﻿{"id":19390,"date":"2022-08-29T11:51:17","date_gmt":"2022-08-29T16:51:17","guid":{"rendered":"https:\/\/sparthritis.ca\/?p=19390"},"modified":"2023-09-06T12:58:35","modified_gmt":"2023-09-06T17:58:35","slug":"douleur","status":"publish","type":"post","link":"https:\/\/sparthritis.ca\/fr\/douleur\/","title":{"rendered":"Douleur"},"content":{"rendered":"<p>[et_pb_section fb_built=\u00a0\u00bb1&Prime; _builder_version=\u00a0\u00bb4.17.4&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_row _builder_version=\u00a0\u00bb4.19.4&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_column type=\u00a0\u00bb4_4&Prime; _builder_version=\u00a0\u00bb4.19.4&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_post_title _builder_version=\u00a0\u00bb4.19.4&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][\/et_pb_post_title][\/et_pb_column][\/et_pb_row][et_pb_row _builder_version=\u00a0\u00bb4.17.4&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_column type=\u00a0\u00bb4_4&Prime; _builder_version=\u00a0\u00bb4.17.4&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_text _builder_version=\u00a0\u00bb4.19.5&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]<\/p>\n<h2 style=\"font-weight: 400;\">Douleur chronique<\/h2>\n<p style=\"font-weight: 400;\">L\u2019une des manifestations pr\u00e9dominantes de la spondylarthrite est la douleur chronique \u00e0 la colonne vert\u00e9brale. La douleur chronique peut r\u00e9duire la mobilit\u00e9, le fonctionnement quotidien des t\u00e2ches, affecter la sant\u00e9 mentale et la qualit\u00e9 de vie globale. Par cons\u00e9quent, il est essentiel de minimiser la quantit\u00e9 de douleur que vous ressentez.<\/p>\n<p style=\"font-weight: 400;\">La douleur chronique constante peut causer des changements au syst\u00e8me nerveux chez certaines personnes. Ces changements peuvent entra\u00eener des sympt\u00f4mes de douleur persistants pouvant \u00eatre trait\u00e9s de fa\u00e7on diff\u00e9rente \u00e0 la douleur caus\u00e9e par l\u2019inflammation. Il existe des m\u00e9dicaments contre la douleur n\u00e9vralgique utilis\u00e9s pour aider \u00e0 traiter les voies nerveuses qui conduisent les sensations de douleur que certaines personnes \u00e9prouvent. La douleur ressentie est souvent d\u00e9crite comme des chocs \u00e9lectriques aigus et br\u00fblants, des picotements ou des sensations de fourmillement sous la peau.<\/p>\n<h2 style=\"font-weight: 400;\">Traitement pharmacologique de la douleur<\/h2>\n<p style=\"font-weight: 400;\">Les principales options de traitement pour la gestion de la maladie comprennent les m\u00e9dicaments d\u2019ordonnance tels que les anti-inflammatoires non st\u00e9ro\u00efdiens (AINS) et les produits biologiques. Votre m\u00e9decin peut travailler avec vous pour d\u00e9terminer quels m\u00e9dicaments vous conviendront le mieux. Bien que le traitement pharmacologique soit crucial, les interventions non pharmacologiques sont \u00e9galement importantes dans la gestion de douleur. Vous devriez discuter avec votre m\u00e9decin des m\u00e9dicaments qui sont disponibles au Canada et lequel est le meilleur pour vous.