Ведение пациентов с болевыми синдромами на фоне COVID-19

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.

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