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Gaydash M.I.

I.M. Sechenov First Moscow State Medical University (Sechenov University)

Evzikov G.Yu.

I.M. Sechenov First Moscow State Medical University (Sechenov University)

Zonov M.G.

I.M. Sechenov First Moscow State Medical University (Sechenov University)

Khizhniak V.V.

I.M. Sechenov First Moscow State Medical University (Sechenov University)

Shaykhalov M.A.

I.M. Sechenov First Moscow State Medical University (Sechenov University)

Sleep disturbance in patients with chronic nonspecific neck pain before and after radiofrequency denervation

Authors:

Gaydash M.I., Evzikov G.Yu., Zonov M.G., Khizhniak V.V., Shaykhalov M.A.

More about the authors

Journal: S.S. Korsakov Journal of Neurology and Psychiatry. 2025;125(5‑2): 87‑91

DOI: 10.17116/jnevro202512505287

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Table of contents

SLEEP DISTURBANCE IN PATIENTS WITH CHRONIC NONSPECIFIC NECK PAIN BEFORE AND AFTER RADIOFREQUENCY DENERVATION
SLEEP DISTURBANCE IN PATIENTS WITH CHRONIC NONSPECIFIC NECK PAIN BEFORE AND AFTER RADIOFREQUENCY DENERVATION

To cite this article:

Gaydash MI, Evzikov GYu, Zonov MG, Khizhniak VV, Shaykhalov MA. Sleep disturbance in patients with chronic nonspecific neck pain before and after radiofrequency denervation. S.S. Korsakov Journal of Neurology and Psychiatry. 2025;125(5‑2):87‑91. (In Russ.)
https://doi.org/10.17116/jnevro202512505287

Подписка 2026 Журнал неврологии и психиатрии им. С.С. Корсакова. Спецвыпуски (S.S. Korsakov Journal of Neurology and Psychiatry (special issues))
 
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Abstract:

OBJECTIVE

To study the severity of insomnia before and after radiofrequency denervation (RFD) in chronic nonspecific neck pain (CNNP).

MATERIAL AND METHODS

The study included 25 patients with CNNP (18 females and 7 males) aged 23 to 88, with a mean age of 63.7±16 years. Pain intensity was assessed using a Visual Analog Scale (VAS), and sleep quality was assessed using the Insomnia Severity Index (ISI) before and 3 months after RFD.

RESULTS

Chronic insomnia was diagnosed in the majority (18 of 25) of patients with CNNP, and in more than half (13 of 18), it preceded the occurrence of pain. Three months after RFD, the pain intensity according to VAS decreased from 7.1±1.1 to 3.2±2.7 points (p<0.001), the severity of insomnia decreased from 16.4±6.3 to 12.2±7.1 points (p<0.001). High ISI scores (14.6±3.4 points) 3 months after RFD were found in patients with sleep disorders preceding CNNP.

CONCLUSION

Most patients with CNNP have chronic insomnia. RFD provides a significant reduction in the severity of pain and, as a result, improves sleep quality. Normalization of sleep is less likely in the presence of insomnia before the development of cervical pain; in such cases, cognitive behavioral therapy (CBT) may be effective.

Keywords:

chronic nonspecific neck pain
radiofrequency denervation
chronic insomnia
cognitive behavioral therapy of insomnia

Authors:

Gaydash M.I.

I.M. Sechenov First Moscow State Medical University (Sechenov University)

Evzikov G.Yu.

I.M. Sechenov First Moscow State Medical University (Sechenov University)

Zonov M.G.

I.M. Sechenov First Moscow State Medical University (Sechenov University)

Khizhniak V.V.

I.M. Sechenov First Moscow State Medical University (Sechenov University)

Shaykhalov M.A.

I.M. Sechenov First Moscow State Medical University (Sechenov University)

Received:

17.02.2025

Accepted:

17.03.2025

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