{"id":28567,"date":"2026-10-16T15:39:16","date_gmt":"2026-10-16T15:39:16","guid":{"rendered":"https:\/\/coulinmedical.com\/?page_id=28567"},"modified":"2026-10-16T15:39:49","modified_gmt":"2026-10-16T15:39:49","slug":"traitement-medicamenteux-douleur","status":"publish","type":"page","link":"https:\/\/coulinmedical.com\/en\/traitement-medicamenteux-douleur\/","title":{"rendered":"TRAITEMENT M\u00c9DICAMENTEUX DE LA DOULEUR"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"28567\" class=\"elementor elementor-28567\" data-elementor-post-type=\"page\">\n\t\t\t\t<div class=\"elementor-element elementor-element-14c72c0 e-grid e-con-boxed e-con e-parent\" data-id=\"14c72c0\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-dc6fc58 elementor-widget-mobile__width-initial elementor-widget elementor-widget-heading\" data-id=\"dc6fc58\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h1 class=\"elementor-heading-title elementor-size-default\">Traitements m\u00e9dicamenteux de la douleur<\/h1>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-404f408 elementor-nav-menu__align-center elementor-nav-menu--dropdown-none elementor-widget-mobile__width-inherit home-page-3-buttons elementor-fixed elementor-widget elementor-widget-nav-menu\" data-id=\"404f408\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;sticky&quot;:&quot;top&quot;,&quot;_position&quot;:&quot;fixed&quot;,&quot;layout&quot;:&quot;horizontal&quot;,&quot;submenu_icon&quot;:{&quot;value&quot;:&quot;&lt;svg aria-hidden=\\&quot;true\\&quot; 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Selon la situation, ils peuvent comprendre des <strong>antalgiques, des anti-inflammatoires ou des traitements locaux<\/strong>. Ils s\u2019inscrivent g\u00e9n\u00e9ralement dans une approche plus large, <strong>avec des mesures non m\u00e9dicamenteuses.<\/strong><\/p><p>Le choix d\u00e9pend des sympt\u00f4mes, de l\u2019examen clinique, des l\u00e9sions observ\u00e9es, de leur \u00e9volution, des traitements d\u00e9j\u00e0 essay\u00e9s et des objectifs du patient. Un m\u00e9dicament adapt\u00e9 \u00e0 une personne peut \u00eatre d\u00e9conseill\u00e9 \u00e0 une autre : la d\u00e9cision tient aussi compte des ant\u00e9c\u00e9dents, des autres traitements et des risques individuels.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t<div class=\"elementor-element elementor-element-f44e654 e-grid e-con-full e-con e-parent\" data-id=\"f44e654\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-7d4697f elementor-hidden-desktop elementor-hidden-tablet elementor-widget-divider--view-line elementor-widget elementor-widget-divider\" data-id=\"7d4697f\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"divider.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-divider\">\n\t\t\t<span class=\"elementor-divider-separator\">\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-cda79dd e-con-full e-flex e-con e-child\" data-id=\"cda79dd\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-6bad02e elementor-widget__width-initial elementor-hidden-desktop elementor-hidden-tablet elementor-hidden-mobile elementor-widget elementor-widget-heading\" data-id=\"6bad02e\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">COMPRENDRE LA CHIRURGIE DU LIGAMENT CROIS\u00c9 ANT\u00c9RIEUR<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-4d52101 e-grid e-con-full e-con e-parent\" data-id=\"4d52101\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t<div class=\"elementor-element elementor-element-16465eb e-con-full e-flex e-con e-child\" data-id=\"16465eb\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-87edf16 elementor-hidden-desktop elementor-hidden-tablet elementor-widget-divider--view-line elementor-widget elementor-widget-divider\" data-id=\"87edf16\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"divider.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-divider\">\n\t\t\t<span class=\"elementor-divider-separator\">\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-e5ceea2 elementor-widget elementor-widget-image\" data-id=\"e5ceea2\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img fetchpriority=\"high\" decoding=\"async\" width=\"2560\" height=\"1440\" src=\"https:\/\/coulinmedical.com\/wp-content\/uploads\/2026\/10\/traitements-medicamenteux-douleur-indications-scaled.webp\" class=\"attachment-full size-full wp-image-28578\" alt=\"Femme descendant prudemment des marches en raison d\u2019une g\u00eane au genou.\" srcset=\"https:\/\/coulinmedical.com\/wp-content\/uploads\/2026\/10\/traitements-medicamenteux-douleur-indications-scaled.webp 2560w, https:\/\/coulinmedical.com\/wp-content\/uploads\/2026\/10\/traitements-medicamenteux-douleur-indications-400x225.webp 400w, https:\/\/coulinmedical.com\/wp-content\/uploads\/2026\/10\/traitements-medicamenteux-douleur-indications-1300x731.webp 1300w, https:\/\/coulinmedical.com\/wp-content\/uploads\/2026\/10\/traitements-medicamenteux-douleur-indications-768x432.webp 768w, https:\/\/coulinmedical.com\/wp-content\/uploads\/2026\/10\/traitements-medicamenteux-douleur-indications-1536x864.webp 1536w, https:\/\/coulinmedical.com\/wp-content\/uploads\/2026\/10\/traitements-medicamenteux-douleur-indications-2048x1152.webp 2048w, https:\/\/coulinmedical.com\/wp-content\/uploads\/2026\/10\/traitements-medicamenteux-douleur-indications-18x10.webp 18w\" sizes=\"(max-width: 2560px) 100vw, 2560px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-abd889e e-con-full e-flex e-con e-child\" data-id=\"abd889e\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-6c34a81 elementor-widget elementor-widget-heading\" data-id=\"6c34a81\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Quand envisager un traitement m\u00e9dicamenteux ?<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-a7229b9 elementor-widget elementor-widget-text-editor\" data-id=\"a7229b9\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Un traitement m\u00e9dicamenteux peut \u00eatre discut\u00e9 lorsque la douleur limite les activit\u00e9s, le sommeil ou le mouvement. Il s\u2019envisage en fonction du diagnostic et de la situation m\u00e9dicale, et non \u00e0 partir d\u2019une image d\u2019examen seule. Pour l\u2019arthrose du genou, les recommandations pr\u00e9conisent notamment d\u2019envisager un AINS (anti-inflammatoires non st\u00e9ro\u00efdiens) topique. Les traitements oraux n\u00e9cessitent une appr\u00e9ciation individuelle de leurs b\u00e9n\u00e9fices et de leurs risques.<\/p><p>\u00a0<\/p><ul><li><strong>Douleur qui g\u00eane les activit\u00e9s<\/strong> : Un traitement peut \u00eatre envisag\u00e9 lorsque la douleur limite la marche, les gestes quotidiens ou le repos.<\/li><li><strong>P\u00e9riode de sympt\u00f4mes plus marqu\u00e9s<\/strong> : Si la douleur augmente ou change, le m\u00e9decin peut r\u00e9\u00e9valuer la situation et discuter d\u2019une option adapt\u00e9e.<\/li><li><strong>Soutien \u00e0 une prise en charge globale<\/strong> : Un soulagement peut faciliter le maintien du mouvement ou la participation \u00e0 un programme de physioth\u00e9rapie, lorsque celui-ci est indiqu\u00e9.<\/li><li><strong>Besoin d\u2019une strat\u00e9gie personnalis\u00e9e<\/strong> : Les ant\u00e9c\u00e9dents, les autres m\u00e9dicaments, les risques et les pr\u00e9f\u00e9rences du patient orientent le choix.