Clinique TAGMED Terrebonne — 1150 rue Lévis
Traitement de la sciatique à Terrebonne
Examen gratuit — valeur de 85 $ CA
Demandez l’offre « Examen gratuit — valeur de 85 $ » lors de votre réservation à Terrebonne. L’offre porte sur l’examen; les traitements éventuels sont distincts.
Sur GOrendezvous, choisissez « Je suis un nouveau client », puis « Traitement en ostéopathie » et Sylvain Desforges à Terrebonne. Voir le guide de réservation.
Évaluation de la douleur qui descend dans la jambe, des signes neurologiques et des causes lombaires possibles, avec un plan de prise en charge adapté à votre situation.
Une douleur qui part du bas du dos ou de la fesse et descend vers la cuisse, le mollet ou le pied peut être compatible avec une douleur radiculaire. À la Clinique TAGMED de Terrebonne, l’objectif de la première consultation est de préciser le trajet des symptômes, d’identifier les signes qui nécessitent une orientation médicale et de déterminer quelles options conservatrices peuvent raisonnablement être discutées.
- Évaluation du trajet de la douleur, de la sensibilité, de la force et de la fonction.
- Corrélation avec une IRM ou d’autres examens déjà disponibles lorsqu’ils sont pertinents.
- Prise en charge individualisée des profils compatibles avec une hernie discale, une protrusion, une sténose foraminale ou d’autres causes lombaires.
- Clinique située au 1150 rue Lévis, suite 200, Terrebonne, QC J6W 5S6.
Clinique TAGMED Terrebonne
Une clinique réelle à Terrebonne pour l’évaluation des douleurs sciatiques
Cette page est consacrée à notre clinique de Terrebonne. Elle s’adresse aux personnes de Terrebonne et des secteurs voisins qui cherchent à faire évaluer une douleur lombaire ou fessière qui descend dans la jambe.
Coordonnées
Clinique TAGMED Terrebonne
1150 rue Lévis, suite 200
Terrebonne, QC J6W 5S6
Téléphone : (450) 704-4447
Horaires : lundi et mercredi, de 8 h à 18 h, sur rendez-vous.
Préparer votre visite
Localisation
Comprendre la sciatique
Une douleur dans la jambe n’est pas automatiquement une sciatique
Le terme « sciatique » est souvent utilisé pour toute douleur qui descend dans la jambe. En pratique, une douleur radiculaire lombaire doit être distinguée des douleurs provenant de la hanche, du bassin, des articulations lombaires, des tissus musculaires ou, plus rarement, d’un problème vasculaire ou d’une autre neuropathie.
Trajet
La localisation dans la fesse, la cuisse, le mollet, la cheville ou le pied apporte des indices sur la structure ou la racine potentiellement impliquée.
Neurologie
Engourdissement, picotements, perte de sensibilité, faiblesse ou modification des réflexes augmentent l’importance de l’évaluation neurologique.
Fonction
La marche, la durée assise ou debout, le sommeil, le travail et les efforts permettent de mesurer le retentissement réel des symptômes.
À retenir
Une IRM peut montrer une hernie, une protrusion ou une sténose chez une personne dont les symptômes proviennent en partie d’un autre mécanisme. L’imagerie est donc interprétée avec le côté, le niveau, l’examen clinique et la fonction.
L4 · L5 · S1
Le trajet des symptômes peut orienter l’évaluation des racines nerveuses
Ce que l’on appelle couramment « nerf sciatique » provient de plusieurs racines lombosacrées. Une douleur compatible avec une radiculopathie peut donc suivre des territoires différents selon le niveau impliqué.
Profil compatible avec L4
Certains symptômes peuvent toucher davantage l’avant de la cuisse, le genou ou la face interne de la jambe.
Profil compatible avec L5
Des symptômes peuvent se projeter vers le côté de la jambe, le dessus du pied ou le gros orteil et parfois s’accompagner d’une faiblesse du releveur du pied.
Profil compatible avec S1
La douleur ou l’engourdissement peut davantage suivre l’arrière du mollet, le talon ou le bord externe du pied.
Symptômes
Quels symptômes peuvent accompagner une douleur sciatique?
La présentation varie selon la cause, le niveau, la durée et le degré d’irritation neurologique.
