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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Main Author: Yuri Aleksandrovich Olyunin
Format: Article
Language:Russian
Published: IMA-PRESS LLC 2012-09-01
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.
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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