Нелекарственные методы лечения хронической неспецифической боли в шее: возможности радиочастотной денервации
Нелекарственные методы лечения хронической неспецифической боли в шее: возможности радиочастотной денервации
Гайдаш М.И., Аакеф Х.Н.A., Зонов М.Г. Нелекарственные методы лечения хронической неспецифической боли в шее: возможности радиочастотной денервации. Consilium Medicum. 2023;25(11):723–726.
DOI: 10.26442/20751753.2023.11.202485
Gaydash MI, Akif HNA, Zonov MG. Non-pharmacological methods of treating chronic non-specific neck pain, possibilities of radiofrequency denervation: A review. Consilium Medicum. 2023;25(11):723–726.
DOI: 10.26442/20751753.2023.11.202485
Нелекарственные методы лечения хронической неспецифической боли в шее: возможности радиочастотной денервации
Гайдаш М.И., Аакеф Х.Н.A., Зонов М.Г. Нелекарственные методы лечения хронической неспецифической боли в шее: возможности радиочастотной денервации. Consilium Medicum. 2023;25(11):723–726.
DOI: 10.26442/20751753.2023.11.202485
Хроническая неспецифическая боль в шее (ХНБШ), или цервикалгия, является широко распространенной патологией, значительно снижающей качество жизни пациентов. Считается, что она обусловлена дегенеративно-дистрофическими изменениями позвоночника, а также миофасциальным болевым синдромом. В настоящее время в лечении ХНБШ применяется комплексный подход, включающий кинези- и эрготерапию, мануальную и когнитивно-поведенческую терапию. При неэффективности консервативного метода ведения пациентов прибегают к радиочастотной денервации, являющейся эффективной и безопасной процедурой, способствующей снижению выраженности болевого синдрома. Обсуждаются результаты применения радиочастотной денервации при ХНБШ.
Chronic non-specific neck pain (CNSNP), or cervicodynia, is a common pathology that significantly reduces the quality of life of patients. It is believed to be based on degenerative and dystrophic changes in the spine, as well as myofascial pain syndrome. Currently, a comprehensive approach is used in the treatment of CNSNP, including kinesitherapy, ergotherapy, manual therapy, and cognitive-behavioral therapy. In case of ineffectiveness of conservative patient management methods, radiofrequency denervation is used, which is an effective and safe procedure for reducing the severity of pain syndrome. The results of the use of radiofrequency denervation in CNSNP are discussed.
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DOI:10.1016/s1529-9430(03)00065-2
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________________________________________________
1. Fejer R, Kyvik KO, Hartvigsen J. The prevalence of neck pain in the world population: a systematic critical review of the literature. Eur Spine J. 2006;15(6):834-48.
DOI:10.1007/s00586-004-0864-4
2. Kazeminasab S, Nejadghaderi SA, Amiri P, et al. Neck pain: global epidemiology, trends and risk factors. BMC Musculoskelet Disord. 2022;23(1):26. DOI:10.1186/s12891-021-04957-4
3. Javdaneh N, Saeterbakken AH, Shams A, Barati AH. Pain neuroscience education combined with therapeutic exercises provides added benefit in the treatment of chronic neck pain. Int J Environ Res Public Health. 2021;18(16):8848. DOI:10.3390/ijerph18168848
4. Golovacheva VA, Golovacheva AA, Zinovyeva OE. Neck pain as the problem of our time. Meditsinskiy sovet = Medical Council. 2020;19:14-20 (in Russian).
DOI:10.21518/2079-701X-2020-19-14-20
5. Cohen SP. Epidemiology, diagnosis, and treatment of neck pain. Mayo Clin Proc. 2015;90(2):284-99.
6. Parfenov VA, Yakhno NN, Kukushkin ML, et al. Non-specific neck pain (cervicalgia). Guidelines of the Russian Society for the Study of Pain (RSSP). Neurology, Neuropsychiatry, Psychosomatics. 2023;15(5):4-12 (in Russian). DOI:10.14412/2074-27112023-5-4-12
7. Parfenov VA, Yakhno NN, Davydov OS, et al. Chronic nonspecific (musculoskeletal) low back pain. Guidelines of the Russian Society for the Study of Pain (RSSP). Neurology, Neuropsychiatry, Psychosomatics. 2019;11(2S):7-16 (in Russian). DOI:10.14412/2074-2711-2019-2S-7-16