<\/p>\n<p><a href=\"\/fr\/traitements-pharmacologiques\/\">Cliquez ici pour apprendre plus sur les traitements pharmacologiques au Canada<\/a><\/p>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row _builder_version=\u00a0\u00bb4.17.4&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_column type=\u00a0\u00bb4_4&Prime; _builder_version=\u00a0\u00bb4.17.4&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_image src=\u00a0\u00bbhttps:\/\/sparthritis.ca\/wp-content\/uploads\/2022\/08\/2-768&#215;192-1.png\u00a0\u00bb alt=\u00a0\u00bbExercise &#038; Physio Therapy Banner\u00a0\u00bb title_text=\u00a0\u00bbExercise &#038; Physio Therapy Banner\u00a0\u00bb _builder_version=\u00a0\u00bb4.17.4&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][\/et_pb_image][\/et_pb_column][\/et_pb_row][et_pb_row _builder_version=\u00a0\u00bb4.17.4&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_column type=\u00a0\u00bb4_4&Prime; _builder_version=\u00a0\u00bb4.17.4&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_text _builder_version=\u00a0\u00bb4.19.5&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]<\/p>\n<h2 style=\"font-weight: 400;\">Activit\u00e9 physique et physioth\u00e9rapie contre la douleur<\/h2>\n<p style=\"font-weight: 400;\">L\u2019activit\u00e9 physique joue un r\u00f4le essentiel pour la gestion de la douleur dans la spondylarthrite. La majorit\u00e9 des patients trouveront une am\u00e9lioration des sympt\u00f4mes lorsqu\u2019ils pratiquent une activit\u00e9 physique r\u00e9guli\u00e8re et appropri\u00e9e. Les exercices posturaux, les \u00e9tirements, le yoga et la musculation sont des activit\u00e9s utiles \u00e0 consid\u00e9rer. Une formation pr\u00e9liminaire avec un physioth\u00e9rapeute est recommand\u00e9e pour optimiser les routines d\u2019exercice s\u00fbres et efficaces. D\u2019autres interventions telles que le massage et l\u2019hydroth\u00e9rapie peuvent \u00e9galement aider \u00e0 la gestion de la douleur. Il convient de noter que toutes les interventions impliquant une manipulation de la colonne vert\u00e9brale doivent \u00eatre \u00e9vit\u00e9es chez les patients atteints de fusion vert\u00e9brale ou d\u2019ost\u00e9oporose s\u00e9v\u00e8re.<\/p>\n<h2 style=\"font-weight: 400;\">Abandon du tabac<\/h2>\n<p style=\"font-weight: 400;\">Chez les personnes atteintes de spondylarthrite, le tabagisme est li\u00e9 \u00e0 des niveaux plus \u00e9lev\u00e9s d\u2019activit\u00e9 de la maladie. Par cons\u00e9quent, l\u2019abandon du tabac est fortement encourag\u00e9 pour r\u00e9duire les niveaux de douleur. L\u2019abandon du tabac pr\u00e9sente \u00e9galement d\u2019autres avantages tels que la r\u00e9duction du risque de maladie cardiovasculaire, la diminution du risque de maladie pulmonaire chronique et l\u2019am\u00e9lioration de la qualit\u00e9 de vie. Si vous envisagez de cesser de fumer, il est recommand\u00e9 de consulter un m\u00e9decin ou un pharmacien, car la majorit\u00e9 des gens trouvent cela plus facile et ont un plus grand taux de r\u00e9ussite avec l\u2019aide d\u2019un fournisseur de soins de sant\u00e9.<\/p>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row _builder_version=\u00a0\u00bb4.17.4&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_column type=\u00a0\u00bb4_4&Prime; _builder_version=\u00a0\u00bb4.17.4&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_image src=\u00a0\u00bbhttps:\/\/sparthritis.ca\/wp-content\/uploads\/2022\/08\/4-1-768&#215;192-1.png\u00a0\u00bb alt=\u00a0\u00bbMental Health Banner\u00a0\u00bb title_text=\u00a0\u00bbMental Health Banner\u00a0\u00bb _builder_version=\u00a0\u00bb4.17.4&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][\/et_pb_image][\/et_pb_column][\/et_pb_row][et_pb_row _builder_version=\u00a0\u00bb4.17.4&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_column type=\u00a0\u00bb4_4&Prime; _builder_version=\u00a0\u00bb4.17.4&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_text _builder_version=\u00a0\u00bb4.19.5&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]<\/p>\n<p style=\"font-weight: 400;\">Il existe une association entre la douleur chronique et la