10-B, Bul’varno Kudriavs’ka
Str., Kyiv City, Ukraine.
Mon-Fri: 8:30 a.m. – 7 p.m.
Sat: 9 a.m. – 1 p.m.
Sun: Day off
Call center
044 238 22 31
Взрослое отделение
044 272 11 81
Детское отделение
044 272 11 82

Myalgia, myositis, myofascial syndrome

Myalgia (fibromyalgia), myositis, myofascial syndrome are diseases, the main symptom of which is severe muscular pain of different localization and origin. Muscle pain can occur due to various reasons:

  1. muscle tissue congestion
  2. muscle hypertonia (stable muscle spasm)
  3. bruises and sprains
  4. long or extra hard physical loads
  5. comorbidities: influenza, ARVI, arthritis, radiculitis, myositis (sacritis)
  6. in some cases, the muscular pain occurs on the background of emotional stress
  7. long stay in a cold, damp room.

Миалгии (фибромиалгии), миозиты, миофасциальный синдром

In case of myalgia, pain sensations increase with pressure on the muscles and during movement, but they may also be permanent, remaining also at rest. In addition to pain, myalgia symptoms such as headache, fever (hyperthermia), nausea, a feeling of tension and joint stiffness can also be observed.

Fibromyalgia is the most common type of myalgia, characterized by diffuse muscular pain in certain body areas (usually symmetrical). Most often, this is a complex chronic disease, in the clinic of which in addition to muscle pain insomnia, depressive disorders, fatigue, anxiety, and meteosensitivity are also noted. Women are more susceptible to this disease than men.

Most often, the pain is localized in the lumbar, cervical, occipital and humeral areas. A diffuse localization with possible accent in certain trunk or extremities areas is typical. The main clinical fibromyalgia phenomenon is painful zones ("tender" zones); even a slight impact on them causes pain.

Fibromyalgia, in its turn, is also divided into two types - primary and secondary fibromyalgia.

Primary fibromyalgia is characterized by musculoskeletal pain sensations that sharply appear during "tender" zones palpation. Primary fibromyalgia occurs mainly in women prone to anxiety, stress and depression; it is often observed in adolescent girls as well. The pain can be aggravated due to overloads, injuries and weather changes (cold, dampness). Patients suffering fibromyalgia are characterized by frequent paroxysmal autonomic disorders - panic attacks, hyperventilation syndrome.

Secondary (local) fibromyalgia is most often characteristic of men and can be caused by work- or sports overloads.

A myofascial syndrome is common musculoskeletal system pathology; it is characterized by chronic muscle pain and by the formation of painful indurations (trigger points) in the strained muscles. The reflected pain, sensitivity disorders, limitations of movement volume, vegetative dysfunctions (sweating, skin colour changes) are also noted - in addition to local pain in the area of ​​trigger points.

At the moment, there is no person who has never experienced muscles pain. Therefore, it is not surprising that we are accustomed to treat such painful manifestations calmly, assuming that they are natural. Unfortunately, similar nature of pain is not always observed. In most cases, musculoskeletal painful sensations are symptoms of myofascial syndrome, which, in turn, is provoked by the trigger point’s actions: latent or active.

The active trigger point is the focus of a maximum irritability and muscle pain, which has a certain area of painful feelings reflection, which can occur at rest and during movement. You can make yourself certain in such points appearance while palpation - pressing your fingers on the intended skin area. As a rule, the response to the trigger point’s stimulation is a local convulsive muscles movement, which is accompanied by increased pain.

The latent points cause pain during the palpation only. During palpation, the patient can feel pain in the area outlying from its focus.

