability in the chronic pain syndrome

Pain ◽  
1990 ◽  
Vol 41 ◽  
pp. S333 ◽  
Author(s):  
F.R. James ◽  
R.G. Large
Keyword(s):  
Chronic Pain ◽  
Pain Syndrome ◽  
Chronic Pain Syndrome

The phenomenon of migration of nociogenic structures in the human sensor-algic system (results of clinical and neurophysiological studies and morphological experiments)

2020 ◽  
pp. 16-24
Author(s):  
Maksim Vladimirovich Shpagin ◽  
Mikhail Valerievich Kolesnikov ◽  
Olga Yurievna Khutorskaya ◽  
Dmitriy Evgenievich Timoshkin ◽  
Artem Andreevich Belikin ◽  
...  
Keyword(s):  
Chronic Pain ◽  
Nervous System ◽  
Pain Syndrome ◽  
Point Of View ◽  
Chronic Pain Syndrome ◽  
Integrative Therapy ◽  
Neurophysiological Studies ◽  
Positive Results ◽  
Structural Point ◽  
Chronicity Of Pain

From the informational and structural point of view, the chronicity of pain is associated with the migration of nociogenic zones. The phenomenon of migration is based on the mechanisms of neuroplasticity, compensatory-restorative processes in the nervous system. On the basis of the phenomenon of migration of the nociogenic zone, a system of regional integrative therapy of chronic pain syndrome has been developed. Recommendations on the advisability of invasive shutdown of the nociogenic zone using invasive pharmacotherapy or surgical denervation have been proposed. In the course of studying the characteristics of chronic pain, depending on the duration of the disease, a direct proportional correlation was revealed between the increase in the components of pain and the duration of the pain syndrome, which can be explained by the increase in the number of nociogenic structures that form the complexity and stability of the pain syndrome. Thus, the necessity of neurodestructive interventions increases for attaining positive results. An important area of therapy is the inclusion of psychotherapy, pharmacotherapy and neuromodulation into the system of regional-integrative influence.

scholarly journals Relationship between catechol-o-methyltransferase gene polymorphism and pain syndrome in breast cancer patients

2020 ◽  
Vol 14 (2) ◽  
pp. 72-85
Author(s):  
Arina P. Spasova ◽  
I. V. Kurbatova ◽  
O. Y. Barysheva ◽  
G. P. Tikhova
Keyword(s):  
Breast Cancer ◽  
Chronic Pain ◽  
Postoperative Period ◽  
Mutant Allele ◽  
Pain Syndrome ◽  
Comt Gene ◽  
Nucleotide Polymorphisms ◽  
Chronic Pain Syndrome ◽  
Narcotic Analgesics ◽  
Single Nucleotide

The goal of the study was to explore the influence of single-nucleotide polymorphisms of the COMT gene on the formation and features of pain syndrome, the level of anxiety, and the need for narcotic analgesics in patients with breast cancer. Materials and methods. The intensity of pain and opioid consumption in the postoperative period were evaluated in 58 patients who met the inclusion criteria of the study and were operated for breast cancer. The frequency of chronic pain syndrome after mastectomy was studied in the same group of patients after a year by using short pain questionnaires, McGill Pain Questionnaire and PainDetect. The anxiety level was assessed by using the HADS questionnaire. Genotyping was performed for single-nucleotide polymorphisms, rs4680, rs740603, rs2097603 = rs2070577, rs4633, of the COMT gene localized in the 22q11.21 region in the studied group of patients. The relationship between the carrier of different genotypes and the intensity of acute and chronic pain, the severity of the pain rating index for sensory and affective characteristics, the presence of a neuropathic component of pain, and the severity of anxiety were studied in the entire sample. The use of narcotic analgesics was evaluated in the postoperative period (IU/day and IU/course) and for the relief of chronic pain. Results. It is shown that the intensity of postoperative pain and the severity of anxiety do not depend on the presence of a mutant allele for the studied polymorphisms of the COMT gene, while the postoperative consumption of opioids in patients with the rs4680 missense mutation in the exon of this gene is significantly less. The dependence of the intensity of chronic pain syndrome and the severity of anxiety on the presence of a mutant allele for the polymorphic locus rs4680 localized in the exon of the COMT gene was established. No significant relationship was observed between the mutant alleles and the use of opioids for chronic pain relief after mastectomy. Conclusion. Genotyping for the COMT gene polymorphisms can be useful for choosing the optimal tactics of pain management in patients with breast cancer.

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