Relevance. Due to lifestyle changes, the prevalence of diabetes mellitus is increasing worldwide. Diabetes can affect the nervous system in various forms in the form of cognitive disorders, mono- or polyneuropathies ending in trophic disorders and "diabetic foot"; and distal symmetrical sensory-motor polyneuropathy. In the modern literature there is a significant amount of research in the field of methods of prevention, treatment and rehabilitation of patients with diabetes mellitus, accompanied by damage to the nervous system, but there is no generalized information on a comprehensive analysis of currently available techniques.The purpose of study. To study the available and most modern methods of rehabilitation of patients with diabetic damage to the nervous system with subsequent systematization of information. Materials and methods. The most relevant domestic and foreign literature sources containing information on the types of diabetic lesions of the nervous system, pathogenesis and rehabilitation of patients with these pathologies were analyzed.Results. An analysis of modern literature has shown a great variability in the prevention, treatment and rehabilitation of patients with distal diabetic polyneuropathy. Drug therapy is effective, however, with long-term use, it can be accompanied by complications from the body systems. Physiotherapeutic therapy is not inferior in variety, affecting the nervous, vascular and epithelial tissue by various methods – electric current, magnetic field, laser beams or photochromo-radiation, you can get the desired analgesic effect. The need for lifestyle is also an important part of patient therapy: maintenance of normoglycemia, smoking cessation and special physical activity.Conclusion. Treatment and rehabilitation of patients with diabetic distal painful polyneuropathy is a big problem for a neurologist-clinician. In modern sources, there is a significant variety of methods for correcting this condition, both medication and physiotherapy. Drugs as the first line of correction of somatosensory disorders are a necessary point in the treatment plan, but it is necessary to remember the side effects of any prescribed drug, the slow onset of the desired analgesic effect. This is necessary for the competent preparation of the patient for a difficult and lengthy rehabilitation process. Among the most effective drugs are gabapentin and prebagalin, drugs of the anticonvulsant group and thioctic acid. A possible bypass of side effects from drug therapy is the appointment of physical therapy, adjusting drug treatment. A significant effect, based on the presented studies, is observed when using magnetotherapy in combination with infrared radiation, transcutaneous electrical nerve stimulation and impulse current with vacuum exposure.

Relevance. Currently, one of the most informative specific methods for diagnosing damage to the spinal cord and peripheral nervous system is electroneuromyography. This complex electrophysiological method is based on the registration, analysis and evaluation of the obtained potentials that arise during the work of the studied skeletal muscles of the patient during the passage of impulses along the peripheral nerve fibers. A feature of this method is the variety of parameters obtained: from the characteristics of the evoked potential itself – its latent period, shape, amplitude and duration, to obtaining the number of functioning motor units of the muscle fiber, the speed of the impulse of both motor and sensory innervation.The purpose of study. To analyze the current understanding of the possibilities of using the electroneuromyography method in clinical practice.Materials and methods. In the course of this study, an analysis was made of foreign and domestic literature of recent years on the possibility of using the method of electroneuromyography in adult and pediatric neurological practice.Results. The rapid development of electroneuromyography in recent years makes it possible to use two main areas: stimulation electroneuromyography (ENMG) and needle, which is currently mainly used abroad. ENMG is a method that does not require invasive intervention, which allows you to assess the state of the studied nerve in different areas, giving an understanding of the nature of the nerve lesion, as well as the degree of its damage. At the moment, there are clear indications for the use of this particular method in clinical practice, namely for polyneuropathies of any genesis, plexopathies, neuropathies and neuritis of any genesis, neural amyotrophies, tunnel syndromes, myasthenia gravis and osteochondrosis of the spine with radicular syndrome. In turn, needle electroneuromyography is an invasive method, but more accurate and highly informative, allowing to assess the functional state of the peripheral neuromotor apparatus. At the same time, this method allows you to identify the disease at an early stage of development, the localization of the pathology, the nature and degree of activity, as well as to indicate the degree of damage to the muscle fiber and the possibility of its further recovery. It is recommended to use this method as a specific diagnosis of amyotrophic lateral sclerosis, spinal amyotrophy, myotonia, myopathy of various origins, hereditary muscle diseases, paraneoplastic myopathies, and so on.Conclusion. The possibilities of using electroneuromyography currently continue to expand due to the popularity of the method as a diagnostic of the state of the neuromuscular system due to the specificity of indicators, the possibility of diagnosing many diseases at the subclinical stage, the ease of monitoring parameters in dynamics, the possibility of non-invasive use and an accurate assessment of the effectiveness of therapy.

Topicality. In modern medical practice, the issue of studying and developing methods for assessing pain syndrome is acute, which is associated not only with the complexity of interpreting this sensation, but also with the lack of a unified idea of the mechanism for forming pain sensations. The development of diagnostic capabilities in the field of medical practice and the possibility of widespread use of modern equipment allowed us to take a new look at the possibility of instrumental and projection assessment of pain syndrome.The purpose of this study is to study the possibility of using instrumental and projection assessment of pain syndrome in medical practice.Material and methods. The study was carried out on the basis of a compilation of data from modern domestic and foreign scientific sources in the field of the possibility of using instrumental and projection assessment of pain syndrome.Results. The latest methods of assessing pain syndrome are aimed at the maximum possible objectification of pain sensations, which allows making the most reliable clinical assessment of the patient's condition. Currently, research methods such as neuroimaging, determination of cutaneous electroconductivity, analgesic nociceptive index, surgical plethysmographic index, electroencephalography, plethysmography are being actively introduced. The instrumental methods described above are the latest methods for objectively assessing not only the intensity of pain syndrome, but also the degree of nociceptive protection when applying intraoperative analgesia methods. The ambiguity of the results obtained during clinical trials as part of the evaluation of the validity of these criteria for assessing the strength of nociception dictates the need to continue further research in the field of this issue.Conclusion. In modern medical practice, the issue of developing methods to ensure an adequate, objective assessment of the intensity of pain syndrome remains acute. This issue mainly concerns surgical doctors, which is associated with the need to provide an adequate anesthesiological allowance in the intraoperative period, which will avoid the development of postoperative pain syndrome. Solving this problem will contribute to a significant improvement in the results of therapeutic interventions and reduce the risk of developing chronic pain in the patient.