ECG électrocardiogramme pathologie cardiaque cœur examen

Qu’est-ce qu’un électrocardiogramme ou ECG ? | Thierry Payet

by with No Comment Médecine

Tracé de l’activité électrique du cœur, obtenu grâce à une électrocardiographie (ECG), l’électrocardiogramme permet “de détecter des anomalies de rythme, de la conduction de l’influx nerveux, ou certaines maladies cardiaques”. [1]

Dans quels cas cet examen est-il indiqué ? Comment se déroule l’examen ? Comment interpréter un électrocardiogramme ?

Medicalib vous en dit plus à ce sujet.

Cet article, destiné au grand public, s’appuie sur les données scientifiques disponibles sur le sujet traité, à sa date de mise à jour.
Il n’a pas vocation à se substituer aux recommandations et préconisations de votre médecin.

I – ECG : dans quel cas cet examen est-il prescrit ? 

La réalisation d’un ECG peut avoir lieu :

  • ECG au repos : le patient est en position allongée et l’examen dure 5 minutes en moyenne. C’est l’examen le plus courant.
  • ECG d’effort : le patient est installé sur un vélo ergonomique ou sur un tapis roulant et l’examen dure environ 30 minutes. Ce dernier permet d’évaluer la résistance du cœur à l’effort.
  • ECG ambulatoire :  les arythmies ne se manifestent que pendant quelques minutes par jour, aussi un ECG de longue durée (24 à 48h) peut être préconisé dans certains cas.

II – Les différents types d’ECG ?

Il existe différents types d’ECG :

  • lors d’un examen clinique de routine chez des patients d’âge moyen et chez des personnes âgées afin d’avoir des valeurs de référence.
  • en cas de suspicion d’une maladie cardiaque
  • pour vérifier l’état du cœur en amont d’une chirurgie ou d’un traitement
  • pour surveiller les effets d’un traitement sur le cœur
  • pour surveiller certaines maladies : insuffisance cardiaque, insuffisance coronaire…

III – ECG : déroulement de l’examen

L’examen réalisé est indolore. Il peut se faire à l’hôpital, à la clinique ou au cabinet du médecin.

Des capteurs (électrodes) autocollants sont placés sur les poignets, les chevilles et le thorax du patient. Des fils électriques sont fixés sur les électrodes et reliés à un électrocardiographe.  Cet appareil enregistre l’information et la transpose sous forme de représentations graphiques. Chaque tracé montre l’activité électrique du cœur sous différents angles.

Afin que l’impression de l’électrocardiogramme soit précise et que les résultats soient facilement interprétables, il est essentiel que les électrodes soient rigoureusement positionnées sur le patient. 

  • Vérification de la date de péremption des électrodes
  • Vérification de la peau du patient : la zone doit être propre, nettoyée avec de l’alcool et sans poils afin de garantir une parfaite adhésion des électrodes et de garantir un signal optimal
  • Demander au patient de mettre de côté montre, bijoux, objets métalliques, téléphone portable…
  • Demander au patient de se détendre, de respirer normalement, de ne pas bouger ni parler

Rigueur et méthode sont indispensables pour une bonne analyse des résultats. Avant tout, il s’impose donc de :

  • rassembler toutes les informations concernant la personne sur qui est pratiqué l’ECG : antécédents, âges, sexes, origine ethnique, médication…
  • déterminer si l’examen s’est déroulé dans les meilleures conditions (vérification des valeurs de la vitesse de déroulement du papier – 25mm/s -, de l’amplitude -mV/10 mm, ainsi que de la présence de 12 dérivations)

Une fois ces éléments considérés, l’analyse des résultats consiste à vérifier :

