Синдром Крестцово-Подвздошного Сочленения

Яриков, А В; Морев, Антон Владимирович; Perlmutter, O.

doi:10.52485/19986173_2018_4_145

Cited by 2 publications

(3 citation statements)

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“…Боль может имитировать корешковую и иметь маску радикулопатии. Она провоцируется движением при вставании из положения сидя, наклонах, длительном сидении или стоянии [16].…”

Section: терапия болиunclassified

“…Симптомов выпадения не наблюдается, болевые ощущения усиливаются в трех или более провокационных тестах на сжатие или растяжение этого сустава (табл.) [16,28,29].…”

Section: терапия болиunclassified

“…Важно помнить, что дисфункция КПС может являться дебютом ряда серьезных системных заболеваний (инфекционных, ревматических, онкологических), поэтому при диагностике синдрома КПС необходимо тщательно проводить дифференциальную диагностику [16].…”

Section: Introductionunclassified

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Sacroiliac joint syndrome is the cause of musculoskeletal back pain

Belskaya,

Sakharova,

Makarov

2023

Medicinskij sovet

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The article considers a clinical case of treatment of one of the variants of nonspecific back pain – sacroiliac joint syndrome. In this case, we tried to demonstrate the importance of timely and accurate determination of the cause of dorsalgia using currently available tools: medical scales, X-ray and MRI examination, diagnostic drug blockade of the pain zone. A scrupulous analysis of complaints, anamnesis and clinical manifestations of the patient, a differential diagnosis with a number of diseases with a similar clinical picture, as well as the choice of treatment tactics based on federal clinical recommendations for the treatment of patients with nonspecific back pain made it possible to quickly determine the diagnosis and cope with the pain syndrome. Therapy with the inclusion of medications, physiotherapy, manual therapy, post-isometric relaxation, physical therapy, posture correction allowed the patient to stop the pain syndrome and return to an active lifestyle. Dexketoprofen (Dexalgin®) was prescribed to relieve the pain syndrome. Optimization of the method of administration of the drug is a step-by-step scheme for prescribing dexketoprofen: parenteral administration of 2 injections (50 mg) intramuscularly daily for 2 days, then transfer to oral Dexalgin intake – 25 mg 2 times a day for 3 days under the guise of proton pump inhibitors – Esomeprazole 40 mg 1 time a day, the use of a patch with a local anesthetic, vitamins of group B – 12 days, therapeutic and diagnostic drug blockades – contributed to a significant reduction in the intensity of the pain syndrome and allowed to prevent its transformation into a chronic process. As a result of the use of complex, pathogenetically based therapy, a rapid positive therapeutic effect was achieved.

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Section: терапия болиunclassified

Section: Introductionunclassified

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Sacroiliac joint syndrome is the cause of musculoskeletal back pain

Belskaya,

Sakharova,

Makarov

2023

Medicinskij sovet

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Paininthesacroiliacjoint

Kuzminov¹

2023

Manual Therapy

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Pain originating in the sacroiliac joint (SIJ) is one of the potential causes of axial low back pain. A quarter of low back pain cases can be associated with the SIJ damage. The review presents the causes and current clinical data associated with the SIJ dysfunction, describes specific (provocation) tests used to detect the SIJ syndrome. Diagnostic tests and their effectiveness for differential diagnosis are described. The methods of instrumental diagnostics, conservative treatment, including manual therapy, and interventional options for treating patients with pain in the SIJ zone are described in detail.

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Синдром Крестцово-Подвздошного Сочленения

Cited by 2 publications

References 0 publications

Sacroiliac joint syndrome is the cause of musculoskeletal back pain

Sacroiliac joint syndrome is the cause of musculoskeletal back pain

Paininthesacroiliacjoint

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