{"id":21058,"date":"2025-07-11T04:42:24","date_gmt":"2025-07-11T04:42:24","guid":{"rendered":"https:\/\/bobea.net\/?p=21058"},"modified":"2025-07-11T04:42:25","modified_gmt":"2025-07-11T04:42:25","slug":"dos-fragile-ou-operation-lavis-du-dr-martino","status":"publish","type":"post","link":"https:\/\/bobea.net\/index.php\/2025\/07\/11\/dos-fragile-ou-operation-lavis-du-dr-martino\/","title":{"rendered":"Dos fragile ou op\u00e9ration \u2013 L\u2019avis du Dr Martino"},"content":{"rendered":"\n<p>Intro\u00adduc\u00adtion<\/p>\n\n\n\n<p>Le mal de dos est l\u2019un des maux du si\u00e8\u00adcle, touchant toutes les g\u00e9n\u00e9ra\u00adtions et toutes les cat\u00e9\u00adgories sociales. Face \u00e0 une douleur per\u00adsis\u00adtante ou \u00e0 une patholo\u00adgie iden\u00adti\u00adfi\u00e9e, la ques\u00adtion se pose&nbsp;: faut-il priv\u00adil\u00e9gi\u00ader une prise en charge con\u00adser\u00adva\u00adtrice ou envis\u00adager une op\u00e9ra\u00adtion&nbsp;? Le Dr Mar\u00adti\u00adno, sp\u00e9\u00adcial\u00adiste en chirurgie orthop\u00e9dique et con\u00adsul\u00adtant pour Bob\u00e9a San\u00adt\u00e9, livre son exper\u00adtise et ses con\u00adseils pour mieux com\u00adpren\u00addre les enjeux, les risques et les solu\u00adtions adap\u00adt\u00e9es \u00e0 chaque sit\u00adu\u00ada\u00adtion.<\/p>\n\n\n\n<p>Com\u00adpren\u00addre le dos frag\u00adile<\/p>\n\n\n\n<p>Un \u201cdos frag\u00adile\u201d d\u00e9signe une colonne vert\u00e9brale sujette \u00e0 des douleurs r\u00e9cur\u00adrentes, \u00e0 des blocages ou \u00e0 des \u00e9pisodes de lom\u00adbal\u00adgie, sou\u00advent sans l\u00e9sion majeure vis\u00adi\u00adble \u00e0 l\u2019imagerie. Les caus\u00ades sont mul\u00adti\u00adples&nbsp;:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Fac\u00adteurs m\u00e9caniques<\/strong>&nbsp;: mau\u00advaise pos\u00adture, port de charges, gestes r\u00e9p\u00e9ti\u00adtifs.<\/li>\n\n\n\n<li><strong>Fac\u00adteurs d\u00e9g\u00e9n\u00e9rat\u00adifs<\/strong>&nbsp;: vieil\u00adlisse\u00adment, arthrose, usure des dis\u00adques inter\u00advert\u00e9braux.<\/li>\n\n\n\n<li><strong>Fac\u00adteurs psy\u00adchoso\u00adci\u00adaux<\/strong>&nbsp;: stress, anx\u00adi\u00e9t\u00e9, s\u00e9den\u00adtar\u00adit\u00e9.<\/li>\n<\/ul>\n\n\n\n<p>Le Dr Mar\u00adti\u00adno insiste&nbsp;: \u201cDans la majorit\u00e9 des cas, un dos frag\u00adile n\u2019est pas syn\u00adonyme de mal\u00adadie grave. La pr\u00e9ven\u00adtion et la r\u00e9\u00e9\u00add\u00adu\u00adca\u00adtion sont les cl\u00e9s.\u201d<\/p>\n\n\n\n<p>Quand faut-il s\u2019inqui\u00e9ter\u202f?<\/p>\n\n\n\n<p>Cer\u00adtains signes doivent alert\u00ader et jus\u00adti\u00adfi\u00ader un avis m\u00e9di\u00adcal rapi\u00adde&nbsp;:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Douleur intense et per\u00adsis\u00adtante, non soulag\u00e9e par le repos.<\/li>\n\n\n\n<li>Irra\u00addi\u00ada\u00adtions dans la jambe, signes de sci\u00ada\u00adtique ou de cru\u00adral\u00adgie.<\/li>\n\n\n\n<li>Perte de force, trou\u00adbles de la sen\u00adsi\u00adbil\u00adit\u00e9, dif\u00adfi\u00adcult\u00e9s \u00e0 marcher.<\/li>\n\n\n\n<li>Trou\u00adbles sphinc\u00adt\u00e9riens (incon\u00adti\u00adnence).