  • la fréquence cardiaque : recherche d’une éventuelle tachycardie (battements trop rapides) ou d’une bradycardie (battements trop lents).
  • le rythme cardiaque : contrôle du rythme sinusal.
  • l’intervalle PR : donne une indication sur une éventuelle présence d’un “trouble de la conduction au niveau du nœud atrio-ventriculaire et dans de rares cas, au niveau du système His-Purkinje”[3].
  • l’intervalle QT : contrôle de son caractère. Une valeur supérieure à 440 ms chez les hommes et 460 ms chez les femmes peut être révélatrice d’une pathologie de type : syndrome de Romano-Ward, syndrome de Jervell, Hypertrophie du ventricule gauche, acidocétose diabétique, maladie liée à la Thyroïde…
  • Axe électrique cardiaque : les dérivations D1 et aVF doivent normalement être positives.
  • Altération du segment ST : “permet de déterminer la présence d’une cardiopathie ischémique.  L’altération se manifestera par une élévation ou une dépression de ce segment.”
  • Évaluation de toutes les ondes et de tous les intervalles : dernière étape de lecture.
Bon à savoir L’électrocardiogramme doit généralement être associé à des examens cliniques et biologiques pour permettre de confirmer ou infirmer un diagnostic.

Sachez que vous pouvez prendre rendez-vous en ligne avec un professionnel de santé libéral pour pour vos soins à domicile. Pour cela, n’hésitez pas à nous contacter via notre plateforme. Nous vous mettrons en relation avec un professionnel de santé à proximité de votre domicile en moins d’une heure !

Sources :

  • [1] Électrocardiogramme (ECG) – Centre Cardiologique de l’Ouest Lyonnais
  • [2] Électrodes de l’électrocardiogramme – My EKG – le site web de l’électrocardiogramme
  • [3] Comment lire un ECG ? – MediProStore by Schiller
  • Électrocardiographie (ECG) – Le Manuel MSD – MAJ juillet 2021
  • Électrocardiogramme (ECG) – Société canadienne du cancer
  • Électrocardiogramme (ECG) – Fondation suisse de cardiologie
Let’s talk TMJ dysfunction — Full Circle Osteopathy

Let’s talk TMJ dysfunction — Full Circle Osteopathy | Thierry Payet

by with No Comment Santé

 

A bit of anatomy…

 

The jawbone (or mandible) is the bone which hangs from your skull, creating the lower part of your head. It houses the lower teeth and attaches either side of the head just in front of the ears. Put your fingers just in front your ears in line with the ear holes, gently open and close your mouth and you will be able to feel movement at these joints. These joints are called the temporo-mandibular joints, or TMJ. Movement at these joints occur when we open and close our mouth during activities such as eating and talking. As well as opening and closing our jaw, we can move it side to side and forwards and backwards!

 

Movements of the jaw, such as chewing, are controlled by various muscles. Three main muscles close our mouth, and one main muscle aids with opening it. This makes sense when you think about gravity’s effect on the body. We need a bit more help to close our mouth and bite into our food than we do to open it and let it hang.

 

Problems with the TMJ

 

A common jaw condition us osteo’s treat is TMJ dysfunction. This is a relatively broad term we use to describe an issue with this specific joint which affects women twice as much as men. Problems can arise from many structures in and around the joint, including the muscles, joint surfaces and a small disc which sits inside. Muscle imbalances are common and can lead to stiffness or pain (or both) when opening and closing our mouth. Tightness in the surrounding muscles could be a result of trauma to the jaw (like with being punched or hitting your chin after a fall), clenching when sleeping (known as ‘Bruxism’), a neck dysfunction/restriction, or from dental problems such as having an uneven bite. People who are highly stressed will often clench their jaw in their sleep, which may lead to waking up with a sore jaw or headaches.

 

Inside the joint itself is a small disc which slides and moves during jaw movements. Sometimes this disc can become ‘displaced’ and may not slide and move as smoothly as it should. This may often lead to a jaw that clicks or cracks when opening the mouth. For the most part, the click is painless, however some people may experience pain alongside a click. In some severe cases the jaw may temporarily lock, which as you can imagine would be quite distressing to experience. Pain from the jaw joints can sometimes also present as ear pain.

