Douleurs最新文献

{"title":"Douleurs testiculaires chroniques","authors":"Amélie Levesque","doi":"10.1016/j.douler.2024.10.013","DOIUrl":"10.1016/j.douler.2024.10.013","url":null,"abstract":"","PeriodicalId":53699,"journal":{"name":"Douleurs","volume":"26 1","pages":"Pages 50-51"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143132893","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Cannabis médical : quoi de neuf ?","authors":"Isabelle Nègre","doi":"10.1016/j.douler.2024.12.002","DOIUrl":"10.1016/j.douler.2024.12.002","url":null,"abstract":"<div><div>L’usage médical du cannabis est connu depuis des millénaires mais prohibé depuis le XX^e siècle dans de nombreux pays. Depuis les années 1990 environ, l’usage médical du cannabis s’est développé et a été légalisé dans de nombreux pays, bien qu’il soit toujours délicat de distinguer l’usage médical de l’usage récréatif. L’étude des multiples effets décrits ou constatés ont permis de mieux connaître le système endocannabinoïde (SEC). Cet article propose une revue de la littérature sur les effets et nouvelles connaissances concernant le SEC et les phytocannabinoïdes en usage médical.</div></div><div><div>The medical use of cannabis has been known for thousands of years but has been prohibited since the 20th century in many countries. Since around the 1990s, the medical use of cannabis has developed and been legalized in many countries, although it is still difficult to distinguish medical use from recreational use. The study of the multiple effects described or observed has allowed us to better understand the endocannabinoid system (ECS). This article provides a review of the literature on the effects and new knowledge concerning ECS and phytocannabinoids in medical use.</div></div>","PeriodicalId":53699,"journal":{"name":"Douleurs","volume":"26 1","pages":"Pages 21-29"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143132932","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Vulvodynies","authors":"Amélie Levesque","doi":"10.1016/j.douler.2024.12.003","DOIUrl":"10.1016/j.douler.2024.12.003","url":null,"abstract":"","PeriodicalId":53699,"journal":{"name":"Douleurs","volume":"26 1","pages":"Pages 44-45"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143132892","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Assessing the impact of a transdermal sinusoidal half-sine wave stimulation protocol on the pain sensitive C fiber activation","authors":"Antigoni Soufla ,&nbsp;Martin Schmelz ,&nbsp;Roman Rukwied ,&nbsp;Panagiotis Kokotis","doi":"10.1016/j.douler.2024.12.001","DOIUrl":"10.1016/j.douler.2024.12.001","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Background&lt;/h3&gt;&lt;div&gt;Small fiber neuropathy, a prevalent etiology of neuropathic pain, is characterized by axonal hyperexcitability and a large number of nociceptors. This study aims to evaluate the efficacy of a transcutaneous half-sinusoidal stimulation paradigm for the selective activation of mechano-sensitive C fibers in healthy human volunteers.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Methods&lt;/h3&gt;&lt;div&gt;Thirty healthy volunteers, aged 20–30 years, and older patients with neuropathy mean age 52 years were recruited between November 2019 and March 2020 at the Laboratory of Fine Fibers, Aeginition Hospital, Athens, Greece. Skin biopsies were taken from the midpoint of the forearm and 10&lt;!--&gt; &lt;!--&gt;cm above the lateral malleolus, and intra-epidermal nerve fiber density (IENFD) and bifurcation of nerve fibers (BIF) were measured.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;div&gt;Patients exhibited a heightened overall pain response compared to healthy participants for both sine wave stimuli (&lt;em&gt;P&lt;/em&gt; &lt;!--&gt;&lt;&lt;!--&gt; &lt;!--&gt;0.05) with patients demonstrating significantly higher pain scores than healthy controls. Multivariate regression analysis demonstrated that IENFD and disease status were independent predictors of pain intensity, controlling for potential confounding variables such as stimulus intensity, gender, anatomical site, and age. Subsequently, significant correlations were identified between BIF and pain perception, irrespective of gender.