RESUMO
The article contains information on the most common causes of lesions of the pudendal nerve - tunneling neuropathy. The author considers a set of the Nantes diagnostic criteria for pudendal neuralgia and presents a brief differential diagnosis of pelvic neuropathies. A case of Tinel's pudandal symptom with interligamentous compressions is described. The causes of the low diagnosability of pudendal neuropathy are analysed.
Assuntos
Nervo Pudendo , Neuralgia do Pudendo , Diagnóstico Diferencial , Humanos , Dor Pélvica , Nervo Pudendo/patologia , Neuralgia do Pudendo/diagnóstico , Neuralgia do Pudendo/etiologiaRESUMO
The author's definition and topographic classification of pelvic pain are presented in the article, the criteria of the previously proposed term 'chronic pelvic tension pain' are refined. Problems of diagnosis of orthopedic pelvic pathology in the neurological practice are demonstrated, a characteristic-report is analyzed, and localization of pain patterns is ranked. Recommendations for drug (NSAIDs) and non-drug (manual therapy) for treating patients with these pathologies are given.
Assuntos
Dor Pélvica , Pelve , Doença Crônica , HumanosAssuntos
Dor Pélvica , Prostatite , Humanos , Masculino , Doenças do Sistema Nervoso/classificação , Doenças do Sistema Nervoso/diagnóstico , Doenças do Sistema Nervoso/fisiopatologia , Doenças do Sistema Nervoso/terapia , Neurologia , Dor Pélvica/classificação , Dor Pélvica/diagnóstico , Dor Pélvica/fisiopatologia , Dor Pélvica/terapia , Prostatite/classificação , Prostatite/diagnóstico , Prostatite/fisiopatologia , Prostatite/terapiaAssuntos
Doenças do Sistema Nervoso/terapia , Manejo da Dor , Pelve , Prostatite/terapia , Doença Crônica , Humanos , Masculino , SíndromeAssuntos
Anticonvulsivantes/uso terapêutico , Dor nas Costas/tratamento farmacológico , Ácido gama-Aminobutírico/análogos & derivados , Adulto , Idoso , Anticonvulsivantes/administração & dosagem , Dor nas Costas/fisiopatologia , Relação Dose-Resposta a Droga , Feminino , Seguimentos , Humanos , Masculino , Pessoa de Meia-Idade , Medição da Dor , Pregabalina , Resultado do Tratamento , Ácido gama-Aminobutírico/administração & dosagem , Ácido gama-Aminobutírico/uso terapêuticoRESUMO
Psychoemotional disorders were studied in 57 patients aged 26-44 years (mean age 36.2 +/- 6.9 years) with noninflammatory chronic pelvic pain syndrome (CPPS). The disease duration varied from 1 to 5 years. Pain syndrome, anxiety, depression, sexual disorders were assessed by Visual Analogue Scale, Spilberger's Scale, Beck's Scale, International Index of Erectile Function, respectively. All the patients received milnacipran in a daily dose 100 mg. The effect was assessed in 54 patients. Pain syndrome regressed moderately (by 26.1%). The degree of anxiety, depression and sexual disorders diminished to mild. Thus, milnacipran (ixel) demonstrated its efficacy in the treatment of anxiodepressive disorders and psychogenic erectile dysfunction in patients with noninflammatory CPPS.