 

Osteopathic treatment for TMJ dysfunction

 

Treatment for TMJ dysfunction will greatly depend on the cause of the dysfunction. A simple muscle imbalance may be corrected by soft tissue release of the jaw muscles, joint mobilisation, and corrective mobility and strengthening exercises. It is rarely that simple though. More often than not, a TMJ dysfunction will come hand in hand with a problem in the neck and shoulders, be it restriction of movement or poor stability and strength in the region.

 

An osteopathic approach to treating TMJ dysfunction will include a thorough assessment of the head, jaw, neck, shoulders and mid-back (and quite possibly further afield than that!). Because of the proximity of the jaw and neck, you rarely get dysfunction in one without the other. Your osteo will question you about your occupation, sleeping habits, hobbies, and current stress levels – all of which may be playing a part in your condition. If your osteo believes your TMJ issues stem from a dental issue, they may advise a visit to the dentist for a check-up as sometimes problems can be resolved with input from both professions. If clenching is an issue, you may find it useful to wear a gum shield or mouth guard to bed to alleviate pressure on the jaw and teeth. We appreciate it’s not the best look in the world, but it can be a game changer! Stress management including breathing, relaxation and mindfulness techniques can also be a great way to beat that stress in your life. Don’t worry, your osteo will have some tricks up their sleeve for this too. Always let them know if you feel like you need help with this aspect of your life.

 

If you think you might have a jaw problem, then don’t keep it tight-lipped. Open up that mouth and reach out to us (by talking we mean!). We’ll have you ready for copious amounts of food, drink (we say copious, but we mean in moderation, of course) and chin-wagging in the upcoming festive season before you can say ‘temporo-mandibular joint dysfunction’… Don’t worry, we struggle with that one too 🙂 #tonguetwister

References :

1.     National Institute of Dental and Craniofacial Research. 2018. Prevalence of TMJD and its signs and symptoms. [Online]. Available from: https://www.nidcr.nih.gov/research/data-statistics/facial-pain/prevalence. [Accessed 08 October 2019]

2.     Poluha, RL. et al. 2019. Temporomandibular joint disc displacement with reduction: a review of mechanisms and clinical presentation. JAOS. 27. e20180433. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6382319/

3.    Harvard Health Publishing. 2019. Unlocking the jaw: Temporomandibular joint (TMJ) dysfunction. [Online]. Available from: https://www.health.harvard.edu/blog/unlocking-the-lock-jaw-temporomandibular-joint-tmj-dysfunction-2017022211146. [Accessed 08 October 2019]

Shoulder impingement — Full Circle Osteopathy

Shoulder impingement — Full Circle Osteopathy | Thierry Payet

by with No Comment Ostéopathie

A common shoulder complaint that we see is shoulder impingement, otherwise known as subacromial impingement. Say ‘shoulder’ and most people think of a ball and socket joint. This joint does indeed make up a large part of the shoulder, but there is much more to it than that. Over the top of the ball and socket joint sits a bony ‘bridge’ which is made up of the collar bone (aka the clavicle), shoulder blade (specifically the ‘acromion’ part of the shoulder blade) and a joint which connects the two (aptly named the ‘acromio-clavicular’ joint). Beneath the bridge and above the ball and socket joint is a small gap called the sub-acromial space (sub = underneath).

It is within this space that the abovementioned impingement occurs and if present, may cause pain when moving the arm.

 

Why does impingement occur?

 

Well, there are quite a few soft tissues which run through this space that help keep the shoulder functioning. These parts include the tendons of the biceps and one of the rotator cuff muscles, a ligament and a fluid-filled sac called a ‘bursa’. Bursi allow smooth, frictionless movement around joints and can be found all over the body. Any of these body parts can be involved in shoulder impingement if they become inflamed. Repeated, overhead arm use in throwing sports, or chronic poor positioning of the shoulder and posture in desk workers can lead to these soft tissues becoming irritated and inflamed. For example, a cricketer who spends a large part of their career throwing a ball could lead to increased stress placed on the rotator cuff tendon that passes through the space, leading to inflammation, wear and tear, and poor movement. This then has a direct effect on other surrounding structures, so a person may end up with an inflamed bursa too.