d\u00e9pression. La douleur chronique peut contribuer \u00e0 la d\u00e9pression et la d\u00e9pression peut abaisser les seuils de douleur. Cette boucle de r\u00e9troaction devrait \u00eatre \u00e9vit\u00e9e ou g\u00e9r\u00e9e de mani\u00e8re \u00e0 optimiser la gestion de la douleur et la sant\u00e9 mentale. Communiquez avec un fournisseur de soins de sant\u00e9 si vous pensez souffrir d\u2019anxi\u00e9t\u00e9 ou de d\u00e9pression. Se joindre \u00e0 des groupes de soutien d\u2019organismes tels que l\u2019Association canadienne de spondylarthrite peut aider \u00e0 r\u00e9duire le fardeau du stress de votre maladie.<\/p>\n<h2 style=\"font-weight: 400;\">Observance du traitement de la douleur<\/h2>\n<p style=\"font-weight: 400;\">La spondylarthrite est une maladie \u00e0 vie, ce qui signifie que le traitement doit \u00e9galement \u00eatre maintenu \u00e0 vie. Pour maintenir le contr\u00f4le de la douleur, il est essentiel de prendre vos m\u00e9dicaments aux heures prescrites pour s\u2019assurer que les m\u00e9dicaments restent \u00e0 des niveaux efficaces dans votre corps. Vous pouvez cr\u00e9er des rappels sur votre calendrier ou t\u00e9l\u00e9charger des applications sur votre t\u00e9l\u00e9phone si vous constatez que vous oubliez parfois de prendre vos m\u00e9dicaments. Il est \u00e9galement imp\u00e9ratif de maintenir des traitements non pharmacologiques tels que faire de l\u2019activit\u00e9 physique r\u00e9guli\u00e8rement.<\/p>\n<h2 style=\"font-weight: 400;\">Autosurveillance et communication avec les fournisseurs de soins de sant\u00e9<\/h2>\n<p>Le suivi r\u00e9gulier de vos sympt\u00f4mes peut aider \u00e0 la gestion de la douleur \u00e0 long terme. \u00catre en mesure de remarquer des changements dans les niveaux de douleur peut vous aider \u00e0 identifier tous les facteurs qui pourraient contribuer \u00e0 votre douleur. Faire le suivi de vos niveaux de douleur peut \u00e9galement vous aider \u00e0 mieux communiquer avec vos fournisseurs de soins de sant\u00e9 afin qu\u2019ils puissent mieux comprendre vos sympt\u00f4mes.<\/p>\n<p>Les questions simples auxquelles vous pouvez r\u00e9fl\u00e9chir en les notant sur une \u00e9chelle de 0 \u00e0 10 sont les suivantes\u00a0:<\/p>\n<p>&nbsp;<\/p>\n<ul>\n<li><span><\/span>Comment \u00e9valuez-vous l\u2019inflammation dans vos articulations en g\u00e9n\u00e9ral ?<\/li>\n<li><span><\/span>Comment \u00e9valuez-vous l\u2019inconfort que vous ressentez dans les zones sensibles ou enfl\u00e9es ?<\/li>\n<li><span><\/span>Dans quelle mesure la douleur caus\u00e9e par l\u2019inflammation affecte-t-elle votre sommeil ?<\/li>\n<li><span><\/span>Dans quelle mesure la douleur caus\u00e9e par l\u2019inflammation affecte-t-elle votre capacit\u00e9 \u00e0 effectuer vos t\u00e2ches quotidiennes ?<\/li>\n<li><span><\/span>Ressentez-vous une raideur matinale ? Dans l\u2019affirmative, combien de temps dure-t-elle ?<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p><strong>Pr\u00e9par\u00e9 par<\/strong> : Dr Max Sun, Franklin Hu<\/p>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row _builder_version=\u00a0\u00bb4.19.4&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_column type=\u00a0\u00bb4_4&Prime; _builder_version=\u00a0\u00bb4.19.4&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_divider _builder_version=\u00a0\u00bb4.19.4&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][\/et_pb_divider][\/et_pb_column][\/et_pb_row][et_pb_row _builder_version=\u00a0\u00bb4.19.4&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_column type=\u00a0\u00bb4_4&Prime; _builder_version=\u00a0\u00bb4.19.4&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_text _builder_version=\u00a0\u00bb4.19.5&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]<\/p>\n<h3><strong>Autres ressources sur la gestion de la douleur<\/strong><\/h3>\n<ul>\n<li><a href=\"\/fr\/traitements-pharmacologiques\/\">Traitements Pharmacologique au Canada<\/a><\/li>\n<li><a href=\"\/spa-and-pain-webinar-2021\/\">Watch our 2021 Webinar on Spondyloarthritis &amp; Pain Management (anglais)<\/a><\/li>\n<li><a href=\"https:\/\/www.paincanada.ca\/\" target=\"_blank\" rel=\"noopener\">Pain Canada : A National Action Network (anglais)<\/a><\/li>\n<\/ul>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section]<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Douleur chronique L\u2019une des manifestations pr\u00e9dominantes de la spondylarthrite est la douleur chronique \u00e0 la colonne vert\u00e9brale. La douleur chronique peut r\u00e9duire la mobilit\u00e9, le fonctionnement quotidien des t\u00e2ches, affecter [&hellip;]<\/p>\n","protected":false},"author":6,"featured_media":19393,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_et_pb_use_builder":"on","_et_pb_old_content":"<p>[et_pb_section fb_built=\"1\" _builder_version=\"4.17.4\" _module_preset=\"default\" global_colors_info=\"{}\"][et_pb_row _builder_version=\"4.19.4\" _module_preset=\"default\" global_colors_info=\"{}\"][et_pb_column type=\"4_4\" _builder_version=\"4.19.4\" _module_preset=\"default\" global_colors_info=\"{}\"][et_pb_post_title _builder_version=\"4.19.4\" _module_preset=\"default\" global_colors_info=\"{}\"][\/et_pb_post_title][\/et_pb_column][\/et_pb_row][et_pb_row _builder_version=\"4.17.4\" _module_preset=\"default\" global_colors_info=\"{}\"][et_pb_column type=\"4_4\" _builder_version=\"4.17.4\" _module_preset=\"default\" global_colors_info=\"{}\"][et_pb_text _builder_version=\"4.19.4\" _module_preset=\"default\" global_colors_info=\"{}\"]<\/p><h2>Chronic Pain<strong><br \/><\/strong><\/h2><p>One of the predominant manifestations of spondylitis is chronic pain in the spine. Chronic pain can decrease mobility, daily functioning of tasks, mental health and overall quality of life. Therefore, it is critical to minimize the amount of pain you experience.<\/p><p>Constant chronic pain can cause changes to the nervous system in some people. These changes may lead to persistent pain symptoms that can be treated differently than pain caused by inflammation. There are nerve pain medications used to help treat the nerve pathways that lead to the pain sensations some people experience. The pain that is felt is often described as sharp, burning, electric shocks, tingling or crawling like sensation under the skin.<\/p><h2>Pharmacologic Therapy for Pain<\/h2><p>The main treatment options for disease management include prescription medications such as nonsteroidal anti-inflammatory drugs (NSAIDs) and biologics. Your doctor can work with you to figure out which medications will fit best for you. Although pharmacologic treatment is crucial, nonpharmacologic interventions are also important in pain management. You should discuss with your physician the medications that are available in Canada and which is the best one for you.