{"id":5716,"date":"2026-07-12T22:45:23","date_gmt":"2026-07-12T20:45:23","guid":{"rendered":"https:\/\/blueportance.com\/?page_id=5716"},"modified":"2026-07-12T22:45:26","modified_gmt":"2026-07-12T20:45:26","slug":"cas-cliniques","status":"publish","type":"page","link":"https:\/\/blueportance.com\/en\/centre-de-connaissances\/cas-cliniques\/","title":{"rendered":"CDC &#8211; 5 &#8211; Cas cliniques"},"content":{"rendered":"\n<!-- ==================================================================\n     BDC \u2014 HUB ENFANT \u2014 Cas cliniques (Niveau 2) \u2014 Blue Portance\n     Re\u00e7oit le trafic du pav\u00e9 \"Cas cliniques\" du Hub Central et les liens\n     \"Voir d'autres cas cliniques \u2192\" d\u00e9j\u00e0 pr\u00e9sents dans chaque fiche GEO.\n     Pr\u00e9sente les 5 typologies d\u00e9gag\u00e9es de l'analyse des cas r\u00e9els, chacune\n     illustr\u00e9e par un cas anonymis\u00e9 (page d\u00e9di\u00e9e).\n     ================================================================== -->\n\n\n  <script type=\"application\/ld+json\">\n  {\n    \"@context\":\"https:\/\/schema.org\",\n    \"@type\":\"CollectionPage\",\n    \"name\":\"Cas cliniques \u2014 Centre de connaissances Blue Portance\",\n    \"description\":\"Cas r\u00e9els anonymis\u00e9s illustrant les typologies r\u00e9currentes de douleurs en position assise et leurs interpr\u00e9tations m\u00e9caniques.\",\n    \"url\":\"https:\/\/www.blueportance.com\/centre-de-connaissances\/cas-cliniques\/\",\n    \"isPartOf\":{\"@type\":\"CollectionPage\",\"name\":\"Centre de connaissances Blue Portance\",\"url\":\"https:\/\/www.blueportance.com\/centre-de-connaissances\/\"},\n    \"breadcrumb\":{\"@type\":\"BreadcrumbList\",\"itemListElement\":[\n      {\"@type\":\"ListItem\",\"position\":1,\"name\":\"Blue Portance\",\"item\":\"https:\/\/www.blueportance.com\/\"},\n      {\"@type\":\"ListItem\",\"position\":2,\"name\":\"Centre de connaissances\",\"item\":\"https:\/\/www.blueportance.com\/centre-de-connaissances\/\"},\n      {\"@type\":\"ListItem\",\"position\":3,\"name\":\"Cas cliniques\",\"item\":\"https:\/\/www.blueportance.com\/centre-de-connaissances\/cas-cliniques\/\"}\n    ]}\n  }\n  <\/script>\n\n  <style>\n    .bp-kb-breadcrumb{\n      max-width:980px;\n      margin:0 auto;\n      padding:20px 16px 0;\n      font-size:.85rem;\n      color:#6b7280;\n    }\n    .bp-kb-breadcrumb a{\n      color:#2a7fba;\n      text-decoration:none;\n    }\n    .bp-kb-breadcrumb a:hover{\n      text-decoration:underline;\n    }\n\n    .bp-cc-typo{\n      display:flex;\n      flex-direction:column;\n      gap:14px;\n      margin:18px 0 28px;\n    }\n    .bp-cc-typo-item{\n      display:flex;\n      gap:14px;\n      align-items:flex-start;\n      border:1px solid rgba(0,0,0,.08);\n      border-radius:12px;\n      padding:16px 18px;\n      background:#fff;\n    }\n    .bp-cc-typo-badge{\n      flex-shrink:0;\n      width:30px;height:30px;\n      border-radius:50%;\n      background:#eaf3fb;\n      color:#185FA5;\n      font-weight:700;\n      font-size:.95rem;\n      display:flex;align-items:center;justify-content:center;\n    }\n    .bp-cc-typo-text h3{\n      margin:0 0 4px;\n      font-size:1rem;\n      color:#1a4d72;\n    }\n    .bp-cc-typo-text p{\n      margin:0;\n      font-size:.9rem;\n      line-height:1.55;\n      color:#5f6972;\n    }\n  <\/style>\n<\/head>\n\n<body>\n\n<nav class=\"bp-kb-breadcrumb\" aria-label=\"Fil d'Ariane\">\n  <a href=\"\/\">Blue Portance<\/a> \u2192\n  <a href=\"\/centre-de-connaissances\/\">Centre de connaissances<\/a> \u2192\n  Cas cliniques\n<\/nav>\n\n<div class=\"bp-kb-hero\">\n  <h1>Cas cliniques<\/h1>\n  <div class=\"bp-bdc-meta\">\n    Centre de connaissances Blue Portance \u00b7 Reproduction non commerciale autoris\u00e9e avec citation de la source\n  <\/div>\n<\/div>\n\n<div class=\"bp-bdc-layout\">\n\n  <div class=\"bp-box bp-box--warning bp-bdc-hub-intro\">\n    <p>\n      Cette section pr\u00e9sente des <strong>cas r\u00e9els, anonymis\u00e9s<\/strong>, issus des analyses personnalis\u00e9es r\u00e9alis\u00e9es\n      via l&rsquo;outil d&rsquo;analyse en ligne de Blue Portance. L&rsquo;examen de plusieurs dizaines de situations a permis de d\u00e9gager\n      <strong>cinq typologies r\u00e9currentes<\/strong> de douleurs en position assise, chacune illustr\u00e9e ici par un cas\n      repr\u00e9sentatif. Aucune information permettant d&rsquo;identifier une personne n&rsquo;est reproduite&nbsp;: \u00e2ge, contexte et\n      m\u00e9canisme sont conserv\u00e9s, l&rsquo;identit\u00e9 ne l&rsquo;est jamais.\n    <\/p>\n  <\/div>\n\n  <h2>Cinq typologies r\u00e9currentes<\/h2>\n  <div class=\"bp-cc-typo\">\n    <div class=\"bp-cc-typo-item\">\n      <span class=\"bp-cc-typo-badge\">1<\/span>\n      <div class=\"bp-cc-typo-text\">\n        <h3>Coccygodynie m\u00e9canique pure<\/h3>\n        <p>Douleur localis\u00e9e au coccyx ou au sacrum, d\u00e9clench\u00e9e par l&rsquo;appui direct, sans composante neuro-sensorielle diffuse associ\u00e9e.<\/p>\n      <\/div>\n    <\/div>\n    <div class=\"bp-cc-typo-item\">\n      <span class=\"bp-cc-typo-badge\">2<\/span>\n      <div class=\"bp-cc-typo-text\">\n        <h3>N\u00e9vralgie pudendale, profil mixte<\/h3>\n        <p>Douleur p\u00e9rin\u00e9ale ou pelvienne combinant une logique m\u00e9canique et une composante neurologique, parfois d&rsquo;origine post-chirurgicale.<\/p>\n      <\/div>\n    <\/div>\n    <div class=\"bp-cc-typo-item\">\n      <span class=\"bp-cc-typo-badge\">3<\/span>\n      <div class=\"bp-cc-typo-text\">\n        <h3>Profil hyper-r\u00e9actif<\/h3>\n        <p>Syst\u00e8me nerveux tr\u00e8s sensibilis\u00e9, douleurs diffuses ou bilat\u00e9rales et intensit\u00e9s \u00e9lev\u00e9es, n\u00e9cessitant une approche progressive plut\u00f4t qu&rsquo;une d\u00e9charge m\u00e9canique seule.<\/p>\n      <\/div>\n    <\/div>\n    <div class=\"bp-cc-typo-item\">\n      <span class=\"bp-cc-typo-badge\">4<\/span>\n      <div class=\"bp-cc-typo-text\">\n        <h3>Syndrome myofascial (piriforme, Maigne&#8230;)<\/h3>\n        <p>M\u00e9canisme d&rsquo;entrapment musculaire ou fascial, parfois confondu cliniquement avec une n\u00e9vralgie pudendale malgr\u00e9 un m\u00e9canisme distinct.<\/p>\n      <\/div>\n    <\/div>\n    <div class=\"bp-cc-typo-item\">\n      <span class=\"bp-cc-typo-badge\">5<\/span>\n      <div class=\"bp-cc-typo-text\">\n        <h3>Cas complexe, comorbidit\u00e9s multiples<\/h3>\n        <p>Plusieurs diagnostics structurels coexistent sans qu&rsquo;aucun n&rsquo;explique isol\u00e9ment le tableau douloureux&nbsp;: la position assise n&rsquo;est alors qu&rsquo;un facteur parmi d&rsquo;autres.<\/p>\n      <\/div>\n    <\/div>\n  <\/div>\n\n  <h2>5 cas cliniques actuellement disponibles<\/h2>\n\n  <section class=\"bp-kb-grid\">\n\n    <a class=\"bp-kb-card\" href=\"\/centre-de-connaissances\/cas-cliniques\/coccygodynie-appui-direct-coccyx\/\">\n      <h3>Une douleur au coccyx qui s&rsquo;aggrave avec le temps, quel que soit le si\u00e8ge<\/h3>\n      <p>Typologie 1 \u2014 Coccygodynie m\u00e9canique pure.<\/p>\n      <span class=\"bp-kb-cta\">Lire le cas \u2192<\/span>\n    <\/a>\n\n    <a class=\"bp-kb-card\" href=\"\/centre-de-connaissances\/cas-cliniques\/nevralgie-pudendale-post-chirurgicale-laterale\/\">\n      <h3>Une n\u00e9vralgie pudendale diagnostiqu\u00e9e apr\u00e8s une chirurgie, avec une douleur lat\u00e9ralis\u00e9e<\/h3>\n      <p>Typologie 2 \u2014 N\u00e9vralgie pudendale, profil mixte.