 

Signs and symptoms

 

When someone has shoulder impingement, they may experience any or all of the following:

 

•           Pain when moving the arm (e.g. our cricketer above may feel pain when throwing)

•           Decreased range of motion in the shoulder

•           Weakness when using the arm on the affected side

•           Reduced ability to perform everyday tasks such as reaching up high in a cupboard, doing up a bra, putting on a coat or holding/lifting a child

 

Get to the osteo quick sharp!

 

If you want to get on top of your shoulder pain quickly, then we recommend a trip to see us here at Full Circle Osteopathy. After some thorough questioning and assessment, we will work out what lifestyle or movement factors are responsible for your pain. We’ll get to work with our hands straight away. Using a combination of soft tissue massage, joint mobilising, and many other techniques, we will aim to reduce your pain and get you moving better. Someone with a shoulder problem nearly always has an issue related to neck or back movement, so don’t be surprised if we go looking further afield on the body for answers to your problem.

 

If you are a thrower, we may ask you to demonstrate a throw so we can see how you are moving (don’t worry, we won’t ask you to do this if you are in acute pain). Likewise, if you are a desk worker, we may ask to look at your desk set up and sitting posture. Getting you to take a photo of yourself at your desk is often helpful for us to see if you need to make some changes that may be affecting your posture day-to-day. When it comes to any lifestyle advice, whether it’s the hobbies you have or the way you sleep, we’ve also got you covered!

 

 

We pride ourselves on awesome treatment, but shoulders are often tricky to treat, and some cases may take longer than others. To ensure you get back on the right path as quick as possible, always follow our advice between treatments, and please do your exercises! If you have weakness somewhere which is leading to your pain, a few treatments are not going to resolve this. Weakness and instability need strengthening, and strength takes time to build. Consistency is key with exercise. We will educate you on what you need to do, but you need to be the one to do it at the end of the day. It’s a team effort. We know it’s hard to keep motivated, but rest assured we will always be there on those days when you need a hand!

 

If you have shoulder pain, then don’t stand on ceremony, book an appointment today by contacting our clinic on 0452 249 379 or by visiting our website here. We’ll have you back throwing balls from the boundary quicker than you can say howzat! And if you have no idea what howzat means, then we suggest you ask the audience or phone a friend! 😉

References:

1.     Brukner, P. and Khan, K. 2017. Clinical Sports Medicine. 5th ed. McGraw Hill Education : Australia

2.     Umer, M. et al. 2012. Subacromial impingement syndrome. Orthopedic Reviews. 4 (2). e18. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3395987/

3.    Bennett, S. et al. 2017. The use of osteopathic manual therapy and rehabilitation for subacromial impingement syndrome: A case report. Explore. 13 (5). 339-343. https://www.sciencedirect.com/science/article/abs/pii/S1550830717300149

O is for Osteopaths and Orthotics

O is for Osteopaths and Orthotics | Thierry Payet

by with No Comment Santé

Osteopaths deal with the whole body. From the head right down to the toes, they treat specific conditions as well as working towards improving your overall health.

While orthotics are shoe inserts that correct biomechanical foot issues.

For the past 25 years, Osteopath Robin Kiashek has treated a number of ailments –  including those relating to feet. And, over the years, he has been able to work with a range of healthcare professionals to place his patients at the forefront of care.

 

Referring a specialist

 

One professional in Robin’s network is Christophe Champs, a consultant in Podiatry and Biomechanics and founder of London-based PODO, which specialises in same-day orthotics.

Robin refers patients to Christophe should their lower limb issues require additional expertise or when he feels they could benefit from some orthotic help.

