{"id":53,"date":"2023-10-25T03:47:17","date_gmt":"2023-10-25T01:47:17","guid":{"rendered":"https:\/\/centreantidouleurdupacifique.com\/?page_id=53"},"modified":"2024-03-12T10:51:59","modified_gmt":"2024-03-12T20:51:59","slug":"neurostimulation-medulaire","status":"publish","type":"page","link":"https:\/\/centreantidouleurdupacifique.com\/index.php\/neurostimulation-medulaire\/","title":{"rendered":"Neurostimulation M\u00e9dullaire"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"53\" class=\"elementor elementor-53\" data-elementor-post-type=\"page\">\n\t\t\t\t<div class=\"elementor-element elementor-element-5836bce3 e-flex e-con-boxed e-con e-parent\" data-id=\"5836bce3\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;,&quot;shape_divider_bottom&quot;:&quot;waves&quot;}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-shape elementor-shape-bottom\" aria-hidden=\"true\" data-negative=\"false\">\n\t\t\t<svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 1000 100\" preserveAspectRatio=\"none\">\n\t<path class=\"elementor-shape-fill\" d=\"M421.9,6.5c22.6-2.5,51.5,0.4,75.5,5.3c23.6,4.9,70.9,23.5,100.5,35.7c75.8,32.2,133.7,44.5,192.6,49.7\n\tc23.6,2.1,48.7,3.5,103.4-2.5c54.7-6,106.2-25.6,106.2-25.6V0H0v30.3c0,0,72,32.6,158.4,30.5c39.2-0.7,92.8-6.7,134-22.4\n\tc21.2-8.1,52.2-18.2,79.7-24.2C399.3,7.9,411.6,7.5,421.9,6.5z\"\/>\n<\/svg>\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-509c24bd elementor-widget elementor-widget-theme-post-title elementor-page-title elementor-widget-heading\" data-id=\"509c24bd\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"theme-post-title.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\">Neurostimulation M\u00e9dullaire<\/h1>\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-4d810f0b e-flex e-con-boxed e-con e-parent\" data-id=\"4d810f0b\" 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-1c3f90f0 elementor-widget elementor-widget-image\" data-id=\"1c3f90f0\" 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\" src=\"https:\/\/centreantidouleurdupacifique.com\/wp-content\/uploads\/2024\/01\/1-4.jpg\" title=\"\" alt=\"\" loading=\"lazy\" \/>\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\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-49a72d84 e-flex e-con-boxed e-con e-parent\" data-id=\"49a72d84\" 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-115595c0 elementor-widget elementor-widget-text-editor\" data-id=\"115595c0\" 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 style=\"text-align: left;\">La neurostimulation m\u00e9dullaire est une technique m\u00e9dicale mini-invasive utilis\u00e9e pour traiter les douleurs chroniques r\u00e9fractaires aux autres traitements. Elle fonctionne en implantant des \u00e9lectrodes pr\u00e8s de la moelle \u00e9pini\u00e8re qui envoient des impulsions \u00e9lectriques pour bloquer les signaux de douleur avant qu&rsquo;ils n&rsquo;atteignent le cerveau. On estime \u00e9galement que la neurostimulation aurait un effet sur la s\u00e9cr\u00e9tion endorphinique. Avant de proc\u00e9der \u00e0 cette implantation, un bilan pr\u00e9-implantatoire avec \u00e9valuation en consultation douleur puis psychologique (psychologue ou psychiatre), avec imagerie (IRM) et biologique est n\u00e9cessaire avant une validation de l&rsquo;indication par une R\u00e9union de Concertation Pluridisciplinaire (RCP). Cette technique est surtout recommand\u00e9e pour des cas sp\u00e9cifiques de douleurs neuropathiques. Le suivi post-op\u00e9ratoire est \u00e9galement crucial pour ajuster les param\u00e8tres de l&rsquo;appareil et surveiller les \u00e9ventuelles complications.