| 摘要 |
FIELD: medicine.SUBSTANCE: invention relates to medicine, specifically to treating vertebral pain syndromes. To this end, a set of measures is carried out, including: limiting motor mode of affected segment, and pharmacotherapy. Severity of disease and intensity of pain syndrome is evaluated according to questionnaire patient-specific functional numerical evaluation Scale (PSFS). Affected spine, collar of trench for cervical, which is recommended wear for not more than 5 days, or lumbar corset, which is used during prolonged walking and down within 15 days. Complex drug therapy involves: anti-inflammatory therapy with diclofenac, which is assigned for first 5 days in form of rectal suppositories at 100 mg a day, and starting from 6 days - in form of tablets in a dose of 25 mg 2 times a day, muscle relaxant central action preparation Sirdalud or its analogue in a dose of 2 mg once a day one hour before bedtime; vasodepressor Troxerutin by 2 capsules a day; Milgamma is injected intramuscularly at 1 ml 1 time in 3 days in amount of 5 injections; Gabapentin by oral administration, starting with dose of 300 mg a day with gradual increase up to 900 mg a day until clinical effect. For external application is prescribed Apizatron applied on affected spine 2 times a day. With underlying pharmacotherapy is prescribed therapeutic exercises, including, starting from first day of treatment in acute period, exercises to relaxation of muscles and spinal decompression, nerve root and surrounding vessels; in a subacute period with remitting pain syndrome, patient performs isometric exercise, aimed at training of muscles, large gluteal muscles and shoulder girdle muscles; at stage of manifested pain syndrome, patient performs exercises to strengthen back muscles and lower extremities. From first day of treatment is carried out by one acupuncture session a day in an amount of 10 sessions. Clinical effectiveness is assessed every 3 days using values of evaluation digital scale. When manifested pain syndrome is prescribed 10 sessions massage involved spine and 5 sessions of manual therapy in one session a day, therapeutic course is 15 days.EFFECT: invention provides pain syndrome, enables preventing developing recurrences and complications.1 cl, 1 ex |
