Irkutsk, Irkutsk region, Russian Federation
Irkutsk, Irkutsk region, Russian Federation
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.
cervical spine, osteochondrosis, conservative treatment
1. AbelskayaIS, MikhaylovOA, SmyshekVB (2007). Cer-vical osteochondrosis: diagnostics and medical rehabilita-tion [Sheynyy osteokhondroz: diagnostika i meditsinskaya reabilitatsiya], 347.
2. AntonovIP (1986). Pathogenesis and diagnostics of spinal osteochondrosis and its neurological manifesta-tions. Problem state and study perspectives [Patogenez i diagnostika osteokhondroza pozvonochnika i ego nevrologicheskikh proyavleniy. Sostoyanie problemy i perspektivy izucheniya]. Zhurnal nevrologii i psikhiatrii im. S.S.Korsakova, 86(4), 481-488.
3. .BorensteinDG, VizelSV, BodenSD (2005). Cervicalgia. Diagnostics and complex treatment [Boli v sheynom ot-dele pozvonochnika. Diagnostika i kompleksnoe lechenie], 780.
4. ButukhanovVV, KoshkaryovaZV, ArsentievaNI, Soro-kovikovVA (2014). Outpatient conservative treatment of patients with cervical osteochondrosis [Konservativnoe lechenie patsientov s osteokhondrozom sheynogo otdela pozvonochnika v ambulatornykh usloviyakh]. Sibirskiy meditsinskiy zhurnal (Irkutsk), 125(2), 38-42.
5. VeselovskiyVP (1984). Pathogenesis of spinal osteo-chondrosis [Patogenez osteokhondroza pozvonochnika], 28.
6. VoznesenskayaTG (2006). Back pain: neurologist’s opinion [Boli v spine: vzglyad nevrologa]. Concilium medi-cum, 8(2), 257-261.
7. GushchaAO (2007). Diagnostics and surgical treat-ment of degenerative compression syndromes in cervical spine: abstract of dissertation of Candidate of Medical Sci-ences [Diagnostika i khirurgicheskoe lechenie degenera-tivnykh kompressionnykh sindromov na urovne sheynogo otdela pozvonochnika: avtoref. dis. ... d-ra med. nauk], 48.
8. KarateyevAE (2006). Treatment and conserva-tive prophylaxis of NSAID-induced gastropathy: main principles [Lechenie i medikamentoznaya profilaktika NPVP-gastropatii: osnovnye polozheniya]. Farmateka, (6), 5.
9. KukushkinML, KhitrovNK (2004). General pathology of pain [Obshchaya patologiya boli], 144.
10. LapinaTL (2009). NSAID-induced gastropathy: ways of problem solving [Gastropatiya, indutsirovannaya nes-teroidnymi protivovospalitel’nymi preparatami: puti resh-eniya problemy]. Russkiy meditsinskiy zhurnal. Prilozhenie Bolezni organov pishchevareniya, (2), 54.
11. LutsikA A, SchmidtIR, PeganovaMA (1998). Thoracic osteochondrosis [Grudnoy osteokhondroz], 280.
12. MitskevichVA (2005). Pathology of cervical spine. Instability of cervical spine [Patologiya sheynogo otdela pozvonochnika. Nestabil’nost’ sheynogo otdela poz-vonochnika]. Praktikuyushchemu nevrologu, 2(2), 72.
13. GolubevVL, VeynAM (eds.) (2007). Neurological syndromes: Guidelines for physicians [Nevrologicheskie sindromy: rukovodstvo dlya vrachey], 736.
14. OrlovMA, DofmanIP, OrlovaEA (2015). Spinal os-teochondrosis - controversial and unsolved problems of diagnostics, treatment and rehabilitation [Osteokhondroz pozvonochnika - spornye i nereshennye voprosy diagnos-tiki, lecheniya, reabilitatsii]. Russkiy meditsinskiy zhurnal, (82), 1669-1672.