The main causes of the myofascial pain syndrome are:

  1. Osteochondrosis - due to irritation of the sinuvertebral nerve (Luschka nerve), which innervates the structure of the spinal column, reflex spasm of paravertebral and distant muscles often occurs. Long-lasting muscle overstrain contributes to the formation of active trigger points in it.
  2. Anomalies of development. The asymmetry of the body at the different length of legs has a fundamental importance. The difference in leg length is physiological, as it is found in 92% of young people. It is a question of the length difference degree. The risk factor is the difference of the legs' length exceeding 1 cm, as it reliably correlates with back pain. The flat feet, long second metatarsal bones at a shortened first metatarsal bone contribute to the appearance of the muscle pain. The long second metatarsal bone is a predisposing factor for the appearance of pain in the lower back, thigh, knee, shin and foot. Such foot configuration causes significant posture disorders, the restoration of which requires considerable efforts of many muscle groups. Thus the muscle pain syndromes appear as result of constant muscle tension.
  3. Prolonged immobilization of muscles. A long posture maintaining during deep sleep can activate the trigger points. The pulling, deep, poorly localized, diffuse pain in the back after getting up appears exactly in these cases. The particular importance has the prolonged limbs immobilization after fractures. After plaster removal, the muscles are always painfully tensed; the condition that has been called "frozen" joints develops. Muscles require a gradual stretching, and the joints - "work out". After the removal of plaster, pain can appear almost in all back parts, since immobilization of both upper and lower extremities after fractures leads to a major violation of movements’ stereotype and the appearance of significant body asymmetries. The muscles compression with bag or backpack straps, narrow bretelles, collar, tightly buttoned belt, tight jeans, heavy winter coat, bandages or corsets can activate the trigger points in the corresponding muscles.
  4. Muscles hypothermia. Both general cooling and local cooling are important (sitting in a draft, the neck and the lower back are "chilled through", etc.). The cooling is one of the most common provoking factors. Usually it is combined with muscle overload - when overworked tensed muscles are cooled.
  5. Mental factors. Emotional stress is always accompanied by muscular tension, which ensures the readiness of the body to fight or escape. After the cessation of stress, muscles often remain stressed. The role of chronic stressful situations is also important, when many face, neck, and body muscles are reduced, and the person “lose the ability to” to control muscle tension and relax. Recollect the expression - "he is bent by sorrow". The state of the psyche is always reflected in the movements, the so-called psychomotor changes in a person. A change in posture leads to spasms and muscle overload, pains occur, which, in turn, further disturb the gait and posture.
  6. Diseases of visceral organs and joints. Myofascial pain syndromes can accompany almost any somatic pathology. The pain impulses from the affected internal organ or joint lead to protective tension of the corresponding muscles in order to immobilize the joint or to create a muscle "corset" around the diseased organ. Thus, an ischemic heart disease with angina attacks or myocardial infarction, as a rule, is accompanied by the appearance of myofascial pain syndromes in the chest region (on the left side).
  7. Overloads of untrained muscles. Myofascial pain syndromes are more characteristic for people of mental work. A weak muscular corset is one of the most serious risk factors. The painful strains appear in the muscles and trigger points are activated at an unusual long-term work of weak and untrained muscles. Quite often the muscular pain occurs in patients in summer season along with physical overloads in the garden after winter inactivity. A stretching of muscles with their subsequent spasm in case of unsuccessful turn, throw and jump is a frequent cause of triggers activation. Throws in basketball, serving in big tennis, javelin throwing or shot put have a detrimental effect on unheated and trained muscles.
  8. Muscle bruise. Direct muscle injury can activate triggers that remain active after hematoma regression.

Myositis is the muscle tissue inflammation, which leads to the formation of solid nodules in the muscle fibres. Usually myositis affects a specific group of muscles - and if there are many inflammation foci, then it is a polymyositis. Moreover, the disease can affect not only the muscle tissue, but skin as well- this is called dermatomyositis.

There distinguish acute, subacute and chronic variant of myositis. In the latter case, dense nodules or seals form in the muscles, painful on palpation.

