nnpNeurology, Neuropsychiatry, PsychosomaticsНеврология, нейропсихиатрия, психосоматика2074-27112310-1342"IMA-Press", LLC10.14412/2074-2711-2026-1-106-115nnp-2784Research ArticleREVIEWSОБЗОРЫPain in the cervical spine: clinical aspects and approaches to treatmentБоль в шейном отделе позвоночника: клинические аспекты и подходы к терапииhttps://orcid.org/0000-0002-7044-3013ТитоваН. В.TitovaN. V.

Наталия Владимировна Титова

117997; ул. Островитянова, 1; ул. Островитянова, 1, стр. 10; Москва

Natalia Vladimirovna Titova

117997; 1, Ostrovityanova St.; Moscow

nattitova@yandex.ruhttps://orcid.org/0009-0009-2418-9577ПутятинИ. А.PutyatinI. A.

117997; ул. Островитянова, 1; Москва

117997; 1, Ostrovityanova St.; 1, Ostrovityanova St.; Moscow

ФГАОУ ВО «Российский национальный исследовательский медицинский университет им. Н.И. Пирогова» Минздрава России; ФГБУ «Федеральный центр мозга и нейротехнологий» ФМБА РоссииРоссияN.I. Pirogov Russian National Research Medical University, Ministry of Health of Russia; Federal Center of Brain and Neurotechnologies, FMBA of RussiaRussian FederationФГАОУ ВО «Российский национальный исследовательский медицинский университет им. Н.И. Пирогова» Минздрава РоссииРоссияN.I. Pirogov Russian National Research Medical University, Ministry of Health of RussiaRussian Federation202622022026181106115Copyright © Titova N.V., Putyatin I.A., 20262026Титова Н.В., Путятин И.А.Titova N.V., Putyatin I.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/2784

   Pain in the cervical spine is a widespread and socially significant problem. Its frequency increases with age, and its occurrence is associated with a complex of biological, psychosocial, and occupational risk factors. In most cases, the pain is benign. In unfavourable cases, chronic pain syndrome may develop. The key clinical step is to rule out specific causes of pain. The most common sources of pain in the cervical spine are facet joints, intervertebral discs, nerve roots (radiculopathy) or myofascial structures. The most important principle is to divide non-specific pain into acute and chronic, which determines further tactics. The article analyses current data on the pathogenesis, diagnostic approaches and principles of treatment of pain in the cervical spine. The possibilities of non-drug treatment methods, as well as drug therapy, primarily with non-steroidal anti-inflammatory drugs and centrally acting muscle relaxants, are discussed. The need for a multimodal and individualised approach aimed at pain relief, restoration of functional status and prevention of chronic pain syndrome is emphasised.

   Боль в шейном отделе позвоночника представляет собой широко распространенную и социально значимую проблему. Ее частота увеличивается с возрастом, а возникновение связано с комплексом биологических, психосоциальных и профессиональных факторов риска. В большинстве случаев боль носит доброкачественный характер. При неблагоприятном течении возможно формирование хронического болевого синдрома. Ключевым клиническим этапом является исключение специфической причины боли. Наиболее часто источниками боли в шейном отделе позвоночника являются фасеточные суставы, межпозвоночные диски, нервные корешки (радикулопатия) или миофасциальные структуры. Важнейшим принципом является разделение неспецифической боли на острую и хроническую, что определяет дальнейшую тактику. В статье проанализированы современные данные о патогенезе, диагностических подходах и принципах лечения боли в шейном отделе позвоночника. Обсуждаются возможности немедикаментозных методов лечения, а также лекарственной терапии, прежде всего нестероидными противовоспалительными препаратами и миорелаксантами центрального действия. Подчеркивается необходимость мультимодального и индивидуализированного подхода, направленного на купирование боли, восстановление функционального состояния и профилактику хронизации болевого синдрома.

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