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Master Thesis

Impact de la COVID-19 sur la prise en charge des lombalgies communes aigues et radiculalgies associées

Abstract : Introduction: the common acute low back pain and the associated radiculalgie constitute a problem of public health with significant socio-economic and professional consequences. According to the level A reccomendation of HAS, their management involves anti-inflammatory non-steroidal drugs (NSAIDs). However, the use of these drugs has been debated since the emergence of the COVID-19 pandemic. The objective of our study is to highlight the difficulties encountered by practitioners in the drug management of common low back pain acute and associated radiculalgie in this pandemic context. Material and Method: a qualitative study with semi-structured individual interviews was conducted during the month of October 2020 with practitioners that are practicing in Nouvelle-Aquitaine. Results: thirty-one practitioners of general medicine and SOS-Medecins participated in the interviews. For the most part of the physicians, the main point approached, regarding the general question of the difficulties in the management of lumbaradiculalgia since COVID-19, was the prescription or not of anti-inflammatory drugs. Following the warnings very publicized on their use, several types of suspension have been accepted. Some practitioners have suspended their NSAID prescriptions in a non-selective manner. Others have suspended them in a more selectively manner; depending on whether or not the patients presented symptoms which could be related to a concomitant infection with COVID-19, depending on whether the patient had risk factors known as severe forms of COVID-19 and others depending on the intensity of the pain of the patient. Conclusion: based upon the latest studies published that related COVID-19 with the NSAIDs, it doesn’t seems more justified to restrict the prescriptions of NSAIDs in the management of acute common low back pain and associated radiculalgie in the absence of the commonly contraindications accepted before the emergence of the pandemic.
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-03547163
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Submitted on : Friday, January 28, 2022 - 12:18:56 PM
Last modification on : Tuesday, February 1, 2022 - 3:39:42 AM
Long-term archiving on: : Friday, April 29, 2022 - 8:19:22 PM

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Kwami Gankey. Impact de la COVID-19 sur la prise en charge des lombalgies communes aigues et radiculalgies associées. Médecine humaine et pathologie. 2021. ⟨dumas-03547163⟩

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