Abstract

Objective. To study the influence of complex conservative teratment on severity of pain at rest, on movement, and at night in patients with hip-spine syndrome. Material and Methods. Severity of pain was assessed in 18 patients with hip-spine syndrome. Examination was conducted before and at different terms after the complex conservative treatment. Severity of pain syndrome was assessed using digital rating and visual analogous scales. Results. Complex conservative therapy was found to considerably reduce pain at rest, on movement, and at night in the first group of patients with hip-spine syndrome, and this effect remained unchanged at long-term follow-up. In the second group the reduction of pain on movement was rather limited, and pain severity returned to the initial level in a year and a half after the treatment. Conclusion. Complex conservative treatment significantly influences the severity of pain in patients with hip-spine syndrome suffering from coxarthrosis grade 1 and 2 and lumbar osteochondrosis without severe neurological symptoms. The group of patients with coxarthrosis grade 3 and lumbar osteochondrosis with chronic lumbar ischialgia showed lesser reduction in pain scores after the treatment, especially for pain on movement, therefore this group of patients requires more radical treatment.

Highlights

  • The influence of complex conservative treatment on pain severity in hip-spine syndrome N.V

  • Severity of pain was assessed in 18 patients with hip-spine syndrome

  • Complex conservative therapy was found to considerably reduce pain at rest, on movement, and at night in the first group of patients with hip-spine syndrome, and this effect remained unchanged at long-term follow-up

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Summary

ХИРУРГИЯ ПОЗВОНОЧНИКА

Влияние комплексной консервативной терапии на динамику интенсивности боли при hip-spine syndrome. Изучение влияния комплексной консервативной терапии на интенсивность болевого синдрома в покое, при движении и ночью у больных с hip-spine syndrome. Проведено исследование интенсивности боли у 18 пациентов с hip-spine syndrome. Комплексная консервативная терапия в первой группе больных с hip-spine syndrome значительно снижает боль в покое, при движении и ночью. Во второй группе больных после проведенного лечения снижение боли при движении ограничено, через 1,5 года интенсивность боли возвращается к исходному уровню. Комплексная консервативная терапия значительно влияет на интенсивность боли у пациентов с hipspine syndrome, имеющих коксартроз I-II стадии и поясничный остеохондроз без выраженной неврологической симптоматики. В группе больных с коксартрозом III стадии и поясничным остеохондрозом с хронической люмбоишиалгией после проведенной терапии уменьшение оценок боли происходит в меньшей степени, особенно в процессе движения, и эта группа больных требует более радикального лечения. Ключевые слова: болевой синдром, комплексная консервативная терапия, hip-spine syndrome.

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