That’s because, as Robin puts it: “There is a relationship between the biomechanics of the feet and the pelvic region, as there is a ‘closed chain’ between feet and pelvis.

“If there are imbalances in the pelvis, it is important to check the feet for dropped arches and/or a change in foot biomechanics. Or if someone is suffering with achilles tendinitis, I can refer them for specialist orthotic advice.”

 

So what does PODO specialise in?

 

Christophe says: “Essentially, PODO centres on same day orthotics, creating bespoke orthotics within a single 90-minute appointment using a range of thermo-mouldable materials.”

Rather than sending foot casts over to factories, Christophe moulds the orthotics, layer by layer, directly onto a patient’s foot, so you can walk away with them at the end of your appointment.

Christophe continues: “I think of the PODO Clinic and Workshop as a garage for the human body, offering a full MOT to ultimately result in a healthier, and pain-free lifestyle.”

 

How can orthotics help you?

 

Christophe tells us: “Orthotics don’t solely affect your feet, but your knees, hip, back, and neck too, positively impacting your entire body.

“Depending on your requirement, and lifestyle we have two different types of orthotics. This includes:

  • Short orthotics (3/4 length)

“This leaves the toe area free,” Christophe says. “Short orthotics are deal for dressy or casual shoes with little or no volume inside available. I’d recommend these for golfers and weightlifters.”

  • Long orthotics (full length)

“This is ideal for casual shoes and sport trainers,” Christophe tells us. “It tends to be runners, cyclists, and skiers’ favourite set type.”

 

A final word from Robin

 

“It’s fantastic to have Christophe’s expertise as part of my patient care toolbox. Sometimes patients present with problems relating to their knee, calf or pelvis. These are in fact because of the biomechanics of their foot.

“They might have too much pronation, or a collapsed arch. But with some osteopathic treatment and orthotics, we can get them back on their feet again.”

 

Get in touch

If you are looking to restore the normal function of your body, get in touch with Robin. Whether it’s a head, back or foot problem, Robin is able to improve a range of ailments.

Robin Kiashek, Osteopath, but not lone wolf!

Robin Kiashek, Osteopath, but not lone wolf! | Thierry Payet

by with No Comment Ostéopathie

You could be forgiven for thinking that working as a sole practitioner in Osteopathy is a lonely job. And for much of his day, experienced Osteopath, Robin Kiashek, is in individual patient consultations.  But that doesn’t make him a lone wolf!  In fact, during his 25+ years in practice he has built a network of valuable contacts and relationships with other medical professionals.

Part of a pack!

Which is particularly useful if he needs to refer a patient for further diagnostic tests.  Or get a valuable second opinion.

Equally, this wider network can (and does) also call on Robin’s skills.  Particularly around referred pain, the impact of stress and lifestyle on the body and understanding the root cause of an issue.  And this collaborative approach has certainly been in evidence in the past week.  As Robin explains:

“A Neurologist contacted me to see if I could be part of a multi-disciplinary team to review a very complex high-profile case.  Of course, I was delighted to be involved.”

The team comprised experts from several fields,  These included Neurology, Pain Management, Orthopaedics and Rheumatology.  This breadth of involvement and expertise was incredibly helpful.  It was immediately possible to see what had already been ruled out.

A new perspective

Luckily, Robin’s experience of working with complex cases – specifically those slow to respond to treatment  – enabled him to bring a new perspective to the process.  And he was delighted to subsequently receive an acknowledgement for his contribution from the Medical Director responsible for coordinating care.

Robin added: “It was so nice to be part of a wider collaborative team.  Also to have my contribution heard and valued by my peers.  I’m confident that our combined efforts will help towards a reduction in pain for this poor patient.”

Ask your Osteopath

When you choose an Osteopath, do ask about how and when they work with other professionals.  An open and collaborative approach can really enhance the care they provide.

As Robin says: “I am great fan of seeking out new opinions and working with others where necessary to provide the best outcome for my patients.

