FEATURES OF PAIN SYNDROSIS IN WOMEN WITH DISEASES OF THE PELVIC ORGANS IN NEUROLOGICAL PRACTICE

Аннотация

Due to the increase in life expectancy and the increase in the number of people who lead a sedentary lifestyle, it became necessary to take measures to combat diseases of the musculoskeletal system. At the moment, the most common diseases of the musculoskeletal system are degenerative and inflammatory diseases of the joints, as well as osteoporosis. [36]. However, in addition to diseases of the musculoskeletal system, a large role should be given to somatic pathology, accompanied by back pain. Pain syndromes in diseases of the pelvic organs in women is a complex problem that requires a multisystem approach in cooperation not only with gynecological specialists, but also with neurologists, urologists, surgeons and other specialists. Long-term pain syndrome leads not only to physical discomfort, but also to moral discomfort and leads to loss of ability to work, and problems in the family. The main localization of pain syndromes in diseases of the pelvic organs in women is the pelvic region and back. Chronic pelvic pain lasts more than six months, is not related to the menstrual period and can lead to disability, and may also require surgical or medical intervention. According to the definition in ICD-10, dorsopathies are understood as a complex of lesions of the musculoskeletal system with the involvement of connective tissue elements, accompanied by pain syndrome in a certain area of the back and functional disorders [34]. The most life-threatening causes of back pain can be acute inflammatory diseases, complications of pregnancy, malignant neoplasms, both primary and secondary [28]. Treatment of pain syndromes has its own difficulties since there is often an incorrect diagnosis of the underlying cause and, as a result, it is difficult to select a pathogenetically substantiated therapy. The article presents the clinical features of the course of pain syndrome, diagnostic criteria, principles of management, diagnostic algorithm, as well as treatment tactics for patients with these problems.