<\/li><\/ul><p>\u00a0<\/p><p>Un m\u00e9dicament peut \u00eatre inutile, devoir \u00eatre \u00e9vit\u00e9 ou \u00eatre report\u00e9 en cas d\u2019allergie, d\u2019interaction possible, de maladie associ\u00e9e ou de diagnostic incertain. Les AINS ne conviennent pas \u00e0 tout le monde ; certaines maladies et certains traitements concomitants peuvent modifier leur profil de risque.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-9dc57dd e-con-full e-flex e-con e-parent\" data-id=\"9dc57dd\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t<div class=\"elementor-element elementor-element-09fb0b9 e-con-full e-flex e-con e-child\" data-id=\"09fb0b9\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-e32d70f elementor-widget elementor-widget-heading\" data-id=\"e32d70f\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Pr\u00e9parer la consultation<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-cd07fd9 elementor-widget elementor-widget-text-editor\" data-id=\"cd07fd9\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Avant le rendez-vous, notez les situations o\u00f9 la douleur appara\u00eet, les activit\u00e9s qu\u2019elle limite et les traitements d\u00e9j\u00e0 essay\u00e9s. Pensez \u00e0 apporter la liste de vos m\u00e9dicaments et \u00e0 signaler vos allergies et vos ant\u00e9c\u00e9dents m\u00e9dicaux.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-ac7a92f e-con-full e-grid e-con e-child\" data-id=\"ac7a92f\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t<div class=\"elementor-element elementor-element-84ebc77 e-con-full e-flex e-con e-child\" data-id=\"84ebc77\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-2c3ca10 elementor-widget elementor-widget-heading\" data-id=\"2c3ca10\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">D\u00e9crire la douleur<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-7ef4334 elementor-widget elementor-widget-text-editor\" data-id=\"7ef4334\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Pr\u00e9cisez depuis quand elle est pr\u00e9sente, o\u00f9 elle se situe et ce qui l\u2019aggrave ou la soulage.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-ed0fa5b e-con-full e-flex e-con e-child\" data-id=\"ed0fa5b\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-691533d elementor-widget elementor-widget-heading\" data-id=\"691533d\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Faire le point sur les traitements d\u00e9j\u00e0 essay\u00e9s<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-453acde elementor-widget elementor-widget-text-editor\" data-id=\"453acde\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Indiquez les m\u00e9dicaments ou autres approches utilis\u00e9s, leur effet et les difficult\u00e9s \u00e9ventuellement rencontr\u00e9es.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-adf8056 e-con-full e-flex e-con e-child\" data-id=\"adf8056\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-62e25ca elementor-widget elementor-widget-heading\" data-id=\"62e25ca\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Signaler les informations importantes<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-871b4cc elementor-widget elementor-widget-text-editor\" data-id=\"871b4cc\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Mentionnez vos allergies, maladies connues, m\u00e9dicaments en cours et compl\u00e9ments alimentaires. Ces \u00e9l\u00e9ments peuvent modifier le choix du traitement.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-6f6ba51 e-con-full e-flex e-con e-child\" data-id=\"6f6ba51\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-96b1e21 elementor-widget elementor-widget-heading\" data-id=\"96b1e21\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Pr\u00e9parer vos questions et vos objectifs<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-324fb48 elementor-widget elementor-widget-text-editor\" data-id=\"324fb48\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Vous pouvez expliquer les activit\u00e9s que vous souhaitez faciliter et les questions que vous vous posez sur les b\u00e9n\u00e9fices, les limites ou les risques du traitement. Aucun je\u00fbne ni pr\u00e9paration particuli\u00e8re n\u2019est g\u00e9n\u00e9ralement n\u00e9cessaire pour cette consultation.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-a5ec2b5 e-grid e-con-full e-con e-parent\" data-id=\"a5ec2b5\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t<div class=\"elementor-element elementor-element-92e6614 e-con-full e-flex e-con e-child\" data-id=\"92e6614\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-77b77e8 elementor-widget elementor-widget-image\" data-id=\"77b77e8\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" width=\"2560\" height=\"1440\" src=\"https:\/\/coulinmedical.com\/wp-content\/uploads\/2026\/10\/traitements-medicamenteux-douleur-preparation-scaled.webp\" class=\"attachment-full size-full wp-image-28581\" alt=\"Femme assise chez elle, posant la main sur son genou.\" srcset=\"https:\/\/coulinmedical.com\/wp-content\/uploads\/2026\/10\/traitements-medicamenteux-douleur-preparation-scaled.webp 2560w, https:\/\/coulinmedical.com\/wp-content\/uploads\/2026\/10\/traitements-medicamenteux-douleur-preparation-400x225.webp 400w, https:\/\/coulinmedical.com\/wp-content\/uploads\/2026\/10\/traitements-medicamenteux-douleur-preparation-1300x731.webp 1300w, https:\/\/coulinmedical.com\/wp-content\/uploads\/2026\/10\/traitements-medicamenteux-douleur-preparation-768x432.webp 768w, https:\/\/coulinmedical.com\/wp-content\/uploads\/2026\/10\/traitements-medicamenteux-douleur-preparation-1536x864.webp 1536w, https:\/\/coulinmedical.com\/wp-content\/uploads\/2026\/10\/traitements-medicamenteux-douleur-preparation-2048x1152.webp 2048w, https:\/\/coulinmedical.com\/wp-content\/uploads\/2026\/10\/traitements-medicamenteux-douleur-preparation-18x10.webp 18w\" sizes=\"(max-width: 2560px) 100vw, 2560px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-ae5bad5 e-con-full e-flex e-con e-child\" data-id=\"ae5bad5\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-673ffd0 elementor-widget elementor-widget-heading\" data-id=\"673ffd0\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Comment le traitement est-il choisi et suivi ?<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-73de5f4 elementor-widget elementor-widget-text-editor\" data-id=\"73de5f4\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>\u00c0 partir des informations recueillies et de l\u2019examen clinique, le m\u00e9decin d\u00e9termine si un m\u00e9dicament peut \u00eatre utile. Il en discute avec le patient, puis \u00e9value son effet et sa tol\u00e9rance pour d\u00e9cider de la suite.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-261f3c1 elementor-widget elementor-widget-n-accordion\" data-id=\"261f3c1\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;default_state&quot;:&quot;all_collapsed&quot;,&quot;max_items_expended&quot;:&quot;one&quot;,&quot;n_accordion_animation_duration&quot;:{&quot;unit&quot;:&quot;ms&quot;,&quot;size&quot;:400,&quot;sizes&quot;:[]}}\" data-widget_type=\"nested-accordion.