<\/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<div class=\"elementor-element elementor-element-18b056ff e-flex e-con-boxed e-con e-parent\" data-id=\"18b056ff\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-32cbe7e9 e-con-full e-flex e-con e-child\" data-id=\"32cbe7e9\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-45ad2359 elementor-widget elementor-widget-image\" data-id=\"45ad2359\" 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=\"360\" height=\"203\" src=\"https:\/\/centreantidouleurdupacifique.com\/wp-content\/uploads\/2024\/01\/2-1.webp\" class=\"attachment-large size-large wp-image-971\" alt=\"\" srcset=\"https:\/\/centreantidouleurdupacifique.com\/wp-content\/uploads\/2024\/01\/2-1.webp 360w, https:\/\/centreantidouleurdupacifique.com\/wp-content\/uploads\/2024\/01\/2-1-300x169.webp 300w\" sizes=\"(max-width: 360px) 100vw, 360px\" \/>\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-49d3c8b9 e-con-full e-flex e-con e-child\" data-id=\"49d3c8b9\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-15053546 elementor-widget elementor-widget-text-editor\" data-id=\"15053546\" 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<h2 id=\"introduction--la-neurostimulation-m%C3%A9dullaire-dans-le-contexte-clinique\"><strong>Introduction : La Neurostimulation M\u00e9dullaire dans le Contexte Clinique<\/strong><\/h2>\n<p>La neurostimulation m\u00e9dullaire est une modalit\u00e9 th\u00e9rapeutique mini-invasive qui a gagn\u00e9 en importance pour le traitement des douleurs chroniques r\u00e9fractaires. Cette technique innovante utilise des dispositifs m\u00e9dicaux implantables pour administrer une stimulation \u00e9lectrique cibl\u00e9e aux cordons post\u00e9rieurs de la moelle \u00e9pini\u00e8re. Dans la majorit\u00e9 des cas, elle est r\u00e9alis\u00e9e sous anesth\u00e9sie locale avec une s\u00e9dation l\u00e9g\u00e8re. Elle est pr\u00e9conis\u00e9e en troisi\u00e8me ligne dans les douleurs neuropathiques r\u00e9fractaires.<\/p>\n\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<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-526b1c59 e-flex e-con-boxed e-con e-parent\" data-id=\"526b1c59\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-11c4c751 e-con-full e-flex e-con e-child\" data-id=\"11c4c751\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-dd53b80 elementor-widget elementor-widget-text-editor\" data-id=\"dd53b80\" 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<h2 id=\"m%C3%A9canismes-neurophysiologiques--le-r%C3%B4le-du-gate-control\"><strong>M\u00e9canismes Neurophysiologiques : Le R\u00f4le du &lsquo;Gate Control&rsquo;<\/strong><\/h2>\n<p>Le principe du \u00ab\u00a0Gate Control\u00a0\u00bb est un m\u00e9canisme neurophysiologique qui r\u00e9gule la perception de la douleur au niveau de la moelle \u00e9pini\u00e8re. On utilise ce m\u00e9canisme afin de bloquer le <strong>cercle vicieux de la douleur<\/strong>. La neurostimulation m\u00e9dullaire vise \u00e0 moduler ce m\u00e9canisme. Elle peut avoir pour cons\u00e9quence de g\u00e9n\u00e9rer des paresth\u00e9sies, qui sont des sensations de fourmillements. Ces paresth\u00e9sies agissent comme des interf\u00e9rences \u00e9lectriques qui inhibent la transmission des signaux douloureux au cerveau. Actuellement, la plupart des nouveaux neurostimulateurs n&rsquo;occasionne plus de paresth\u00e9sies.