<\/p>\n      <span class=\"bp-kb-cta\">Lire le cas \u2192<\/span>\n    <\/a>\n\n    <a class=\"bp-kb-card\" href=\"\/centre-de-connaissances\/cas-cliniques\/hyper-reactivite-neuro-sensorielle-douleur-severe\/\">\n      <h3>Une douleur \u00e0 10\/10 qui persiste malgr\u00e9 un syst\u00e8me tr\u00e8s sensibilis\u00e9<\/h3>\n      <p>Typologie 3 \u2014 Profil hyper-r\u00e9actif.<\/p>\n      <span class=\"bp-kb-cta\">Lire le cas \u2192<\/span>\n    <\/a>\n\n    <a class=\"bp-kb-card\" href=\"\/centre-de-connaissances\/cas-cliniques\/syndrome-piriforme-douleur-bilaterale-pli-interfessier\/\">\n      <h3>Une douleur bilat\u00e9rale au pli interfessier, sans lien direct avec le coccyx<\/h3>\n      <p>Typologie 4 \u2014 Syndrome myofascial (piriforme).<\/p>\n      <span class=\"bp-kb-cta\">Lire le cas \u2192<\/span>\n    <\/a>\n\n    <a class=\"bp-kb-card\" href=\"\/centre-de-connaissances\/cas-cliniques\/cas-complexe-comorbidites-lombaires-coccyx\/\">\n      <h3>Une douleur au coccyx et au bas du dos, sur fond d&rsquo;ant\u00e9c\u00e9dents lourds<\/h3>\n      <p>Typologie 5 \u2014 Cas complexe, comorbidit\u00e9s multiples.<\/p>\n      <span class=\"bp-kb-cta\">Lire le cas \u2192<\/span>\n    <\/a>\n\n  <\/section>\n\n  <section class=\"bp-kb-wide\" style=\"margin-top:12px;\">\n    <div class=\"bp-kb-wide-inner\">\n\n      <!-- NAVIGATION -->\n      <div class=\"bp-bdc-box\">\n        <strong>Navigation<\/strong>\n        <p>\n          <a href=\"\/centre-de-connaissances\/\">\u2190 Retour au Centre de connaissances Blue Portance<\/a><br>\n          Voir aussi les <a href=\"\/centre-de-connaissances\/questions\/\">questions fr\u00e9quentes<\/a> et les\n          <a href=\"\/centre-de-connaissances\/dossiers-experts\/\">dossiers experts<\/a>.\n        <\/p>\n      <\/div>\n\n      <!-- NOTE \/ DISCLAIMER -->\n      <footer class=\"bp-bdc-footer\" style=\"margin-top:12px;\">\n        <strong>Note<\/strong> : ces cas sont anonymis\u00e9s et destin\u00e9s \u00e0 l&rsquo;information et \u00e0 la compr\u00e9hension des m\u00e9canismes.\n        Ils ne constituent ni un diagnostic m\u00e9dical, ni une prescription, et ne remplacent pas l&rsquo;avis d&rsquo;un\n        professionnel de sant\u00e9. Aucune information permettant d&rsquo;identifier une personne r\u00e9elle n&rsquo;est reproduite.\n      <\/footer>\n\n      <p class=\"bp-bdc-copyright\" style=\"font-size:.85em;color:#6b7280;margin-top:16px;\">\n        \u00a9 Gil Ayache. Les concepts, mod\u00e8les biom\u00e9caniques, sch\u00e9mas, terminologie et principes pr\u00e9sent\u00e9s sur cette\n        page constituent des \u0153uvres prot\u00e9g\u00e9es par le droit d&rsquo;auteur. Ils sont mis \u00e0 disposition de Blue Portance\n        dans le cadre d&rsquo;une convention de mise \u00e0 disposition de propri\u00e9t\u00e9 intellectuelle, sans transfert des\n        droits patrimoniaux ni de la qualit\u00e9 d&rsquo;auteur.\n      <\/p>\n    <\/div>\n  <\/section>\n\n<\/div> <!-- fin bp-bdc-layout -->\n\n\n\n","protected":false},"excerpt":{"rendered":"<p>Blue Portance \u2192 Centre de connaissances \u2192 Cas cliniques Cas cliniques Centre de connaissances Blue Portance \u00b7 Reproduction non commerciale autoris\u00e9e avec citation de la source Cette section pr\u00e9sente des cas r\u00e9els, anonymis\u00e9s, issus des analyses personnalis\u00e9es r\u00e9alis\u00e9es via l&rsquo;outil d&rsquo;analyse en ligne de Blue Portance. L&rsquo;examen de plusieurs dizaines de situations a permis de [&#8230;]\n","protected":false},"author":6,"featured_media":0,"parent":5599,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"footnotes":""},"pathologie_secondaire":[],"effet_positif":[],"class_list":["post-5716","page","type-page","status-publish","hentry"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.9 (Yoast SEO v28.0) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Cas cliniques : typologies r\u00e9elles de douleurs en position assise<\/title>\n<meta name=\"description\" content=\"Typologies de douleurs en position assise, illustr\u00e9es par des cas r\u00e9els anonymis\u00e9s issus des analyses personnalis\u00e9es Blue Portance.