Diagnostics, testing, correction of chronic pain syndromes and psychosomatic disorders

AUTHORS : Zhuravlev V.F. | Anuashvili A.N. | Mikhalchik S.A. | Samodelov V.G. | Vygovskaya V.N. | Mokrenko V.V. | Kolesnik N.T.

RELEVANT UNIVERSITIES : Socio-technological Institute MGUS, Center for Human Ecology “NIKAR” at IPU RAS, Institute of Restorative Medicine, Moscow, Russia

YEAR : 2002 | Category : Educational

According to modern concepts, in pain syndromes, mechanisms of three levels are activated: physiological (functioning of nociceptive and antinociceptive systems), behavioral (painful posture and facial expressions, special speech and motor activity) and personal (thoughts, feelings, emotions). Psychological factors are of particular importance in chronic pain syndromes. Depression, anxiety, hypochondriacal and demonstrative manifestations increase the likelihood of episodic pain becoming chronic (Sanders SH, 1979; Wade JB, 1990; Haythorntwaite JA et al., 1991; Osipova V.V., Vein A.M., 2001).

Neurological manifestations of osteochondrosis of the spine are the most common pathology in clinical practice, leading to long-term temporary or permanent disability (Zhuravlev V.F., 1984; Zhuravlev V.F., Kolesnik N.T., 2001). There are various variants of psychosomatic disorders in neurological syndromes of osteochondrosis of the spine (Topolyansky V.D., Strukovskaya M.V., 1986; Grigorieva V.N., Gustov A.V., 1997). According to the WHO, psychogenic pain syndromes are among the most common. The development of depressive symptoms in patients with somatogenic or neurogenic pain syndromes, which not only enhances the patient’s pain sensation, but also through impaired autonomic functions, is considered quite frequent.