Quel est le traitement de première intention de la spondylose cervicale ?
La spondylose cervicale est une affection dégénérative du rachis cervical. L'objectif clinique principal de la prise en charge est le soulagement des douleurs cervicales.
Prise en charge de première intention
La prise en charge de première intention est conservative, centrée sur un programme de kinésithérapie multimodal et adapté au patient, associé à des analgésiques si nécessaire.
Le protocole structuré complet — comprenant les composantes du programme, leur séquencement et l'algorithme clinique complet — est disponible dans le protocole intégral.
DOI: 10.1093/rap/rkaf127
First-line management is usually conservative, in the form of physical therapies.
The first line management of mechanical neck pain and cervical spondylosis is conservative, usually in the form of physical therapies and analgesia as required.
Clinical practice guidelines as well as systematic reviews, not surprisingly, confirm the superiority of a multimodal approach.
They range from support, empathy and education to methods to achieve pain relief, training of neuromuscular and sensorimotor function as well as self-management strategies and strategies for maintenance and lessening/preventing recurrent episodes into the future.
Pain relief is understandably the goal of many patients when seeking treatment and the primary outcome of most clinical trials.
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