T.G. SAKOVETS

Kazan State Medical University, 49 Butlerov St., Kazan, Russian Federation, 420012

Sakovets T.G. — Cand. Med. Sc., Assistant of the Department of Neurology and Rehabilitation, tel. +7-909-307-94-77, e-mail: tsakovets@yandex.ru

Pain with vertebral pathology is represented by a combination of nociceptive, neuropathic and dysfunctional components. Algetic nociceptive manifestations occur due to lesions facet joints, overvoltage tendinous, ligamentous structures of the spine and surrounding muscles and disorders of biomechanics. Neuropathic pain, concurring in the future, are the result of irritation of the radicular nerve vertebral factors of the spinal canal or associated with irritation of the nerve endings under the influence of penetrating through the rear disk breaks the fleshy substance of the nucleus. Dysfunctional component of pain of vertebral pathology is associated with kinesiofobiya, the presence of socio-psychological problems. For treatment of vertebrogenic pain it is advisable to use multidisciplinary approach of using physiotherapy, acupuncture, electrotherapy, brief educational programs, back schools, the proper organization of the workplace, various psychotherapeutic methods.

Key words: vertebral pain syndrome, back pain, back school, rehabilitation.

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