nnpNeurology, Neuropsychiatry, PsychosomaticsНеврология, нейропсихиатрия, психосоматика2074-27112310-1342"IMA-Press", LLC10.14412/2074-2711-2019-2S-69-75nnp-1123Research ArticleREVIEWSОБЗОРЫNeck pain: a clinical analysis of causes and therapy prioritiesБоль в шее: клинический анализ причин и приоритетов терапииТабееваГ. Р.TabeevaG. R.

кафедра нервных болезней и нейрохирургии лечебного факультета,

119021, Москва, ул. Россолимо, 11, стр. 1

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 конечностях6975Copyright © Tabeeva G.R., 20192019Табеева Г.Р.Tabeeva G.R.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/1123

Neck pain is one of the common causes of maladjustment. Acute neck pain in most cases regresses independently in the period of a few weeks to months; however, it recurs in half of cases. Although the potential specific causes of cervicalgia are rare; nevertheless, in some cases the patient should undergo a detailed examination that is based on the identification of red flags and can optimize a search for the cause of pain syndrome. A consideration of the important principles of classifying pain in acute and chronic, neuropathic and nociceptive pain can serve as an important landmark in choosing the optimal treatment strategy for a patient. Unlike low back pain, neck pain has been investigated in an insufficient number of randomized controlled studies, which makes this analysis extremely relevant. The paper discusses the use of nonsteroidal anti-inflammatory drugs for back pain and the efficacy and safety of celecoxib.

Боль в шее является одной из частых причин дезадаптации. Острая боль в шее в большинстве случаев самостоятельно регрессирует в срок от нескольких недель до месяцев, однако в половине случаев она повторяется. Хотя потенциальные специфические причины цервикалгий встречаются редко, тем не менее в некоторых случаях необходимо детальное обследование пациента, основанное на выявлении «красных флажков» и позволяющее оптимизировать поиск причины болевого синдрома. Учет важных принципов классификации боли на острую и хроническую, невропатическую и ноцицептивную может служить важным ориентиром в выборе оптимальной стратегии лечения пациента. В отличие от боли в нижней части спины, в проблеме боли в шее имеется недостаточное количество рандомизированных контролируемых исследований, что делает этот анализ чрезвычайно актуальным. Обсуждаются применение нестероидных противовоспалительных препаратов при боли в спине, эффективность и безопасность целекоксиба.

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