NEUROPATHIC ABDOMINAL PAIN

• Main Authors: S. A. Baranov, V. M. Nechaev
• Format: Article
• Language: Russian
• Published: Remedium Group LLC 2018-01-01
• Series: Медицинский совет
• Subjects: neuropathic abdominal pain; complex regional pain syndrome; allodynia
• Online Access: https://www.med-sovet.pro/jour/article/view/2230

The abdominal pain is diverse on the parentage (visceral, reflected, central-mediated, senesthopathias, neuropathic). The neuropathic abdominal pain is a little familiar to therapists. It has the clinical features: an allodynia (hyperalgesia), a hygromania, a combination to vegetative dysfunction. On a forward abdominal wall painful trigger points and a positive Carnett’s symptom are defined. Elimination of a neuropathic abdominal pain is reached by means of course application of a combination of medical products (local anaesthetics, non-opioid analgetics, anticonvulsants, antidepressants), and at their insufficient efficiency the surgical intervention (excision of terminal departments of intercostal nerves in the field of a direct muscle of a stomach) is shown. Efficiency of similar complex treatment reaches 73%.