Factors affecting the muscles inflammation are: hypothermia, trauma, muscle cramps, infectious diseases (flu, sore throat), constant tension of a certain muscle group (in professional activities, for example, in athletes, musicians, etc.), and diseases like scoliosis, osteochondrosis, rheumatism, rheumatoid arthritis, lupus erythematosus. There also distinguish acute purulent myositis caused by staphylococcal, streptococcal, pneumococcal bacteria

The main symptom is severe pain in a specific muscle group (neck, chest, lower back, lower leg, etc.). The pain usually increases with pressure on the affected area and during movement, weather changes. Chronic myositis can be accompanied not by sharp pains, but by aching ones, and constant muscle weakness arises. Sometimes there observed skin redness and swelling at the site of inflammation. Due to the protective tension of the muscles, the work of the joints is limited – and arthritis develops. Polymyositis is characterized by general muscle weakness, which can cause atrophy: it is difficult to stand up, to take something in the hand, and to raise the head. This is very dangerous, because vital muscles, which take part in breathing, chewing and ingesting food can mummify.


Cost of treatment with additional services
Consulting appointment
Primary neurological examination of the patient by the honoured doctor of Ukraine, High level certificate physician, Dr. Bersenev
Secondary neurological examination of the patient by the honoured doctor of Ukraine, High level certificate physician, Dr. Bersenev
Primary neurological examination of the patient
Secondary neurological examination of the patient
Individual home treatment program
Prolongation of the individual home treatment program
Home treatment recommendations
Outpatient treatment
Outpatient treatment by the neurometameric reflexotherapy and metameric medicinal treatment (1 neurological syndrome)
Outpatient treatment by the neurometameric reflexotherapy and metameric medicinal treatment (2 neurological syndromes)
Outpatient treatment by the neurometameric reflexotherapy and metameric medicinal treatment (3 neurological syndromes)
Outpatient treatment by the neurometameric reflexotherapy and metameric medicinal treatment (4 neurological syndromes)
Outpatient treatment by the neurometameric reflexotherapy and metameric medicinal treatment (5 neurological syndromes)
Outpatient treatment by the neurometameric reflexotherapy and metameric medicinal treatment (6 neurological syndromes)
Outpatient treatment by the neurometameric reflexotherapy and metameric medicinal treatment (7 neurological syndromes)
Outpatient treatment by the neurometameric reflexotherapy and metameric medicinal treatment (8 neurological syndromes)
Outpatient treatment by the neurometameric reflexotherapy and metameric medicinal treatment (9 neurological syndromes)
Outpatient treatment by the neurometameric reflexotherapy and metameric medicinal treatment (more than 9 neurological syndromes)
*** the cost is approved additionally
Outpatient treatment by Dr. Bersenev V.A.
Outpatient treatment by the neurometameric reflexotherapy and metameric medicinal treatment (1 neurological syndrome)
Outpatient treatment by the neurometameric reflexotherapy and metameric medicinal treatment (2 neurological syndromes)
Outpatient treatment by the neurometameric reflexotherapy and metameric medicinal treatment (3 neurological syndromes)
Outpatient treatment by the neurometameric reflexotherapy and metameric medicinal treatment (4 neurological syndromes)
Outpatient treatment by the neurometameric reflexotherapy and metameric medicinal treatment (5 neurological syndromes)
Outpatient treatment by the neurometameric reflexotherapy and metameric medicinal treatment (6 neurological syndromes)
Outpatient treatment by the neurometameric reflexotherapy and metameric medicinal treatment (7 neurological syndromes)
Outpatient treatment by the neurometameric reflexotherapy and metameric medicinal treatment (8 neurological syndromes)
Outpatient treatment by the neurometameric reflexotherapy and metameric medicinal treatment (9 neurological syndromes)
Outpatient treatment by the neurometameric reflexotherapy and metameric medicinal treatment (10 neurological syndromes)
Outpatient treatment by the neurometameric reflexotherapy and metameric medicinal treatment (more than 10 neurological syndromes)
*** the cost is approved additionally
Our staff
Volodymyr Bersenev
Honored doctor of Ukraine,
High level certificate neurologist
Volodymyr Padchenko
Adult department head physician,
first level certificate neurologist
Iuliia Biliuk
Pediatric neurologist,
first level certificate neurologist
Vira Dolhova
First level certificate neurologist
Viktoriia Petlytska
Second level certificate neurologist,
first level certificate doctor of family medicine
Kseniia Maister
Psychologist, speech therapist,
neuropsychologist
Oleksandr Shevchuk

