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       <tr valign="top" bgcolor="#dbe0f5">                      <td bgcolor="#dbe0f5" width="40%"><font face="Arial, Helvetica, sans-serif" size="2">Voir                        aussi nos dossiers&nbsp;: </font></td>                     <td width="60%"><font face="Arial, Helvetica, sans-serif" size="2">                        <a href="/html/sante/mag_2002/sem01/mag0614/dossier/therapies_manuelles_niv2.htm">Th&eacute;rapies                        manuelles : les mains m&eacute;dicaments</a><br>                       <a href="/html/dossiers/rhumatismes.htm">Rhumatismes : le                        mal du si&egrave;cle</a></font></td>                   </tr>                 </table>                 <p align="center"><font face="Arial, Helvetica, sans-serif" size="2"><b>Les                    cervicalgies (douleurs du cou)</b></font></p>                 <meta name="keywords" content="cou, cervicarthrose, minerve, torticolis, vertiges, cervicalgies, Barr-Liou, syndrome cervical, sympathique postrieur">                 <p align="left"><font face="Arial, Helvetica, sans-serif" size="2"><b>Les                    douleurs du cou de type spontan et d'allure mcanique.</b></font></p>                 <p align="justify"><font face="Arial, Helvetica, sans-serif" size="2">Ce                    sont des douleurs dans le cou qui surviennent sans cause vidente                    et qui ont les caractres de l'atteinte articulaire mcanique.                    </font></p>                 <p align="left"><font face="Arial, Helvetica, sans-serif" size="2" color="42529d"><b>La                    cervicarthrose </b></font></p>                 <p align="justify"><font face="Arial, Helvetica, sans-serif" size="2">C'est                    l'<a href="/html/sante/encyclopedie/sa_785_arthrose.htm">arthrose</a> cervicale. Elle                    est frquente, elle atteint surtout les femmes  partir de 35                    ans, plus rarement les hommes qui eux sont touchs plus tard                    vers 50 ans. La douleur est postrieure et peut irradier vers                    la nuque, l'arrire de la tte et le front ou vers les paules                    et les bras ou le haut du dos. Une <a href="/html/sante/encyclopedie/sa_1075_e_cervico.htm">nvralgie cervicobrachiale</a>                    (douleur dans le cou irradiant dans le bras) est parfois ressentie.</font></p>                 <p align="left"><font face="Arial, Helvetica, sans-serif" size="2">L'examen                    clinique montre une raideur du cou.</font></p>                 <p align="justify"><font face="Arial, Helvetica, sans-serif" size="2">Il                    existe souvent des phnomnes associs du systme sympathique                    vasculaire (vertiges aux changements de position de la tte,                    bourdonnements d'oreille, petits troubles de la vue) par gne                     la circulation artrielle dans le cou.</font></p>                 <p align="justify"><font face="Arial, Helvetica, sans-serif" size="2">Les                    radiographies montrent des pincements discaux entre les vertbres                    cervicales. Les clichs en oblique peuvent montrer des ostophytes                    ou &quot;becs de perroquets&quot; qui ferment plus ou moins                    les trous de conjugaison et gnent le passage des vaisseaux                    et des nerfs.</font></p>                 <p align="justify"><font face="Arial, Helvetica, sans-serif" size="2">La                    vitesse de sdimentation est normale&nbsp;: il n'y a pas de                    syndrome inflammatoire.</font></p>                 <p align="justify"><font face="Arial, Helvetica, sans-serif" size="2">Le                    traitement habituel des arthroses est prconis. La kinsithrapie                    est trs efficace. En cas de douleurs aigus, la mise au repos                    du cou par un collier cervical amovible est associ aux anti-inflammatoires                    non strodiens.</font></p>                 <p align="justify"><font face="Arial, Helvetica, sans-serif" size="2">En                    cas de douleurs chroniques, le port intermittent d'un collier                    cervical (minerve), un oreiller amricain et des tractions cervicales                    en suspension sont trs utiles.