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Conclusions&lt;/h3&gt;&lt;div&gt;Skin biopsy and transdermal electrical stimulation are very promising available tools of diagnosing C fiber neuropathies and assessing neuropathic pain.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Contexte&lt;/h3&gt;&lt;div&gt;La neuropathie des petites fibres, une étiologie répandue de la douleur neuropathique, est caractérisée par une hyperexcitabilité axonale et un grand nombre de nocicepteurs. Cette étude vise à évaluer l’efficacité d’un paradigme de stimulation semi-sinusoïdale transcutanée pour l’activation sélective des fibres C mécanosensibles chez des volontaires humains sains.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Méthodes&lt;/h3&gt;&lt;div&gt;Trente volontaires sains, âgés de 20 à 30 ans, et des patients plus âgés atteints de neuropathie et dont l’âge moyen est de 52 ans, ont été recrutés entre novembre 2019 et mars 2020 au laboratoire des fibres fines, à l’hôpital Aeginition d’Athènes (Grèce). Des biopsies cutanées ont été prélevées au milieu de l’avant-bras et 10&lt;!--&gt; &lt;!--&gt;cm au-dessus de la malléole latérale, et la densité des fibres nerveuses intraépidermiques (IENFD) ainsi que la bifurcation des fibres nerveuses (BIF) ont été mesurées.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Résultats&lt;/h3&gt;&lt;div&gt;Les patients ont présenté une réponse globale à la douleur accrue par rapport aux participants sains pour les deux stimuli sinusoïdaux (&lt;em&gt;p&lt;/em&gt; &lt;!--&gt;&lt;&lt;!--&gt; &lt;!--&gt;0,05), les patients présentant des scores de douleur significativement plus élevés que les témoins sains. L’analyse de régression multivariée a démontré que l’IENFD et le statut de la maladie étaient des ","PeriodicalId":53699,"journal":{"name":"Douleurs","volume":"26 2","pages":"Pages 75-82"},"PeriodicalIF":0.0,"publicationDate":"2025-01-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143642479","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Acupuncture (auriculothérapie) et douleurs : questions posées au Docteur Cecilia Schmitt","authors":"","doi":"10.1016/j.douler.2024.09.004","DOIUrl":"10.1016/j.douler.2024.09.004","url":null,"abstract":"","PeriodicalId":53699,"journal":{"name":"Douleurs","volume":"25 5","pages":"Pages 319-321"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142700783","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Adolescents douloureux chroniques déscolarisés : l’hospitalisation Soins/Études « douleur »","authors":"Anne Tonelli","doi":"10.1016/j.douler.2024.08.003","DOIUrl":"10.1016/j.douler.2024.08.003","url":null,"abstract":"<div><div>Depuis 2011, le service de médecine interne pour adolescents de la Clinique FSEF Paris 16 accueille en hospitalisation des adolescents douloureux chroniques déscolarisés dans un projet Soins/Études axé sur l’évaluation et le traitement de leur douleur et la reprise de leur scolarité. La déscolarisation est un critère de gravité de la douleur chronique à l’adolescence. Le projet Soins/Études associe des techniques non médicamenteuses, des consultations avec un médecin de la douleur, des soins psychiques et une scolarité adaptée. Les indications principales sont les douleurs, avec ou sans pathologie organique, associées à une déscolarisation et un échec de suivi ambulatoire. Ces hospitalisations Soins/Études arrêtent un cercle vicieux fréquent : douleur, déscolarisation, désocialisation, ce qui donne la possibilité à l’adolescent de faire un pas de côté et de se décentrer de sa douleur.</div></div><div><div>Since 2011, the Internal Medicine Ward for Adolescents of the Clinique FSEF Paris 16 has admitted adolescents with chronic pain who dropped out of school to its Hospital School Program, which focuses on evaluating and treating their pain and returning them to school. Dropping out of school is a severity criterion for chronic pain in adolescence. The Hospital School Program uses drug-free techniques, medical consultation with a pain doctor, psychiatric care, and adapted schooling. The main indication for this program is chronic pain, with or without a physical condition, associated with school dropout and failed ambulatory pain management. These Hospital School stays stop the cycle of pain, school dropout and social deprivation, allowing the adolescent to take a step back and decenter their pain.