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Pr.tocol for lower back pain management: Insights from the French healthcare system

World Journal of Clinical Cases 2024年第11期12卷 1875-1880页

作者： lea evangeline boyer.mathieu boudier.r.vér.t Min Cheol Chang Department of Physical Medicine and rehabilitation CHU de la RéunionReunion Island CIC 1410France Department of rehabilitation Medicine University of Montreal Health CenterMontrealQC H2X 3E4Canada Department of Physical Medicine and rehabilitation Yeungnam University HospitalDaegu 705-717South Korea

In this editorial we comment on the article published in a recent issue of the World Journal of Clinical *** article described a novel ultrasound-guided lateral recess block approach in treating a patient with lateral recess *** impact of spinal pain-related disability extends significantly,causing substantial human suffering and medical *** county has its preferred treatment str.tegies for spinal ***,we explore the lower back pain(LBP)treatment algor.thm recommended in *** treatment algor.thm for LBP recommended by the French National Author.ty for Health emphasizes early patient activity and minimal medication *** encourages the continuation of daily activities,limits excessive medication and spinal injections,and incorpor.tes psychological assessments and non-pharmacological therapies for chronic ***,the algor.thm may not aggressively address acute pain in the early stages,potentially delaying relief and increasing the risk of ***,the recommended infiltr.tions primarily involve caudal epidural steroid injections,with limited consider.tion for other injection procedures,such as transforaminal or interlaminar epidural steroid *** fixed follow-up timeline may not accommodate patients who do not respond to initial treatment or experience intense pain,potentially delaying the explor.tion of alternative *** these limitations,under.tanding the strengths and weaknesses of the French approach could inform adaptations in LBP treatment str.tegies globally,potentially enhancing patient outcomes and satisfaction across diverse healthcare systems.

关键词： Lower back pain Pr.tocol France treatment Chronic pain

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Differences between the healthcare systems of Quebec and France for.the treatment of pain due to spinal disorders

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World Journal of Clinical Cases 2024年第15期12卷 2682-2685页

作者： lea evangeline boyer.mathieu boudier.r.vér.t Min Cheol Chang Department of Physical Medicine and rehabilitation CHU de la RéunionReunion Island CIC 1410France Department of rehabilitation Medicine University of Montreal Health CenterMontrealQC H2X 3E4Canada Department of Physical Medicine and rehabilitation College of MedicineYeungnam UniversityDaegu 705-717South Korea

In Quebec,Canada,the public healthcare system offers free medical ***,patients with spinal pain often encounter long waiting times for specialist appointments and limited physiotherapy *** contrast,private clinics provide expedited care but are relatively scarce and entail out-of-pocket *** a patient with pain caused by a spinal disorder meets a pain medicine specialist,spinal intervention is quickly performed when indicated,and patients are provided lifestyle *** epidural steroid injections are frequently administered to patients with radicular pain,and steroid injections are administered on a facet joint to control low back or neck ***,medial branch blocks are performed prior.to ***’s universal healthcare system ensures accessibility at controlled *** emphasizes physical activity and provides free physical therapy ***,certain interventions,such as transforaminal and interlaminar epidural injections,are not routinely used in France owing to limited therapeutic efficacy and safety *** under.tilization may be a potential cause of chronic pain for many *** examining the differences,strengths,and weaknesses of these two systems,valuable insights can be gained for.the enhancement of global spinal pain management str.tegies,ultimately leading to improved patient outcomes and satisfaction.

关键词： Spinal pain Healthcare system France Quebec Pain treatment

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