Evaluation of the efficacy, in terms of pain and disability, of a functional restoration programme in patients with chronic low back pain according to the presence of Modic 1 discopathy.

Objectives: Modic type 1 disc disease (MD1) appears to be related to severe Chronic Low Back Pain (CLBP). Functional Restoration Programmes (FRP) recommended in CLBP may not be suitable for patients with MD1. The main objective was to evaluate the effectiveness of a FRP, on the perceived incapacity and the pain intensity, in patients with non-specific CLBP according to the presence of MD1.

Validation of the General Health Questionnaire 12 for assessing psychological distress in patients with chronic low back pain.

Background: The General Health Questionnaire 12 (GHQ-12) is a short easy-to-use scale to assess psychological distress. The GHQ-12 has not been validated for assessing psychological distress in patients with chronic low back pain (LBP).

Objective: To investigate the psychometric properties of the GHQ-12 in patients with chronic LBP.

2020 French recommendations on the management of septic arthritis in an adult native joint.

Septic arthritis (SA) in an adult native joint is a rare condition but a diagnostic emergency due to the morbidity and mortality and the functional risk related to structural damage. Current management varies and the recommendations available are dated. The French Rheumatology Society (SFR) Bone and Joint Infection Working Group, together with the French Language Infectious Diseases Society (SPILF) and the French Orthopaedic and Trauma Surgery Society (SOFCOT) have worked according to the HAS methodology to devise clinical practice recommendations to diagnose and treat SA in an adult native joint.

Visceral obesity and chronic pain: effect of a 4-week rehabilitation program on adipokines and insulin resistance.

Obesity and chronic pain are two major diseases of the 21th century. Our principal objective was to investigate the effects of a 4-week rehabilitation program on adiponectin and leptin concentrations, and insulin resistance, in patients with abdominal obesity and chronic pain syndrome. Our secondary objectives were to investigate the effects of this program on pain, body mass index (BMI), waist circumference and maximal oxygen consumption (VO) and to compare changes in VO between patients with or without insulin resistance.

[Work-related musculoskeletal disorders: priority to prevention and coordination of the interventions].

Upper-limb musculoskeletal disorders (UL-MSDs) are painful conditions related to the overuse of periarticular soft tissues. The main UL-MSDs are rotator cuff tendinopathy, epicondylalgia, carpal tunnel syndrome and non-specific pain UL-MSDs are multifactorial disorders associated with individual and occupational (biomechanical, psychosocial and factors related to work organization) risk factors. Treatments are based on a global assessment of the clinical, social and occupational situations in order to identify cases of good prognosis and those, ess frequent, at high risk of prolonged work disability.

Thoracic outlet syndrome: definition, aetiological factors, diagnosis, management and occupational impact.

Introduction: Thoracic outlet syndrome is a controversial cause of neck and shoulder pain due to complex mechanisms involving muscular dysfunction and nerve compression. Although management of thoracic outlet syndrome must be based on a multidisciplinary approach, physicians and occupational therapist should be familiar with the principles of diagnosis and treatment.

Method, Results And Conclusion: The purpose of this article is to review the definitions, diagnosis and management of this syndrome.

Pure proximal deletion of chromosome 21 and kyphosis.

We report on two unrelated patients with a proximal deletion of the long arm of chromosome 21. The deletion encompassed 14.5Mb of DNA.

Clinical examination as a tool for identifying the origin of regional musculoskeletal pain.

A knowledge of the physiopathology of the processing of noxious stimuli in regional musculoskeletal disorders is useful for an understanding of the clinical history. In regional musculoskeletal pain (RMP) the physiopathology of the pain may be separated into two main features. First, the nociceptive pain which results from the activation of nociceptors diffusely distributed among the anatomical structures in and around the joint, apart from the cartilage; the nociceptive pain has a protective role.