A comprehensive approach to treatment and prevention in a day hospital setting

Along with outpatient and inpatient treatment, the provision of medical care in a day hospital (DH) is becoming increasingly popular. Recently, more and more patients with functional somatic disorders, such as recurrent pain syndrome (headache, abdominal pain, or back pain), have been seeking medical attention for examination and further treatment. If left untreated, these conditions can lead to chronic pain and significantly impact the quality of life. After our survey, we found that a large number of patients with dizziness and headaches had low levels of brain-derived neurotrophic factor (BDNF). Given the significant role of the BDNF in modulating neuroplastic processes, the decrease in its level that we have identified in our patients can probably be considered a metabolic marker of the presence of neurodegenerative processes in the brain tissue of patients with dizziness and headache. Significant differences in the percentage ratio were found in patients with different levels of plasma BDNF concentration, depending on the frequency of headache episodes. Approaches to the treatment and prevention of BDNF levels in the body in recurrent headache are described. The expediency of using both drug-based and non-drug-based treatment methods in a day hospital setting is substantiated, and these methods are described in detail in the recommendations for discharge from the day hospital.