</div></div>","PeriodicalId":53699,"journal":{"name":"Douleurs","volume":"25 5","pages":"Pages 281-286"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142700841","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Issue Contents","authors":"","doi":"10.1016/S1624-5687(24)00164-1","DOIUrl":"10.1016/S1624-5687(24)00164-1","url":null,"abstract":"","PeriodicalId":53699,"journal":{"name":"Douleurs","volume":"25 5","pages":"Pages e9-e10"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142700781","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Chauzy Jean-Christophe : la violence conjurée","authors":"","doi":"10.1016/j.douler.2024.10.004","DOIUrl":"10.1016/j.douler.2024.10.004","url":null,"abstract":"","PeriodicalId":53699,"journal":{"name":"Douleurs","volume":"25 5","pages":"Pages 329-332"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142700786","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Syndrome de Pancoast-tobias","authors":"Grégoire Oudot","doi":"10.1016/j.douler.2024.10.006","DOIUrl":"10.1016/j.douler.2024.10.006","url":null,"abstract":"","PeriodicalId":53699,"journal":{"name":"Douleurs","volume":"25 5","pages":"Pages 307-309"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142700779","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Dépistage des troubles posturaux en consultation douleur","authors":"Frédéric Jean François Viseux ,&nbsp;Emeline Wieckowski ,&nbsp;Maxime Billot","doi":"10.1016/j.douler.2024.09.008","DOIUrl":"10.1016/j.douler.2024.09.008","url":null,"abstract":"<div><div>L’optimisation des parcours de soin et de l’accompagnement des patients douloureux débute par une démarche évaluative singulière, permettant l’appréciation globale de la condition du patient. Défini par plusieurs paramètres anatomiques, biomécaniques et neurophysiologiques, la posture constitue ainsi un indicateur précis de santé. La posturologie permet d’appréhender l’étude du contrôle postural, en proposant des tests fonctionnels cliniques, statiques ou dynamiques. L’origine posturale des symptômes présentés par le patient doit être évoquée après élimination des pathologies communes et des pathologies susceptibles d’être graves ou de s’aggraver. Associées au pronostic de bonne récupération fonctionnelle et de participation sociale, l’identification puis l’évaluation des troubles de la posture permettraient d’apporter de nouveaux marqueurs cliniques à intégrer dans la prise en charge du patient douloureux. Une investigation clinique précise permet une stratégie thérapeutique au plus proche de l’étiologie des troubles posturaux et de la douleur. Dans ce contexte, le dépistage des troubles posturaux en consultation douleur apporte des perspectives dans la gestion des patients souffrant de douleur chronique, en complément de la prise en charge médicale.</div></div><div><div>Optimizing the treatment of patients with chronic pain begins with an evaluative approach, allowing an overall assessment of the patient's condition. Defined by several anatomical, biomechanical and neurophysiological parameters, posture thus constitutes a precise indicator of health. Posturology allows us to understand the study of postural control, by offering clinical, static or dynamic, functional tests. Associated with the prognosis of good functional recovery and social participation, the identification and then evaluation of posture disorders would make it possible to provide new clinical markers for the management of patients with chronic pain. A precise clinical investigation allows a therapeutic strategy as close as possible to the etiology of postural disorders and pain. In this context, postural disorders screening in pain consultation provides new perspectives in term of management and would help optimising therapeutic strategies by proposing a relevant and precise model of patients with painful condition.</div></div>","PeriodicalId":53699,"journal":{"name":"Douleurs","volume":"25 5","pages":"Pages 251-257"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142700780","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}