Особенности Верификации Хронических Тазовых Болей В Клинической Ортопедической Практике

Abstract

Chronic pelvic pain is a complex of pathological and biomechanical changes in the human body that requires a multidisciplinary approach to diagnosis and treatment, due to the high prevalence, underestimation and multifactorial development of this pathological condition. The article provides the overview information and a brief algorithm for chronic pelvic pain verification in men and women for clinical use in medical practice taking into account a comprehensive multidisciplinary approach by physicians of various specialties, including an orthopedist. Diagnostic features and key criteria for specific and nonspecific pelvic pain, pathophysiological mechanisms of chronic pain involving the central, peripheral and autonomic nervous systems, their relationship with the psychoemotional disturbances are described. The special attention is paid to musculoskeletal pathology as a possible reason for pain and pelvic dysfunction, as well as its secondary changes against the background of gynecological, urological and proctological diseases. The participation of an orthopedist in the process of differentiation of both specific and non-specific pelvic pain is justified. The features of pelvic pain verification are based on international multidisciplinary protocols for its management indicating the pain syndromes according to II Classification of IASP Pain and possible classification diagnoses and codes, respectively, ICD-10.