nnpNeurology, Neuropsychiatry, PsychosomaticsНеврология, нейропсихиатрия, психосоматика2074-27112310-1342"IMA-Press", LLC10.14412/2074-2711-2016-1-4-8nnp-575Research ArticleLECTURESЛЕКЦИЯManagement of patients with neck painВедение пациентов с болью в шееЧечетЕ. А.ChechetE. A.

Кафедра нервных болезней и нейрохирургии

Department of Nervous System Diseases and Neurosurgery

chechetlena@gmail.comПарфеновВ. А.ParfenovV. A.

Кафедра нервных болезней и нейрохирургии

Department of Nervous System Diseases and Neurosurgery

ГБОУ ВПО «Первый Московский государственный медицинский университет им. И.М. Сеченова» Минздрава России, Москва, Россия 119021, Москва, ул. Россолимо, 11РоссияI.M. Sechenov First Moscow State Medical University, Ministry of Health of Russia, Moscow, Russia 11, Rossolimo St., Moscow 119021Russian Federation2016210320168148Copyright © Chechet E.A., Parfenov V.A., 20162016Чечет Е.А., Парфенов В.А.Chechet E.A., Parfenov V.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/575

Neck pain (cervicalgia) occupies one of the leading places among the reasons for outpatient visits, 75% of people have experienced neck pain at least once in their lives. In most cases, neck pain regresses; however, it recurs in almost one half of patients. The paper gives data on the risk factors, mechanisms, course, and prognosis of cervicalgia. It discusses the issues of differential diagnosis, examination, and approaches to treating this condition in these patients. Nonsteroidal anti-inflammatory drugs are most effective in treating patients with acute cervicalgia. Therapeutic exercises and manual therapy are indicated in patients with chronic cervicalgia. There is evidence on the efficacy and safety of meloxicam for the management of acute and chronic cervicalgia.

Боль в шее (цервикалгия) занимает одно из ведущих мест среди причин обращаемости в амбулаторной практике, 75% людей хотя бы раз в жизни испытывали боль в шее. В большинстве случаев боль в шее регрессирует, однако почти у половины пациентов она повторяется. Представлены данные о факторах риска, механизмах, течении и прогнозе цервикалгии. Обсуждаются вопросы дифференциальной диагностики, обследования, а также подходы к лечению у таких пациентов. При ведении пациентов с острой цервикалгией наиболее эффективны нестероидные противовоспалительные препараты. Пациентам с хронической цервикалгией показаны лечебная гимнастика и мануальная терапия. Представлены данные об эффективности и безопасности мелоксикама при острой и хронической цервикалгии.

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