[Features of the clinical picture, diagnosis and treatment of pain syndromes formed on the basis of combined lesions of the spine in the elderly and senile age.].

Based on the long-term observation of 105 representatives of the elderly and senile age, the features of the clinical picture of pain syndromes formed in the elderly and senile age on the basis of combined spinal lesions in osteoporosis and spondylarthrosis are presented, and methods of diagnosis and treatment of such patients are proposed. The main variants of symptoms developing in response to long-term tonic muscle tension in degenerative age-dependent injuries of vertebral bodies, intervertebral discs and facet joints at the level of thoracic and lumbosacral spine are shown. Pathogenetic connections of frequent urination disorders in the elderly and senile age with pathological processes in the spine and muscular-tonic pain syndromes were determined. In pathological muscle hyperactivity, accompanied by pain syndromes, restrictions of movements in the spine and the formation of pathological poses, it is recommended to use in the treatment of soft techniques of manual therapy and botuline toxin therapy, and with distinct structural, anatomical defects of vertebral segments - local corticosteroid therapy.