Мышечный спазм и боль Причина и следствие | NeuroRussia-2023

This episode examines the relationship between muscle spasm and pain: what occurs first, why the "vicious cycle" of pain and muscle tension develops, and how a physician can assess these conditions in clinical practice. Special attention is given to myofascial pain, trigger points, the chronicity of pain syndrome, the role of palpation, and modern approaches to the treatment of acute and chronic back pain. The lecture also discusses clinical guidelines, the use of NSAIDs, central muscle relaxants, and the importance of patient education. Timestamps 00:00 — Topic Relevance: Muscle Spasm and Pain 00:35 — Muscle Tone Regulation and Why It's Necessary 01:35 — What Comes First: Pain or Muscle Spasm 02:45 — Acute and Chronic Back Pain: Different Mechanisms 03:40 — Myofascial Pain as a Common Component of Pain Syndromes 04:40 — What is a Myofascial Point and Muscle Ischemia 05:50 — How to Distinguish a Trigger Point from Regular Soreness 07:10 — Palpation and Finding the Area of ​​Muscle Tension 08:10 — Pain Chronization: Why It's Important to Relieve Nociception in a Timely Manner 09:00 — International Guidelines for Acute Pain Therapy 10:15 — Patient Information as Part of Treatment 11:20 — Central Muscle Relaxants for Acute and Chronic Pain Chronic Pain 12:20 — Non-Pharmacological Treatments for Chronic Back Pain 14:05 — Pharmacological Support: NSAIDs, Opioids, Antidepressants 15:15 — Russian Guidelines for Central Muscle Relaxants 16:15 — Radiculopathy and the Nociceptive Component of Pain 17:40 — The Mixed Nature of Chronic Pain and Individualized Therapy Selection 18:30 — Main Central Muscle Relaxants and Their Application Sites 19:25 — Cyclobenzaprine: Mechanism of Action and Effect on Pain-Anti-Pain Systems 20:40 — Research Data on Muscle Spasm Reduction 21:30 — The Possible Role of Therapy in Preventing Chronic Pain 22:30 — Safety Profile and Common Adverse Reactions 23:05 — Expert Opinion and Conclusions 🌐 USEFUL RESOURCES Painmed Official Website: https://painmed.ru (https://painmed.ru/) Online broadcasts: https://painmed.ru/online/ VK: https://vk.com/protivboli YouTube:    / @СЗОИБ   VK Video: https://vkvideo.ru/@protivboli RuTube: https://rutube.ru/channel/24339226 #backpain #musclespasm #myofascialpain #neurology #chronicpain #musclerelaxants #Painmed