References of "Lacroix, Jacqueline"
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See detailIndications des corticoides par voie peridurale dans les douleurs rachidiennes et radiculaires
Fontaine, Robert ULg; Tomasella, Marco ULg; Martin, Didier ULg et al

in Revue Médicale de Liège (2004), 59(10), 557-64

Back pain is very frequent in western countries and it represents a very high social cost. The treatment is based on five modalities: medication, physiotherapy, invasive technics, rehabilitation programs ... [more ▼]

Back pain is very frequent in western countries and it represents a very high social cost. The treatment is based on five modalities: medication, physiotherapy, invasive technics, rehabilitation programs and psycho-social approaches. Several treatments may be proposed simultaneously and introduced gradually. Steroid administration by epidural injection is frequently used in Belgium, even though no prospective randomised studies have shown a real benefit over the long term. The indications for epidural injection must be carefully chosen. These include subacute pain (less than six months) in the lower limbs despite a well observed medical treatment. Patients are invited to give informed consent; the technic must be performed in an appropriate environment by an experienced physician. The initial treatment of back pain is medical. This pathology is multifactorial and the relief of symptoms is often incomplete. The patient should be urged to feel responsible for and involved in his treatment. [less ▲]

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See detailPrise en charge de la douleur chronique en équipe pluridisciplinaire
Fontaine, Robert ULg; Fuchs, Sonia; Hardy, Régine ULg et al

in Revue Médicale de Liège (2004), 59(2), 81-88

Assessment of chronic pain is one of medicine's most difficult challenges. A structured and flexible multidisciplinary approach allows full characterisation of the various components of the pain syndrome ... [more ▼]

Assessment of chronic pain is one of medicine's most difficult challenges. A structured and flexible multidisciplinary approach allows full characterisation of the various components of the pain syndrome. This then allows the use of a rational combination of pharmacologic, physical, psychological, and surgical techniques. It is essential to gain the patient's confidence, collaboration, and compliance. Patients can better manage their situation when their needs are clarified and when care is oriented toward concrete therapeutic objectives. [less ▲]

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