<\/p><p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row _builder_version=\"4.17.4\" _module_preset=\"default\" global_colors_info=\"{}\"][et_pb_column type=\"4_4\" _builder_version=\"4.17.4\" _module_preset=\"default\" global_colors_info=\"{}\"][et_pb_image src=\"https:\/\/sparthritis.ca\/wp-content\/uploads\/2022\/08\/2-768x192-1.png\" alt=\"Exercise & Physio Therapy Banner\" title_text=\"Exercise & Physio Therapy Banner\" _builder_version=\"4.17.4\" _module_preset=\"default\" global_colors_info=\"{}\"][\/et_pb_image][\/et_pb_column][\/et_pb_row][et_pb_row _builder_version=\"4.17.4\" _module_preset=\"default\" global_colors_info=\"{}\"][et_pb_column type=\"4_4\" _builder_version=\"4.17.4\" _module_preset=\"default\" global_colors_info=\"{}\"][et_pb_text _builder_version=\"4.19.4\" _module_preset=\"default\" global_colors_info=\"{}\"]<\/p><h2>Exercise and Physical Therapy for Pain<\/h2><p>Exercise plays a major role in pain management in spondylitis. Majority of patients will find a benefit in symptoms when undergoing regular and proper physical activity. Postural exercises, stretching, yoga and strength training are valuable activities to consider. Preliminary training with a physical therapist is recommended to optimize safe and effective exercise routines. Other interventions such as massage and hydrotherapy may also aid in pain management. It should be noted that any interventions involving spinal manipulation should be avoided in patients with spinal fusion or severe osteoporosis.<\/p><h2>Smoking Cessation<\/h2><p>In spondylitis, smoking is related to higher levels of disease activity. Therefore, smoking cessation is highly encouraged to lower pain levels. Smoking cessation also has other benefits such as reduced cardiovascular disease risk, decreased chronic lung disease risk and increased quality of life. If you are considering smoking cessation, it is recommended to consult with a doctor or pharmacist, as a majority of individuals have an easier time and greater success with the help of a healthcare provider.<\/p><p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row _builder_version=\"4.17.4\" _module_preset=\"default\" global_colors_info=\"{}\"][et_pb_column type=\"4_4\" _builder_version=\"4.17.4\" _module_preset=\"default\" global_colors_info=\"{}\"][et_pb_image src=\"https:\/\/sparthritis.ca\/wp-content\/uploads\/2022\/08\/4-1-768x192-1.png\" alt=\"Mental Health Banner\" title_text=\"Mental Health Banner\" _builder_version=\"4.17.4\" _module_preset=\"default\" global_colors_info=\"{}\"][\/et_pb_image][\/et_pb_column][\/et_pb_row][et_pb_row _builder_version=\"4.17.4\" _module_preset=\"default\" global_colors_info=\"{}\"][et_pb_column type=\"4_4\" _builder_version=\"4.17.4\" _module_preset=\"default\" global_colors_info=\"{}\"][et_pb_text _builder_version=\"4.19.4\" _module_preset=\"default\" global_colors_info=\"{}\"]<\/p><p>There is an association between chronic pain and depression. Chronic pain can contribute to depression and depression can lower pain thresholds. This feedback loop should be prevented or managed to optimize pain management and mental health. Reach out to a health care provider if you think you are experiencing anxiety or depression. Joining support groups from organizations such as the Canadian Spondyloarthritis Assocation may help reduce the stress burden from your condition.<\/p><h2>Treatment Adherence for Pain<\/h2><p><strong><br \/><\/strong>Spondylitis is a life-long condition, meaning that treatment should be sustained life-long as well. To maintain pain control, it is essential to take medications on time to ensure that medications stay at effective levels in your body. You can set reminders on your calendar or download phone applications if you find that you sometimes forget to take your medication. It is also imperative to maintain nonpharmacologic treatments such as doing regular exercise.