Treatment of pain syndromes and autonomic dysfunction

Dysfunction of the autonomic nervous system

The autonomic nervous system of the person – this is a unique and complex structure of the nervous system, including the segmental level (the limbic system and reticular formation) and segmental level (the sympathetic and parasympathetic nervous system), which regulate most of the vital functions of the body.
Dysfunctions and disorders of the autonomic nervous system and have a wide variety of reasons, as well as different views on the interpretation of the diagnosis of the different schools of Neurology. There is in the post-diagnosis of “vegetative-vascular dystonia”, which is only used post-soviet schools of neurology and neurological considered by most of the world community is not quite correct.
Pathological conditions and complaints of patients with a diagnosis of vegetative-vascular dystonia may be reasons in various pathological conditions of the human body, such as hereditary diseases of the nervous system or postintoksikatsionnoe damage to the nervous system, hormonal disorders (diseases of the hypothalamic-pituitary, thyroid, adrenals, gonads ), cardiovascular disease, blood disorders, asthenic postinfectious states, state co-persistent chronic viral infection, but above all, the complaint and the state fall under the diagnosis of vegetative-vascular dystonia fall functional disorders of the nervous system, the state of chronic fatigue syndromes maladjustment in today’s tempo life, depression, anxiety and panic disorders, insomnia.
Given the above information it is clear that similar complaints can be at different somatic pathology, maladaptation syndrome or psycho-asthenic disorders, and methods of treatment for these pathologies will be completely different. If this is the somatic pathology (neurological, endocrine, cardiac, and other), the cure must be specific reasons for specific treatment regimens, not abstract diagnosis of vegetative-vascular dystonia. If the same causes in psychological dysfunction and maladjustment, then they should be treated forging lifestyle, schedule optimization robots and workloads, changing attitudes to stressful situations and changes in the usual way of thinking, if necessary, a psychologist or drug correction of psychological state of the patient. The clinical formulation of a working clinical diagnosis of dysfunction of the autonomic nervous system will be more correct and it should apply to those states that are not described in other nosology or diagnoses are similar in wording. Those states that do not have a specific somatic cause neurological shall not apply to the wording of autonomic dysfunction as an independent diagnosis.
The International Classification of Diseases revision 10, there are specific items relating to the diagnosis of dysfunction of the autonomic nervous system, encoded filed under Diseases of the nervous system and mental disorders.
The ICD-10 in the category of diseases of the nervous system accompanied by autonomic dysfunction: G90. Disorders of vegetative [autonomic] nervous system; G90.0 Idiopathic peripheral autonomic neuropathy; G90.1 Familial dysautonomia [Riley-Day]; G90.2 Horner’s syndrome; G31.2 Degeneration of nervous system due to alcohol – alcoholic cerebellar ataxia, degeneration, cerebral degeneration, encephalopathy; disorder vegetative [autonomic] nervous system caused by alcohol. There is also a neurological pathology, in which the vegetative disorders are minor and there are other more important symptoms of the pathology of the nervous system.
In ICD-10 rubric of mental and behavioral disorders are accompanied by autonomic dysfunction: F41.0 Panic disorder [episodic paroxysmal anxiety]; F32.0 Depressive episode mild; F43. Reaction to severe stress and adjustment disorders; F45.3 Somatoform dysfunction of the autonomic nervous system; F48.0 Neurasthenia; Sleep disorders F51 inorganic etiology.
The same group of autonomic dysfunction accompanying functional disorders related to the category M99.0 Segmental and somatic dysfunction. When autonomic dysfunction caused by somatic dysfunction can effectively help osteopathic methods as the primary method of treatment. When conditions related to the headings G and F in the ICD-10, osteopathy can be actively used as an auxiliary method to a neurologist or psychotherapist in treatment of autonomic dysfunction.
Thus the practitioner, excluding significant somatic pathology is not a neurological origin, can use diagnosis phrase “dysfunction of the autonomic nervous system” to clarify the nature and causes of (or an indication of neurological organic cause or an indication funktsianalnyh characteristics and causes, for example – on sympathadrenalic, vagoinsulyarnyh or mixed type, with vegetative-visceral, asthenic and asthenic-neurotic syndrome, the presence of insomnia or maladjustment syndrome) and more precisely prescribe treatment accordingly causes of the disease, and a diagnosis of vegetative-vascular dystonia is not quite accurate and correct should be out of use.