Pain in the neck and shoulder joint in a rheumatologist's practice
Diseases accompanied by pain in the neck and shoulder joint are rather numerous, frequently result in permanent functional failure, and are encountered in a considerable number of patients followed up by rheumatologists, neurologists, orthopedics, and therapists. The frequency of these impairments m...
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Format: | Article |
Language: | Russian |
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IMA-PRESS LLC
2012-09-01
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Series: | Современная ревматология |
Subjects: | |
Online Access: | https://mrj.ima-press.net/mrj/article/view/428 |
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author | Yuri Aleksandrovich Olyunin |
author_facet | Yuri Aleksandrovich Olyunin |
author_sort | Yuri Aleksandrovich Olyunin |
collection | DOAJ |
description | Diseases accompanied by pain in the neck and shoulder joint are rather numerous, frequently result in permanent functional failure, and are encountered in a considerable number of patients followed up by rheumatologists, neurologists, orthopedics, and therapists. The frequency of these impairments may vary from 7 to 47% according to the characteristics of the study population and used definition. The list of nosological entities to be excluded in the differential diagnosis includes diseases caused by lesions in the cervical spinal area, its muscles, ligaments, and tendons, neurological changes, systemic inflammatory diseases, myofascial pain syndrome, as well as diseases that can induce referred pain in the neck and shoulder joint (pneumonia, coronary heart disease, gastroduodenal ulcer disease). To follow a sparing regimen plays a large role in the treatment of soft tissue diseases in the shoulder joint. The use of analgesics, primarily nonsteroidal anti-inflammatory drugs (NSAIDs), such as nimesulide (nayz), is an important component of therapy. The drug has been successfully used for back pain, osteoarthrosis, and extraarticular soft tissue diseases. The local administration of glucocorticoids is worth consideration if a reduced load on the affected area and the use of NSAIDs produce no desirable effect. |
first_indexed | 2024-04-10T02:08:46Z |
format | Article |
id | doaj.art-5daf2ad8c5ed4af492bb8b9a19b1e3cf |
institution | Directory Open Access Journal |
issn | 1996-7012 2310-158X |
language | Russian |
last_indexed | 2024-04-10T02:08:46Z |
publishDate | 2012-09-01 |
publisher | IMA-PRESS LLC |
record_format | Article |
series | Современная ревматология |
spelling | doaj.art-5daf2ad8c5ed4af492bb8b9a19b1e3cf2023-03-13T08:39:22ZrusIMA-PRESS LLCСовременная ревматология1996-70122310-158X2012-09-0163323610.14412/1996-7012-2012-7431733Pain in the neck and shoulder joint in a rheumatologist's practiceYuri Aleksandrovich OlyuninDiseases accompanied by pain in the neck and shoulder joint are rather numerous, frequently result in permanent functional failure, and are encountered in a considerable number of patients followed up by rheumatologists, neurologists, orthopedics, and therapists. The frequency of these impairments may vary from 7 to 47% according to the characteristics of the study population and used definition. The list of nosological entities to be excluded in the differential diagnosis includes diseases caused by lesions in the cervical spinal area, its muscles, ligaments, and tendons, neurological changes, systemic inflammatory diseases, myofascial pain syndrome, as well as diseases that can induce referred pain in the neck and shoulder joint (pneumonia, coronary heart disease, gastroduodenal ulcer disease). To follow a sparing regimen plays a large role in the treatment of soft tissue diseases in the shoulder joint. The use of analgesics, primarily nonsteroidal anti-inflammatory drugs (NSAIDs), such as nimesulide (nayz), is an important component of therapy. The drug has been successfully used for back pain, osteoarthrosis, and extraarticular soft tissue diseases. The local administration of glucocorticoids is worth consideration if a reduced load on the affected area and the use of NSAIDs produce no desirable effect.https://mrj.ima-press.net/mrj/article/view/428боль в шее и плечевом суставенестероидные противовоспалительные препараты |
spellingShingle | Yuri Aleksandrovich Olyunin Pain in the neck and shoulder joint in a rheumatologist's practice Современная ревматология боль в шее и плечевом суставе нестероидные противовоспалительные препараты |
title | Pain in the neck and shoulder joint in a rheumatologist's practice |
title_full | Pain in the neck and shoulder joint in a rheumatologist's practice |
title_fullStr | Pain in the neck and shoulder joint in a rheumatologist's practice |
title_full_unstemmed | Pain in the neck and shoulder joint in a rheumatologist's practice |
title_short | Pain in the neck and shoulder joint in a rheumatologist's practice |
title_sort | pain in the neck and shoulder joint in a rheumatologist s practice |
topic | боль в шее и плечевом суставе нестероидные противовоспалительные препараты |
url | https://mrj.ima-press.net/mrj/article/view/428 |
work_keys_str_mv | AT yurialeksandrovicholyunin painintheneckandshoulderjointinarheumatologistspractice |