

Use of pressor algometry in a patient with cervical dorsopathy
https://doi.org/10.32885/2220-0975-2024-3-105-115
Abstract
Dorsopathies are large and disparate group of diseases of the musculoskeletal and articular-ligamentous apparatus of the spine, which are united by the presence of pain syndrome in the trunk and extremities. Pain as a clinical phenomenon is one of the most diffi cult to interpret complaints encountered in medical practice. Despite the signifi cance of the problem, there are still diffi culties in objectivising and assessing the severity of the pain syndrome. Currently, methods of pain status assessment can be divided into objective, based on the analysis of the level of induced pain and instrumental registration of results; and subjective, such as the use of visual analogue pain scale. At the same time, the assessment of pain and painfulness from the position of osteopathic methodology is an important link in the course of distinguishing the prevalent component of DM, as well as in the framework of differential diagnosis. However, in practice, there may be some diffi culties in objectifying the degree of pain severity and assessing its change on the background of treatment. If for pain it is possible to use the analogue scales already mentioned, there is no such possibility to assess painfulness. We have described a clinical case to study the possibility of using pressor algometry in a patient with cervical dorsopathy to assess pain sensitivity (painfulness) and select correction techniques.
About the Author
V. O. BelashRussian Federation
Vladimir O. Belash, Cand. Sci (Med.), Associate Professor at Department of Osteopathy with a Course of Functional and Integrative Medicine; lecturer; head physician
Scopus Author ID: 25959884100
bld. 41 ul. Kirochnaya, Saint-Petersburg, 191015
bld. 1 lit. A ul. Degtyarnaya, Saint-Petersburg, 191024
References
1. Centers for Disease Control and Prevention. International Classifi cation of Diseases, Tenth Revision (ICD-10). Available from: https://icd.who.int/browse10/2019/en. Accessed May 20, 2024.
2. Skorokhodov A. P., Polyanskaya O. V. Treatment of dorsopathies in the practice of a neurologist. Russ. med. J. 2015; 16: 942–945 (in russ.).
3. Shostak N. A., Pravdyuk N. G. Dorsopathies: a new view of the problem of diagnosis and treatment. Modern Rheumatol. J. 2010; 4 (1): 28–31. https://doi.org/10.14412/1996-7012-2010-583 (in russ.).
4. Fedin A. I. Dorsopathies (classifi cation and diagnosis). Nerv. Dis. 2002; 2: 2–8 (in russ.).
5. Zhivolupov S. A., Samartsev I. N., Shul′man R. B. Dorsopathies: clinic, differential diagnosis and treatment: Methodical recommendations. M.: PILATUS; 2021: 64 p. (in russ.).
6. Ovechkin A. M. Postoperative pain: state of the problem and current trends in postoperative pain management. Region. Anaesthes. Acute Pain Manag. 2015; 9 (2): 29–39 (in russ.).
7. Ovechkin A. M. Clinical pathophysiology and anatomy of acute pain. Region. Anaesthes. Acute Pain Manag. 2012; 6 (1): 32–40 (in russ.)
8. Macintyre P. E., Schug S. A., Scott D. A., Visser E. J., Walker S. M. Acute pain management: scientifi c evidence (3rd ed.). Melbourne: ANZCA & FPM; 2010: 491 p.
9. Postoperative Pain Management — Good Clinical Practice. General recommendations and principles for successful pain management. Produced with the consultations with the Europeans Society of Regional Anaesthesia and Pain Therapy. Projectchairman N. Rawal; 2005: 57 p.
10. Kazantsev D. A., Popov A. S., Ekstrem A. V. Objectivisation of pain syndrome in order to create an individual protocol of postoperative analgesia in anaesthesiology and resuscitation. Modern Probl. Sci. Educat. 2015; 4: 15–22 (in russ.).
11. Franke H., Franke J. D., Fryer G. Osteopathic manipulative treatment for nonspecifi c low back pain: A systematic review and meta-analysis. BMC Musculoskelet. Disord. 2014; 15 (1): 286.