Douleur irradiée
Douleur partant du bas du dos ou de la fesse et descendant vers la cuisse, le mollet, la cheville ou le pied.
Paresthésies
Brûlure, décharge électrique, picotements ou engourdissement dans une partie de la jambe ou du pied.
Faiblesse
Difficulté à relever le pied, marcher sur les talons ou les pointes, monter un escalier ou stabiliser la jambe.
Quand une douleur sciatique nécessite-t-elle une évaluation urgente?
- Troubles urinaires ou intestinaux nouveaux.
- Engourdissement de la région de la selle ou du périnée.
- Faiblesse importante ou rapidement progressive.
- Pied tombant récent ou jambe qui cède de plus en plus.
- Symptômes bilatéraux importants, fièvre, traumatisme majeur ou détérioration générale inhabituelle.
Ces signes ne doivent pas attendre une consultation de routine ou une séance de traitement. Une évaluation médicale urgente peut être nécessaire.
Consulter le guide Quand consulter et sécurité neurologique.
Causes possibles
Quelles structures peuvent provoquer ou entretenir une douleur radiculaire?
L’objectif n’est pas d’attribuer automatiquement les symptômes à l’anomalie la plus visible sur une IRM, mais de rechercher une concordance clinique.
Hernie discale
Un fragment ou une protrusion discale peut irriter une racine si son niveau et son côté correspondent au tableau clinique.
Protrusion ou bombement
Un disque peut déborder sans produire de symptômes; son importance dépend de la relation avec la racine et le foramen.
Pincement discal
Une diminution de hauteur du disque peut participer au rétrécissement d’un foramen.
Sténose foraminale
Le canal de sortie d’une racine peut se rétrécir sous l’effet de plusieurs changements dégénératifs.
Sténose lombaire
Un rétrécissement du canal central peut limiter la marche et provoquer des symptômes dans une ou deux jambes.
Autres diagnostics
Hanche, bassin, tissus musculaires, neuropathie périphérique ou problème vasculaire peuvent parfois produire un tableau ressemblant à une sciatique.
Évaluation à Terrebonne
Ce que nous cherchons à clarifier avant de choisir un traitement
Une première consultation utile répond à plusieurs questions : s’agit-il d’un profil radiculaire? Existe-t-il un déficit neurologique? L’imagerie concorde-t-elle? Quelles activités sont limitées? Une approche conservatrice est-elle raisonnable ou faut-il orienter le patient?
1
Histoire et trajet
Début, durée, côté, distribution dans la jambe, sommeil, marche, position assise, travail et traitements déjà essayés.
2
Examen fonctionnel et neurologique
Mobilité, marche, force, sensibilité et tests pertinents selon le profil présenté.
3
Imagerie si pertinente
Une IRM, des radiographies ou d’autres examens déjà disponibles peuvent être corrélés au côté et au niveau symptomatiques.
4
Décision et objectifs
Le plan proposé précise les options, les limites, les objectifs mesurables et les critères de réévaluation ou d’orientation.
Voir le guide Diagnostic de la sciatique · Imagerie et examens.
Options de prise en charge
Le traitement dépend de la cause probable, de la neurologie et de l’évolution
Il n’existe pas une intervention unique qui convienne à toutes les sciatiques. Le plan peut évoluer selon la tolérance, les objectifs fonctionnels et la réponse au fil du temps.
Activité et rééducation
L’information, le maintien d’activités tolérées et un programme d’exercice adapté occupent une place importante dans les lignes directrices pour la lombalgie avec ou sans sciatique.
Approches cliniques conservatrices
Selon le profil, certaines approches manuelles ou instrumentales peuvent être intégrées à une stratégie globale et réévaluées selon la fonction.
Options médicales
Dans certains tableaux, une infiltration ou un avis chirurgical peut être discuté par le médecin ou le spécialiste approprié, notamment selon la sévérité, l’évolution et la concordance de l’imagerie.
Décompression neurovertébrale
Quelle place peut avoir une traction motorisée dans un plan de soins?
