PSYCHONEUROLOGICAL ASPECTS OF CHRONIC PAIN SYNDROME IN LUMBAR RADICULOPATHY
Abstract
Discogenic radiculopathy is the most severe form of degenerative-dystrophic lesion of the spine, which is based on disc degeneration with subsequent involvement of adjacent vertebral bodies, intervertebral joints, and ligamentous apparatus [2,8]. So far, there are many unresolved questions in the etiology and pathogenesis of this disease. Despite the progress in understanding the pathomorphology and clinic of discogenic radiculopathy, the search for pathogenetic, and, therefore, highly effective treatment has not been completed [4,15].
Today, in the practice of a neurologist, the definition of lumbosacral radiculopathy (RCR) is widespread as a nosology characterized by damage to the nerve roots at the lumbosacral level with damage to the intervertebral discs (IVD) and joints of the spinal motion segments (SDS), ligamentous and muscular apparatus with the formation compression-ischemic and concomitant muscular-tonic syndromes caused by functional overstrain of organs and systems.
In this paper, in accordance with the international trend, the term “chronic lumbar radiculopathy” refers to chronic pain in the lumbar region of non-visceral etiology.
Keywords
Chronic lumbar radiculopathy, pain syndromeHow to Cite
References
Averkina N.A. Psychological factors in chronic pain / N.A. Averkina, E.G. Filatova // Journal of Neurology and Psychiatry. 2000. No. 13. -p.21-27.
Baranov A.N. Modern achievements in understanding the mechanisms of formation and treatment of chronic pain: a review based on the materials of the journal "Neurology" / A.N. Baranov // Neurological journal. 2003. No. 5. pp.57-60.
Barantsevich E.R. Possibilities for the treatment of chronic pain in lumbosacral radiculopathy / E.R. Barantsevich, V.V. Andreev // Doctor. 2012. No. 11. P. 13–19
Barinov A.N. Complex treatment of pain / A.N. Barinov // RMJ. 2007. No. 15(4). pp.215–220.
Barsukov S.F. Pathogenetic and therapeutic aspects of neurological manifestations of lumbar osteochondrosis / S.F. Barsukov, I.V. Gorban, F.M. Ermolenko // Military Medical Journal. 1998. No. 5. pp.46–50.
Belova A.N. Rehabilitation of patients with neurological manifestations of lumbar osteochondrosis of the spine in an outpatient setting / A.N. Belova, S.Yu. Maslov // Journal of neuropathology and psychiatry. 1992.92(3). -pp.16-19.
Bogacheva L.A. Back pain: clinic, pathogenesis, organization of primary health care: dis. ... doctor of medical sciences. M., 1998.
Boyko A.N. Pain in the lower back - new pathogenetic approaches to therapy / A.N. Boyko, A.V. Lebedeva, I.A. Schukin and others // Neurology. Psychiatry. 2014. No. 22. –p.1633-1639.
Brekhov A.N. Variants of microsurgical discectomy depending on the topography of the disc-radicular conflict / A.N. Brekhov // Bulletin of the Ukrainian Association of Neurosurgeons. 1998. No. 6. -pp.164-165.
Borovkova L.V. Abdominal decompression in the treatment and prevention of fetoplacental insufficiency / L.V. Borovkova, I.D. Voronina // Medical almanac. 2010. No. 2(11). pp.165-169.
Buchnov A.D. Medico-social aspects of health and quality of life of military personnel with diseases of the spine / A.D. Buchnov, A.I. Lupanov, V.V. Matvienko and others // Bulletin of the Russian Military Medical Academy. 2006. No. 2 (16). -pp.76-80.
Golubev V.L. Psychological attitudes of the patient and the experience of pain. Review. / V.L. Golubev, A.B. Danilov // Pain syndrome. Special issue. 2010. No. Spec. -p.2-6.
Grigorieva V.N. Rehabilitation of patients with chronic forms of diseases of the nervous system: clinical, neurophysiological and medical-psychological studies: dis. ... Dr. med. Sciences. M., 2001.
Gally R.L., Emergency Orthopedics. Spine / R.L. Galley, D.W. Spaite,R.R. Simon [RL Galli, DW Spaite, RR Simon]; per. from English. R.G. Akzhigitov. -M.: Medicine, 2003. – p.428.
Damulin I.V. Sirdalud in neurological practice / I.V. Damulin // Neurological journal. 1997. No. 3. -pp.45-51.
Danilov A.B. New approaches in the treatment of patients with chronic pain /A.B. Danilov // Attending physician. 2009.№4. -pp.34-38.
Danilov A.B. Neuropathic pain / A.B. Danilov, O.S. Davydov - M.: Borges, 2007. - 92p.
Danilov A.B. Chronic radiculopathy: new possibilities of therapy /A.B. Danilov, T.R. Zharkova // RMJ. Pain syndrome. Special issue.2010. No.: Spec. -pp.15-20.
Dedukh N.V. Aggrekan / N.V. Grandfather // Pain. Joints. Spine. 2012. No. 4 (08). pp.26-28.
Clinical guidelines for practitioners based on evidence-based medicine: Per. from English. / Ch. editor: I.N. Denisov, Yu.L. Shefchenko, V.I. Kulakov, R.M. Khaitov. - 2nd ed., corrected. - M.: GEOTAR-MED, 2003. –p. 1248.
Dligach D.L. Local decompression and performance / D.L. Dligach, A.L. Yoffe - L .: Nauka, 1982. - 359 p.
Drivotinov B.V. Physical rehabilitation for neurological manifestations of osteochondrosis of the spine: textbook. allowance / B.V. Drivotinov, T.D. Polyakova, M.D. Pankov - Minsk.: RIVSH, 2004. –p. 138.
Evsyukov A.V. Combination of reflex and compression syndromes of lumbar osteochondrosis (diagnosis and neurosurgical treatment): dis. ...candidate of medical sciences. Novokuznetsk, 2009.
Epifanov V.A. Means of physical rehabilitation in the treatment of osteochondrosis of the spine / V.A. Epifanov, I.S. Video - M.: VNTITs, 1997. –p. 344.
Zharkov P.L. Lumbar pain / P.L. Zharkov, A.P. Zharkov, S.M. Bubnovsky. - M.: Uniartprint, 2001. – p.144.
Zhezlov M.M., Levin O.S. Diagnosis and treatment of vertebrogenic lumbosacral radiculopathy / M.M. Zhezlov, O.S. Levin // Modern therapy in psychiatry and neurology. 2012. No. 4. pp.31-36.
Zhulev N.M. Osteochondrosis of the spine: a guide for doctors / N.M. Zhulev, S.N. Zhulev - St. Petersburg: AuraInfo, 2013. – p. 240.
Ivanichev G. A. Myofascial generalized algic (fibromyalgic) syndrome. / G.A. Ivanichev, N.G. Staroseltsev. - Kazan: MPIK, 2002. - 164 p.
Ivanova M.F. Dorsalgia due to degenerative-dystrophic pathology of the spine / M.F. Ivanova, S.K. Evtushenko // International neurological journal. 2009. No. 3 (25). pp.124-129.
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