Page 75 - Special Issue Modern Trends in Scientific Research and Development, Case of Asia

International Journal of Trend in Scientific Research and Development (IJTSRD)
Special Issue on Modern Trends in Scientific Research and Development, Case of Asia
Available Online: www.ijtsrd.com e-ISSN: 2456 – 6470

Medical and Social Rehabilitation of Patients with

Vertogenic Cingulate Radiculopathy

Samiyev Asliddin Sayitovich

Assistant of Department of DCTF Neurology, Samarkand State Medical Institute, Samarkand, Uzbekistan

ABSTRACT 2. determination of the localization and provoking factor of
The review demonstrates the urgency of the problem of pain;
lumbosacral radiculopathy. Epidemiological data, causes, 3. characteristics of pain:
mechanisms of development, clinical picture and methods beginning of appearance,
of pharmacotherapy of neuropathic pain in radiculopathy provoking factor,
are presented. An algorithm for instrumental diagnostics duration,
and treatment is described. Its clinical efficacy in intensity,
neuropathic pain syndrome has been studied in a number the nature of the pain.
of clinical randomized trials that demonstrated its analgesic 4. determination of positive and negative sensory
effect, as well as the ability to cause regression of disorders: paresthesia (non-painful spontaneous
concomitant psychosomatic disorders and insomnia in sensations - creeping creeps, etc.), dysesthesia
patients with lumbosacral radiculopathy. (unpleasant spontaneous or induced sensations),

hyperalgesia (increased sensation of pain stimulus) and
KEYWORDS: Radiculopathy, syndrome, mechanism, vertebral allodynia (pain irritant);
artery, pain 5. neurological examination, which is carried out according
to the generally accepted method and includes:
INTRODUCTION study of cranial innervation,
An increase in the life expectancy of the population of
research of motor and sensory spheres;
countries with developed economies, the accumulation of 6. manual diagnostics, revealing functional disorders in the
elderly and senile people in the population, physical vertebral motor segments, in order to determine the
inactivity are only part of the reasons for the formation of a degree of joint mobility of both the craniovertebral
group of people with chronic pain syndrome, a component of junction and the entire spine as a whole;
which is neuropathic pain. 7. study of the muscle sphere and motor stereotype,
muscle spasm and local muscle hypertonicity (trigger
The most common type of neuropathic pain syndrome (NBS)
points);
is chronic back pain, which occurs in 20-30% of all cases of 8. determination of the characteristics of the
chronic pain. The pathophysiology of back pain includes a psychoemotional state (especially after trauma).
complex of nociceptive and neuropathic mechanisms caused
by damage to nerve fibers by degenerative processes in the
Instrumental diagnostics
spine. The destruction of nociceptive fibers of the nerve root To clarify the state of the bone apparatus, an instrumental
by structures of a degenerating disc (local neuropathic pain), examination is necessary:
mechanical compression or narrowing of the lumen of the
1. Functional radiography (radiation diagnostics) -
spinal canal (mechanical neuropathic radicular pain) or pictures in frontal and lateral projections in a sitting
under the influence of inflammatory mediators in systemic position, as well as in flexion and extension of the spine.
diseases without any mechanical compression is the main In most patients with cervical dorsopathy, X-ray examination
cause of neuropathic pain in the disease.
of the spine reveals degenerative changes in the vertebral
motor segments, which are mainly found at the level of CV –
The problem becomes even more urgent due to the low CVI, CVI – CVII and CIV – CV. The first spondylographic signs
efficiency of treatment, despite the abundance of modern of disc dystrophy are the straightening of the cervical
pharmacological agents. The disease is chronic, progressive
lordosis and the formation of local kyphosis at the level of
and negatively affects all areas of the patient's life, including the affected spinal motion segment. The earliest signs of
sleep, mood, self-esteem, performance, interpersonal degenerative changes are uncovertebral arthrosis mainly in
relationships, and significantly impairs the quality of life,
the СIV – СV, СV – СVI and СIII – СIV segments.
requiring a significant increase in health care costs. Spondyloarthrosis of the intervertebral joints is
radiologically characterized by narrowing and deformation
This review summarizes the current trends in the treatment of the joint space, subchondral sclerosis of the articulating
of NBS of radiculogenic origin, and also analyzes the efficacy
surfaces of the articular processes, and marginal bone
of pregabalin, a drug of the latest generation of growths. With the direction of the marginal bone growths
gabapentinoids. anteriorly, their effect on the vertebral arteries is noted. To
identify them, posterior images are taken through an open
Evaluation of a patient with radiculopathy includes. mouth. In arthrosis of the C0 – CI and CI – CII joints,
1. a thorough collection of anamnesis of the disease. To asymmetry of the craniovertebral joints, as well as the CI –
exclude the secondary nature of pain, a general physical CII articular spaces and the crevices of the Cruvellier dentate
examination and examination is also required;

ID: IJTSRD37927 | Special Issue on Modern Trends in Scientific Research and Development, Case of Asia Page 70