The spine is one of the most complex organs of the human body. On the one hand - this is the main organ of the axial skeleton, performing the supporting, motor and protective functions, on the other - this is the set of many spinal-motor segments
Recommendations of the united working groups of the North American Spine Society, the American Society of Spine Radiology and the American Society of Neuroradiology,
The great social and economic significance of chronic pain is universally recognized. The financial costs for treating back pain alone are three times higher than the costs of treating cancer patients.
In the history of psychosomatic research, one of the central directions is the search for a special psychic quality of psychosomatic specificity, which is a factor predisposing to the emergence of psychosomatic pathology affecting the course and treatment of diseases.
The simplest and most common method is to record the intensity of pain using rank scales. There is a numerical rank scale (SCR) consisting of a series of numbers from 1 to 5 or up to 10.
Accumulated facts are combined in a harmonious theory of generator systems GN Kryzhanovskii (1980, 1997). The basis of pathological pain is the occurrence in the central nervous system of a generator of pathologically enhanced excitation (GPOO).
Nociceptive pain syndromes arise as a result of activation of nociceptors in damaged tissues. Characterized by the emergence of zones of constant soreness and increased pain sensitivity (lower thresholds) at the site of injury (hyperalgesia).
Perception of damaging effects is carried out by nociceptors. Nociceptors, first discovered in 1969 by E.Perl and A.Iggo, are unencapsulated endings of A8 and C-afferents.
