Announcement

Collapse
No announcement yet.

Imagerie et effet nocebo

Collapse
X
  • Filter
  • Time
  • Show
Clear All
new posts

  • Imagerie et effet nocebo

    Indications à l’imagerie dans la lombalgie chez l’adulte


  • #2
    The Trouble with MRIs

    Comment


    • #3
      Résumé

      La lombalgie est une cause fréquente de consultation chez le médecin généraliste. En cas de lombalgie aiguë, seules les situations où l’on se trouve en présence de signaux d’alerte motivent la réalisation d’une imagerie. Cet article précise quels sont les éléments de la présentation clinique et des antécédents du patient considérés comme des signaux d’alerte et clarifie le type d’imagerie à effectuer le cas échéant. De plus, il décrit les contextes psycho-sociaux favorisant la chronicisation et qu’il est nécessaire d’identifier afin d’intervenir à bon escient. En cas de lombalgie qui se chronicise, les évidences scientifiques manquent à ce jour et les recommandations quant à l’utilité d’un bilan radiologique restent au niveau de l’avis d’expert. Un suivi clinique est essentiel.
      Attached Files

      Comment


      • #4
        Car Marc est trop laconique...
        https://www.bettermovement.org/blog/...and-my-brother

        A few weeks ago I went back East to visit family. One of the highlights of the trip was going to the U.S. Open with my brother Eric to watch some tennis. When we were growing up together we spent most of our summers playing tennis, and usually capped them off with a trip to the U.S. Open. Good times. John McEnroe, Ivan Lendl, Boris Becker. For some reason my brother’s favorite player was Gene Mayer. Anyone remember Gene? Anyway, my brother told me that his shoulder had been hurting for a few weeks and that he was considering going to the doctor to get an MRI. I immediately groaned and told him not to do that. I also called him a butthead. He said he wasn’t necessarily going to get surgery, but there was no harm in just finding out “what was going on inside the shoulder.”

        I said “oh yes there is potential harm”, and then I reminded him that I actually write a blog about pain, which makes me kind of a big deal on the subject. He didn't seem to care about that.

        Fair enough. My brother knows better than anyone that I’m just “some guy.” But I wanted him to understand that many doctors, even a doctor in a white coat with MRI results in his hands, is just “some guy” too...

        Comment

        Working...
        X