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"e-n-accordion\" aria-label=\"Accordion. Open links with Enter or Space, close with Escape, and navigate with Arrow Keys\">\n\t\t\t\t\t\t<details id=\"e-n-accordion-item-3990\" class=\"e-n-accordion-item\" >\n\t\t\t\t<summary class=\"e-n-accordion-item-title\" data-accordion-index=\"1\" tabindex=\"0\" aria-expanded=\"false\" aria-controls=\"e-n-accordion-item-3990\" >\n\t\t\t\t\t<span class='e-n-accordion-item-title-header'><div class=\"e-n-accordion-item-title-text\"> \u00c9valuer la situation <\/div><\/span>\n\t\t\t\t\t\t\t<span class='e-n-accordion-item-title-icon'>\n\t\t\t<span class='e-opened' ><i aria-hidden=\"true\" class=\"icon icon-minus\"><\/i><\/span>\n\t\t\t<span class='e-closed'><i aria-hidden=\"true\" class=\"icon icon-plus\"><\/i><\/span>\n\t\t<\/span>\n\n\t\t\t\t\t\t<\/summary>\n\t\t\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-3990\" class=\"elementor-element elementor-element-8edb0cb e-con-full e-flex e-con e-child\" data-id=\"8edb0cb\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-3990\" class=\"elementor-element elementor-element-5db27e0 e-flex e-con-boxed e-con e-child\" data-id=\"5db27e0\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-b93bd58 elementor-widget elementor-widget-text-editor\" data-id=\"b93bd58\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Le m\u00e9decin examine l\u2019articulation et les mouvements concern\u00e9s. Il peut demander des examens compl\u00e9mentaires s\u2019ils sont utiles pour pr\u00e9ciser le diagnostic ou orienter la prise en charge.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/details>\n\t\t\t\t\t\t<details id=\"e-n-accordion-item-3991\" class=\"e-n-accordion-item\" >\n\t\t\t\t<summary class=\"e-n-accordion-item-title\" data-accordion-index=\"2\" tabindex=\"-1\" aria-expanded=\"false\" aria-controls=\"e-n-accordion-item-3991\" >\n\t\t\t\t\t<span class='e-n-accordion-item-title-header'><div class=\"e-n-accordion-item-title-text\"> D\u00e9terminer si un m\u00e9dicament est indiqu\u00e9 <\/div><\/span>\n\t\t\t\t\t\t\t<span class='e-n-accordion-item-title-icon'>\n\t\t\t<span class='e-opened' ><i aria-hidden=\"true\" class=\"icon icon-minus\"><\/i><\/span>\n\t\t\t<span class='e-closed'><i aria-hidden=\"true\" class=\"icon icon-plus\"><\/i><\/span>\n\t\t<\/span>\n\n\t\t\t\t\t\t<\/summary>\n\t\t\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-3991\" class=\"elementor-element elementor-element-5895d42 e-con-full e-flex e-con e-child\" data-id=\"5895d42\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-4a78252 elementor-widget elementor-widget-text-editor\" data-id=\"4a78252\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Le choix d\u00e9pend de la cause de la douleur, de son retentissement et des traitements d\u00e9j\u00e0 essay\u00e9s. Un m\u00e9dicament n\u2019est pas syst\u00e9matiquement n\u00e9cessaire.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/details>\n\t\t\t\t\t\t<details id=\"e-n-accordion-item-3992\" class=\"e-n-accordion-item\" >\n\t\t\t\t<summary class=\"e-n-accordion-item-title\" data-accordion-index=\"3\" tabindex=\"-1\" aria-expanded=\"false\" aria-controls=\"e-n-accordion-item-3992\" >\n\t\t\t\t\t<span class='e-n-accordion-item-title-header'><div class=\"e-n-accordion-item-title-text\"> Choisir une option adapt\u00e9e <\/div><\/span>\n\t\t\t\t\t\t\t<span class='e-n-accordion-item-title-icon'>\n\t\t\t<span class='e-opened' ><i aria-hidden=\"true\" class=\"icon icon-minus\"><\/i><\/span>\n\t\t\t<span class='e-closed'><i aria-hidden=\"true\" class=\"icon icon-plus\"><\/i><\/span>\n\t\t<\/span>\n\n\t\t\t\t\t\t<\/summary>\n\t\t\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-3992\" class=\"elementor-element elementor-element-0376965 e-con-full e-flex e-con e-child\" data-id=\"0376965\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-267d95a elementor-widget elementor-widget-text-editor\" data-id=\"267d95a\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Selon la situation, le m\u00e9decin peut discuter d\u2019un antalgique, d\u2019un anti-inflammatoire local ou oral, ou d\u2019une autre approche. Pour l\u2019arthrose du genou, les recommandations NICE proposent notamment d\u2019envisager un anti-inflammatoire topique. Le choix d\u2019un traitement oral n\u00e9cessite une \u00e9valuation individuelle de ses risques.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/details>\n\t\t\t\t\t\t<details id=\"e-n-accordion-item-3993\" class=\"e-n-accordion-item\" >\n\t\t\t\t<summary class=\"e-n-accordion-item-title\" data-accordion-index=\"4\" tabindex=\"-1\" aria-expanded=\"false\" aria-controls=\"e-n-accordion-item-3993\" >\n\t\t\t\t\t<span class='e-n-accordion-item-title-header'><div class=\"e-n-accordion-item-title-text\"> Observer l\u2019effet et la tol\u00e9rance <\/div><\/span>\n\t\t\t\t\t\t\t<span class='e-n-accordion-item-title-icon'>\n\t\t\t<span class='e-opened' ><i aria-hidden=\"true\" class=\"icon icon-minus\"><\/i><\/span>\n\t\t\t<span class='e-closed'><i aria-hidden=\"true\" class=\"icon icon-plus\"><\/i><\/span>\n\t\t<\/span>\n\n\t\t\t\t\t\t<\/summary>\n\t\t\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-3993\" class=\"elementor-element elementor-element-31a7c6b e-flex e-con-boxed e-con e-child\" data-id=\"31a7c6b\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-dc592f6 elementor-widget elementor-widget-text-editor\" data-id=\"dc592f6\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Le patient et le m\u00e9decin r\u00e9\u00e9valuent l\u2019\u00e9volution de la douleur, les activit\u00e9s quotidiennes et les \u00e9ventuels effets ind\u00e9sirables.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/details>\n\t\t\t\t\t\t<details id=\"e-n-accordion-item-3994\" class=\"e-n-accordion-item\" >\n\t\t\t\t<summary class=\"e-n-accordion-item-title\" data-accordion-index=\"5\" tabindex=\"-1\" aria-expanded=\"false\" aria-controls=\"e-n-accordion-item-3994\" >\n\t\t\t\t\t<span class='e-n-accordion-item-title-header'><div class=\"e-n-accordion-item-title-text\"> D\u00e9cider de la suite <\/div><\/span>\n\t\t\t\t\t\t\t<span class='e-n-accordion-item-title-icon'>\n\t\t\t<span class='e-opened' ><i aria-hidden=\"true\" class=\"icon icon-minus\"><\/i><\/span>\n\t\t\t<span class='e-closed'><i aria-hidden=\"true\" class=\"icon icon-plus\"><\/i><\/span>\n\t\t<\/span>\n\n\t\t\t\t\t\t<\/summary>\n\t\t\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-3994\" class=\"elementor-element elementor-element-0106252 e-flex e-con-boxed e-con e-child\" data-id=\"0106252\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-dca8614 elementor-widget elementor-widget-text-editor\" data-id=\"dca8614\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Selon cette \u00e9volution, le traitement peut \u00eatre poursuivi, modifi\u00e9 ou arr\u00eat\u00e9 sur avis m\u00e9dical. Si la douleur persiste ou change, le m\u00e9decin peut r\u00e9examiner le diagnostic et les autres options possibles.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/details>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-d932b91 elementor-widget elementor-widget-text-editor\" data-id=\"d932b91\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Le traitement est r\u00e9\u00e9valu\u00e9 en fonction du soulagement obtenu, de la tol\u00e9rance et des objectifs du patient.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-4c33e9a e-grid e-con-full e-con e-parent\" data-id=\"4c33e9a\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t<div class=\"elementor-element elementor-element-4d22fe8 e-con-full e-flex e-con e-child\" data-id=\"4d22fe8\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-212e688 elementor-widget elementor-widget-heading\" data-id=\"212e688\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Quelles options m\u00e9dicamenteuses peuvent \u00eatre discut\u00e9es ?