</font></p>                 <p align="justify"><font face="Arial, Helvetica, sans-serif" size="2">On                    prconise aussi la rducation isomtrique du rachis cervical                    et la crnothrapie (cures thermales).</font></p>                 <p align="left"><font face="Arial, Helvetica, sans-serif" size="2" color="42529d"><b>Le                    torticolis</b> </font></p>                 <p align="justify"><font face="Arial, Helvetica, sans-serif" size="2">La                    douleur dans le cou est vive et d'apparition brutale&nbsp;;                    elle s'accompagne d'une attitude antalgique (attitude permettant                    de soulager la douleur). Le plus souvent, le torticolis est                    d  la contracture d'un muscle sterno-clido-mastodien, d'origine                    traumatique ou inflammatoire. </font></p>                 <p align="justify"><font face="Arial, Helvetica, sans-serif" size="2">Dans                    le torticolis aigu banal, l'apparition de la contracture et                    de la douleur est brutale empchant la plupart des mouvements                    du cou. L'affection ne dure en gnral que quelques jours. </font></p>                 <p align="justify"><font face="Arial, Helvetica, sans-serif" size="2">La                    radiographie, si elle est pratique, montre une dysharmonie                    de courbure de la colonne cervicale sans lsion disco-vertbrale.                    La vitesse de sdimentation est normale.</font></p>                 <p align="justify"><font face="Arial, Helvetica, sans-serif" size="2">Le                    traitement consiste en antalgiques banals, anti-inflammatoires,                    myorelaxants, ventuellement kinsithrapie. </font></p>                 <p align="justify"><font face="Arial, Helvetica, sans-serif" size="2">La                    dystonie neuro-vgtative, les syndromes dpressifs provoquent                    une douleur musculaire progressive d'horaire variable. L'examen                    clinique est normal.</font></p>                 <table width="100%" border="0" cellspacing="1" cellpadding="0" align="center">                   <tr>                      <td width="50%">                        <div align="left"><font face="Arial, Helvetica, sans-serif" size="2"></font></div>                     </td>                     <td width="50%">                        <div align="right"><font face="Arial, Helvetica, sans-serif" size="2"><b><a href="/html/sante/encyclopedie/sa_1207_cervicalgie_02.htm">[                          Page suivante... ]</a></b></font></div>                     </td>                   </tr>                 </table>                 <!-- #EndEditable -->                  <P align="center"><FONT face="Arial, Helvetica, sans-serif" size="1"><A href="/html/sante/encyclopedie/rossant.htm">                    Dr Lyonel Rossant, Dr Jacqueline Rossant-Lumbroso.</A></FONT></P>               </div>             </td>           </tr>         </table>       </div>     </td>     <td width="5">&nbsp;</td>     <td width="130" valign="top" align="right"><!-- #BeginLibraryItem "/Library/skycrapper_sante_v2.lbi" --><SCRIPT LANGUAGE="JavaScript"> document.write('<NOLAYER>'); document.write('<IFRAME SRC="http://ad.fr.doubleclick.net/adi/docdoc.fr/sky_sante;tile=3;sz=120x600;ord=' + randnum + '?" width="120" height="600" frameborder="no" border="0" MARGINWIDTH="0" MARGINHEIGHT="0" SCROLLING="no">'); document.write('<A HREF="http://ad.fr.doubleclick.net/jump/docdoc.fr/sky_sante;tile=3;sz=120x600;abr=!ie4;abr=!ie5;ord=' + randnum + '?">'); document.write('<IMG SRC="http://ad.fr.doubleclick.net/ad/docdoc.fr/sky_sante;tile=3;sz=120x600;abr=!ie4;abr=!ie5;ord=' + randnum + '?" width="120" height="600" border=0 ALT="Cliquez ici"></A>'); document.write('</IFRAME>'); document.write('</NOLAYER>'); document.write('<TABLE align="center"><TR><TD><ILAYER id="layer2" visibility="hidden" width="120" height="600"></ILAYER></TD></TR></TABLE>'); </SCRIPT>             <NOSCRIPT> <A HREF="http://ad.fr.doubleclick.net/jump/docdoc.fr/sky_sante;tile=3;sz=120x600;ord=123456789?" 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