15. OrlovaMA (1996). Diagnostics and treatment of cer-vical spine instability in children: abstract of dissertation of Candidate of Medical Sciences [Diagnostika i lechenie nestabil’nosti sheynogo otdela pozvonochnika u detey: avtoref. dis. ... kand. med. nauk], 24.
16. PutilinaMV (2006). Peculiarities of diagnostics and treatment of dorsopathy in neurological practice [Osoben-nosti diagnostiki i lecheniya dorsopatiy v nevrologiches-koy praktike]. Concilium medicum, 8(8), 44-48.
17. RameshviliTE, TrufanovGE, GaidarBV, ParfyonovVE (2011). Degenerative spine pathologies: Guidelines for physicians [Degenerativno-distroficheskie porazheniya pozvonochnika: rukovodstvo dlya vrachey], 218.
18. RudkovskiyAI (2012). Misperfusion in vertebral arteries at instability of cervical functional spinal units: abstract of dissertation of Candidate of Medical Sciences [Narusheniya krovotoka v pozvonochnykh ar-teriyakh pri nestabil’nosti v dvigatel’nykh segmentakh sheynogo otdela pozvonochnika: avtoref. dis. ... kand. med. nauk], 24.
19. SklyarenkoOV, KoshkaryovaZV, SorokovikovVA, DmitriyevaLA, RodionovaLV (2009). Diagnostica, clini-cal features and conservative treatment of patients with postoperative cicatricial epiduritis in lumbar spine: Guide for physicians [Diagnostika, klinika i konservativnoe lechenie bol’nykh s posleoperatsionnym rubtsovo-spaech-nym epiduritom v poyasnichnom otdele pozvonochnika: Metodicheskoe posobie dlya vrachey], 32.
20. SklyarenkoOV, SorokovikovVA, KoshkaryovaZV, IppolitovaEG (2009). Acupuncture in complex treatment of patients with postoperative cicatricial epiduritis in lum-bar spine [Iglorefleksoterapiya v kompleksnom lechenii bol’nykh s posleoperatsionnym rubtsovo-spaechnym epi-duritom v poyasnichnom otdele pozvonochnika]. Sibirskiy meditsinskiy zhurnal (Irkutsk), (6), 39-43.
21. SorokovikovVA (2004). Formation of syndrome of functional spinal unit instability and pathogenetically caused methods of its correction: abstract of dissertation of Doctor of Medical Sciences [Formirovanie sindroma nestabil’nosti pozvonochno-dvigatel’nogo segmenta (PDS) i patogeneticheski obosnovannye sposoby ego korrektsii: avtoref. dis. ... d-ra med. nauk], 48.
22. BryukhanovVG, SorokovikovVA, KoshkaryovaZV, GorbunovAV, NemarovAA, ErdyneyevKT (2012). Method of diagnostics of stenosis of lumbar spine and dural sac: Patent2483675 of the Russian Federation [Sposob diagnostiki stenoziruyushchikh protsessov pozvonochnogo kanala i dural’nogo meshka na poyasnichnom urovne: Pat. No 2483675 Ros. Federatsiya].
23. VakhtangovLR (1999). Method of treatment of cervical and thoracic osteochondrosis: Patent2136256 of the Russian Federation [Sposob lecheniya osteokhon-droza sheyno-grudnogo otdelov pozvonochnika: Pat. No 2136256 Ros. Federatsiya].
24. .KhabirovFA (2003). Clinical neurology of spine [Klinicheskaya nevrologiya pozvonochnika], 472.
25. KhelimskiyAM (2000). Chronic discogenic pain syndromes of cervical and lumbar osteochondrosis [Khronicheskie diskogennye bolevye sindromy sheynogo i poyasnichnogo osteokhondroza], 256.
26. TsyslyakES, IppolitovaEG, SorokovikovVA, Gor-bunovA V, KoshkaryovaZV, BryukhanovVG (2010). EMG-criteria of severity of pathological changes in patients with spinal stenosis [EMG-kriterii vyrazhennosti patologiches-kikh izmeneniy u bol’nykh so stenozami pozvonochnogo kanala]. Bulleten’ Vostocno-Sibirskogo naucnogo centra, (5), 143-145.