<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-d163419 elementor-widget elementor-widget-text-editor\" data-id=\"d163419\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Plusieurs types de m\u00e9dicaments peuvent \u00eatre envisag\u00e9s pour soulager une douleur du genou ou de la hanche. Le choix d\u00e9pend de son origine, de son intensit\u00e9, des ant\u00e9c\u00e9dents m\u00e9dicaux et des autres traitements pris.<\/p><p>Les m\u00e9dicaments s\u2019inscrivent g\u00e9n\u00e9ralement dans une prise en charge plus large. Pour l\u2019arthrose, ils peuvent accompagner les mesures non m\u00e9dicamenteuses et l\u2019activit\u00e9 physique adapt\u00e9e, sans s\u2019y substituer.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-1935cd9 elementor-widget elementor-widget-n-accordion\" data-id=\"1935cd9\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;default_state&quot;:&quot;all_collapsed&quot;,&quot;max_items_expended&quot;:&quot;one&quot;,&quot;n_accordion_animation_duration&quot;:{&quot;unit&quot;:&quot;ms&quot;,&quot;size&quot;:400,&quot;sizes&quot;:[]}}\" data-widget_type=\"nested-accordion.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"e-n-accordion\" aria-label=\"Accordion. Open links with Enter or Space, close with Escape, and navigate with Arrow Keys\">\n\t\t\t\t\t\t<details id=\"e-n-accordion-item-2640\" class=\"e-n-accordion-item\" >\n\t\t\t\t<summary class=\"e-n-accordion-item-title\" data-accordion-index=\"1\" tabindex=\"0\" aria-expanded=\"false\" aria-controls=\"e-n-accordion-item-2640\" >\n\t\t\t\t\t<span class='e-n-accordion-item-title-header'><div class=\"e-n-accordion-item-title-text\"> Les antalgiques <\/div><\/span>\n\t\t\t\t\t\t\t<span class='e-n-accordion-item-title-icon'>\n\t\t\t<span class='e-opened' ><i aria-hidden=\"true\" class=\"icon icon-minus\"><\/i><\/span>\n\t\t\t<span class='e-closed'><i aria-hidden=\"true\" class=\"icon icon-plus\"><\/i><\/span>\n\t\t<\/span>\n\n\t\t\t\t\t\t<\/summary>\n\t\t\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-2640\" class=\"elementor-element elementor-element-52c8065 e-con-full e-flex e-con e-child\" data-id=\"52c8065\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-2640\" class=\"elementor-element elementor-element-738d254 e-flex e-con-boxed e-con e-child\" data-id=\"738d254\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-f92d1c9 elementor-widget elementor-widget-text-editor\" data-id=\"f92d1c9\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Les antalgiques visent \u00e0 diminuer la perception de la douleur. Leur int\u00e9r\u00eat varie selon la situation. Le choix du m\u00e9dicament et ses modalit\u00e9s d\u2019utilisation doivent \u00eatre discut\u00e9s avec un professionnel de sant\u00e9.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/details>\n\t\t\t\t\t\t<details id=\"e-n-accordion-item-2641\" class=\"e-n-accordion-item\" >\n\t\t\t\t<summary class=\"e-n-accordion-item-title\" data-accordion-index=\"2\" tabindex=\"-1\" aria-expanded=\"false\" aria-controls=\"e-n-accordion-item-2641\" >\n\t\t\t\t\t<span class='e-n-accordion-item-title-header'><div class=\"e-n-accordion-item-title-text\"> Les anti-inflammatoires locaux <\/div><\/span>\n\t\t\t\t\t\t\t<span class='e-n-accordion-item-title-icon'>\n\t\t\t<span class='e-opened' ><i aria-hidden=\"true\" class=\"icon icon-minus\"><\/i><\/span>\n\t\t\t<span class='e-closed'><i aria-hidden=\"true\" class=\"icon icon-plus\"><\/i><\/span>\n\t\t<\/span>\n\n\t\t\t\t\t\t<\/summary>\n\t\t\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-2641\" class=\"elementor-element elementor-element-f0cc119 e-con-full e-flex e-con e-child\" data-id=\"f0cc119\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-cad70bb elementor-widget elementor-widget-text-editor\" data-id=\"cad70bb\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Les AINS appliqu\u00e9s sur la peau peuvent \u00eatre envisag\u00e9s pour certaines douleurs, notamment au genou. M\u00eame appliqu\u00e9s localement, ils n\u00e9cessitent de respecter les consignes et de v\u00e9rifier qu\u2019ils conviennent au patient.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/details>\n\t\t\t\t\t\t<details id=\"e-n-accordion-item-2642\" class=\"e-n-accordion-item\" >\n\t\t\t\t<summary class=\"e-n-accordion-item-title\" data-accordion-index=\"3\" tabindex=\"-1\" aria-expanded=\"false\" aria-controls=\"e-n-accordion-item-2642\" >\n\t\t\t\t\t<span class='e-n-accordion-item-title-header'><div class=\"e-n-accordion-item-title-text\"> Les anti-inflammatoires par voie orale <\/div><\/span>\n\t\t\t\t\t\t\t<span class='e-n-accordion-item-title-icon'>\n\t\t\t<span class='e-opened' ><i aria-hidden=\"true\" class=\"icon icon-minus\"><\/i><\/span>\n\t\t\t<span class='e-closed'><i aria-hidden=\"true\" class=\"icon icon-plus\"><\/i><\/span>\n\t\t<\/span>\n\n\t\t\t\t\t\t<\/summary>\n\t\t\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-2642\" class=\"elementor-element elementor-element-8840717 e-con-full e-flex e-con e-child\" data-id=\"8840717\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-e1c5a9b elementor-widget elementor-widget-text-editor\" data-id=\"e1c5a9b\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Un AINS oral peut \u00eatre discut\u00e9 dans certaines situations, apr\u00e8s \u00e9valuation des b\u00e9n\u00e9fices attendus et des risques. Les ant\u00e9c\u00e9dents digestifs, cardiovasculaires ou r\u00e9naux, les allergies et les interactions avec d\u2019autres m\u00e9dicaments sont notamment pris en compte.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/details>\n\t\t\t\t\t\t<details id=\"e-n-accordion-item-2643\" class=\"e-n-accordion-item\" >\n\t\t\t\t<summary class=\"e-n-accordion-item-title\" data-accordion-index=\"4\" tabindex=\"-1\" aria-expanded=\"false\" aria-controls=\"e-n-accordion-item-2643\" >\n\t\t\t\t\t<span class='e-n-accordion-item-title-header'><div class=\"e-n-accordion-item-title-text\"> L\u2019association avec d\u2019autres mesures <\/div><\/span>\n\t\t\t\t\t\t\t<span class='e-n-accordion-item-title-icon'>\n\t\t\t<span class='e-opened' ><i aria-hidden=\"true\" class=\"icon icon-minus\"><\/i><\/span>\n\t\t\t<span class='e-closed'><i aria-hidden=\"true\" class=\"icon icon-plus\"><\/i><\/span>\n\t\t<\/span>\n\n\t\t\t\t\t\t<\/summary>\n\t\t\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-2643\" class=\"elementor-element elementor-element-97b7f30 e-flex e-con-boxed e-con e-child\" data-id=\"97b7f30\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-97a9db2 elementor-widget elementor-widget-text-editor\" data-id=\"97a9db2\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Un traitement m\u00e9dicamenteux peut accompagner une adaptation des activit\u00e9s ou un programme de physioth\u00e9rapie lorsque cela est indiqu\u00e9. Si la douleur persiste, d\u2019autres options non chirurgicales peuvent \u00eatre discut\u00e9es apr\u00e8s r\u00e9\u00e9valuation du diagnostic.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/details>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-9a98687 elementor-widget elementor-widget-text-editor\" data-id=\"9a98687\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Le traitement est choisi selon la situation du patient et peut \u00eatre r\u00e9\u00e9valu\u00e9 si son effet ou sa tol\u00e9rance ne sont pas satisfaisants.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-61f3849 e-con-full e-flex e-con e-child\" data-id=\"61f3849\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-fee1bfd elementor-hidden-desktop elementor-hidden-tablet elementor-widget-divider--view-line elementor-widget elementor-widget-divider\" data-id=\"fee1bfd\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"divider.