<\/p>\n<h2 id=\"indications-cliniques--recommandations-de-la-has-et-crit%C3%A8res-de-s%C3%A9lection\"><strong>Indications Cliniques : Recommandations de la HAS et Crit\u00e8res de S\u00e9lection<\/strong><\/h2>\n<p>Selon la Haute Autorit\u00e9 de Sant\u00e9 (HAS), la neurostimulation m\u00e9dullaire est indiqu\u00e9e dans plusieurs cas sp\u00e9cifiques de douleurs chroniques :<\/p>\n<ul>\n<li>Douleurs neuropathiques, notamment radiculaires ou tronculaires, d&rsquo;origine diab\u00e9tique, zost\u00e9rienne, traumatique ou chirurgicale. (FBSS = Failed Back Surgery Syndrome = \u00e9chec de la chirurgie du rachis)<\/li>\n<li>Syndrome douloureux r\u00e9gional complexe de type I ou II.<\/li>\n<li>Douleurs isch\u00e9miques, notamment dans le cadre de la maladie de Buerger.<\/li>\n<\/ul>\n<p>Il est imp\u00e9ratif que ces indications soient pos\u00e9es apr\u00e8s \u00e9chec des alternatives th\u00e9rapeutiques et que le patient ait subi un bilan multidisciplinaire complet.<\/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-7ac3162a e-con-full e-flex e-con e-child\" data-id=\"7ac3162a\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-48d89462 elementor-widget elementor-widget-image\" data-id=\"48d89462\" 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=\"270\" height=\"360\" src=\"https:\/\/centreantidouleurdupacifique.com\/wp-content\/uploads\/2024\/01\/3-3.jpg\" class=\"attachment-large size-large wp-image-972\" alt=\"\" srcset=\"https:\/\/centreantidouleurdupacifique.com\/wp-content\/uploads\/2024\/01\/3-3.jpg 270w, https:\/\/centreantidouleurdupacifique.com\/wp-content\/uploads\/2024\/01\/3-3-225x300.jpg 225w\" sizes=\"(max-width: 270px) 100vw, 270px\" \/>\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\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-096ddb0 e-flex e-con-boxed e-con e-parent\" data-id=\"096ddb0\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-947d184 e-con-full e-flex e-con e-child\" data-id=\"947d184\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-8a1c0e4 elementor-widget elementor-widget-image\" data-id=\"8a1c0e4\" 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=\"653\" height=\"328\" src=\"https:\/\/centreantidouleurdupacifique.com\/wp-content\/uploads\/2024\/01\/4.webp\" class=\"attachment-large size-large wp-image-974\" alt=\"\" srcset=\"https:\/\/centreantidouleurdupacifique.com\/wp-content\/uploads\/2024\/01\/4.webp 653w, https:\/\/centreantidouleurdupacifique.com\/wp-content\/uploads\/2024\/01\/4-300x151.webp 300w\" sizes=\"(max-width: 653px) 100vw, 653px\" \/>\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-802c2f1 e-con-full e-flex e-con e-child\" data-id=\"802c2f1\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-5766fea elementor-widget elementor-widget-text-editor\" data-id=\"5766fea\" 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<h2 id=\"%C3%A9valuation-pr%C3%A9-implantatoire--un-bilan-multidisciplinaire-rigoureux\"><strong>\u00c9valuation Pr\u00e9-Implantatoire : Un Bilan Multidisciplinaire Rigoureux<\/strong><\/h2>\n<p>Le bilan pr\u00e9-implantatoire est une \u00e9tape cruciale qui doit \u00eatre r\u00e9alis\u00e9e dans une structure sp\u00e9cialis\u00e9e en algologie. Ce bilan comprend :<\/p>\n<ul>\n<li>\u00c9valuation de la douleur via des \u00e9chelles valid\u00e9es.<\/li>\n<li>\u00c9valuation psychosociale pour \u00e9carter les contre-indications psychiatriques.<\/li>\n<li>\u00c9valuation de la qualit\u00e9 de vie \u00e0 l&rsquo;aide de questionnaires standardis\u00e9s.<\/li>\n<\/ul>\n<p>Une IRM m\u00e9dullaire doit \u00e9galement \u00eatre r\u00e9alis\u00e9e pour \u00e9valuer l&rsquo;anatomie de la moelle et planifier l&rsquo;implantation.