La lombalgie récurrente ou lombalgie chronique ?

Resume Le motif de consultation « LOMBALGIE » est extremement frequent. C’est un grand consommateur de temps, de delai de rendez-vous pour les malades, d’energie pour les professionnels impliques dans la douleur chronique. Nous recevons en consultation de nombreux patients pour lesquels, les connaissances recentes, a la fois de la physiologie discale et de l’equilibre sagittal du rachis, doivent nous permettre de les extraire du cadre trop global de « lombalgie chronique ». Cette plainte douloureuse, proteiforme et envahissante, est source d’erreurs de diagnostic et d’epuisement de la part des therapeutes. Or, avec l’aide d’un interrogatoire oriente et cible, d’un examen clinique rigoureux, on peut repondre assez aisement au patient. Nous mettrons en exergue les causes mecaniques les plus communes et en particulier 2 entites peu connues et source de solutions therapeutiques validees et pertinentes. Les causes traumatiques, inflammatoires (rhumatismales, infectieuses, tumorales…) ne sont pas l’objet de nos propos. Le passage a la chronicite ne concerne que 10 % des lombalgiques.

• Publication year

  2018

• Venue

  Douleurs : Évaluation - Diagnostic - Traitement

• Publication date

  2018-06-01

• Fields of study

  Not labeled

• Identifiers
  DOI 10.1016/J.DOULER.2018.05.001
• External record

  Open on Semantic Scholar

• Source metadata

  Semantic Scholar

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• No concepts are published for this paper.

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