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-divider\">\n\t\t\t<span class=\"elementor-divider-separator\">\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-fe86703 elementor-widget elementor-widget-image\" data-id=\"fe86703\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" width=\"2560\" height=\"1440\" src=\"https:\/\/coulinmedical.com\/wp-content\/uploads\/2026\/10\/traitements-medicamenteux-douleur-reprise-activites-scaled.webp\" class=\"attachment-full size-full wp-image-28582\" alt=\"\" srcset=\"https:\/\/coulinmedical.com\/wp-content\/uploads\/2026\/10\/traitements-medicamenteux-douleur-reprise-activites-scaled.webp 2560w, https:\/\/coulinmedical.com\/wp-content\/uploads\/2026\/10\/traitements-medicamenteux-douleur-reprise-activites-400x225.webp 400w, https:\/\/coulinmedical.com\/wp-content\/uploads\/2026\/10\/traitements-medicamenteux-douleur-reprise-activites-1300x731.webp 1300w, https:\/\/coulinmedical.com\/wp-content\/uploads\/2026\/10\/traitements-medicamenteux-douleur-reprise-activites-768x432.webp 768w, https:\/\/coulinmedical.com\/wp-content\/uploads\/2026\/10\/traitements-medicamenteux-douleur-reprise-activites-1536x864.webp 1536w, https:\/\/coulinmedical.com\/wp-content\/uploads\/2026\/10\/traitements-medicamenteux-douleur-reprise-activites-2048x1152.webp 2048w, https:\/\/coulinmedical.com\/wp-content\/uploads\/2026\/10\/traitements-medicamenteux-douleur-reprise-activites-18x10.webp 18w\" sizes=\"(max-width: 2560px) 100vw, 2560px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-ef058c7 e-con-full e-flex e-con e-parent\" data-id=\"ef058c7\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t<div class=\"elementor-element elementor-element-e19cff2 e-con-full e-flex e-con e-child\" data-id=\"e19cff2\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-51df04c elementor-widget__width-initial elementor-widget elementor-widget-heading\" data-id=\"51df04c\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Apr\u00e8s le d\u00e9but du traitement : les premi\u00e8res \u00e9tapes<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-43729a9 elementor-widget elementor-widget-text-editor\" data-id=\"43729a9\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Apr\u00e8s la consultation, le m\u00e9dicament est utilis\u00e9 selon les indications donn\u00e9es par le prescripteur ou le pharmacien. Il est utile d\u2019observer l\u2019\u00e9volution de la douleur et son retentissement sur les activit\u00e9s, sans modifier soi-m\u00eame le traitement.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-a6038b2 e-con-full e-grid e-con e-child\" data-id=\"a6038b2\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t<div class=\"elementor-element elementor-element-a1d46e6 e-con-full e-flex e-con e-child\" data-id=\"a1d46e6\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-88b9f45 elementor-widget elementor-widget-heading\" data-id=\"88b9f45\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">R\u00e9actions possibles<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-56697c3 elementor-widget elementor-widget-text-editor\" data-id=\"56697c3\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Les effets ind\u00e9sirables d\u00e9pendent du m\u00e9dicament. Un traitement local peut irriter la peau ; certains m\u00e9dicaments pris par voie orale peuvent entra\u00eener des effets g\u00e9n\u00e9raux. Ces r\u00e9actions ne surviennent pas syst\u00e9matiquement. Demandez conseil si un effet inhabituel ou pr\u00e9occupant appara\u00eet.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-6a9f58d e-con-full e-flex e-con e-child\" data-id=\"6a9f58d\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-90afccf elementor-widget elementor-widget-heading\" data-id=\"90afccf\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Activit\u00e9s et pr\u00e9cautions<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-219134e elementor-widget elementor-widget-text-editor\" data-id=\"219134e\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>La marche, le travail et le sport s\u2019adaptent \u00e0 la douleur et \u00e0 sa cause. Le soulagement ne signifie pas n\u00e9cessairement que l\u2019articulation est pr\u00eate \u00e0 reprendre toutes les activit\u00e9s. Avant d\u2019associer un autre m\u00e9dicament, v\u00e9rifiez sa compatibilit\u00e9 avec un m\u00e9decin ou un pharmacien.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-aec14a9 e-con-full e-flex e-con e-child\" data-id=\"aec14a9\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-40306f2 elementor-widget elementor-widget-heading\" data-id=\"40306f2\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Surveillance et contr\u00f4le<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-c0b3f55 elementor-widget elementor-widget-text-editor\" data-id=\"c0b3f55\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Si la douleur s\u2019aggrave, si un effet ind\u00e9sirable appara\u00eet ou si le traitement ne semble pas aider, contactez un professionnel de sant\u00e9. Le suivi permet de faire le point sur les sympt\u00f4mes, la fonction et la tol\u00e9rance, puis de d\u00e9cider si la strat\u00e9gie doit \u00eatre adapt\u00e9e.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-06c9f14 e-grid e-con-full e-con e-parent\" data-id=\"06c9f14\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t<div class=\"elementor-element elementor-element-01eb791 e-con-full e-flex e-con e-child\" data-id=\"01eb791\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-0dfc96f elementor-widget elementor-widget-heading\" data-id=\"0dfc96f\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Suivi et reprise des activit\u00e9s<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-571f7c0 elementor-widget elementor-widget-text-editor\" data-id=\"571f7c0\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Le suivi porte sur l\u2019\u00e9volution de la douleur, la mobilit\u00e9 et la tol\u00e9rance du traitement. L\u2019objectif est de pr\u00e9server un mouvement adapt\u00e9 et de v\u00e9rifier que la prise en charge reste coh\u00e9rente avec le diagnostic.<\/p><p>\u00a0<\/p><p>Selon la situation, la physioth\u00e9rapie peut contribuer \u00e0 travailler la mobilit\u00e9, le renforcement musculaire ou le contr\u00f4le du mouvement. Les exercices et leur progression sont adapt\u00e9s aux sympt\u00f4mes et aux capacit\u00e9s du patient.<\/p><p>\u00a0<\/p><p>La marche, les escaliers, la conduite et le travail peuvent \u00eatre poursuivis ou adapt\u00e9s selon la g\u00eane ressentie. Si une activit\u00e9 augmente nettement la douleur ou si les sympt\u00f4mes changent, il est utile d\u2019en parler au m\u00e9decin.<\/p><p>\u00a0<\/p><p>La reprise du sport se fait progressivement, selon l\u2019\u00e9volution des sympt\u00f4mes, la mobilit\u00e9 et la force. Elle peut n\u00e9cessiter un avis m\u00e9dical, notamment si la douleur persiste ou si le diagnostic le justifie.<\/p><p>\u00a0<\/p><p><strong>Le traitement accompagne une reprise adapt\u00e9e des activit\u00e9s ; il ne doit pas servir \u00e0 forcer malgr\u00e9 la douleur.<\/strong><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-c029554 e-con-full e-flex e-con e-child\" data-id=\"c029554\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-16cfa8d elementor-widget elementor-widget-image\" data-id=\"16cfa8d\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"2560\" height=\"1440\" src=\"https:\/\/coulinmedical.com\/wp-content\/uploads\/2026\/10\/traitements-medicamenteux-douleur-options-scaled.webp\" class=\"attachment-full size-full wp-image-28580\" alt=\"Homme r\u00e9alisant un \u00e9tirement doux chez lui.