“Plus, whilst we professionals might like to pigeonhole issues under titles like Orthopaedics or Neurology, unfortunately humans are complex.  So, sometimes our issues need to sit across several disciplines if they are to be resolved effectively.”

If you’ve been struggling with an issue for a while, why not speak to Robin?  He can be contacted here. Or you can call 020 8815 0979.

 

 

origine-thorax-syndrome-cyriax

Le syndrome de Cyriax ou syndrome de subluxation des côtes | Thierry Payet

by with No Comment Ostéopathie

Le syndrome de Cyriax correspond, comme dans bien des cas, au nom de la première personne à avoir décrit ce phénomène. Ici on parlera d’Edgar Ferdinand Cyriax, médecin Britannique (d’origine suédoise) du 20 ème siècle.

L’origine du syndrome de Cyriax

Pour bien comprendre l’origine de cette douleur, un rappel anatomique s’impose.

Rappel anatomique du thorax

Le thorax est une cage composée entre autre:

  • De cotes: de 12 cotes (dont deux flottantes),
  • Du cartilage costal (situés entre les cotes et le sternum)
  • Du sternum en avant,
  • Des clavicules en haut
  • Des vertèbres dorsales en arrière

NB: les cotes 8 à 10 sont appelées fausses cotes car leur point d’attache au sternum est indirect. En effet, elles s’attachent par le cartilage costal commun aux trois dernières cotes (ici on ne compte pas les cotes flottantes (K11 et K12).

Par exemple: la 10 eme cote s’attache sur le cartilage de la 9 ème cote qui elle même s’attache sur celui de la 8 ème cote.

origine-thorax-syndrome-cyriax

Bon du coup c’est quoi ce syndrome ?

 

Le syndrome de cyriax correspond à une subluxation des cartilages antérieurs de certaines côtes qui deviennent alors très douloureuses.

La douleur est provoquée par la compression du nerf intercostal ( situé entre les cotes).

Les cotes les plus souvent touchés sont les fausses côtes donc les 8-9 et 10 ème cotes à cause de leur point d’attache particulier au sternum.

Une des cotes va donc venir sur celle du dessus et pincer le nerf intercostal correspondant.

Rappel sur la subluxation:

C’est une luxation incomplète qui se caractérise par le déplacement d’un seul des deux os entrant en jeu dans une articulation (contrairement à la luxation qui est le déplacement de deux extrémités osseuses d’une même articulation).

Les signes clinique et les causes:

  • La douleur sera le plus souvent spontanée et intense
  • La douleur augmente aux mouvements du haut du corps, lors de l’inspiration forcée ou même lors d’un éternuement.
  • Les causes sont souvent traumatiques:

– soit directes: choc sur les cotes

– soit indirectes: effort musculaire violent, effort de traction, mouvement violent ou lors d’un éternuement.

Traitement:

  • Des antalgiques permettant de soulager la douleur.
  • Du repos
  • Un bandage élastique avec anesthésique, possibilité d’injecter un anesthésique local au niveau du point douloureux.
  • Si vous pensez souffrir de ce syndrome allez consulter votre médecin pour la pose du diagnostic.

Quelle approche ostéopathique du syndrome cyriax

L’ostéopathie à un rôle prépondérant pour le traitement de ce syndrome. En effet, les techniques manuelles permettent la remise au neutre de ces articulations et donc de faire disparaitre une grande partie de la douleur. Pour le reste un peu de patience sera le maitre mot.

L’ostéopathie et la prévention des chutes chez les ainés – Antoine Del Bello – Ostéopathe et kinésiologue au coeur de Shawinigan, en Mauricie | Thierry Payet

by with No Comment Médecine

Oreiller dur. Oreiller mou. Mousse mémoire. Bambou. Gel. Graine de sarrasin. Mi-dur. Mi-mou. Ni mou ni dur. Mou à droite, dur à gauche. Ferme. Semi-ferme. Spring. Sans spring. Plume. Synthétique. Naturelle….. Très facile de se perdre dans cette science qu’on appelle l’oreiller-ologie et la matelat-ologie.


