NEUROLOGICAL ASPECTS OF PELVIC PAIN SYNDROMES IN WOMEN WITH PELVIC ORGAN DISORDERS

In connection with the increase in life expectancy and the increase in the number of people who lead a sedentary lifestyle, the need arose to take measures to combat diseases of the musculoskeletal system. At the moment, the most common diseases of the musculoskeletal system are degenerative and inflammatory diseases of the joints, as well as osteoporosis. However, in addition to diseases of the musculoskeletal system, a large role should be given to somatic pathology accompanied by back pain. Pain syndromes in diseases of the pelvic organs in women is a complex problem requiring a multisystem approach in cooperation not only with gynecological specialists, but also with neurologists, urologists, surgeons, and other specialists. Long-term pain syndrome leads not only to physical discomfort, but also to moral discomfort and leads to loss of ability to work and problems in the family. The main localization of pain syndromes in diseases of the pelvic organs in women is the pelvic region and the back. Chronic pain in the pelvic region has a duration of more than half a year, has no connection with the period of menstruation, and can lead to loss of ability to work, and may also require surgical or medical intervention. According to the definition in ICD-10, dorsopathies are understood as a complex of lesions of the musculoskeletal system with the involvement of elements of connective tissue, accompanied by pain syndrome in a certain area of the back and functional disorders. The most life-threatening causes of back pain can be acute inflammatory diseases, complications of the course of pregnancy, and malignant neoplasms, both primary and secondary. Treatment of pain syndromes has its own difficulties since often there is an incorrect diagnosis of the underlying cause and, as a result, it is difficult to select a pathogenetically substantiated therapy. The article presents the clinical features of the course of the pain syndrome, diagnostic criteria, principles of management, diagnostic algorithm, as well as treatment tactics for patients with these issues