Oleksandr Shevchuk

Massage therapist
Stanislav Kurtosmanov

Stanislav Kurtosmanov

Massage therapist
Взрослое отделение
Мы живем в сложное время, наполненное психо-эмоциональными стрессами, а образ жизни современного человека трудно назвать размеренным и спокойным. Человеку иногда приходится решать несколько вопросов одновременно, принимать непростые решения, выполнять множество разных дел в течение одного дня. В таких условиях трудно оставаться уравновешенным, сосредоточенным и внимательным. Нервная система не всегда выдерживает подобные нагрузки, и это приводит к эмоциональным срывам, хронической усталости, бессоннице, головным болям, снижению работоспособности. Крылатая фраза «все болезни от нервов» часто находит практическое подтверждение в медицине.
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Взрослое отделение
About metameric treatment Documents for admission Questions and answers
What we treat
Spinal osteochondrosis

Остеохондроз позвоночника — это хронический процесс дистрофии межпозвонковых дисков, проявляющийся снижением их эластичности и гидрофильности (диски как бы усыхают, уменьшается их высота). Из-за потери жидкости диски теряют свою амортизирующую функцию, и позвоночник уже не в силах выдерживать прежние нагрузки. Фиброзная оболочка диска истончается и повреждается, в ней возникают микротрещины и разрывы, через которые содержимое пульпозного ядра диска может выходить наружу.

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Сervical spine osteochondrosis

Шейный отдел позвоночника — это наиболее уязвимая часть позвоночного столба,  что обусловлено анатомическими особенностями шейных позвонков. Позвонки шейного отдела отличаются повышенной мобильностью, они легко поддаются смещениям в результате нагрузок или травм, а также достаточно быстро подвергаются дегенеративно-дистрофическим изменениям. Чаще всего остеохондрозу шейного отдела позвоночника подвержены наиболее подвижные сегменты нижнешейного отдела.

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Thoracic spine osteochondrosis

Остеохондроз в грудном отделе позвоночника встречается значительно реже, чем в пояснично-крестцовом и шейном отделах, но заслуживает отдельного описания. Грудной отдел позвоночника является наименее подвижным по сравнению с другими отделами и наиболее защищенным с помощью ребер и грудины. В данном отделе реже всего образуются выпячивания межпозвонковых дисков, и они редко достигают больших размеров.

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Lumbosacral spine osteochondrosis

Напевно кожна доросла людина чула таке слово як «остеохондроз», але не всі остаточно розуміють, що ж це таке насправді. Ми допоможемо Вам розібратися, що ж таке остеохондроз поперекового відділу хребта і як його лікувати.

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SPONDYLOSIS

Спондилез позвоночника — это хроническое заболевание, при котором происходит разрастание костной ткани на поверхности тел позвонков, приводящее к их деформации.

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Spondylarthrosis

Спондилоартроз (spondylarthrosis) — это хроническое дегенеративно-дистрофическое заболевание фасеточных межпозвонковых суставов. В основе спондилоартроза лежит поражение всех структур сустава: суставного хряща, субхондральных отделов кости, связок и капсул сустава, коротких мышц, окружающих сустав.

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Protrusions and hernias of the intervertebral discs

Грыжа межпозвонкового диска является одним из осложнений остеохондроза позвоночника и представляет собой максимальную степень выпячивания пульпозного ядра диска с разрывом его внешней оболочки.

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Scoliotic disease, scoliosis

В греческом языке есть слово «сколиос», которое переводится как «кривой». Этим словом медики обозначают искривление позвоночного столба. Причем не всякое искривление, а именно боковое отклонение вертикальной оси позвоночника.

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Arthrosis

Joints arthrosis —  is a widespread disease. It is more correct to call it osteoarthritis, because this disease affects not only the cartilaginous tissue of the joint, but also the bone. The main difference between arthrosis and arthritis is that disease is based not on the inflammation of the joint, but on the degenerative processes occurring in it. Arthrosis is manifested by the joint pain, aggravated by movement, and the development of stiffness in the damaged joint. In neglected cases, arthrosis leads to a complete mobility loss and patient’s disability.