À la Clinique TAGMED de Terrebonne, la décompression neurovertébrale désigne une forme de traction motorisée appliquée de façon progressive. Elle n’est pas proposée comme une solution universelle ou garantie. Si elle est envisagée, sa pertinence doit être évaluée selon le diagnostic probable, la sécurité, les symptômes et des objectifs fonctionnels mesurables.
Quand peut-elle être discutée?
Chez certains patients sélectionnés lorsque le tableau est compatible avec une atteinte discale ou foraminale, qu’aucune contre-indication importante n’est identifiée et qu’un essai thérapeutique peut être suivi objectivement.
Quelles limites faut-il connaître?
Les lignes directrices NICE ne recommandent pas la traction de routine pour la lombalgie avec ou sans sciatique. Elle ne doit pas être présentée comme une méthode qui « remet le disque en place », élimine les ostéophytes ou garantit d’éviter une chirurgie.
Notre principe de décision
Si une approche ne produit pas un changement suffisamment clair de la douleur radiculaire, de la marche, de la durée assise ou d’autres objectifs convenus, le plan doit être réévalué plutôt que poursuivi automatiquement.
Consulter le guide Décompression neurovertébrale et sciatique.
Sélection et précautions
Quand une prise en charge de routine doit-elle être modifiée ou interrompue?
Le choix d’une approche conservatrice dépend autant de ce qui est présent que de ce qui doit être exclu. Certains profils nécessitent une investigation, une consultation médicale ou une opinion spécialisée avant de poursuivre.
Profil stable
Douleur et fonction suffisamment stables pour permettre un essai conservateur avec objectifs mesurables et réévaluation.
Profil à clarifier
Diagnostic incertain, imagerie discordante, douleur atypique ou réponse inhabituelle pouvant nécessiter une autre investigation.
Profil à orienter rapidement
Déficit neurologique progressif, pied tombant récent, signes de queue de cheval ou autre drapeau rouge.
Pourquoi TAGMED Terrebonne?
Une approche locale centrée sur la concordance clinique et la fonction
La clinique reçoit des patients présentant des douleurs lombaires, discales et sciatiques. La priorité est de comprendre le tableau avant de choisir une technologie ou une approche particulière.
Évaluation structurée
Trajet des symptômes, examen neurologique, fonction et examens disponibles sont interprétés ensemble.
Plan expliqué
Les objectifs, les limites et les critères de réévaluation sont discutés avec le patient avant de poursuivre.
Présence à Terrebonne
Consultations au 1150 rue Lévis, suite 200, à Terrebonne, avec prise de rendez-vous en ligne ou par téléphone.
Explorer le silo Sciatique
Guides cliniques utiles avant ou après votre consultation
Ces guides approfondissent les symptômes, les causes, le diagnostic et les décisions thérapeutiques sans créer de copies locales inutiles.
Symptômes de la sciatique
Douleur, engourdissement, brûlure, faiblesse et distribution dans la jambe.
Racines L4, L5 et S1
Repères sur les territoires sensitifs, moteurs et réflexes.
Causes de la sciatique
Hernie, protrusion, discopathie, sténose et autres mécanismes lombaires.
Diagnostic de la sciatique
Examen clinique, tests, neurologie et raisonnement diagnostique.
Sciatique ou autre problème?
Hanche, problème vasculaire, neuropathies et autres diagnostics possibles.
Hernie discale et sciatique
L4-L5, L5-S1, symptômes et décisions de prise en charge.
Sténose lombaire et sciatique
Sténose foraminale, canal lombaire et claudication neurogène.
Exercices et rééducation
Activité graduelle, marche, renforcement et retour aux capacités.
Infiltrations et chirurgie
Quand ces options médicales peuvent devenir pertinentes.
Vous cherchez une évaluation pour une douleur sciatique à Terrebonne?
Une consultation peut aider à déterminer si vos symptômes sont compatibles avec une radiculopathie, quelles structures semblent pertinentes et quelles options méritent d’être discutées dans votre situation.
Questions fréquentes
FAQ sur le traitement de la sciatique à Terrebonne
Les réponses abordent les symptômes, les examens, la décompression neurovertébrale, les délais de consultation et les situations nécessitant une orientation médicale.
Questions fréquemment posées
Sciatique
Qu’est-ce qu’une sciatique ?