<\/p><h2>Self-monitoring and communicating with healthcare providers<\/h2><p>Tracking your symptoms regularly may help with long-term pain management. Being able to notice changes in pain levels can help you identify any factors that could be contributing to your pain. Tracking pain levels can also help you better communicate with your healthcare providers so that they can have a better understanding of your symptoms.<\/p><p>Simple questions that you can reflect upon by rating them on a scale from 0-10 are:<\/p><ul><li class=\"first\">How would you rate the overall inflammation in your joints?<\/li><li>How would you rate the discomfort you feel from any tender or swollen areas?<\/li><li>To what extent does pain from inflammation affect your sleep?<\/li><li>To what extent does pain from inflammation affect your ability to perform daily tasks?<\/li><li class=\"last\">Do you experience morning stiffness? If so, how long does it last?<\/li><\/ul><p class=\"has-small-font-size\">Prepared by: Dr. Max Sun, Franklin Hu (UBC Pharmacy student)<\/p><p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row _builder_version=\"4.19.4\" _module_preset=\"default\" global_colors_info=\"{}\"][et_pb_column type=\"4_4\" _builder_version=\"4.19.4\" _module_preset=\"default\" global_colors_info=\"{}\"][et_pb_divider _builder_version=\"4.19.4\" _module_preset=\"default\" global_colors_info=\"{}\"][\/et_pb_divider][\/et_pb_column][\/et_pb_row][et_pb_row _builder_version=\"4.19.4\" _module_preset=\"default\" global_colors_info=\"{}\"][et_pb_column type=\"4_4\" _builder_version=\"4.19.4\" _module_preset=\"default\" global_colors_info=\"{}\"][et_pb_text _builder_version=\"4.19.4\" _module_preset=\"default\" global_colors_info=\"{}\"]<\/p><ul><li><a href=\"\/spa-and-pain-webinar-2021\/\">Watch our 2021 Webinar on Spondyloarthritis & Pain Management<\/a><\/li><li><a href=\"https:\/\/www.paincanada.ca\/\" target=\"_blank\" rel=\"noopener\">Pain Canada : A National Action Network<\/a><\/li><\/ul><p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section]<\/p>","_et_gb_content_width":"","_price":"","_stock":"","_tribe_ticket_header":"","_tribe_default_ticket_provider":"","_tribe_ticket_capacity":"0","_ticket_start_date":"","_ticket_end_date":"","_tribe_ticket_show_description":"","_tribe_ticket_show_not_going":false,"_tribe_ticket_use_global_stock":"","_tribe_ticket_global_stock_level":"","_global_stock_mode":"","_global_stock_cap":"","_tribe_rsvp_for_event":"","_tribe_ticket_going_count":"","_tribe_ticket_not_going_count":"","_tribe_tickets_list":"[]","_tribe_ticket_has_attendee_info_fields":false,"footnotes":""},"categories":[203,334,202],"tags":[],"class_list":["post-19390","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-complications-fr","category-douleur","category-ressources"],"_links":{"self":[{"href":"https:\/\/sparthritis.ca\/fr\/wp-json\/wp\/v2\/posts\/19390","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/sparthritis.ca\/fr\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/sparthritis.ca\/fr\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/sparthritis.ca\/fr\/wp-json\/wp\/v2\/users\/6"}],"replies":[{"embeddable":true,"href":"https:\/\/sparthritis.ca\/fr\/wp-json\/wp\/v2\/comments?post=19390"}],"version-history":[{"count":0,"href":"https:\/\/sparthritis.ca\/fr\/wp-json\/wp\/v2\/posts\/19390\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/sparthritis.ca\/fr\/wp-json\/wp\/v2\/media\/19393"}],"wp:attachment":[{"href":"https:\/\/sparthritis.ca\/fr\/wp-json\/wp\/v2\/media?parent=19390"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/sparthritis.ca\/fr\/wp-json\/wp\/v2\/categories?post=19390"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/sparthritis.ca\/fr\/wp-json\/wp\/v2\/tags?post=19390"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}