<\/p>\n<h2 id=\"test-de-stimulation--une-%C3%A9tape-d%C3%A9terminante\"><strong>Test de Stimulation : Une \u00c9tape D\u00e9terminante<\/strong><\/h2>\n<p>Un test de stimulation doit \u00eatre effectu\u00e9 avant l&rsquo;implantation d\u00e9finitive. Ce test, d&rsquo;une dur\u00e9e minimale de 7 jours, doit permettre une r\u00e9duction de la douleur d&rsquo;au moins 50%, mesur\u00e9e par des \u00e9chelles de douleur valid\u00e9es.<\/p>\n<h2 id=\"information-et-suivi-des-patients--une-gestion-clinique-rigoureuse\"><strong>Information et Suivi des Patients : Une Gestion Clinique Rigoureuse<\/strong><\/h2>\n<p>Les patients doivent \u00eatre pleinement inform\u00e9s des risques associ\u00e9s \u00e0 l&rsquo;implantation, y compris les complications rares telles que le d\u00e9placement d&rsquo;\u00e9lectrode, la fracture d&rsquo;\u00e9lectrode ou l&rsquo;infection. Un suivi post-op\u00e9ratoire rigoureux est n\u00e9cessaire, avec des visites de contr\u00f4le \u00e0 1 mois, 3 mois et 1 an apr\u00e8s l&rsquo;implantation, puis annuellement.<\/p>\n\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<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-12d10a1 e-flex e-con-boxed e-con e-parent\" data-id=\"12d10a1\" 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-568d20d elementor-widget elementor-widget-text-editor\" data-id=\"568d20d\" 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<h2 id=\"conclusion--la-neurostimulation-m%C3%A9dullaire-une-avanc%C3%A9e-th%C3%A9rapeutique-majeure\"><strong>Conclusion : La Neurostimulation M\u00e9dullaire, une Avanc\u00e9e Th\u00e9rapeutique Majeure<\/strong><\/h2>\n<p>La neurostimulation m\u00e9dullaire s&rsquo;est impos\u00e9e comme une technique de choix dans le traitement des douleurs chroniques r\u00e9fractaires. Son efficacit\u00e9, coupl\u00e9e \u00e0 un protocole d&rsquo;implantation et de suivi rigoureux, en fait une option th\u00e9rapeutique de plus en plus privil\u00e9gi\u00e9e par les experts de l&rsquo;algologie interventionnelle.<\/p>\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<div class=\"elementor-element elementor-element-9bdaf9b e-flex e-con-boxed e-con e-parent\" data-id=\"9bdaf9b\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;,&quot;shape_divider_top&quot;:&quot;waves&quot;}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-shape elementor-shape-top\" aria-hidden=\"true\" data-negative=\"false\">\n\t\t\t<svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 1000 100\" preserveAspectRatio=\"none\">\n\t<path class=\"elementor-shape-fill\" d=\"M421.9,6.5c22.6-2.5,51.5,0.4,75.5,5.3c23.6,4.9,70.9,23.5,100.5,35.7c75.8,32.2,133.7,44.5,192.6,49.7\n\tc23.6,2.1,48.7,3.5,103.4-2.5c54.7-6,106.2-25.6,106.2-25.6V0H0v30.3c0,0,72,32.6,158.4,30.5c39.2-0.7,92.8-6.7,134-22.4\n\tc21.2-8.1,52.2-18.2,79.7-24.2C399.3,7.9,411.6,7.5,421.9,6.5z\"\/>\n<\/svg>\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-33b81fd2 e-con-full e-flex e-con e-child\" data-id=\"33b81fd2\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-1e18237a elementor-widget elementor-widget-heading\" data-id=\"1e18237a\" 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\">En savoir plus...