\" srcset=\"https:\/\/coulinmedical.com\/wp-content\/uploads\/2026\/10\/traitements-medicamenteux-douleur-options-scaled.webp 2560w, https:\/\/coulinmedical.com\/wp-content\/uploads\/2026\/10\/traitements-medicamenteux-douleur-options-400x225.webp 400w, https:\/\/coulinmedical.com\/wp-content\/uploads\/2026\/10\/traitements-medicamenteux-douleur-options-1300x731.webp 1300w, https:\/\/coulinmedical.com\/wp-content\/uploads\/2026\/10\/traitements-medicamenteux-douleur-options-768x432.webp 768w, https:\/\/coulinmedical.com\/wp-content\/uploads\/2026\/10\/traitements-medicamenteux-douleur-options-1536x864.webp 1536w, https:\/\/coulinmedical.com\/wp-content\/uploads\/2026\/10\/traitements-medicamenteux-douleur-options-2048x1152.webp 2048w, https:\/\/coulinmedical.com\/wp-content\/uploads\/2026\/10\/traitements-medicamenteux-douleur-options-18x10.webp 18w\" sizes=\"(max-width: 2560px) 100vw, 2560px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-cf4bc90 e-con-full e-flex e-con e-parent\" data-id=\"cf4bc90\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t<div class=\"elementor-element elementor-element-d5ffdca e-con-full e-flex e-con e-child\" data-id=\"d5ffdca\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-0a497c0 elementor-widget__width-initial elementor-widget elementor-widget-heading\" data-id=\"0a497c0\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">R\u00c9SULTATS ATTENDUS, LIMITES ET RISQUES<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-9fc0bb2 elementor-widget elementor-widget-text-editor\" data-id=\"9fc0bb2\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p><strong>Le traitement est choisi pour rechercher un soulagement utile tout en tenant compte des risques propres \u00e0 chaque patient.<\/strong><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-8efc3bc e-con-full e-grid e-con e-child\" data-id=\"8efc3bc\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t<div class=\"elementor-element elementor-element-3f90405 e-con-full e-flex e-con e-child\" data-id=\"3f90405\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-538464b elementor-widget elementor-widget-heading\" data-id=\"538464b\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">OBJECTIFS ET R\u00c9SULTATS ATTENDUS<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-4309ff8 elementor-widget elementor-widget-text-editor\" data-id=\"4309ff8\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Le traitement vise \u00e0 soulager la douleur et \u00e0 faciliter certaines activit\u00e9s du quotidien. Son effet et le d\u00e9lai d\u2019am\u00e9lioration d\u00e9pendent du m\u00e9dicament, de la cause des sympt\u00f4mes et de la r\u00e9ponse individuelle. Un soulagement complet ou durable ne peut pas \u00eatre garanti.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-118146d e-con-full e-flex e-con e-child\" data-id=\"118146d\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-0a21e24 elementor-widget elementor-widget-heading\" data-id=\"0a21e24\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Limites<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-b6f0219 elementor-widget elementor-widget-text-editor\" data-id=\"b6f0219\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Un m\u00e9dicament peut r\u00e9duire les sympt\u00f4mes sans corriger leur cause. Il ne r\u00e9pare pas n\u00e9cessairement une structure articulaire alt\u00e9r\u00e9e et ne garantit pas d\u2019\u00e9viter une autre prise en charge ou une chirurgie ult\u00e9rieure. Si la douleur persiste, le diagnostic et les options disponibles peuvent \u00eatre r\u00e9\u00e9valu\u00e9s.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-4d0d969 e-con-full e-flex e-con e-child\" data-id=\"4d0d969\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-c08f156 elementor-widget elementor-widget-heading\" data-id=\"c08f156\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Risques et complications<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-25ecc9f elementor-widget elementor-widget-text-editor\" data-id=\"25ecc9f\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Les effets possibles d\u00e9pendent du m\u00e9dicament et de la situation m\u00e9dicale. Certains AINS peuvent \u00eatre d\u00e9conseill\u00e9s en pr\u00e9sence de maladies ou d\u2019ant\u00e9c\u00e9dents particuliers, ou interagir avec d\u2019autres traitements. Les produits appliqu\u00e9s sur la peau peuvent aussi provoquer une irritation. Le choix doit tenir compte des b\u00e9n\u00e9fices attendus, des risques et des contre-indications.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-4a1039d e-grid e-con-full e-con e-parent\" data-id=\"4a1039d\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t<div class=\"elementor-element elementor-element-b63b325 e-con-full e-flex e-con e-child\" data-id=\"b63b325\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-6e4aa36 elementor-hidden-desktop elementor-hidden-tablet elementor-widget-divider--view-line elementor-widget elementor-widget-divider\" data-id=\"6e4aa36\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"divider.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-divider\">\n\t\t\t<span class=\"elementor-divider-separator\">\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-df4a596 elementor-widget elementor-widget-image\" data-id=\"df4a596\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"2560\" height=\"1440\" src=\"https:\/\/coulinmedical.com\/wp-content\/uploads\/2026\/10\/traitements-medicamenteux-douleur-prise-en-charge-scaled.webp\" class=\"attachment-full size-full wp-image-28589\" alt=\"\" srcset=\"https:\/\/coulinmedical.com\/wp-content\/uploads\/2026\/10\/traitements-medicamenteux-douleur-prise-en-charge-scaled.webp 2560w, https:\/\/coulinmedical.com\/wp-content\/uploads\/2026\/10\/traitements-medicamenteux-douleur-prise-en-charge-400x225.webp 400w, https:\/\/coulinmedical.com\/wp-content\/uploads\/2026\/10\/traitements-medicamenteux-douleur-prise-en-charge-1300x731.webp 1300w, https:\/\/coulinmedical.com\/wp-content\/uploads\/2026\/10\/traitements-medicamenteux-douleur-prise-en-charge-768x432.webp 768w, https:\/\/coulinmedical.com\/wp-content\/uploads\/2026\/10\/traitements-medicamenteux-douleur-prise-en-charge-1536x864.webp 1536w, https:\/\/coulinmedical.com\/wp-content\/uploads\/2026\/10\/traitements-medicamenteux-douleur-prise-en-charge-2048x1152.webp 2048w, https:\/\/coulinmedical.com\/wp-content\/uploads\/2026\/10\/traitements-medicamenteux-douleur-prise-en-charge-18x10.webp 18w\" sizes=\"(max-width: 2560px) 100vw, 2560px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-262260f e-con-full e-flex e-con e-child\" data-id=\"262260f\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-cbbb5e8 elementor-widget elementor-widget-heading\" data-id=\"cbbb5e8\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">UNE INTERVENTION ADAPT\u00c9E \u00c0 CHAQUE PATIENT<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-3d8d3cb elementor-widget elementor-widget-text-editor\" data-id=\"3d8d3cb\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Deux patients qui pr\u00e9sentent une douleur similaire ne n\u00e9cessitent pas forc\u00e9ment le m\u00eame traitement. La cause des sympt\u00f4mes, leur retentissement et les risques li\u00e9s aux m\u00e9dicaments peuvent diff\u00e9rer.