La sciatique désigne une douleur liée à l’irritation ou à la compression du nerf sciatique ou d’une racine nerveuse lombaire. Elle peut provoquer une douleur qui part du bas du dos, de la fesse ou de la hanche et descend vers la jambe.
La sciatique est-elle une maladie ou un symptôme ?
La sciatique est généralement un symptôme plutôt qu’une maladie en soi. Elle indique qu’une structure, comme un disque, une articulation, un muscle ou un rétrécissement du canal nerveux, peut irriter une racine nerveuse ou le nerf sciatique.
Quels sont les symptômes les plus fréquents d’une sciatique ?
Les symptômes fréquents comprennent une douleur dans la fesse ou la jambe, une sensation de brûlure, des élancements, des picotements, un engourdissement ou parfois une faiblesse musculaire dans la jambe ou le pied.
La sciatique peut-elle descendre jusqu’au pied ?
Oui. Selon la racine nerveuse irritée, la douleur peut descendre dans la cuisse, le mollet, la cheville ou le pied. Le trajet exact de la douleur peut aider à identifier la région lombaire impliquée.
Une douleur dans la jambe est-elle toujours une sciatique ?
Non. Une douleur dans la jambe peut aussi provenir de la hanche, du bassin, du genou, d’un muscle, d’un problème vasculaire ou d’une autre irritation nerveuse. Une évaluation clinique permet de mieux distinguer ces causes.
Quelle est la différence entre sciatique et lombalgie ?
La lombalgie est une douleur située principalement au bas du dos. La sciatique implique généralement une douleur qui irradie vers la fesse ou la jambe, parfois avec des signes neurologiques comme des picotements, un engourdissement ou une faiblesse.
Quelle est la différence entre sciatique et cruralgie ?
La sciatique touche surtout l’arrière ou le côté de la jambe, tandis que la cruralgie affecte plutôt l’avant de la cuisse, parfois jusqu’au genou. Les deux peuvent provenir d’une irritation de racines nerveuses lombaires différentes.
Quelles sont les causes fréquentes de sciatique ?
Les causes fréquentes incluent la hernie discale, la protrusion discale, la sténose foraminale, la sténose spinale, l’arthrose lombaire, le spondylolisthésis ou certaines tensions musculaires pouvant irriter le nerf sciatique.
Une hernie discale peut-elle causer une sciatique ?
Oui. Une hernie discale peut irriter ou comprimer une racine nerveuse lombaire, ce qui peut provoquer une douleur sciatique irradiant dans la fesse, la cuisse, le mollet ou le pied.
Une protrusion discale peut-elle provoquer une sciatique ?
Oui. Une protrusion discale peut réduire l’espace disponible autour d’une racine nerveuse et contribuer à une douleur sciatique, surtout si elle est associée à de l’inflammation ou à un rétrécissement foraminal.
Références médicales
Lignes directrices utilisées comme cadre général
Ces références soutiennent l’évaluation de la lombalgie avec sciatique, l’utilisation raisonnée de l’imagerie et les décisions de prise en charge. Elles ne remplacent pas une décision individualisée.
- NICE NG59 — Low back pain and sciatica: assessment and management
- American College of Radiology — Appropriateness Criteria: Low Back Pain
- North American Spine Society — Lumbar Disc Herniation with Radiculopathy
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Chronic, Nonsurgical Spinal Decompression To Treat, and Low Back Pain. “On September 27, 2010, in Studies, by Admin.”
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VanderWal, Candi. “You Are Browsing the Archive for Jeff VanderWal.”
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Jimenez, Alex. “Body Flexibleness: Decompression.” https://personalinjurydoctorgroup.com/2022/04/28/body-flexibleness-decompression/ (December 16, 2024).
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Shiyab, Moe. “Before You Go Under the Knife.” https://chirorelief.com.au/radiating-nerve-pain-back-pain-discomfort-2/ (December 16, 2024).
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Nanni, Tanha Nosin. 2016. “Effectiveness of Manual Lumbar Traction for the Management of Low Back Pain Patient along with Physiotherapy Treatment.” PhD Thesis. Bangladesh Health Professions Institute, Faculty of Medicine, the University …. http://202.4.109.28:8080/xmlui/handle/123456789/403 (December 16, 2024).
