nnpNeurology, Neuropsychiatry, PsychosomaticsНеврология, нейропсихиатрия, психосоматика2074-27112310-1342"IMA-Press", LLC10.14412/2074-2711-2022-4-54-61nnp-1862Research ArticleCLINICAL OBSERVATIONSКЛИНИЧЕСКИЕ НАБЛЮДЕНИЯDiagnosis and treatment of chronic pelvic pain syndromeДиагностика и лечение синдрома хронической тазовой болиhttps://orcid.org/0000-0002-7384-6715АхмеджановаЛ. Т.AkhmedzhanovaL. T.

Луиза Талгатовна Ахмеджанова119021, Москва, ул. Россолимо, 11, стр. 1

Luiza Talgatovna Akhmedzhanova119021, Moscow, Rossolimo St., 11, Build. 1

luiziana78@mail.ruhttps://orcid.org/0000-0001-7146-2024БариновА. Н.BarinovA. N.

123056, Москва, Грузинский переулок, 3А

123056, Moscow, Gruzinsky Lane, 3A

https://orcid.org/0000-0001-5275-3571ЛеонтьеваМ. С.LeontyevaM. S.

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

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

https://orcid.org/0000-0002-5397-9422МандраЕ. В.MandraE. V.

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

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

Кафедра нервных болезней и нейрохирургии Института клинической медицины им. Н.В. Склифосовского ФГАОУ ВО «Первый Московский государственный медицинский университет им. И.М.Сеченова» Минздрава России (Сеченовский Университет)РоссияDepartment of Nervous Diseases and Neurosurgery, N.V. Sklifosovsky Institute of Clinical Medicine, I.M. Sechenov First Moscow State Medical University (Sechenov University), Ministry of Health of RussiaRussian FederationКафедра неврологии и психотерапии Медицинской академии АО «Группа компаний «МедсиРоссияDepartment of Neurology and Psychotherapy, Medical Academy JSC Group of Companies “Medsi”Russian Federation2022230820221445461Copyright © Akhmedzhanova L.T., Barinov A.N., Leontyeva M.S., Mandra E.V., 20222022Ахмеджанова Л.Т., Баринов А.Н., Леонтьева М.С., Мандра Е.В.Akhmedzhanova L.T., Barinov A.N., Leontyeva M.S., Mandra E.V.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/1862

The management of patients with chronic pelvic pain (CPP) is a serious problem, the solution of which is in the complex interdisciplinary approach. The article describes the neurological aspects of the disease, including musculoskeletal and neurogenic causes of pain. Treatment of patients should be aimed at both the anatomical cause of pain and the correction of emotional disorders. Education and patient involvement in the treatment program are important. In the presence of a nociceptive source of pain in the form of myofascial or joint pain, treatment is carried out in accordance with general recommendations for the treatment of musculoskeletal pain and includes non-steroidal anti-inflammatory drugs and myorelaxants administration. We present our own clinical observation, which reflects a comprehensive approach to the treatment of a patient with CPP.

Ведение пациентов с хронической тазовой болью (ХТБ) представляет собой серьезную проблему, решение которой заключается в комплексном междисциплинарном подходе. В статье изложены неврологические аспекты заболевания, включающие в себя скелетно-мышечные и неврогенные причины боли. Лечение пациентов должно быть направлено как на анатомическую причину боли, так и на коррекцию эмоциональных нарушений. Важными факторами являются разъяснительная работа и вовлечение пациента в программу лечения. При наличии ноцицептивного источника боли в виде миофасциальных или суставных болей лечение проводится в соответствии с общими рекомендациями по терапии скелетно-мышечных болей и включает назначение нестероидных противовоспалительных препаратов и миорелаксантов. Представлено собственное клиническое наблюдение, отражающее комплексный подход к лечению пациентки с ХТБ.

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