«Малая ревматология»: несистемная ревматическая патология околосуставных мягких тканей верхней конечности. Часть 2. Медикаментозные и немедикаментозные методы лечения

Лечение ревматической патологии околосуставных мягких тканей (РПОМТ) верхней конечности (тендинит ротаторов плеча, эпикондилит, синдром де Кервена, «щелкающий палец», синдром запястного канала) основывается на комплексном применении медикаментозных и немедикаментозных методов. Основными препаратами, эффективность которых доказана при этой патологии, являются нестероидные противовоспалительные препараты (НПВП) и глюкокортикоиды (ГК). В статье рассмотрены наиболее крупные и известные исследования, составляющие «доказательную базу» целесообразности использования при РПОМТ таких средств, как НПВП, локальное ведение ГК, гиалуроновой кислоты и обогащенной тромбоцитами плазмы, а также различных немедикаментозных методов. Немедикаментозные методы (физиотерапия, упражнения и программы реабилитации) должны рассматриваться как необходимая составная часть терапевтического процесса у пациентов с хронической болью, связанной с РПОМТ. Сохранение выраженной боли и нарушения функции, несмотря на консервативную терапию, следует считать показанием для хирургического лечения.

ревматическая патология околосуставных мягких тканей, тендинит ротаторов плеча, эпикондилит, синдром де Кервена, «щелкающий палец», синдром запястного канала, лечение, нестероидные противовоспалительные препараты, глюкокортикоиды, гиалуроновая кислота,

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