La douleur discogénique non neurogène

Épisode de Au contact de la douleur par Marco Sagona · 5 août 2026 · 28 min

Dans cet épisode, on part à la recherche des mécanismes de la douleur discale non neurogène : innervation, chimie inflammatoire, charge mécanique, reconnaissance clinique, avec la littérature la plus récente et la rigueur qu'elle mérite.

Lien de la formation en ligne : https://www.fullphysio.com/formation/therapie-manuelle-2-0?utm_source=contrib&utm_medium=insta&utm_campaign=launch

Quelques sources :

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The intradiscal pressure of the lumbar spine is affected by intervertebral disc degeneration, age, level, and motion direction. doi: 10.1016/j.spinee.2025.01.024.

Running exercise strengthens the intervertebral disc. doi: 10.1038/srep45975.

The Impact of Exercise on Intervertebral Disc Health: A Systematic Review and Meta-Analysis. doi: 10.1007/s40279-025-02336-w.

Can Exercise Positively Influence the Intervertebral Disc? doi: 10.1007/s40279-015-0444-2.

The innervation of the lumbar spine. doi: 10.1097/00007632-198304000-00009.

Nerve ingrowth into diseased intervertebral disc in chronic back pain. doi: 10.1016/S0140-6736(97)02135-1.

Possible pathogenesis of painful intervertebral disc degeneration. doi: 10.1097/01.brs.0000201324.45537.46.

Nerve growth factor expression and innervation of the painful intervertebral disc. doi: 10.1002/path.1108.

Does the high-intensity zone of lumbar intervertebral disc at magnetic resonance imaging have diagnostic value for discogenic low back pain? A meta-analysis. doi: 10.1186/s12891-024-07981-2.

What a pain in the back: etiology, diagnosis and future treatment directions for discogenic low back pain. doi: 10.1038/s41413-025-00472-7.

The association of Modic changes and chronic low back pain: a systematic review. doi: 10.1016/j.jor.2022.11.003.

Low back pain patients with Modic type 1 changes exhibit distinct bacterial and non-bacterial subtypes. doi: 10.1016/j.ocarto.2024.100434.

Systematic literature review of imaging features of spinal degeneration in asymptomatic populations. doi: 10.3174/ajnr.A4173.

The centralization phenomenon of spinal symptoms: a systematic review. doi: 10.1016/j.math.2004.03.004.

Centralization as a predictor of provocation discography results in chronic low back pain, and the influence of disability and distress on diagnostic power. doi: 10.1016/j.spinee.2004.11.007.

Contribution of centralization phenomenon to the diagnosis, prognosis, and treatment of diskogenic low back pain. doi: 10.1016/j.jbspin.2006.12.002.

Does it matter which exercise? A randomized control trial of exercise for low back pain. doi: 10.1097/01.brs.0000146464.23007.2a.

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Diagnosis of sacroiliac joint pain: validity of individual provocation tests and composites of tests. doi: 10.1016/j.math.2005.01.003.

Systematic review of tests to identify the disc, SIJ or facet joint as the source of low back pain. doi: 10.1007/s00586-007-0391-1.

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À propos du podcast

Un podcast consacré à la thérapie manuelle, aux neurosciences de la douleur et au raisonnement clinique. Il s’adresse aux ostéopathes, kinésithérapeutes, professionnels de santé, étudiants et aux curieux de la santé. À travers une approche fondée sur les preuves, nous explorons la prise en charge…

Au contact de la douleur

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