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Quand la douleur se fait rebelle - Connaissance et Vie

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  • La douleur est qualifiée de chronique quand elle dure depuis des mois, voire de nombreuses années. Cette douleur, en devenant persistante, perd son intérêt de signal d’alarme. Par son caractère durable et rebelle au traitement, elle devient inutile et invalidante.
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  • 1 Ces vingt-cinq dernières années ont vu des progrès majeurs dans la connaissance de la douleur, de sa perception à son intégration cérébrale, ses mécanismes de modulation, avec des applications concrètes dans sa prise en charge. En particulier, les apports de l’imagerie cérébrale fonctionnelle ont permis de confirmer l’existence d’interconnexions complexes entre différentes

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  • La présence, avant l’opération, de douleur chronique ou rebelle, comme on le voit fréquemment dans le cas des lombalgies, entre en ligne de compte. De même que l’auto-prédiction de la douleur: «Une étude a révélé que les patientes exprimant, avant une chirurgie du sein, une plus grande inquiétude quant à la douleur, souffraient
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