A patient with chronic pain syndrome
https://doi.org/10.37586/2686-8636-3-2021-360-363
Abstract
This article describes a clinical case of a patient with chronic pain syndrome on the background of osteoarthritis, with a history of joint replacement. The reason for hospitalization was a fall, after which a constant pain syndrome persisted and a neuropathic component joined, which the patient could not stop with anything.
As a result of a comprehensive geriatric assessment, the patient was diagnosed with frailty and the following geriatric syndromes: mild dependence on outside help, chronic pain syndrome, balance disorders, falls, stress urinary incontinence. Non-drug methods of treatment and complex therapy (gabapentin + B vitamins + uridine) and antiosteoporetic therapy were recommended, against which the intensity of the pain syndrome decreased to a mild degree (according to the VAS scale of 2 points at the time of discharge) and a decrease in neuropathy copatterns was noted.
Keywords
About the Authors
V. I. Moroz
Pirogov Russian National Research Medical University of Ministry of Health of the Russian Federation, Russian Gerontology Research and Clinical Centre
Russian Federation
Russian Federation
Moscow
M.. B. Balaeva
Pirogov Russian National Research Medical University of Ministry of Health of the Russian Federation, Russian Gerontology Research and Clinical Centre
Russian Federation
Russian Federation
Moscow
A. V Naumov
Pirogov Russian National Research Medical University of Ministry of Health of the Russian Federation, Russian Gerontology Research and Clinical Centre
Russian Federation
Russian Federation
Naumov Anton Vyacheslavovich, MD, PhD, Professor, head of the laboratory of diseases of the musculoskeletal system
Moscow
N. O. Khovasova
Pirogov Russian National Research Medical University of Ministry of Health of the Russian Federation, Russian Gerontology Research and Clinical Centre
Russian Federation
Russian Federation
Khovasova Natalia Olegovna, PhD, senior researcher of the laboratory of diseases of the musculoskeletal system
Moscow
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Review
For citations:
Moroz V.I., Balaeva M.B., Naumov A.V., Khovasova N.O. A patient with chronic pain syndrome. Russian Journal of Geriatric Medicine. 2021;(3):368-371. (In Russ.) https://doi.org/10.37586/2686-8636-3-2021-360-363
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