Chronic pain in cervicobrachial syndrome

Vratna kralježnica je kompleksni dio tijela u kojem se nalaze vitalne komponente ljudskog tijela. Velika osjetljivost takvog dijela tijela iziskuje preciznost u dijagnostici, ali i načinu tretiranja patologije nastale nekim određenim uzrocima. Jedan od čestih mišićno koštanih bolesti jest cervikobrahijalni sindrom. CS je u današnjici čest degenerativni i neurološki poremećaj čiji su uzroci mišićno-koštane bolesti te degenerativne promjene. Dijagnostika patofizioloških mehanizama se bazira na pretragama poput magnetske rezonancije, elektromioneurografije te radiografije. Također se za ispitivanje određenih mehanizama nastanka boli koriste provokativni testovi. Dok se dijagnostika boli temelji na anamnezi tj. kliničkim pregledom. Simptomi se prezentiraju kao bol u području vrata koja iridira prema rukama. Takva bol i ostali simptomi koji traju više od 12 tjedana smatraju se kroničnim. Fizikalna terapija primarni je element u liječenju kronične boli. Uz fizikalnu terapiju na prvoj crti liječenja kronične boli je farmakološka terapija. Psihološki i psihijatrijski faktori uvelike utječu na kroničnu bol. Oni mogu izazvati poremećaje poput anksioznosti, depresije, socijalne fobije itd. Liječenje se upravo zbog toga mora zasnivati na multimodalnom pristupu koji zahtjeva angažman različitih medicinskih grana. Elementi koje takav pristup obuhvaća su fizikalna terapija, kognitivno-bihevioralna terapija, farmakoterapija, invazivni i minimalnoinvazivni postupci te komplementarne metode liječenja boli.The cervical spine is a complex part of the body in which the vital components of the human body are located. The high sensitivity of such a part of the body requires precision in diagnosis, but also in the way of treating pathology caused by certain causes. One of the common musculoskeletal diseases is cervicobrachial syndrome. CS is nowadays a common degenerative and neurological disorder whose causes are musculoskeletal diseases and degenerative changes. Diagnosis of pathophysiological mechanisms is based on tests such as magnetic resonance imaging, electromyoneurography and radiography. Provocative tests are also used to examine certain mechanisms of pain. While the diagnosis of pain is based on the anamnesis, ie clinical examination. The symptoms present as pain in the neck area that irritates towards the hands. Such pain and other symptoms lasting more than 12 weeks are considered chronic. Physical therapy is the primary element in the treatment of chronic pain. In addition to physical therapy, pharmacological therapy is at the forefront of the treatment of chronic pain. Psychological and psychiatric factors greatly influence chronic pain. They can cause disorders such as anxiety, depression, social phobia, etc. Treatment must therefore be based on a multimodal approach that requires the involvement of different medical branches. The elements that such an approach encompasses are physical therapy, cognitive-behavioral therapy, pharmacotherapy, invasive and minimally invasive procedures, and complementary methods of treating pain