Reference : Indications des corticoides par voie peridurale dans les douleurs rachidiennes et radicu...
Scientific journals : Article
Human health sciences : Surgery
http://hdl.handle.net/2268/7240
Indications des corticoides par voie peridurale dans les douleurs rachidiennes et radiculaires
French
[en] Indications for Epidural Steroids in Back Pain and in Radiculopathy
Fontaine, Robert mailto [Centre Hospitalier Universitaire de Liège - CHU > > Anesthésie et réanimation >]
Tomasella, Marco mailto [Centre Hospitalier Universitaire de Liège - CHU > > Médecine de l'appareil locomoteur >]
Martin, Didier mailto [Université de Liège - ULg > Département des sciences cliniques > Neurochirurgie]
Lacroix, Jacqueline [Centre Hospitalier Universitaire de Liège - CHU > > Anesthésie et réanimation >]
Lecart, M. P. [> > > >]
Libbrecht, Dominique mailto [Centre Hospitalier Universitaire de Liège - CHU > > Anesthésie et réanimation >]
Faymonville, Marie-Elisabeth mailto [Université de Liège - ULg > Services généraux (Faculté de médecine) > Relations académiques et scientifiques (Médecine) >]
Oct-2004
Revue Médicale de Liège
59
10
557-64
No
International
0370-629X
[en] 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.
http://hdl.handle.net/2268/7240

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