Preview

The Russian Archives of Internal Medicine

Advanced search

THE ROLE OF MYOFASCIAL SYNDROME IN THE GENESIS OF NOCTURNAL PAINFUL PARESTHESIAS

https://doi.org/10.20514/2226-6704-2018-8-3-209-214

Abstract

The aim of the article. The purpose of our study was to study the clinical and neurophysiological features of nocturnal painful paresthesias in the upper limbs. Material and methods. The article presents the results of a survey of 107 patients with pain and night paresthesias in their hands. It was revealed that the syndrome of nocturnal painful paresthesias is mixed in etiology and has myofascial pain syndromeas an initial part. The clinical symptomatology of nocturnal pains and paresthesias in the hands of patients with myofascial pain syndrome of the shoulder girdle and upper limbs was described. Results. It is shown that active myofascial trigger points are the key link in the clinical picture formation of the syndrome of nocturnal painful paresthesias in patients with myofascial pain syndrome. In the study of short-latency somatosensory evoked potentials from the upper extremities, the pathological peak Px in the CVII-Fpz lead is described, which is the marker for the presence of a pathologically enhanced excitation generator in the supragmentary structures. Conclusions. The syndrome of nocturnal painful paresthesias is mixed in etiology and has, as an initial link, myofascial pain syndrome. Detection of a pathologically enhanced excitation generator in the supsegmental sections of the sensitive pathway in the registration of short-latency somatosensory evoked potentials is an adequate method for diagnosing painful paresthesias.

About the Authors

L. G. Mindubaeba
Federal ministry of health of the Russian Federation Russian medical academy of continuous professional education; Kazan
Russian Federation
Department of Neurology, acupuncture and osteopathy KSMA-branch


O. E. Alekseeva
Federal ministry of health of the Russian Federation Russian medical academy of continuous professional education; Kazan
Russian Federation
Department of Neurology, acupuncture and osteopathy KSMA-branch


G. M. Karimova
Federal ministry of health of the Russian Federation Russian medical academy of continuous professional education; Kazan; Kazan Federal University, University Clinic, Kazan
Russian Federation
Department of Neurology, acupuncture and osteopathy KSMA-branch


D. J. Karimova
Institute of postgraduate professional education, Federal state budgetary institution state research center «Federal medical biophysical center named after A.I. Burnazan» Federal medical-biological Agency of Russia, Moscow
Russian Federation


A. R. Abashev
Kazan Federal University, University Clinic, Kazan; Federal ministry of health of the Russian Federation Russian medical academy of continuous professional education, Kazan
Russian Federation
Department of Neurology and Manual Therapy, KSMA-branch


References

1. Tabeeva G.R. Fibromialgia. In: Selected Lectures on Neurology. Edited by Golubeva V.L. Eidos Media. 2006; 23-27 [in Russian].

2. Dommerholt J., Grieve R., Hooks T., Layton M.A. A Critical Overview of the Current Myofascial Pain Literature. J. Bodyw Mov. Ther. 2015; 19 (4): 736-746.

3. Rybak V.A., Kurushina O.V., Barulin A.E., Saranov A.A. Psychophysiological Aspects of the Formation of Chronic Pain Syndromes. Volgo-grad State Medical University Journal. 2010; 2: 52-54 [in Russian].

4. Ivanichev G.A. Manual Medicine. OJSC PIC Idel Press. 2008; 488 р. [in Russian].

5. Simons D.G. Myofascial Pain and Dysfunction. Trigger Point Guide. In 2 Volumes. V.1. Simons D.G., Travell D.G., Simons L.S. Trans. from English. — 2nd. edition, revised and enlarged. — M.: Medcine. 2005; 1192 р. [in Russian].

6. Vein A.M. Autonomic Disorders: Clinic, Diagnosis, Treatment. Editedby Vein A.M. M. Medical News Agency. 2003; 752 р. [in Russian].

7. Ivanichev G.A. Manual Medicine. M. MEDpress inform. 2003; 486 р. [in Russian].

8. Duus P. Topical Diagnosis in Neurology. Duus P. Translated by Pilayeva O. Practical medicine. M. 2014; 584 р. [in Russian].

9. Habirov F.A. Guide to Clinical Neurology. Clinical Neurology of the Spine. Kazan. 2003; 472 р. [in Russian].

10. Vorob’eva O.V. Skeletal musculature as the cause of local pain syndromes. Consilium Medicum. 2012; 14(2): 39–42 [in Russian].


Review

For citations:


Mindubaeba L.G., Alekseeva O.E., Karimova G.M., Karimova D.J., Abashev A.R. THE ROLE OF MYOFASCIAL SYNDROME IN THE GENESIS OF NOCTURNAL PAINFUL PARESTHESIAS. The Russian Archives of Internal Medicine. 2018;8(3):209-214. https://doi.org/10.20514/2226-6704-2018-8-3-209-214

Views: 970


Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 License.


ISSN 2226-6704 (Print)
ISSN 2411-6564 (Online)