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Neuralgia

Невралгия — это ярко выраженный симптом воспаления нерва. Представляет собой приступообразную острую, жгучую или тупую ноющую боль в зоне иннервации пораженного нерва. В переводе с греческого языка  этот термин обозначает «боль в нерве». Все функции при этом у нерва сохраняются.

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Neuropathies

Невропатии (нейропатии) – это собирательный неврологический термин, обозначающий различные дегенеративно-дистрофические поражения периферических нервов. Это обобщающее понятие, объединяющее многообразные формы и варианты поражений нервов, и это объясняет широкую распространенность данной патологии. Этот термин неоднозначный, и многие специалисты его применяют только для обозначения невоспалительных изменений нервов. В детской же неврологии под понятием «невропатия» подразумевается повышенная детская возбудимость в сочетании с утомляемостью.

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Facial neuropathy

Невропатия лицевого нерва чаще всего возникает в результате переохлаждения, лицевой травмы, перенесенного инфекционного заболевания, стрессовых ситуаций, на фоне ослабленного иммунитета. Может развиться как осложнение отита, тимпанита, паротита, заболеваний зубов, диабета, перенесенной герпетической инфекции. Самым уязвимым участком лицевого нерва считается его отрезок, расположенный в узком извитом канале (в пирамидке височной кости) длиной около 3см.

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Trifacial nerve neuropathy

Невропатия тройничного нерва чаще всего развивается после стоматологических процедур, протезирования, челюстно — лицевых операций или травм, а также в результате переохлаждения, перенесенных инфекций, опухолевых процессов.

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Radial nerve neuropathy

Среди всех видов невропатий верхних конечностей самой распространенной является именно невропатия лучевого нерва. Невропатия может возникнуть после глубокого сна, если человек спал на твердой поверхности, положив при этом руку под голову.

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Ulnar nerve neuropathy

Невропатия локтевого нерва проявляется в нарушении его функции в результате компрессии нервного ствола в узких костно-мышечных каналах в области локтевого сустава и на кисти или же в результате травмы (растяжение, надрыв локтевого нерва) при вывихах и подвывихах в локтевом суставе. Невропатия, возникшая при сдавлении нерва в кубитальном канале, известна еще под названием «синдром кубитального канала».

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Median nerve neuropathy

Невропатия срединного нерва — это поражение срединного нерва, проявляющееся в возникновении чувствительных и двигательных расстройств в зоне его иннервации (в 1, 2 и 3 пальцах рук).

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Sciatic nerve neuropathy

Невропатия седалищного нерва – одна из самых распространенных мононевропатий нижних конечностей. Она заключается в повреждении седалищного нерва и формировании ряда двигательных и чувствительных нарушений его функции.

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Peroneal nerve neuropathy

Peroneal nerve neuropathy occurs in case of injuries or nerve trunk compression at any part of shin nerve division. This is the most common lower extremities neuropathy type.

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Tibial nerve neuropathy

Невропатия большеберцового нерва часто наблюдается при переломах костей голени, вывихе голеностопного сустава, растяжении и повреждении связок стопы. Повторные спортивные травмы стопы, заболевания коленного и голеностопного сустава, нарушения обмена веществ и расстройства кровообращения нерва часто приводят к данному виду невропатии.

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Diseases of the autonomic nervous system

Вегетативная нервная система (синоним «автономная» нервная система) — это часть нервной системы, которая обеспечивает сбалансированную работу всех внутренних органов и поддерживает постоянство внутренней среды человека.Она отвечает за иннервацию желез внешней и внутренней секреции…

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Additional services
Speech therapist appointment

A speech is a reflection of thinking; it is a system. If there are problems with oral speech, then there will be difficulties with the thoughts formation, the ability to analyse, speculate, build logic chains, and also there will be some difficulties with reading and writing. A violation in one speech link is enough to make the whole system start to function incorrectly.

