Pain in the neck, shoulder and arm (CANS): a new look at an old problem


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Abstract

Pain in the cervical spine, upper extremities and shoulder remains an actual problem of modern medical clinical practice. The creation of a multidisciplinary model of CANS (Complaints of the Arm, Neck, and Shoulder) made it possible to unify the classification and diagnosis of these pain syndromes. In CANS therapy, it is advisable to use combination therapy, including NSAIDs and B vitamins. Medications Neuromultivit and Neurodiclovit have established themselves as effective medications in the treatment of neuropathic and nociceptive pain syndromes. Thus, their use is justified in the treatment of non-specific and specific CANS as primary and adjuvant therapy.

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About the authors

Anastasia M. Tynterova

Immanuel Kant Baltic Federal University

Email: antynterova@mail.ru
PhD, senior lecturer of Department of psychiatry and neurosciences 236041, Kaliningrad, 14 Alexandra Nevskogo Str

Igor V. Reverchuk

Immanuel Kant Baltic Federal University

Email: igor7272igor@gmail.com
MD, professor, head of Department of psychiatry and neurosciences 236041, Kaliningrad, 14 Alexandra Nevskogo Str

Olga A. Tikhonova

Immanuel Kant Baltic Federal University

Email: offelia78@mail.ru
assistant of Department of psychiatry and neurosciences 236041, Kaliningrad, 14 Alexandra Nevskogo Str

Yuri E. Skalin

Immanuel Kant Baltic Federal University

Email: iskalin@kantiana.ru
PhD, Chief physician of the Clinical Diagnostic Center 236041, Kaliningrad, 14 Alexandra Nevskogo Str

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