12. Dal Farra F., Risio R. G., Vismara L., Bergna A. Effectiveness of osteopathic interventions in chronic non-specifi c low back pain: a systematic review and meta-analysis. Complement Ther. Med. 2021; 56: 102616. https://doi.org/10.1016/j.ctim.2020.102616
13. Licciardone J. C., Kearns C. M., Minotti D. E. Outcomes of osteopathic manual treatment for chronic low back pain according to baseline pain severity: Results from the osteopathic Trial. Manual Ther. 2013; 18 (6): 533–540. https://doi.org/10.1016/j.math.2013.05.006
14. Licciardone J. C., Gatchel R. J., Aryal S. Recovery from Chronic Low Back Pain After Osteopathic Manipulative Treatment: A Randomized Controlled Trial. J. Amer. Osteopath. Ass. 2016; 116 (3): 144–155. https://doi.org/10.7556/jaoa.2016.031
15. Haller H., Lauche R., Cramer H., Rampp T., Saha F. J., Ostermann T., Dobos G. Craniosacral therapy for the treatment of chronic neck pain: A randomized sham-controlled trial. Clin. J. Pain. 2016; 32 (5): 441–449. https://doi.org/10.1097/AJP.0000000000000290
16. McReynolds T. M., Sheridan B. J. Intramuscular ketorolac versus osteopathic manipulative treatment in the management of acute neck pain in the emergency department: A randomized clinical trial. J. Amer. Osteopath. Ass. 2005; 105 (2): 57–68.
17. Belash V. O., Mokhov D. E., Tregubova E. S. The use of the osteopathic correction for the combined treatment and rehabilitation of the patients presenting with the vertebral artery syndrome. Probl. Balneol. Physiother. Exercise Ther. 2018; 95 (6): 34–43. https://doi.org/10.17116/kurort20189506134 (in russ.).
18. Belash V. O., Nenashkina E. N. Possibilities of osteopathic correction methods using in the treatment of dorsopathy at the cervicothoracic level. Russ. Osteopath. J. 2021; 1: 90–98. https://doi.org/10.32885/2220-0975-2021-1-90-98 (in russ.).
19. Mokhov D. E., Potekhina Yu. P., Tregubova E. S., Gurichev A. A. Osteopathy — a new direction of medicine (modern concept of Osteopathy). Russ. Osteopath. J. 2022; 2: 8–26. https://doi.org/10.32885/2220-0975-2022-2-8-26 (in russ.).
20. Mokhov D. E., Potekhina Yu. P., Gurichev A. A. Modern approaches to osteopathic diagnostics, its theoretical and practical foundations. Russ. Osteopath. J. 2022; 3: 8–32. https://doi.org/10.32885/2220-0975-2022-3-8-32 (in russ.).
21. Mokhov D. E., Belash V. O., Aptekar I. A., Nenashkina E. N., Potekhina Yu. P., Tregubova E. S., Belyaev A. F. Somatic Dysfunction: Clinical Guidelines 2023. Russ. Osteopath. J. 2023; 2: 8–90. https://doi.org/10.32885/2220-0975-2023-2-8-90 (in russ.).
22. Belash V. O. The possibilities of using local thermometry to objectify the effect of osteopathic correction in patients with dorsopathy at the cervicothoracic level. Russ. Osteopath. J. 2018; 3–4: 25–32. https://doi.org/10.32885/2220-0975-2018-3-4-25-32 (in russ.).
23. Hawker G. A., Mian S., Kendzerska T., French M. Measures of adult pain: Visual Analog Scale for Pain (VAS Pain), Numeric Rating Scale for Pain (NRS Pain), McGill Pain Questionnaire (MPQ), Short-Form McGill Pain Questionnaire (SF-MPQ), Chronic Pain Grade Scale (CPGS), Short Form-36 Bodily Pain Scale (SF-36 BPS), and Measure of Intermittent and Constant Osteoarthritis Pain (ICOAP). Arthrit. Care Res. 2011; 63 (11): 240–252. https://doi.org/10.1002/acr.20543
24. Scott J., Huskisson E. C. Graphic representation of pain. Pain. 1976; 2 (2): 175–184. https://doi.org/10.1016/0304-3959(76)90113-5
25. Potekhina Yu. P., Tregubova E. S., Mokhov D. E. Effects of osteopathic correction and the possibility of their study. Russ. Osteopath. J. 2022; 4: 8–29. https://doi.org/10.32885/2220-0975-2022-4-8-29 (in russ.).
26. Novikov Yu. O., Belash V. O., Novikov A. Yu. Modern views on etiology and pathogenesis of cervical pain syndromes: literature review. Russ. Osteopath. J. 2019; 3–4: 164–173. https://doi.org/10.32885/2220-0975-2019-3-4-164-173 (in russ.).
27. Novikov Yu. O., Safi n Sh. M., Akopyan A. P., Mogelnitskiy A. S., Kantyukova G. A., Kinzersky A. A., Musina G. M., Tikhomirov A. Yu., Shayakhmetov A. R., Kutuzov I. A., Litvinov I. A., Novikov A. Yu., Salakhov I. E., Tezikov D. V. Cervical pain syndromes. Ufa: Veras; 2020: 224 p. (in russ.).
Review
For citations:
Belash V.O. Use of pressor algometry in a patient with cervical dorsopathy. Russian Osteopathic Journal. 2024;(3):105-115. (In Russ.) https://doi.org/10.32885/2220-0975-2024-3-105-115