<\/p><p>\u00a0<\/p><p>Le Dr Beno\u00eet Coulin tient compte de l\u2019\u00e2ge, du diagnostic, de l\u2019anatomie, de l\u2019importance des l\u00e9sions, des sympt\u00f4mes, de l\u2019\u00e9tat g\u00e9n\u00e9ral, du niveau d\u2019activit\u00e9, du m\u00e9tier, des traitements ant\u00e9rieurs, des contre-indications et des objectifs personnels. Les pr\u00e9f\u00e9rences du patient et les m\u00e9dicaments d\u00e9j\u00e0 pris sont \u00e9galement abord\u00e9s.<\/p><p>\u00a0<\/p><p>Le choix du traitement et les modalit\u00e9s de suivi sont adapt\u00e9s \u00e0 la situation. Si le soulagement est insuffisant ou si la tol\u00e9rance pose probl\u00e8me, la strat\u00e9gie peut \u00eatre r\u00e9examin\u00e9e.<\/p><p>\u00a0<\/p><p style=\"text-align: center;\">\u00ab La prise en charge doit \u00eatre adapt\u00e9e \u00e0 chaque patient, en privil\u00e9giant les solutions conservatrices lorsqu\u2019elles sont pertinentes. \u00bb<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-0ec73bd e-flex e-con-boxed e-con e-parent\" data-id=\"0ec73bd\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-cb4d2e8 elementor-hidden-desktop elementor-hidden-tablet elementor-widget-divider--view-line elementor-widget elementor-widget-divider\" data-id=\"cb4d2e8\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"divider.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-divider\">\n\t\t\t<span class=\"elementor-divider-separator\">\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-d2593bd elementor-widget elementor-widget-heading\" data-id=\"d2593bd\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">QUESTIONS FR\u00c9QUENTES<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-426434e elementor-widget elementor-widget-html\" data-id=\"426434e\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"html.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<style>\n#faq-arthrose {\n  --coulin-green: #A8B5A8;\n  --coulin-green-light: rgba(168, 181, 168, 0.45);\n  --coulin-orange: #E58A2B;\n  --coulin-black: #111111;\n\n  position: relative;\n  max-width: 90%;\n  margin: 0 auto;\n  display: flex;\n  align-items: flex-start;\n}\n\n#faq-arthrose .faq-col {\n  flex: 1;\n  display: flex;\n  flex-direction: column;\n  border: 1px solid var(--coulin-green);\n  font-family: \"Arboria\", sans-serif;\n}\n\n#faq-arthrose .faq-col:first-child {\n  border-radius: 12px 0 0 12px;\n  border-right: none;\n  margin-right: 1px;\n}\n\n#faq-arthrose .faq-col:last-child {\n  border-radius: 0 12px 12px 0;\n  border-left: none;\n  margin-left: 1px;\n}\n\n#faq-arthrose::after {\n  content: \"\";\n  position: absolute;\n  left: calc(50% - 0.5px);\n  top: 0;\n  bottom: 0;\n  width: 1px;\n  background: var(--coulin-green);\n  pointer-events: none;\n}\n\n#faq-arthrose .faq-item {\n  border-bottom: 1px solid var(--coulin-green-light);\n  color: var(--coulin-black);\n}\n\n#faq-arthrose .faq-col .faq-item:last-child {\n  border-bottom: none;\n}\n\n#faq-arthrose .faq-header {\n  display: flex;\n  align-items: center;\n  justify-content: space-between;\n  width: 100%;\n  min-height: 90px;\n  padding: 26px 22px;\n  gap: 14px;\n  border: none;\n  background: transparent;\n  color: var(--coulin-black);\n  text-align: left;\n  cursor: pointer;\n  transition: color 0.2s ease;\n}\n\n#faq-arthrose .faq-header:hover,\n#faq-arthrose .faq-item.open .faq-header {\n  color: var(--coulin-orange);\n}\n\n#faq-arthrose .faq-header:hover .faq-btn,\n#faq-arthrose .faq-item.open .faq-btn {\n  border-color: var(--coulin-orange);\n  color: var(--coulin-orange);\n}\n\n#faq-arthrose .faq-q {\n  font-family: \"Arboria\", sans-serif;\n  font-size: 13px;\n  font-weight: 400;\n  line-height: 1.45;\n  letter-spacing: 0.04em;\n  text-transform: uppercase;\n}\n\n#faq-arthrose .faq-btn {\n  flex-shrink: 0;\n  width: 30px;\n  height: 30px;\n  border: 1px solid var(--coulin-green);\n  border-radius: 50%;\n  display: flex;\n  align-items: center;\n  justify-content: center;\n  color: var(--coulin-orange);\n  font-size: 20px;\n  font-weight: 300;\n  line-height: 1;\n  background: transparent;\n  transition:\n    border-color 0.2s ease,\n    color 0.2s ease,\n    transform 0.3s ease;\n}\n\n#faq-arthrose .faq-item.open .faq-btn {\n  transform: rotate(45deg);\n}\n\n#faq-arthrose .faq-body {\n  max-height: 0;\n  overflow: hidden;\n  padding: 0 22px;\n  color: var(--coulin-black);\n  font-family: \"Arboria\", sans-serif;\n  font-size: 14px;\n  font-weight: 300;\n  line-height: 1.7;\n  transition:\n    max-height 0.35s ease,\n    padding 0.3s ease;\n}\n\n#faq-arthrose .faq-item.open .faq-body {\n  max-height: 600px;\n  padding: 0 22px 22px;\n}\n\n@media (max-width: 640px) {\n  #faq-arthrose {\n    max-width: 100%;\n    flex-direction: column;\n  }\n\n  #faq-arthrose::after {\n    display: none;\n  }\n\n  #faq-arthrose .faq-col {\n    width: 100%;\n  }\n\n  #faq-arthrose .faq-col:first-child {\n    margin-right: 0;\n    border-right: 1px solid var(--coulin-green);\n    border-bottom: none;\n    border-radius: 12px 12px 0 0;\n  }\n\n  #faq-arthrose .faq-col:last-child {\n    margin-left: 0;\n    border-top: 1px solid var(--coulin-green);\n    border-left: 1px solid var(--coulin-green);\n    border-radius: 0 0 12px 12px;\n  }\n\n  #faq-arthrose .faq-header {\n    min-height: auto;\n    padding: 22px 18px;\n  }\n\n  #faq-arthrose .faq-q {\n    font-size: 12px;\n  }\n\n  #faq-arthrose .faq-body {\n    padding: 0 18px;\n    font-size: 15px;\n  }\n\n  #faq-arthrose .faq-item.open .faq-body {\n    padding: 0 18px 20px;\n  }\n}\n<\/style>\n\n<div class=\"faq-outer\" id=\"faq-arthrose\">\n\n  <!-- Colonne gauche -->\n  <div class=\"faq-col\">\n\n    <div class=\"faq-item\">\n      <button\n        class=\"faq-header\"\n        type=\"button\"\n        aria-expanded=\"false\"\n      >\n        <span class=\"faq-q\">\n          \u00c0 qui s\u2019adressent les traitements m\u00e9dicamenteux de<br> la douleur ?\n        <\/span>\n        <span class=\"faq-btn\" aria-hidden=\"true\">+<\/span>\n      <\/button>\n\n      <div class=\"faq-body\">\n        Ils peuvent \u00eatre discut\u00e9s lorsque la douleur du genou ou de la hanche g\u00eane les activit\u00e9s. Le choix d\u00e9pend du diagnostic, des ant\u00e9c\u00e9dents et des autres traitements pris.\n      <\/div>\n    <\/div>\n\n    <div class=\"faq-item\">\n      <button\n        class=\"faq-header\"\n        type=\"button\"\n        aria-expanded=\"false\"\n      >\n        <span class=\"faq-q\">\n          Faut-il une pr\u00e9paration particuli\u00e8re ?\n        <\/span>\n        <span class=\"faq-btn\" aria-hidden=\"true\">+<\/span>\n      <\/button>\n\n      <div class=\"faq-body\">\n        Une consultation pour discuter d\u2019un traitement m\u00e9dicamenteux ne n\u00e9cessite g\u00e9n\u00e9ralement ni je\u00fbne ni pr\u00e9paration sp\u00e9cifique. Pensez \u00e0 signaler vos allergies et \u00e0 apporter la liste de vos m\u00e9dicaments.\n      <\/div>\n    <\/div>\n\n    <div class=\"faq-item\">\n      <button\n        class=\"faq-header\"\n        type=\"button\"\n        aria-expanded=\"false\"\n      >\n        <span class=\"faq-q\">\n          Les anti-inflammatoires conviennent-ils \u00e0 tout<br> le monde ?\n        <\/span>\n        <span class=\"faq-btn\" aria-hidden=\"true\">+<\/span>\n      <\/button>\n\n      <div class=\"faq-body\">\n        Non. Certains ant\u00e9c\u00e9dents, maladies ou traitements peuvent rendre les AINS inadapt\u00e9s ou n\u00e9cessiter des pr\u00e9cautions. Demandez conseil \u00e0 un professionnel de sant\u00e9.