Les astres semblent finalement alignés : les ostéopathe du Québec font face à ce qui s’avère être le dernier sprint vers la professionnalisation de leur métier.


Dans bien des cas, l’ostéopathie réussit à soulager et faire disparaitre des maux par des manipulations douces, parfois mêmes effectuées sur des régions complètement différentes d’où se retrouve le symptôme. Ensuite l’ostéopathe sort des mots mystérieux comme vitalité, mécanisme respiratoire primaire (MRP), motilité, résilience ou bien force biodynamique. Et puis, une fois relevé de la table, le patient se sent flotter, léger, et même possiblement un peu désorienté.


Covid-19 Update — Full Circle Osteopathy

Covid-19 Update — Full Circle Osteopathy | Thierry Payet

by with No Comment Médecine

Hey there everyone! We know everyone has been adjusting to the strange year we have had so far. As a community we have banded together to socially distance and try to “flatten the curve” and it is being reported that we are getting closer to winning. We know things have been changing swiftly over the last two months, so we just wanted to give you an update on how we are changing and adapting to keep your family and ours safe.

  • Payment can be made via card facilities at the clinic or if you are happy to go completely touch free you can sign up to “medipass” and enter in your health fund details and credit/debit card. It works a bit like online banking; you will be sent a text code by medipass to confirm your payment. This is then entered into your medipass account. If your health fund is using this system you will still only be charged the gap after your private health insurance rebate.

  • We are treating all patients, however it is in your best interest if you are a “high risk” person such as an immunocompromised, have pre-existing conditions or over 65 to follow the guidelines set out by the World Health Organisation and stay at home unless completely necessary.

 

Most importantly, if you are experiencing any symptoms of cold or flu such as

  • a temperature,

  • sore throat,

  • cough or

  • fever 

Please DO NOT come in for your appointment and call us to cancel. We reserve the right to refuse to treat you if we feel that it would put our staff or patients at risk.

Impact of the Covid  Virus over the Longer Term

Impact of the Covid  Virus over the Longer Term | Thierry Payet

by with No Comment Médecine

It can be a little difficult to keep abreast of the up-to-date COVID situation.  So, we thought it might be helpful to issue a reminder of how we’re dealing with things in our clinics in both Central London and East Finchley.  After all, COVID is still a matter of concern for many people.

Robin is fully vaccinated and boosted. He continues to wear PPE – in the form of an apron, surgical gloves and an FFP2 mask – and to fully sanitise the treatment room between patients.  He also asks that any patients who are not fully jabbed and boosted wear a mask in both reception and the clinic.

This is out of respect for those patients who are medically vulnerable but still need their regular Osteopathic treatment.  It is also to protect Robin.  As you will appreciate, he doesn’t really have the option to move to home working if he catches COVID!

We remain extremely grateful to all patients for their understanding of the need for continued vigilance on the COVID front.  We appreciate that the news is full of restrictions being lifted but numbers are still very high, and we believe it remains appropriate to think of the wider community.

Long Covid

On the subject of COVID, if you do find yourself struggling with the impact of the virus over the longer term then please do bear in mind the work that Robin has been doing with the Perrin Technique to help patients suffering with Long COVID.

The National Institute for Health and Care Excellence (NICE) defines long Covid as lasting for more than 12 weeks, although some people consider symptoms that last more than eight weeks to be long Covid. Ongoing symptoms may include

  • Fatigue
  • Shortness of breath
  • Chest pain or tightness
  • Problems with memory and concentration (or brain fog)
  • Insomnia
  • Heart palpitations
  • Dizziness
  • Pins and needles
  • Joint pain
  • Depression and anxiety
  • Rashes
  • Feeling sick, stomach aches or loss of appetite
  • A high temperature

If this rings a bell then there is more information here.  Alternatively, you can book an appointment here.