<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-19553d84 elementor-skin-carousel elementor-arrows-yes elementor-pagination-type-bullets elementor-pagination-position-outside elementor-widget elementor-widget-media-carousel\" data-id=\"19553d84\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;speed&quot;:2000,&quot;skin&quot;:&quot;carousel&quot;,&quot;effect&quot;:&quot;slide&quot;,&quot;show_arrows&quot;:&quot;yes&quot;,&quot;pagination&quot;:&quot;bullets&quot;,&quot;autoplay&quot;:&quot;yes&quot;,&quot;autoplay_speed&quot;:5000,&quot;loop&quot;:&quot;yes&quot;,&quot;pause_on_hover&quot;:&quot;yes&quot;,&quot;pause_on_interaction&quot;:&quot;yes&quot;,&quot;space_between&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:10,&quot;sizes&quot;:[]},&quot;space_between_tablet&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:10,&quot;sizes&quot;:[]},&quot;space_between_mobile&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:10,&quot;sizes&quot;:[]}}\" data-widget_type=\"media-carousel.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<div class=\"elementor-swiper\">\n\t\t\t\t\t<div class=\"elementor-main-swiper swiper\" role=\"region\" aria-roledescription=\"carousel\" aria-label=\"Diapositives\">\n\t\t\t\t<div class=\"swiper-wrapper\">\n\t\t\t\t\t\t\t\t\t\t\t<div class=\"swiper-slide\" role=\"group\" aria-roledescription=\"slide\">\n\t\t\t\t\t\t\t<a href=\"https:\/\/centreantidouleurdupacifique.com\/wp-content\/uploads\/2024\/01\/Video_2-1.jpg\" data-elementor-open-lightbox=\"yes\" data-elementor-lightbox-slideshow=\"19553d84\" data-e-action-hash=\"#elementor-action%3Aaction%3Dlightbox%26settings%3DeyJpZCI6OTg5LCJ1cmwiOmZhbHNlLCJzbGlkZXNob3ciOiIxOTU1M2Q4NCJ9\" data-elementor-lightbox-video=\"https:\/\/www.youtube.com\/embed\/9D1WST-KLWY?feature=oembed&amp;autoplay=1&amp;rel=0&amp;controls=0\">\t\t<div class=\"elementor-carousel-image\" role=\"img\" aria-label=\"\" style=\"background-image: url(&#039;https:\/\/centreantidouleurdupacifique.com\/wp-content\/uploads\/2024\/01\/Video_2-1.jpg&#039;)\">\n\n\t\t\t\n\t\t\t\t\t\t\t<div class=\"elementor-custom-embed-play\">\n\t\t\t\t\t<i aria-hidden=\"true\" class=\"eicon-play\"><\/i>\t\t\t\t\t<span class=\"elementor-screen-only\">Lire<\/span>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/a>\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t<div class=\"swiper-slide\" role=\"group\" aria-roledescription=\"slide\">\n\t\t\t\t\t\t\t<a href=\"https:\/\/centreantidouleurdupacifique.com\/wp-content\/uploads\/2024\/01\/Video_1-3.jpg\" data-elementor-open-lightbox=\"yes\" data-elementor-lightbox-slideshow=\"19553d84\" data-e-action-hash=\"#elementor-action%3Aaction%3Dlightbox%26settings%3DeyJpZCI6OTg2LCJ1cmwiOmZhbHNlLCJzbGlkZXNob3ciOiIxOTU1M2Q4NCJ9\" data-elementor-lightbox-video=\"https:\/\/www.youtube.com\/embed\/TRr1WEUQTrQ?feature=oembed&amp;autoplay=1&amp;rel=0&amp;controls=0\">\t\t<div class=\"elementor-carousel-image\" role=\"img\" aria-label=\"\" style=\"background-image: url(&#039;https:\/\/centreantidouleurdupacifique.com\/wp-content\/uploads\/2024\/01\/Video_1-3.jpg&#039;)\">\n\n\t\t\t\n\t\t\t\t\t\t\t<div class=\"elementor-custom-embed-play\">\n\t\t\t\t\t<i aria-hidden=\"true\" class=\"eicon-play\"><\/i>\t\t\t\t\t<span class=\"elementor-screen-only\">Lire<\/span>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/a>\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"elementor-swiper-button elementor-swiper-button-prev\" role=\"button\" tabindex=\"0\" aria-label=\"Pr\u00e9c\u00e9dent\">\n\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"eicon-chevron-left\"><\/i>\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"elementor-swiper-button elementor-swiper-button-next\" role=\"button\" tabindex=\"0\" aria-label=\"Suivant\">\n\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"eicon-chevron-right\"><\/i>\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"swiper-pagination\"><\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\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<\/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>La