nnpNeurology, Neuropsychiatry, PsychosomaticsНеврология, нейропсихиатрия, психосоматика2074-27112310-1342"IMA-Press", LLC10.14412/2074-2711-2019-2S-62-68nnp-1122Research ArticleREVIEWSОБЗОРЫSacroiliac joint dysfunction: clinical presentations, diagnosis, treatmentДисфункция крестцово-подвздошного сочленения: клиническая картина, диагностика, лечениеИсайкинА. И.IsaikinA. I.

кафедра нервных болезней и нейрохирургии лечебного факультета,

119021, Москва, ул. Россолимо, 11, стр

Department of Nervous System Diseases and Neurosurgery, Faculty of General Medicine,

11, Rossolimo St., Build. 1, Moscow 119021

alexisa68@mail.ruКавелинаА. В.KavelinaA. V.

кафедра нервных болезней и нейрохирургии лечебного факультета,

119021, Москва, ул. Россолимо, 11, стр

Department of Nervous System Diseases and Neurosurgery, Faculty of General Medicine,

11, Rossolimo St., Build. 1, Moscow 119021

ШорЮ. М.ShorYu. M.

клиника нервных болезней им. А.Я. Кожевникова,

119021, Москва, ул. Россолимо, 11, стр

Ya.A. Kozhevnikov Clinic of Nervous System Diseases,

11, Rossolimo St., Build. 1, Moscow 119021

МербаумП. А.MerbaumP. A.

кафедра нервных болезней и нейрохирургии лечебного факультета

Department of Nervous System Diseases and Neurosurgery, Faculty of General Medicine,

11, Rossolimo St., Build. 1, Moscow 119021

ШадыжеваТ. И.ShadyzhevaT. I.

кафедра нервных болезней и нейрохирургии лечебного факультета

Department of Nervous System Diseases and Neurosurgery, Faculty of General Medicine,

11, Rossolimo St., Build. 1, Moscow 119021

ФГАОУ ВО «Первый Московский государственный медицинский университет им. И.М. Сеченова» (Сеченовский Университет) Минздрава РоссииРоссияI.M. Sechenov First Moscow State Medical University (Sechenov University), Ministry of Health of RussiaRussian Federation201920062019112SСпецвыпуск: боль в спине и конечностях6268Copyright © Isaikin A.I., Kavelina A.V., Shor Y.M., Merbaum P.A., Shadyzheva T.I., 20192019Исайкин А.И., Кавелина А.В., Шор Ю.М., Мербаум П.А., Шадыжева Т.И.Isaikin A.I., Kavelina A.V., Shor Y.M., Merbaum P.A., Shadyzheva T.I.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://nnp.ima-press.net/nnp/article/view/1122

One of the most common anatomical sources of nonspecific back pain is sacroiliac joint (SIJ) injury. The paper gives data on the structure, features of diagnosis and treatment of pain caused by SIJ dysfunction. A multimodal approach, including psychotherapeutic techniques, kinesiotherapy, the use of nonsteroidal anti-inflammatory drugs (NSAIDs), and muscle relaxants, is recommended for chronic pain. The authors give their own experience with drug treatment of 51 patients (36 women and 15 men; mean age, 56.4±2.1 years) with SIJ dysfunction, by using periarticular blockages with local anesthetics and glucocorticoids or radiofrequency SIJ denervation. They note the efficiency of using Airtal® as a NSAID and Mydocalm® as a muscle relaxant.

Одним из наиболее частых анатомических источников при неспецифической боли в спине является поражение крестцово-подздошного сочленения (КПС). Приведены данные о строении, особенностях диагностики и лечения боли, вызванной дисфункцией КПС. При хронической боли рекомендуется мультимодальный подход, включающий психотерапевтические методики, кинезиотерапию, применение нестероидных противовоспалительных препаратов (НПВП) и миорелаксантов. Представлен собственный опыт консервативного лечения 51 пациента с дисфункцией КПС (36 женщин и 15 мужчин, средний возраст – 56,4±2,1 года) с использованием околосуставных блокад с местными анестетиками и глюкокортикоидами или радиочастотной денервации КПС. Отмечена эффективность использования в качестве НПВП Аэртала®, в качестве миорелаксанта – Мидокалма®.

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The authors declare that there are no conflicts of interest present.