Цервикальная радикулопатия

В статье рассматриваются клинические проявления, патоморфология, патогенез и различные методы лечения цервикальной (шейной) радикулопатии (ЦР), указывается на диагностические сложности, возникающие из-за частого несовпадения клинических и нейровизуализационных данных. Обсуждаются вопросы выбора консервативного и хирургического лечения, основанные на анализе данных последних систематических обзоров.

При отсутствии очаговой неврологической симптоматики корешковая компрессия маловероятна. Естественное течение ЦР благоприятное. В качестве первой линии лечения используются реабилитационные программы, включающие комбинацию обучения, физических упражнений, мануальной терапии, психологических и фармакологических методов. Медикаментозную терапию ЦР начинают с назначения нестероидных противовоспалительных средств, для быстрого достижения эффекта возможно использование ацеклофенака (Аэртала) в виде порошка для приготовления суспензии. 

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