8. Binder AI. Neck pain. BMJ Clin Evid. 2008:1103.
9. Bernal-Utrera C, Gonzalez-Gerez JJ, Anarte-Lazo E, Rodriguez-Blanco C. Trials. 2020;21(1):682. DOI:10.1186/s13063-020-04610-w
10. Stanton TR, Leake HB, Chalmers KJ, Moseley GL. Evidence of impaired proprioception in chronic, idiopathic neck pain: systematic review and meta-analysis. Phys Ther. 2016;96(6):876-87. DOI:10.2522/ptj.20150241
11. Kang T, Kim B. Cervical and scapula-focused resistance exercise program versus trapezius massage in patients with chronic neck pain: a randomized controlled trial. Medicine (Baltimore). 2022;101(39):e30887. DOI:10.1097/MD.0000000000030887
12. Blomgren J, Strandell E, Jull G, et al. Effects of deep cervical flexor training on impaired physiological functions associated with chronic neck pain: a systematic review. BMC Musculoskelet Disord. 2018;19(1):415. DOI:10.1186/s12891-018-2324-z
13. Iqbal ZA, Alghadir AH, Anwer S. Efficacy of deep cervical flexor muscle training on neck pain, functional disability, and muscle endurance in school teachers: a clinical trial. Biomed Res Int. 2021;2021:7190808. DOI:10.1155/2021/7190808
14. Suvarnnato T, Puntumetakul R, Uthaikhup S, Boucaut R. Effect of specific deep cervical muscle exercises on functional disability, pain intensity, craniovertebral angle, and neck-muscle strength in chronic mechanical neck pain: a randomized controlled trial. J Pain Res. 2019;12:915-25. DOI:10.2147/JPR.S190125
15. Espí-López GV, Aguilar-Rodríguez M, Zarzoso M, et al. Efficacy of a proprioceptive exercise program in patients with nonspecific neck pain: a randomized controlled trial. Eur J Phys Rehabil Med. 2021;57(3):397-405. DOI:10.23736/S1973-9087.20.06302-9
16. Gross A, Kay TM, Paquin JP, et al. Exercises for mechanical neck disorders. Cochrane Database Syst Rev. 2015;1(1):CD004250. DOI:10.1002/14651858.CD004250.pub5
17. Youssef ASA, Moustafa IM, El Melhat AM, et al. Randomized feasibility pilot trial of adding a new three-dimensional adjustable posture-corrective orthotic to a multi-modal program for the treatment of nonspecific neck pain. J Clin Med. 2022;11(23):7028. DOI:10.3390/jcm11237028
18. Koh MJ, Park SY, Park EJ, et al. The effect of education on decreasing the prevalence and severity of neck and shoulder pain: a longitudinal study in Korean male adolescents. Korean J Anesthesiol. 2014;67(3):198-204. DOI:10.4097/kjae.2014.67.3.198
19. Coulter ID, Crawford C, Vernon H, et al. Manipulation and mobilization for treating chronic nonspecific neck pain: a systematic review and meta-analysis for an appropriateness panel. Pain Physician. 2019;22(2):E55-E70.
20. Bakhtadze MA, Kuzminov KO, Bolotov DA. Manual therapy in non-specific neck pain. Zh Nevrol Psihiatr Im SS Korsakova. 2017;117(2):49-52 (in Russian). DOI:10.17116/jnevro20171172149-52
21. Monticone M, Cedraschi C, Ambrosini E, et al. Cognitive-behavioural treatment for subacute and chronic neck pain. Cochrane Database Syst Rev. 2015;2015(5).CD010664. DOI:10.1002/14651858.CD010664.pub2
22. Kroeling P, Gross A, Graham N, et al. Electrotherapy for neck pain. Cochrane Database Syst Rev. 2013;2013(8):CD004251. DOI:10.1002/14651858.CD004251.pub5
23. Vickers AJ, Vertosick EA, Lewith G, et al. Acupuncture trialists' collaboration. Acupuncture for chronic pain: update of an individual patient data meta-analysis. J Pain.
