Diagnosis of vertebrogenic pain syndromes

Pain is a condition that is one of the most common diseases in the world. Many patients with vertebrogenic pain syndromes are multimorbidic, so they always receive field pharmacotherapy. Studies on multimorbidity have shown that chronic pain syndromes in the diagnosis and treatment are always interpreted as secondary, associated with somatic and mental disorders. Back pain can be divided into two large groups: vertebrogenic (degenerative, traumatic, inflammatory, neoplastic and other lesions of the vertebrae) and nonvertebrogenic genesis (stretching of ligaments and muscles, myofascial syndromes, fibromyalgia, somatic diseases, psychogenic factors, etc.). further). In the context of discussing vertebrogen pain syndromes, it is necessary to mention degenerative-dystrophic changes (osteochondrosis) of the spine primarily as in the vast majority of cases vertebroneurological pathology is associated with them. The following stages are distinguished: therapeutic, medical-rehabilitation, rehabilitation.