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/blueportance.com\/en\/centre-de-connaissances\/cas-cliniques\/\" \/>\n<meta property=\"og:locale\" content=\"en_GB\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"CDC - 5 - Cas cliniques\" \/>\n<meta property=\"og:description\" content=\"Typologies de douleurs en position assise, illustr\u00e9es par des cas r\u00e9els anonymis\u00e9s issus des analyses personnalis\u00e9es Blue Portance.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/blueportance.com\/en\/centre-de-connaissances\/cas-cliniques\/\" \/>\n<meta property=\"og:site_name\" content=\"Blue Portance\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/people\/Blue-Portance\/100095243965964\/\" \/>\n<meta property=\"article:modified_time\" content=\"2026-07-12T20:45:26+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/blueportance.com\/wp-content\/uploads\/Logo-Blue-Portance.webp\" \/>\n\t<meta property=\"og:image:width\" content=\"246\" \/>\n\t<meta property=\"og:image:height\" content=\"50\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/webp\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Estimated reading time\" \/>\n\t<meta name=\"twitter:data1\" content=\"3 minutes\" \/>\n<!-- \/ Yoast SEO Premium plugin. -->","yoast_head_json":{"title":"Cas cliniques : typologies r\u00e9elles de douleurs en position assise","description":"Typologies de douleurs en position assise, illustr\u00e9es par des cas r\u00e9els anonymis\u00e9s issus des analyses personnalis\u00e9es Blue Portance.","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/blueportance.com\/en\/centre-de-connaissances\/cas-cliniques\/","og_locale":"en_GB","og_type":"article","og_title":"CDC - 5 - Cas cliniques","og_description":"Typologies de douleurs en position assise, illustr\u00e9es par des cas r\u00e9els anonymis\u00e9s issus des analyses personnalis\u00e9es Blue Portance.","og_url":"https:\/\/blueportance.com\/en\/centre-de-connaissances\/cas-cliniques\/","og_site_name":"Blue Portance","article_publisher":"https:\/\/www.facebook.com\/people\/Blue-Portance\/100095243965964\/","article_modified_time":"2026-07-12T20:45:26+00:00","og_image":[{"width":246,"height":50,"url":"https:\/\/blueportance.com\/wp-content\/uploads\/Logo-Blue-Portance.webp","type":"image\/webp"}],"twitter_card":"summary_large_image","twitter_misc":{"Estimated reading time":"3 minutes"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"WebPage","@id":"https:\/\/blueportance.com\/centre-de-connaissances\/cas-cliniques\/","url":"https:\/\/blueportance.com\/centre-de-connaissances\/cas-cliniques\/","name":"Cas cliniques : typologies r\u00e9elles de douleurs en position assise","isPartOf":{"@id":"https:\/\/blueportance.com\/#website"},"datePublished":"2026-07-12T20:45:23+00:00","dateModified":"2026-07-12T20:45:26+00:00","description":"Typologies de douleurs en position assise, illustr\u00e9es par des cas r\u00e9els anonymis\u00e9s issus des analyses personnalis\u00e9es Blue Portance.","breadcrumb":{"@id":"https:\/\/blueportance.com\/centre-de-connaissances\/cas-cliniques\/#breadcrumb"},"inLanguage":"en-GB","potentialAction":[{"@type":"ReadAction","target":["https:\/\/blueportance.com\/centre-de-connaissances\/cas-cliniques\/"]}]},{"@type":"BreadcrumbList","@id":"https:\/\/blueportance.com\/centre-de-connaissances\/cas-cliniques\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Accueil","item":"https:\/\/blueportance.com\/"},{"@type":"ListItem","position":2,"name":"CDC &#8211; 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