DOI: https://doi.org/10.22263/2312-4156.2017.4.66
Hamanovich A.I.1,2, Drivotinov B.V.2
Viscerovertebral pain syndrome of lumbar osteochondrosis: gender special features
1Military Clinical Medical Center 1134 of the Belarusian Armed Forces, Grodno, Republic of Belarus
2Belarusian State Medical University, Minsk, Republic of Belarus
Vestnik VGMU. 2017;16(4):66-72.
Abstract.
Objectives. To determine the gender special features of the reflected viscerovertebral pain syndrome in lumbar osteochondrosis.
Material and methods. The data on complex examination and treatment of 628 patients of the main group with the lumbosacral pain syndrome, who were treated at the in-patient neurologic department, and 79 patients of the comparison group undergoing in-patient treatment at the surgical department are given. All patients met the criteria for nonspecific back pain. There were 490 men and 138 women in the main group, the comparison group included 58 men and 21 women.
Results. The groups are comparable as regards the presence of deviations from the normal values in these laboratory-instrumental methods of investigation and the concomitant pathology of the abdominal cavity organs, retroperitoneal space and small pelvis. The results obtained show a high prevalence of concomitant visceral pathology in men and women, the latter enduring worse the vertebrogenic pain. In men, the pain syndrome was more intense in concomitant visceral pathology. Clinically, women more frequently had the diseases of the urogenital system, the pain syndrome was reflected visceral and was more often accompanied by the anxiety-depressive disorders in comparison with men. The anxiety-depressive disorders were more frequently diagnosed in men in the presence of visceral pathology than in its absence. The obtained differences on comparing at the initial stages of the study both of the severity of the pain syndrome and of the test data, subsequently changed significantly when the pain syndrome was specified with visceral pathology and gender peculiarities taken into account.
Conclusions. Gender peculiarities and concomitant visceral pathology significantly influencing the formation and course of the pain syndrome necessitate its pathogenetic concretization and therapeutic correction.
Key words: back pain, viscerovertebral pain syndrome, gender special features.
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Information about authors:
Hamanovich A.I. – postgraduate of the Chair of Nervous & Neurosurgical Diseases, Belarusian State Medical University, neurologist, lieutenant-colonel of the Medical Service, head of the neurologic department, Military Clinical Medical Center 1134 of the Belarusian Armed Forces;
Drivotinov B.V. – Doctor of Medical Sciences, professor of the Chair of Nervous & Neurosurgical Diseases, Belarusian State Medical University.
Correspondence address: Republic of Belarus, 230028, Grodno, 27a Kremko str., 22. E-mail: Этот адрес электронной почты защищён от спам-ботов. У вас должен быть включен JavaScript для просмотра. – Andrei I. Hamanovich.