<\/li>\n<\/ul>\n\n\n\n<p>Dans ces cas, des exa\u00adm\u00adens com\u00adpl\u00e9\u00admen\u00adtaires (IRM, scan\u00adner) sont n\u00e9ces\u00adsaires pour rechercher une hernie dis\u00adcale, une st\u00e9nose ou une patholo\u00adgie plus grave.<\/p>\n\n\n\n<p>Traite\u00adments con\u00adser\u00adva\u00adteurs&nbsp;: la pre\u00admi\u00e8re option<\/p>\n\n\n\n<p>Pour la grande majorit\u00e9 des patients, la chirurgie n\u2019est pas indiqu\u00e9e. Le Dr Mar\u00adti\u00adno recom\u00admande&nbsp;:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>R\u00e9\u00e9\u00add\u00adu\u00adca\u00adtion fonc\u00adtion\u00adnelle<\/strong>&nbsp;: kin\u00e9sith\u00e9rapie, exer\u00adci\u00adces de ren\u00adforce\u00adment, \u00e9tire\u00adments.<\/li>\n\n\n\n<li><strong>Adap\u00adta\u00adtion du poste de tra\u00advail<\/strong>&nbsp;: ergonomie, paus\u00ades r\u00e9guli\u00e8res, ajuste\u00adment du mobili\u00ader.<\/li>\n\n\n\n<li><strong>Perte de poids et activ\u00adit\u00e9 physique<\/strong>&nbsp;: la marche, la nata\u00adtion, le yoga sont b\u00e9n\u00e9\u00adfiques.<\/li>\n\n\n\n<li><strong>Ges\u00adtion du stress<\/strong>&nbsp;: relax\u00adation, sophrolo\u00adgie, accom\u00adpa\u00adg\u00adne\u00adment psy\u00adchologique si besoin.<\/li>\n<\/ul>\n\n\n\n<p>Les m\u00e9dica\u00adments (antalgiques, anti-inflam\u00adma\u00adtoires) doivent \u00eatre util\u00adis\u00e9s avec parci\u00admonie et sur de cour\u00adtes p\u00e9ri\u00adodes.<\/p>\n\n\n\n<p>Quand envis\u00adager l\u2019op\u00e9ration&nbsp;?<\/p>\n\n\n\n<p>La chirurgie du dos reste excep\u00adtion\u00adnelle et r\u00e9serv\u00e9e \u00e0 des sit\u00adu\u00ada\u00adtions bien pr\u00e9\u00adcis\u00ades&nbsp;:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Hernie dis\u00adcale com\u00adpres\u00adsive r\u00e9sis\u00adtante au traite\u00adment m\u00e9di\u00adcal.<\/li>\n\n\n\n<li>Canal lom\u00adbaire \u00e9troit avec reten\u00adtisse\u00adment neu\u00adrologique.<\/li>\n\n\n\n<li>Insta\u00adbil\u00adit\u00e9 majeure de la colonne, frac\u00adture ou tumeur.<\/li>\n<\/ul>\n\n\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"683\" src=\"https:\/\/bobea.net\/wp-content\/uploads\/2025\/07\/la-chirurgie-du-dos-a-beaucoup-evolue-avec-le-temps-elle-est-desormais-moins-lourde-plus-efficace-et-plus-securisee-illustration-adobe-stock-1632473803-1024x683.jpg\" alt class=\"wp-image-21060\" srcset=\"https:\/\/bobea.net\/wp-content\/uploads\/2025\/07\/la-chirurgie-du-dos-a-beaucoup-evolue-avec-le-temps-elle-est-desormais-moins-lourde-plus-efficace-et-plus-securisee-illustration-adobe-stock-1632473803-1024x683.jpg 1024w, https:\/\/bobea.net\/wp-content\/uploads\/2025\/07\/la-chirurgie-du-dos-a-beaucoup-evolue-avec-le-temps-elle-est-desormais-moins-lourde-plus-efficace-et-plus-securisee-illustration-adobe-stock-1632473803-300x200.jpg 300w, https:\/\/bobea.net\/wp-content\/uploads\/2025\/07\/la-chirurgie-du-dos-a-beaucoup-evolue-avec-le-temps-elle-est-desormais-moins-lourde-plus-efficace-et-plus-securisee-illustration-adobe-stock-1632473803-768x512.jpg 768w, https:\/\/bobea.net\/wp-content\/uploads\/2025\/07\/la-chirurgie-du-dos-a-beaucoup-evolue-avec-le-temps-elle-est-desormais-moins-lourde-plus-efficace-et-plus-securisee-illustration-adobe-stock-1632473803-1536x1024.jpg 1536w, https:\/\/bobea.net\/wp-content\/uploads\/2025\/07\/la-chirurgie-du-dos-a-beaucoup-evolue-avec-le-temps-elle-est-desormais-moins-lourde-plus-efficace-et-plus-securisee-illustration-adobe-stock-1632473803.jpg 1600w\" sizes=\"(max-width: 1024px) 100vw, 1024px\"><\/figure>\n\n\n\n<p>Le Dr Mar\u00adti\u00adno pr\u00e9\u00adcise&nbsp;: \u201cL\u2019op\u00e9ration n\u2019est jamais anodine. Elle doit \u00eatre d\u00e9cid\u00e9e en con\u00adcer\u00adta\u00adtion, apr\u00e8s \u00e9chec des traite\u00adments con\u00adser\u00adva\u00adteurs, et sur la base d\u2019un bilan com\u00adplet.