References

nnp

Neurology, Neuropsychiatry, Psychosomatics

Неврология, нейропсихиатрия, психосоматика

2074-27112310-1342

"IMA-Press", LLC

10.14412/2074-2711-2021-5-96-101

nnp-1672

Research Article

REVIEWS

ОБЗОРЫ

Management of patients with pain syndromes associated with COVID-19

Ведение пациентов с болевыми синдромами на фоне COVID-19

Ахмеджанова

Л. Т.

Akhmedzhanova

L. T.

Луиза Талгатовна Ахмеджанова

Кафедра нервных болезней и нейрохирургии Института клинической медицины им. Н.В. Склифосовского

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

Luiza Talgatovna Akhmedzhanova

Department of Nervous System Diseases and Neurosurgery, N.V. Sklifosovsky Institute of Clinical Medicine

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

luiziana78@mail.ru

Остроумова

Т. М.

Ostroumova

T. M.

Кафедра нервных болезней и нейрохирургии Института клинической медицины им. Н.В. Склифосовского

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

Department of Nervous System Diseases and Neurosurgery, N.V. Sklifosovsky Institute of Clinical Medicine

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

Солоха

О. А.

Solokha

O. A.

Кафедра нервных болезней и нейрохирургии Института клинической медицины им. Н.В. Склифосовского

Клиника нервных болезней им. А.Я. Кожевникова

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

Department of Nervous System Diseases and Neurosurgery, N.V. Sklifosovsky Institute of Clinical Medicine

A.Ya. Kozhevnikov Clinic of Nervous System Diseases

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

ФГАОУ ВО «Первый Московский государственный медицинский университет им. И.М. Сеченова» Минздрава России (Сеченовский Университет)РоссияI.M. Sechenov First Moscow State Medical University (Sechenov University), Ministry of Health of RussiaRussian Federation

2021

16102021

13596101

2021

Ахмеджанова Л.Т., Остроумова Т.М., Солоха О.А.

Akhmedzhanova L.T., Ostroumova T.M., Solokha O.A.

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/1672

The disease caused by the SARS-CoV-2 virus is multi-organ and involves almost all organs and systems. Myalgias and arthralgias and, in particular, back pain are common symptoms of COVID-19 and can be observed both at the onset of the disease and in the postcovid period. The causes of muscle and joint damage include both systemic inflammation and direct viral injury. Traditionally, musculoskeletal pain is treated with non-steroidal anti-inflammatory drugs. However, using this drug class in patients with COVID-19 requires caution due to the presence of comorbid diseases and possible complications of viral infection. The review discusses clinical variants and pathophysiological mechanisms of joints and muscles damage in patients with COVID-19 and treatment tactics for patients with musculoskeletal pain.

Заболевание, вызванное вирусом SARS-CoV-2, является мультиорганным и вовлекает практически все органы и системы. Миалгии и артралгии, в частности боль в спине, являются частым симптомом COVID-19 и могут наблюдаться как в дебюте заболевания, так и в постковидном периоде. Причиной поражения мышц и суставов может являться как системное воспаление, так и непосредственное повреждение вирусом. При скелетно-мышечной боли наиболее часто назначают нестероидные противовоспалительные препараты, однако их применение у пациентов, заболевших COVID-19, требует осторожности с учетом как сопутствующих заболеваний, так и возможных осложнений вирусной инфекции. В обзоре обсуждаются клинические варианты и патогенетические механизмы повреждения суставов и мышц на фоне COVID-19, а также тактика ведения пациентов с болевыми скелетно-мышечными синдромами.

скелетно-мышечная больмиалгииартралгииостеоартритSARS-CoV-2COVID-19нестероидные противовоспалительные препаратыацеклофенак

musculoskeletal painmyalgiaarthralgiaosteoarthritisSARS-CoV-2COVID-19non-steroidal anti-inflammatory drugsaceclofenac

Статья спонсируется компанией ООО «Гедеон Рихтер Фарма».

This article has been supported by «Gedeon Richter Pharma» LLC.

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