SPECIFIC FEATURES OF DIAGNOSIS AND MANAGEMENT OF LUMBOSACRAL PAIN IN DEGENERATIVE DISC DISEASE
Objective. Focus on the features of the lumbosacral pain formation and course in degenerative disc disease considering it as the disease of the whole organism and of its major functional systems of self-regulation. On this basis achieve the efficiency of diagnostic and therapeutic measures improvement. Materials and methods. The diagnosed degenerative disc disease and the visceral disease clinical symptoms and neuroimaging findings were compared in 159 inpatients. Results. Visceral pathology was found to be involved in pain of various severity formation and manifestation in 63% of patients with degenerative disc disease. The diagnostic and therapeutic measures undertaken considering the peculiarities of viscero-vertebral pain helped reduce the number of diagnostic errors and improve the treatment effectiveness. Conclusion. A new approach to diagnosing and managing lumbosacral pain syndrome was developed basing on the specific pathogenetic and sanogenetic mechanisms.