neurostimulation m\u00e9dullaire est une technique m\u00e9dicale mini-invasive utilis\u00e9e pour traiter les douleurs chroniques r\u00e9fractaires aux autres traitements. Elle fonctionne en implantant des \u00e9lectrodes pr\u00e8s de la moelle \u00e9pini\u00e8re qui envoient des impulsions \u00e9lectriques pour bloquer les signaux de douleur avant qu&rsquo;ils n&rsquo;atteignent le cerveau. On estime \u00e9galement que la neurostimulation aurait un effet sur [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-53","page","type-page","status-publish","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.6 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Neurostimulation M\u00e9dullaire - Centre anti douleur du Pacifique<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/centreantidouleurdupacifique.com\/index.php\/neurostimulation-medulaire\/\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Neurostimulation M\u00e9dullaire - Centre anti douleur du Pacifique\" \/>\n<meta property=\"og:description\" content=\"La neurostimulation m\u00e9dullaire est une technique m\u00e9dicale mini-invasive utilis\u00e9e pour traiter les douleurs chroniques r\u00e9fractaires aux autres traitements. Elle fonctionne en implantant des \u00e9lectrodes pr\u00e8s de la moelle \u00e9pini\u00e8re qui envoient des impulsions \u00e9lectriques pour bloquer les signaux de douleur avant qu&rsquo;ils n&rsquo;atteignent le cerveau. On estime \u00e9galement que la neurostimulation aurait un effet sur [&hellip;]\" \/>\n<meta property=\"og:url\" content=\"https:\/\/centreantidouleurdupacifique.com\/index.php\/neurostimulation-medulaire\/\" \/>\n<meta property=\"og:site_name\" content=\"Centre anti douleur du Pacifique\" \/>\n<meta property=\"article:modified_time\" content=\"2024-03-12T20:51:59+00:00\" \/>\n<meta property=\"og:image\" content=\"http:\/\/centreantidouleurdupacifique.com\/wp-content\/uploads\/2024\/01\/1-4.jpg\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Dur\u00e9e de lecture estim\u00e9e\" \/>\n\t<meta name=\"twitter:data1\" content=\"4 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/centreantidouleurdupacifique.com\\\/index.php\\\/neurostimulation-medulaire\\\/\",\"url\":\"https:\\\/\\\/centreantidouleurdupacifique.com\\\/index.php\\\/neurostimulation-medulaire\\\/\",\"name\":\"Neurostimulation M\u00e9dullaire - Centre anti douleur du Pacifique\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/centreantidouleurdupacifique.com\\\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\\\/\\\/centreantidouleurdupacifique.com\\\/index.php\\\/neurostimulation-medulaire\\\/#primaryimage\"},\"image\":{\"@id\":\"https:\\\/\\\/centreantidouleurdupacifique.com\\\/index.php\\\/neurostimulation-medulaire\\\/#primaryimage\"},\"thumbnailUrl\":\"http:\\\/\\\/centreantidouleurdupacifique.com\\\/wp-content\\\/uploads\\\/2024\\\/01\\\/1-4.jpg\",\"datePublished\":\"2023-10-25T01:47:17+00:00\",\"dateModified\":\"2024-03-12T20:51:59+00:00\",\"breadcrumb\":{\"@id\":\"https:\\\/\\\/centreantidouleurdupacifique.com\\\/index.php\\\/neurostimulation-medulaire\\\/#breadcrumb\"},\"inLanguage\":\"fr-FR\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\\\/\\\/centreantidouleurdupacifique.com\\\/index.php\\\/neurostimulation-medulaire\\\/\"]}]},{\"@type\":\"ImageObject\",\"inLanguage\":\"fr-FR\",\"@id\":\"https:\\\/\\\/centreantidouleurdupacifique.com\\\/index.php\