 

 

 

Les effets de la 5G sur la santé

un risque peu probable selon l’ANSES | Thierry Payet

by with No Comment Ostéopathie

Déployé depuis la fin de l’année 2020 en France, le réseau de couverture mobile 5G continue d’alimenter le débat autour de ses éventuels effets sur la santé. Sollicitée à plusieurs reprises sur le sujet, l’ANSES vient de publier une version actualisée de son expertise sur les effets potentiels de la 5G. Explications.

Les effets de la 5G sur la santé

Déploiement de la 5G et santé

Depuis son lancement, la 5G suscite le débat sur d’éventuels effets sur la santé. Au printemps 2021, l’ANSES publiait son rapport d’expertise sur l’évaluation des effets sanitaires de la 5G. Sans s’arrêter là, l’agence lance à la suite une consultation publique, ayant impliqué :

  • Des associations ;
  • Des citoyens ;
  • Des industriels.

Il y a quelques jours, l’ANSES a publié son rapport d’expertise modifié, prenant en compte l’analyse des plus de 200 contributions reçues au cours de la consultation publique du printemps 2021. Ce rapport tient également compte des dernières connaissances sur l’exposition aux champs électromagnétiques aux abords des antennes relais 5G.

Probablement pas de nouveau risque avec la 5G selon l’ANSES

D’une manière générale, le rapport d’expertise actualisé de l’ANSES confirme les constatations et conclusions du premier rapport. Plusieurs éléments principaux en ressortent :

  • Le niveau global d’exposition aux champs électromagnétiques au voisinage des antennes relais 5G est comparable ou légèrement supérieur à celui observé avec les technologies précédentes, comme la 3G ou la 4G ;
  • L’ANSES considère comme peu probable que le déploiement de la 5G provoque de nouveaux effets sanitaires, par rapport aux technologies de téléphonie existantes;
  • L’ANSES ne conclut pas sur la bande de fréquence de 26 GHz, qui n’est pas encore utilisée en France pour le déploiement de la 5G, considérant les données insuffisantes à ce jour ;
  • Il apparaît nécessaire de poursuivre la surveillance des effets sanitaires, notamment en lien avec l’extension du nombre d’antennes relais 5G sur le territoire français et avec l’augmentation du recours à cette technologie.

Le rapport d’expertise actualisé conclut donc à un risque peu probable que la 5G provoque des effets sanitaires différents des autres technologies de téléphonie mobile. 3G, 4G et 5G auraient donc probablement les mêmes effets potentiels, des effets encore à démontrer.

Des effets au travers d’un essor du numérique ?!

L’ANSES souligne d’ailleurs que des études sont en cours pour évaluer certains effets sanitaires potentiellement liés aux radiofréquences, tels que :

  • Le développement de certains cancers ;
  • Une atteinte de la fertilité ;
  • L’altération du fonctionnement du cerveau.

Des projets de recherche ont également été lancés pour mieux comprendre l’effet des radiofréquences sur les cellules, sur les mécanismes physiologiques et donc sur la santé.

Au-delà des effets spécifiquement liés à la 5G, l’ANSES suggère que cette nouvelle technologie mobile pourrait renforcer et accélérer l’usage des technologies numériques, en offrant un débit dix fois supérieur à la 4G et des antennes relais réparties un peu partout dans le mobilier urbain. Il est donc capital de surveiller étroitement les conséquences de cet essor sur :

  • L’environnement ;
  • La société.

Estelle B., Docteur en Pharmacie

Sources

– 5G : des travaux actualisés suite à la consultation publique. anses.fr. 17 février 2022.
– Exposition aux champs électromagnétiques liée au déploiement de la technologie « 5G ». CONNAÎTRE, ÉVALUER, PROTÉGER. anses.fr. Rapport d’expertise collective. Février 2022. 294 pages.