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Metameric massage

Many articles have already been written about the undoubted massage benefits, and it has long been known that this is one of healing means, along with sports and nutrition. Massage helps to recover from stress quickly and avoid diseases associated with constant nervous tension, relieves pain points, and relaxes tense muscles. It also reduces anxiety, normalizes the blocked energy flow, enhances the immune system functions, and restores a sense of calm and well-being. This is an important component of a healthy lifestyle.

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Psychologist consultation is your chance to change your life for the better

 

The spine, keeping the whole skeleton in an upright position, is the core of both the whole organism and our Personality.

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Family physician appointment

At the “Bersenev’s Medical Center” all patients can get a qualified individual consultation of the family physician Petlytska Victoria Vitaliivna, a specialist with decades of experience in this field.

Victoria Vitaliivna had gotten a special multi-field speciality training of “family medicine”.

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Infusion therapy

Infusion therapy (intravenous administration of solutions of various drugs into the body) is currently one of the most important medical measures aimed to solve a wide range of medical problems. This method of treatment exists since the 30s of the XIX century.

This method of treatment allows you to achieve a rapid therapeutic effect, as the medicine enters directly into the bloodstream, and also allows you to control its action more effectively.

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Kinesio Taping

Kinesio taping is the imposition and fixation of special elastic bands on the child’s skin for several days in order to provide physiological movements of the joints and muscles, activating the processes of recovery and movement control. Kinesio tapes are elastic cotton tapes coated with an acrylic-based hypoallergenic adhesive gel.

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Orthoses Making

In our Medical Centre you can get an expert advice from a physical rehabilitation specialist, as well as make individual ORTHOSES from Turbocast material.

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Corrective insoles making

Neuropsychology arose at the intersection of medicine and psychology. This is a section of psychology that studies the brain organization of mental processes: attention, memory, perception, speech, motor skills, thinking, and emotional responses.

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Metameric speech apparatus massage

Массаж артикуляционного аппарата или логопедический массаж — это метод механического воздействия, который изменяет  состояние мышц, нервов, кровеносных сосудов и тканей речевого аппарата.

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Doctor Bersenev explains
Double hemiplegia as a form of cerebral palsy
Double hemiplegia as a form of cerebral palsy
Double hemiplegia is the rarest form of cerebral palsy. It occurs in 1.9% of patients. The most common form is spastic diplegia. Usually, motor function is affected, in some children intellectual abilities may suffer as well.
Hemiparetic cerebral palsy
Hemiparetic cerebral palsy
Hemiparetic cerebral palsy is one of the most common forms of cerebral palsy. This condition arises due to abnormal fetal development, which leads to brain damage.
Atonic-astatic form of cerebral palsy
Atonic-astatic form of cerebral palsy
This form of cerebral palsy has several names: atonic, atonic-astatic, ataxic. Along with double hemiplegia, it is one of the rarest and most difficult forms of treatment.
Cerebral palsy: spastic diplegia
Cerebral palsy: spastic diplegia
Spastic diplegia is the most common form of cerebral palsy. It is diagnosed in 40% of patients, mainly in babies born prematurely. Disorders of the arms and legs are most characteristic of the disease, that is, tetraparesis is observed, but the legs suffer more than the hands
Knee joint arthrosis
Knee joint arthrosis
Knee joint arthrosis is a disease in which all joint elements suffer, but the most affected is a cartilage. This type of arthrosis is the most common disease. Another name for this is gonarthrosis.
Constant Fatigue: Causes and Solutions
Constant Fatigue: Causes and Solutions
Many women (especially aged) trat chronic fatigue safely, saying, it’s a normal, common situation. So it is in some cases. For example, if a person goes in physical labor.
Spinal muscular atrophy
Spinal muscular atrophy
Spinal muscle atrophy (SMA) is a severe neuromuscular disease caused by damage to motor neurons (motor neurons), which are located in the front horns of the spinal cord, as well as neurons of the motor nuclei in the brain stem.
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