\\/neurostimulation-medulaire\\\/#primaryimage\",\"url\":\"http:\\\/\\\/centreantidouleurdupacifique.com\\\/wp-content\\\/uploads\\\/2024\\\/01\\\/1-4.jpg\",\"contentUrl\":\"http:\\\/\\\/centreantidouleurdupacifique.com\\\/wp-content\\\/uploads\\\/2024\\\/01\\\/1-4.jpg\"},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\\\/\\\/centreantidouleurdupacifique.com\\\/index.php\\\/neurostimulation-medulaire\\\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Accueil\",\"item\":\"https:\\\/\\\/centreantidouleurdupacifique.com\\\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Neurostimulation M\u00e9dullaire\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\\\/\\\/centreantidouleurdupacifique.com\\\/#website\",\"url\":\"https:\\\/\\\/centreantidouleurdupacifique.com\\\/\",\"name\":\"Centre anti douleur du Pacifique\",\"description\":\"\",\"publisher\":{\"@id\":\"https:\\\/\\\/centreantidouleurdupacifique.com\\\/#organization\"},\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\\\/\\\/centreantidouleurdupacifique.com\\\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"fr-FR\"},{\"@type\":\"Organization\",\"@id\":\"https:\\\/\\\/centreantidouleurdupacifique.com\\\/#organization\",\"name\":\"Centre anti douleur du Pacifique\",\"url\":\"https:\\\/\\\/centreantidouleurdupacifique.com\\\/\",\"logo\":{\"@type\":\"ImageObject\",\"inLanguage\":\"fr-FR\",\"@id\":\"https:\\\/\\\/centreantidouleurdupacifique.com\\\/#\\\/schema\\\/logo\\\/image\\\/\",\"url\":\"https:\\\/\\\/centreantidouleurdupacifique.com\\\/wp-content\\\/uploads\\\/2023\\\/10\\\/EXE-LOGO-CENTRE-ANTI-DOULEUR-rvb.png\",\"contentUrl\":\"https:\\\/\\\/centreantidouleurdupacifique.com\\\/wp-content\\\/uploads\\\/2023\\\/10\\\/EXE-LOGO-CENTRE-ANTI-DOULEUR-rvb.png\",\"width\":1772,\"height\":1772,\"caption\":\"Centre anti douleur du Pacifique\"},\"image\":{\"@id\":\"https:\\\/\\\/centreantidouleurdupacifique.com\\\/#\\\/schema\\\/logo\\\/image\\\/\"}}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"Neurostimulation M\u00e9dullaire - Centre anti douleur du Pacifique","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/centreantidouleurdupacifique.com\/index.php\/neurostimulation-medulaire\/","og_locale":"fr_FR","og_type":"article","og_title":"Neurostimulation M\u00e9dullaire - Centre anti douleur du Pacifique","og_description":"La neurostimulation m\u00e9dullaire est une technique m\u00e9dicale mini-invasive utilis\u00e9e pour traiter les douleurs chroniques r\u00e9fractaires aux autres traitements. Elle fonctionne en implantant des \u00e9lectrodes pr\u00e8s de la moelle \u00e9pini\u00e8re qui envoient des impulsions \u00e9lectriques pour bloquer les signaux de douleur avant qu&rsquo;ils n&rsquo;atteignent le cerveau. On estime \u00e9galement que la neurostimulation aurait un effet sur [&hellip;]","og_url":"https:\/\/centreantidouleurdupacifique.com\/index.php\/neurostimulation-medulaire\/","og_site_name":"Centre anti douleur du Pacifique","article_modified_time":"2024-03-12T20:51:59+00:00","og_image":[{"url":"http:\/\/centreantidouleurdupacifique.com\/wp-content\/uploads\/2024\/01\/1-4.jpg","type":"","width":"","height":""}],"twitter_card":"summary_large_image","twitter_misc":{"Dur\u00e9e de lecture estim\u00e9e":"4 minutes"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"WebPage","@id":"https:\/\/centreantidouleurdupacifique.com\/index.php\/neurostimulation-medulaire\/","url":"https:\/\/centreantidouleurdupacifique.com\/index.php\/neurostimulation-medulaire\/","name":"Neurostimulation M\u00e9dullaire - Centre anti douleur