\u201d<\/p>\n\n\n\n<p>Les risques et les suites d\u2019une op\u00e9ra\u00adtion<\/p>\n\n\n\n<p>Comme toute inter\u00adven\u00adtion, la chirurgie du dos com\u00adporte des risques&nbsp;: infec\u00adtion, h\u00e9matome, per\u00adsis\u00adtance ou aggra\u00adva\u00adtion des douleurs, com\u00adpli\u00adca\u00adtions neu\u00adrologiques. La r\u00e9\u00e9\u00add\u00adu\u00adca\u00adtion post-op\u00e9ra\u00adtoire est essen\u00adtielle pour opti\u00admiser les r\u00e9sul\u00adtats et pr\u00e9venir les r\u00e9cidives.<\/p>\n\n\n\n<p>Pr\u00e9venir plut\u00f4t que gu\u00e9rir<\/p>\n\n\n\n<p>Le mes\u00adsage du Dr Mar\u00adti\u00adno est clair&nbsp;: \u201cLa meilleure op\u00e9ra\u00adtion, c\u2019est sou\u00advent celle qu\u2019on \u00e9vite.\u201d Il encour\u00adage \u00e0 adopter une hygi\u00e8ne de vie active, \u00e0 \u00e9couter son corps et \u00e0 con\u00adsul\u00adter en cas de doute. Les nou\u00advelles approches, comme la chirurgie mini-inva\u00adsive ou la prise en charge pluridis\u00adci\u00adplinaire, offrent des per\u00adspec\u00adtives encour\u00adageantes, mais la pr\u00e9ven\u00adtion reste la meilleure arme con\u00adtre le mal de dos.<\/p>\n\n\n\n<p>Con\u00adclu\u00adsion<\/p>\n\n\n\n<p>Dos frag\u00adile ou op\u00e9ra\u00adtion&nbsp;? La d\u00e9ci\u00adsion d\u00e9pend de chaque patient, de la grav\u00adit\u00e9 des symp\u00adt\u00f4mes et de l\u2019\u00e9chec ou non des traite\u00adments con\u00adser\u00adva\u00adteurs. L\u2019avis du sp\u00e9\u00adcial\u00adiste, la con\u00adcer\u00adta\u00adtion et l\u2019information sont essen\u00adtiels pour choisir la solu\u00adtion la plus adap\u00adt\u00e9e. Bob\u00e9a San\u00adt\u00e9 Expert con\u00adtin\u00aduera de vous accom\u00adpa\u00adg\u00adn\u00ader pour pr\u00e9serv\u00ader votre dos et votre bien-\u00eatre au quo\u00adti\u00addi\u00aden.<\/p>\n\n\n\n<p><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Intro\u00adduc\u00adtion Le mal de dos est l\u2019un des maux du si\u00e8\u00adcle, touchant toutes les g\u00e9n\u00e9ra\u00adtions et toutes les cat\u00e9\u00adgories sociales. Face \u00e0 une douleur per\u00adsis\u00adtante ou \u00e0 une patholo\u00adgie iden\u00adti\u00adfi\u00e9e,\u2026 <\/p>\n","protected":false},"author":1,"featured_media":21061,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"wp_typography_post_enhancements_disabled":false,"footnotes":""},"categories":[73],"tags":[],"class_list":["post-21058","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-on-en-parle"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v24.7 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Dos fragile ou op\u00e9ration \u2013 L\u2019avis du Dr Martino - Bobea<\/title>\n<meta name=\"description\" content=\"Dos fragile ou op\u00e9ration\u202f? 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