[STRESS-INDUCED DEPRESSION IN OLD AGE: CLINICAL CHARACTERISTICS, PECULIARITIES OF THE PSYCHOGENIC SITUATIONS AND OF RELATIONSHIPS SYSTEM].

In the context of increasing life duration the issue of prevention and treatment approaches to the basic forms of pathology, in particular--neuropsychic, becomes more important. One of these forms widely spread is depression, which is often triggered by stressful situations. The aim of this work was to study the features of stress-induced depression in old age group and to carry out the content analysis of such situations and specific system of relations in this group of patients.

[Treatment of myofascial pain syndrome].

Objective: To study different methods of treatment of patients with myofascial pain syndrome (MFPS).

Material And Methods: We evaluated the efficacy of complex treatment in 152 patients with chronic tension-type headache (СЕЕР) and 96 patients with facial MFPS. The treatment included standard methods (reflex therapy of СЕЕР and local injections of a combination of local anesthetics with small doses of steroids in trigger points in patients with facial MFPS.

[Possibilities for the instrumental monitoring of neuralgia therapy].

Aim: To study the possibility of using a paired (test) H-reflex recovery test in the expert assessment of the intensity of acute pain syndromes and in the control of performed therapy.

Subjects And Methods: The authors analyzed 40 patients treated for radicular pain syndrome (RPS) caused by disk protrusion or herniation at the lumbar spine with the pain intensity of up to 9 points on digital rank scale of pain. As a clinical model they used a pathogenetically sound therapeutic blockade method including glucocorticosteroids for the therapy of acute neuralgia and basic medical therapy with Arcoxia 120 mg/day.

[Epidural blockades use in low back pain treatment].

Materials And Methods: We studied 90 patients with radicular acute pain syndrome of lumbosacral localizations in the Petrovsky Russian Research Center of Surgery from 2009 to 2013. The patients were divided into two groups. We assessed an effectiveness of epidural blockades in complex therapy.

[Local invasive treatment of chronic pain].

The literature on methods of invasive local treatment of chronic pain was analyzed. We reviewed 14 publications including meta-analyses and systematic reviews. The use of regional anesthesia conducted by anesthesiologists in pain clinics demonstrated the evidence based efficacy of different types of peridural injections of local anesthetics with steroids in patients with root pain syndromes at cervical and lumbar levels.