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Jimenez, Alex. “Improve Range of Motion: EP Functional Wellness Clinic.” https://sciatica.clinic/improve-range-of-motion-ep-functional-wellness-clinic/ (December 16, 2024).
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Padhy, Jayashree. 2017. “Spinal Decompression Therapy: A Review Article.” International Journal of Medical & Allied Health Sciences 6(1): 2017.
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Guehring, T. 1992. “A BRIEF SYNOPSIS OF THE RESEARCH ON CERVICAL AND LUMBAR TRACTION, DISTRACTION AND DECOMPRESSION.” Proc Inst Mech Eng 206(4): 225–31. https://discassociation.org/wp-content/uploads/2018/01/Research-summary-.pdf (December 16, 2024).
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Sajjad, Abdul Ghafoor, Muhammad Shahid Javed, Iqra Hamid, Syed Ali Hussain, Muhammad Ali Raja, and Benish Shahzadi. 2023. “Effects of Decompression Therapy in Leg Pain and Straight Leg Rise in Patient with Lumbar Radiculopathy Due to Disc Protrusion.” Journal of Islamabad Medical & Dental College 12(4): 336–44. https://www.jimdc.org.pk/index.php/JIMDC/article/view/1058 (December 16, 2024).
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Jimenez, Alex. “The Difference Between Traction & Decompression Therapy.” https://personalinjurydoctorgroup.com/2022/05/13/difference-between-traction-decompression-therapy/ (December 16, 2024).
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Jimenez, Alex. “The Reoccurrence Of Low Back Pain Relieved By Spinal Decompression.” https://personalinjurydoctorgroup.com/2023/06/28/reoccurrence-low-back-pain-spinal-decompression/ (December 16, 2024).
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Jimenez, Alex. “Recovering from a Dislocated Hip: What You Need to Know.” https://sciatica.clinic/recovering-from-a-dislocated-hip-what-you-need-to-know/ (December 16, 2024).
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VanderWal, Candi. “Hill DT Solutions Main Website.”
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Gŭlşen, MUSTAFA, Emine Atici, Aydan Aytar, and Fatma Nese Sahin. 2018. “Effects of Traction Therapy in Addition to Conventional Physiotherapy Modalities on Pain and Functionality in Patients with Lumbar Disc Herniation: Randomized Controlled Study.” Acta Medica 34: 2017. https://www.researchgate.net/profile/Emine-Atici/publication/348944318_EFFECTS_OF_TRACTION_THERAPY_IN_ADDITION_TO_CONVENTIONAL_PHYSIOTHERAPY_MODALITIES_ON_PAIN_AND_FUNCTIONALITY_IN_PATIENTS_WITH_LUMBAR_DISC_HERNIATION_RANDOMIZED_CONTROLLED_STUDY/links/601843ce92851c2d4d0d8b9e/EFFECTS-OF-TRACTION-THERAPY-IN-ADDITION-TO-CONVENTIONAL-PHYSIOTHERAPY-MODALITIES-ON-PAIN-AND-FUNCTIONALITY-IN-PATIENTS-WITH-LUMBAR-DISC-HERNIATION-RANDOMIZED-CONTROLLED-STUDY.pdf (December 16, 2024).
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Schwab, Matthew J. 2008. “Chiropractic Management of a 47-Year–Old Firefighter with Lumbar Disk Extrusion.” Journal of Chiropractic Medicine 7(4): 146–54. https://www.sciencedirect.com/science/article/pii/S1556370708000916 (December 16, 2024).
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Woods, Lawrence. “Can Piriformis Syndrome Cause Constipation?” https://axialchairs.com/piriformis-syndrome-cause-constipation (December 16, 2024).
Informations importantes
Cette page fournit de l’information générale et ne pose pas de diagnostic. Une anomalie d’imagerie peut être asymptomatique et les résultats d’un traitement varient selon la cause, la durée, les signes neurologiques, les antécédents et la réponse individuelle aux soins. Les signes d’urgence nécessitent une évaluation médicale appropriée.
Sylvain Desforges, docteur en ostéopathie
Clinique TAGMED Terrebonne — Évaluation des douleurs lombaires, discales et sciatiques et prise en charge conservatrice individualisée.
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