Clinical and neurological features of the course of dorsopathies and the specifics of their medical and psychological corrections

Relevance. Pain syndromes, understood by the term “dorsopathy”, are the most common disease of the musculoskeletal system, characterized by a variety of clinical and neurological manifestations. This complexity in their presentation makes their treatment challenging and necessitates further research in this field.
The purpose of the study is to study the variety of clinical manifestations of dorsopathy, to systematize our own observations on the mechanisms of development of the clinical pattern, and to develop ways of additional medical and psychological impact on this disease, depending on the results obtained.
Material and methods. The examination was conducted in 220 patients aged 18 to 65 years with diagnosed cervicothoracic dorsopathy (CHD). Patients underwent a neurological examination using resistive biomechanical tests and samples, the intensity of the pain syndrome was assessed using a visual analogue scale, a digital rating scale, and a universal pain questionnaire was used to detail pain. Based on the results of the study, recommendations were developed on the use of methods for the psychological correction of conditions associated with the main diagnosis.
Results. The clinical polymorphism of pain sources determines the need for the development of new diagnostic methods, as well as the optimization of drug and non-drug rehabilitation schemes. These studies indicate that uncomplicated forms of dorsopathies of the cervicothoracic localization are distinguished by a relatively favorable course and prognostic outcome, which should be taken into account when developing a further strategy for the patient’s rehabilitation. Psychological support should be correlated with the results of differential diagnosis, identified forms of neurological and related disorders. When determining the strategy of psychological correction, the key factors are: the complicated and uncomplicated nature of CHD, the gender of the patient and his age.
Findings. The results of the study indicate the need to take into account the form of CHD, as well as the gender of the patient and his age, when developing an individual strategy for medical and psychological impact and his subsequent rehabilitation.

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