2018;19(5):455-74. DOI:10.1016/j.jpain.2017.11.005
24. Cote P, Wong JJ, Sutton D, et al. Management of neck pain and associated disorders: a clinical practice guideline from the Ontario protocol for traffic injury management (OPTIMa) collaboration. Eur Spine J. 2016;25(7):2000-22. DOI:10.1007/s00586-016-4467-7
25. Chen CK, Wong CC, Teo YY, Phui VE. Single entry posterior parasagittal approach radiofrequency neurotomy of cervical medial branch: a feasible alternative to conventional approaches in the treatment of cervical facet pain. Int J Spine Surg. 2021;15(6):1192-200. DOI:10.14444/8151
26. Chang MC, Yang S. Effectiveness of pulsed radiofrequency on the medial cervical branches for cervical facet joint pain. World J Clin Cases. 2022;10(22):7720-27. DOI:10.12998/wjcc.v10.i22.7720
27. Sharamko TG. Lechenie vertebrogennogo bolevogo sindroma metodom radiochastotnoj destrukcii fasetochnyh nervov: dis. ... kand. med. nauk. Moscow. 2018 (in Russian).
28. Facchini G, Spinnato P, Guglielmi G, et al. A comprehensive review of pulsed radiofrequency in the treatment of pain associated with different spinal conditions. Br J Radiol. 2017;90(1073):20150406. DOI:10.1259/bjr.20150406.
29. Tkachenko VD, Portnyagin IV, Goryacheva KV. Efficiency and duration of radiofrequency denervation of facet joints for lower back pain. Russian Journal of Pain. 2021;19(2):27-32 (in Russian). DOI:10.17116/pain20211902127
30. Bajaj HS, Chapman AW. Dropped head syndrome: report of a rare complication after multilevel bilateral cervical radiofrequency neurotomy. Pain Rep. 2022;7(5):e1037. DOI:10.1097/PR9.0000000000001037
31. Yang S, Chang MC. Efficacy of pulsed radiofrequency in controlling pain caused by spinal disorders: a narrative review. Ann Palliat Med. 2020;9(5):3528-36.
DOI:10.21037/apm-20-298
32. Malaithong W, Munjupong S. Combined сontinuous кadiofrequency ablation and pulsed neuromodulation to treat cervical facet joint pain and alleviate postcervical radiofrequency side effects. Anesth Pain Med. 2022;12(6):e129747. DOI:10.5812/aapm-129747
33. Burnham T, Conger A, Salazar F, et al. The effectiveness of cervical medial branch radiofrequency ablation for chronic facet joint syndrome in patients selected by a practical medial branch block paradigm. Pain Med. 2020;21(10):2071-76. DOI:10.1093/pm/pnz358
34. Liliang PC, Lu K, Hsieh CH, et al. Pulsed radiofrequency of cervical medial branches for treatment of whiplash-related cervical zygapophysial joint pain. Surg Neurol. 2008;70:50-5. DOI:10.1016/j.surneu.2008.07.006
35. Akgul MH, Akgun MY. Effect of radiofrequency denervation on pain severity among patients with cervical, thoracic or lumbar spinal pain: a clinical retrospective study. Heliyon. 2022;8(9):e10755. DOI:10.1016/j.heliyon.2022.e10755
36. Mikeladze G, Espinal R, Finnegan R, et al. Pulsed radiofrequency application in treatment of chronic zygapophyseal joint pain. Spine J. 2003;3(5):360-2.
DOI:10.1016/s1529-9430(03)00065-2
37. Smith AD, Jull G, Schneider GM, et al. Modulation of cervical facet joint nociception and pain attenuates physical and psychological features of chronic whiplash: a prospective study. PM R. 2015;7(9):913-21. DOI:10.1016/j.pmrj.2015.03.014
Авторы
М.И. Гайдаш*, Х.Н.A. Аакеф, М.Г. Зонов
ФГАОУ ВО «Первый Московский государственный медицинский университет им. И.М. Сеченова» Минздрава России (Сеченовский Университет), Москва, Россия
*gaydash_maksim@mail.ru
________________________________________________
Maksim I. Gaydash*, Haider N.A. Akif, Mikhail G. Zonov
Sechenov First Moscow State Medical University (Sechenov University), Moscow, Russia
*gaydash_maksim@mail.ru