medsovetМедицинский СоветMeditsinskiy sovet = Medical Council2079-701X2658-5790REMEDIUM GROUP Ltd.10.21518/ms2025-524medsovet-9723Research ArticleТЕРАПИЯ БОЛИPAIN THERAPYВлияние радиочастотной денервации на тревожную и депрессивную симптоматику у пациентов с хронической неспецифической болью в шееThe effect of radiofrequency denervation on anxiety and depression symptoms in patients with chronic non-specific neck painhttps://orcid.org/0009-0002-7400-2570ГайдашМ. И.GaydashM. I.

Гайдаш Максим Игоревич, невролог, ассистент и аспирант кафедры нервных болезней Института клинической медицины имени Н.В. Склифосовского

119991, Москва, ул. Трубецкая, д. 8, стр. 2

Maksim I. Gaydash, Neurologist, Assistant, Postgraduate Student of the Department of Nervous Diseases, Sklifosovsky Institute of Clinical Medicine

8, Bldg. 2, Trubetskaya St., Moscow, 119991

gaydash_maksim@mail.ruhttps://orcid.org/0000-0002-6715-6021ЕвзиковГ. Ю.EvzikovG. Yu.

Евзиков Григорий Юльевич, д.м.н., профессор, заведующий кафедрой нейрохирургии Института клинической медицины имени Н.В. Склифосовского

119991, Москва, ул. Трубецкая, д. 8, стр. 2

Grigoriy Yu. Evzikov, Dr. Sci. (Med.), Professor, Head of the Department of Neurosurgery, Sklifosovsky Institute of Clinical Medicine

8, Bldg. 2, Trubetskaya St., Moscow, 119991

mmaevzikov@mail.ruhttps://orcid.org/0000-0002-1833-790XЗоновМ. Г.ZonovM. G.

Зонов Михаил Григорьевич, нейрохирург

119991, Москва, ул. Трубецкая, д. 8, стр. 2

Mikhail G. Zonov, Neurosurgeon

8, Bldg. 2, Trubetskaya St., Moscow, 119991

Mg.zonov@gmail.comhttps://orcid.org/0009-0005-9542-1880МорозовА. Е.MorozovA. E.

Морозов Александр Евгеньевич, студент Института клинической медицины имени Н.В. Склифосовского

119991, Москва, ул. Трубецкая, д. 8, стр. 2

Alexander E. Morozov, Student, Sklifosovsky Institute of Clinical Medicine

8, Bldg. 2, Trubetskaya St., Moscow, 119991

a.e.morozov@mail.ruПервый Московский государственный медицинский университет имени И.М. Сеченова (Сеченовский Университет)РоссияSechenov First Moscow State Medical University (Sechenov University)Russian Federation2025110120260228288Copyright © Гайдаш М.И., Евзиков Г.Ю., Зонов М.Г., Морозов А.Е., 20262026Гайдаш М.И., Евзиков Г.Ю., Зонов М.Г., Морозов А.Е.Gaydash M.I., Evzikov G.Y., Zonov M.G., Morozov A.E.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.med-sovet.pro/jour/article/view/9723Введение

Введение. Хроническая неспецифическая боль в шее (ХНБШ), или цервикалгия, часто вызвана поражением фасеточных суставов (ФС), при котором может быть эффективна радиочастотная денервация (РЧД). Мало изучены отдаленные результаты (в течение 6 мес.) применения РЧД на интенсивность боли и эмоциональные нарушения у пациентов с цервикалгией.

Цель

Цель. Оценить влияние РЧД ФС шейного отдела позвоночника на боль и тревожно-депрессивные симптомы у пациентов с ХНБШ в период 6 мес. наблюдения.

Материалы и методы

Материалы и методы. В исследовании участвовали 30 пациентов (21 женщина, 9 мужчин, средний возраст 63,7 ± 15,8 года) с хронической цервикалгией, вызванной поражением ФС, что было подтверждено положительной диагностической блокадой. Интенсивность боли оценивалась по числовой рейтинговой шкале (ЧРШ), симптомы тревоги и депрессии – с помощью госпитальной шкалы тревоги и депрессии (ГШТД) до РЧД, через 3 и 6 мес. после нее.

Результаты

Результаты. После РЧД интенсивность боли по ЧРШ снизилась с 7,5 до 2 баллов через 3 мес. и до 3,5 баллов через 6 мес. (p < 0,0001). Эффективность РЧД (снижение боли >50%) отмечена в 73% случаев через 3 мес. и в 57% случаев через 6 мес. По ГШТД медиана тревоги уменьшилась с 9 до 8 баллов через 3 мес. и до 7,5 баллов через 6 мес., а медианный показатель депрессии уменьшился с 7 до 6 баллов через 3 и 6 мес. Выявлена умеренная положительная корреляция между интенсивностью боли и симптомами тревоги (r = 0,525) и депрессии (r = 0,605) через 6 мес. после РЧД.

Заключение

Заключение. РЧД при вызванной поражением ФС цервикалгии приводит к снижению интенсивности боли, ослаблению симптомов тревоги и депрессии. Для улучшения результатов РЧД при цервикалгии, сопровождающейся эмоциональными нарушениями, требуются дальнейшие исследования по оценке комплексной программы лечения с использованием РЧД и терапии тревоги и депрессии.

Introduction

Introduction. Chronic non-specific neck pain (CNNP), or cervicalgia, is often caused by facet joint (FJ) pathology, for which radiofrequency denervation (RFD) can be an effective treatment. The long-term outcomes (over 6 months) of RFD on pain intensity and emotional distress in patients with cervicalgia remain understudied.

Aim

Aim. To assess the effect of cervical RFD on pain and anxiety-depressive symptoms in patients with CNNP over a 6-month follow-up period.

Materials and methods

Materials and methods. The study included 30 patients (21 women, 9 men, mean age 63.7±15.8 years) with chronic cervicalgia caused by FJ pathology, confirmed by a positive diagnostic block. Pain intensity was assessed using the Numerical Rating Scale (NRS), and symptoms of anxiety and depression were measured using the Hospital Anxiety and Depression Scale (HADS) before RFD, and at 3 and 6 months after the procedure.

Results

Results. Following RFD, pain intensity on the NRS decreased from 7.5 to 2 at 3 months and to 3.5 at 6 months (p < 0.0001). RFD efficacy (pain reduction >50%) was observed in 73% of cases at 3 months and in 57% at 6 months. According to the HADS, the median anxiety score decreased from 9 to 8 at 3 months and to 7.5 at 6 months, while the median depression score decreased from 7 to 6 at both 3 and 6 months. A moderate positive correlation was found between pain intensity and symptoms of anxiety (r = 0.525) and depression (r = 0.605) at 6 months after RFD.

Conclusion

Conclusion. RFD for facet joint-mediated cervicalgia leads to a reduction in pain intensity and an alleviation of anxiety and depression symptoms. To improve outcomes for cervicalgia accompanied by emotional disturbances, further research is needed to evaluate comprehensive treatment programs combining RFD with therapy for anxiety and depression.

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The authors declare that there are no conflicts of interest present.