\n      <\/div>\n    <\/div>\n\n    <div class=\"faq-item\">\n      <button\n        class=\"faq-header\"\n        type=\"button\"\n        aria-expanded=\"false\"\n      >\n        <span class=\"faq-q\">\n          Peut-on associer plusieurs m\u00e9dicaments contre<br> la douleur ?\n        <\/span>\n        <span class=\"faq-btn\" aria-hidden=\"true\">+<\/span>\n      <\/button>\n\n      <div class=\"faq-body\">\n        Pas sans v\u00e9rifier les principes actifs et les interactions possibles. Demandez conseil \u00e0 un m\u00e9decin ou \u00e0 un pharmacien avant d\u2019associer des m\u00e9dicaments.\n      <\/div>\n    <\/div>\n\n  <\/div>\n\n  <!-- Colonne droite -->\n  <div class=\"faq-col\">\n\n    <div class=\"faq-item\">\n      <button\n        class=\"faq-header\"\n        type=\"button\"\n        aria-expanded=\"false\"\n      >\n        <span class=\"faq-q\">\n          Quand peut-on ressentir une am\u00e9lioration ?\n        <\/span>\n        <span class=\"faq-btn\" aria-hidden=\"true\">+<\/span>\n      <\/button>\n\n      <div class=\"faq-body\">\n        Cela d\u00e9pend du m\u00e9dicament, de sa forme et de la cause de la douleur. Si le soulagement attendu n\u2019appara\u00eet pas, le m\u00e9decin peut r\u00e9\u00e9valuer la strat\u00e9gie.\n      <\/div>\n    <\/div>\n\n    <div class=\"faq-item\">\n      <button\n        class=\"faq-header\"\n        type=\"button\"\n        aria-expanded=\"false\"\n      >\n        <span class=\"faq-q\">\n          Peut-on continuer \u00e0 marcher ou faire du sport ?\n        <\/span>\n        <span class=\"faq-btn\" aria-hidden=\"true\">+<\/span>\n      <\/button>\n\n      <div class=\"faq-body\">\n        Les activit\u00e9s sont adapt\u00e9es \u00e0 la douleur et au diagnostic. Le m\u00e9dicament ne doit pas servir \u00e0 forcer si la g\u00eane augmente.\n      <\/div>\n    <\/div>\n\n    <div class=\"faq-item\">\n      <button\n        class=\"faq-header\"\n        type=\"button\"\n        aria-expanded=\"false\"\n      >\n        <span class=\"faq-q\">\n          Quels effets ind\u00e9sirables peuvent appara\u00eetre ?\n        <\/span>\n        <span class=\"faq-btn\" aria-hidden=\"true\">+<\/span>\n      <\/button>\n\n      <div class=\"faq-body\">\n        Ils varient selon le m\u00e9dicament. Certains produits locaux peuvent irriter la peau et certains m\u00e9dicaments oraux entra\u00eener des effets g\u00e9n\u00e9raux. Demandez conseil si une r\u00e9action vous inqui\u00e8te.\n      <\/div>\n    <\/div>\n\n    <div class=\"faq-item\">\n      <button\n        class=\"faq-header\"\n        type=\"button\"\n        aria-expanded=\"false\"\n      >\n        <span class=\"faq-q\">\n          Les m\u00e9dicaments peuvent-ils \u00e9viter une op\u00e9ration ?\n        <\/span>\n        <span class=\"faq-btn\" aria-hidden=\"true\">+<\/span>\n      <\/button>\n\n      <div class=\"faq-body\">\n        Ils peuvent contribuer \u00e0 soulager les sympt\u00f4mes, mais ne garantissent pas d\u2019\u00e9viter une chirurgie. La suite d\u00e9pend du diagnostic et de l\u2019\u00e9volution.\n      <\/div>\n    <\/div>\n\n  <\/div>\n<\/div>\n\n<script>\n(function () {\n  const faq = document.getElementById(\"faq-arthrose\");\n\n  if (!faq) return;\n\n  const items = faq.querySelectorAll(\".faq-item\");\n\n  items.forEach(function (item) {\n    const header = item.querySelector(\".faq-header\");\n\n    header.addEventListener(\"click\", function () {\n      const isOpen = item.classList.contains(\"open\");\n\n      items.forEach(function (otherItem) {\n        otherItem.classList.remove(\"open\");\n\n        const otherHeader = otherItem.querySelector(\".faq-header\");\n\n        if (otherHeader) {\n          otherHeader.setAttribute(\"aria-expanded\", \"false\");\n        }\n      });\n\n      if (!isOpen) {\n        item.classList.add(\"open\");\n        header.setAttribute(\"aria-expanded\", \"true\");\n      }\n    });\n  });\n})();\n<\/script>\n<style>\n@media (max-width: 640px) {\n  #faq-arthrose .faq-header {\n    justify-content: flex-start;\n  }\n\n  #faq-arthrose .faq-q {\n    display: block;\n    flex: 1 1 auto;\n    min-width: 0;\n    white-space: normal !important;\n    overflow-wrap: anywhere;\n  }\n\n  #faq-arthrose .faq-btn {\n    position: static;\n    flex: 0 0 26px;\n  }\n\n  #faq-arthrose .faq-q br {\n    display: none;\n  }\n}\n\n#faq-arthrose .faq-btn {\n  box-sizing: border-box;\n  width: 30px;\n  min-width: 30px;\n  height: 30px;\n  min-height: 30px;\n  padding: 0;\n  aspect-ratio: 1 \/ 1;\n  flex: 0 0 30px;\n  border-radius: 50%;\n  line-height: 1;\n}\n<\/style>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-20cca87 e-flex e-con-boxed e-con e-parent\" data-id=\"20cca87\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-655f077 elementor-widget elementor-widget-heading\" data-id=\"655f077\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Votre douleur limite vos activit\u00e9s ?<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-9f5c73e elementor-widget__width-initial elementor-widget elementor-widget-text-editor\" data-id=\"9f5c73e\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Un examen clinique et l\u2019analyse des examens r\u00e9ellement utiles permettent de pr\u00e9ciser la cause de la douleur et de discuter d\u2019une prise en charge adapt\u00e9e.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-c5faaad elementor-align-justify elementor-mobile-align-justify elementor-widget__width-initial elementor-widget-mobile__width-initial elementor-widget elementor-widget-button\" data-id=\"c5faaad\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"button.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<div class=\"elementor-button-wrapper\">\n\t\t\t\t\t<a class=\"elementor-button elementor-button-link elementor-size-sm\" href=\"https:\/\/coulinmedical.com\/prendre-rendez-vous\/\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-text\">PRENDRE RDV<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Traitements m\u00e9dicamenteux de la douleur Soulager la douleur pour faciliter le mouvement : les traitements m\u00e9dicamenteux de la douleur s\u2019int\u00e8grent \u00e0 une prise en charge adapt\u00e9e \u00e0 chaque patient. Les traitements m\u00e9dicamenteux de la douleur visent \u00e0 r\u00e9duire une g\u00eane li\u00e9e au genou ou \u00e0 la hanche afin de pr\u00e9server les activit\u00e9s quotidiennes et de [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"footnotes":""},"class_list":["post-28567","page","type-page","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/coulinmedical.com\/en\/wp-json\/wp\/v2\/pages\/28567","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/coulinmedical.com\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/coulinmedical.com\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/coulinmedical.com\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/coulinmedical.com\/en\/wp-json\/wp\/v2\/comments?post=28567"}],"version-history":[{"count":8,"href":"https:\/\/coulinmedical.com\/en\/wp-json\/wp\/v2\/pages\/28567\/revisions"}],"predecessor-version":[{"id":28596,"href":"https:\/\/coulinmedical.com\/en\/wp-json\/wp\/v2\/pages\/28567\/revisions\/28596"}],"wp:attachment":[{"href":"https:\/\/coulinmedical.com\/en\/wp-json\/wp\/v2\/media?parent=28567"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}