du Pacifique","isPartOf":{"@id":"https:\/\/centreantidouleurdupacifique.com\/#website"},"primaryImageOfPage":{"@id":"https:\/\/centreantidouleurdupacifique.com\/index.php\/neurostimulation-medulaire\/#primaryimage"},"image":{"@id":"https:\/\/centreantidouleurdupacifique.com\/index.php\/neurostimulation-medulaire\/#primaryimage"},"thumbnailUrl":"http:\/\/centreantidouleurdupacifique.com\/wp-content\/uploads\/2024\/01\/1-4.jpg","datePublished":"2023-10-25T01:47:17+00:00","dateModified":"2024-03-12T20:51:59+00:00","breadcrumb":{"@id":"https:\/\/centreantidouleurdupacifique.com\/index.php\/neurostimulation-medulaire\/#breadcrumb"},"inLanguage":"fr-FR","potentialAction":[{"@type":"ReadAction","target":["https:\/\/centreantidouleurdupacifique.com\/index.php\/neurostimulation-medulaire\/"]}]},{"@type":"ImageObject","inLanguage":"fr-FR","@id":"https:\/\/centreantidouleurdupacifique.com\/index.php\/neurostimulation-medulaire\/#primaryimage","url":"http:\/\/centreantidouleurdupacifique.com\/wp-content\/uploads\/2024\/01\/1-4.jpg","contentUrl":"http:\/\/centreantidouleurdupacifique.com\/wp-content\/uploads\/2024\/01\/1-4.jpg"},{"@type":"BreadcrumbList","@id":"https:\/\/centreantidouleurdupacifique.com\/index.php\/neurostimulation-medulaire\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Accueil","item":"https:\/\/centreantidouleurdupacifique.com\/"},{"@type":"ListItem","position":2,"name":"Neurostimulation M\u00e9dullaire"}]},{"@type":"WebSite","@id":"https:\/\/centreantidouleurdupacifique.com\/#website","url":"https:\/\/centreantidouleurdupacifique.com\/","name":"Centre anti douleur du Pacifique","description":"","publisher":{"@id":"https:\/\/centreantidouleurdupacifique.com\/#organization"},"potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/centreantidouleurdupacifique.com\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"fr-FR"},{"@type":"Organization","@id":"https:\/\/centreantidouleurdupacifique.com\/#organization","name":"Centre anti douleur du Pacifique","url":"https:\/\/centreantidouleurdupacifique.com\/","logo":{"@type":"ImageObject","inLanguage":"fr-FR","@id":"https:\/\/centreantidouleurdupacifique.com\/#\/schema\/logo\/image\/","url":"https:\/\/centreantidouleurdupacifique.com\/wp-content\/uploads\/2023\/10\/EXE-LOGO-CENTRE-ANTI-DOULEUR-rvb.png","contentUrl":"https:\/\/centreantidouleurdupacifique.com\/wp-content\/uploads\/2023\/10\/EXE-LOGO-CENTRE-ANTI-DOULEUR-rvb.png","width":1772,"height":1772,"caption":"Centre anti douleur du Pacifique"},"image":{"@id":"https:\/\/centreantidouleurdupacifique.com\/#\/schema\/logo\/image\/"}}]}},"_links":{"self":[{"href":"https:\/\/centreantidouleurdupacifique.com\/index.php\/wp-json\/wp\/v2\/pages\/53","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/centreantidouleurdupacifique.com\/index.php\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/centreantidouleurdupacifique.com\/index.php\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/centreantidouleurdupacifique.com\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/centreantidouleurdupacifique.com\/index.php\/wp-json\/wp\/v2\/comments?post=53"}],"version-history":[{"count":39,"href":"https:\/\/centreantidouleurdupacifique.com\/index.php\/wp-json\/wp\/v2\/pages\/53\/revisions"}],"predecessor-version":[{"id":1030,"href":"https:\/\/centreantidouleurdupacifique.com\/index.php\/wp-json\/wp\/v2\/pages\/53\/revisions\/1030"}],"wp:attachment":[{"href":"https:\/\/centreantidouleurdupacifique.com\/index.php\/wp-json\/wp\/v2\/media?parent=53"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}