Open AccessA patient with chronic pain syndrome
Author(s) -
В. И. Мороз,
M. M.-M.B. Balaeva,
А. В. Наумов,
Н. О. Ховасова
Publication year - 2021
Publication title -
rossijskij žurnal geriatričeskoj mediciny
Language(s) - English
Resource type - Journals
eISSN - 2686-8709
pISSN - 2686-8636
DOI - 10.37586/2686-8636-3-2021-360-363
Subject(s) - medicine , gabapentin , osteoarthritis , neuropathic pain , chronic pain , physical therapy , pain syndrome , pregabalin , anesthesia , alternative medicine , pathology
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.