Publications of Jacques BECO
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See detailA new method to evaluate the part of stress in pain: injection of dextrose 5% (neural prolotherapy) on acupuncture points corresonponding to stellate, coeliac and mesenteric ganglions. A pilot study
BECO, Jacques ULiege; Mouchel, Jack; SEIDEL, Laurence ULiege et al

in Pelviperineology: Multidisciplinary Pelvic Floor Journal (2018), 37

In neuralgia (neuropathic pain), the skin rolling test is painful (allodynia to pinch) but when painful everywhere on the body (polyneuralgia) it often indicates that the patient is in a stress state, in ... [more ▼]

In neuralgia (neuropathic pain), the skin rolling test is painful (allodynia to pinch) but when painful everywhere on the body (polyneuralgia) it often indicates that the patient is in a stress state, in a fight or flight situation. Thus, when starting a treatment, it is important to differentiate between these patients and those who have perineal pain only. The aim of this study was to evaluate the effect on pain and stress of a neural prolotherapy treatment (dextrose 5% injections) at seven acupuncture points linked with orthosympathetic ganglia. The studied population comprised 55 patients treated in two private clinical settings (authors 1 and 2). The short-term effect on pain was studied by comparing the pain induced by the arm skin rolling test before and 15 minutes after injections. To evaluate the long term effect on pain, the average level of body pain during the two weeks preceding the treatment was compared with that following treatment. The World Health Organization (WHO) Five Well-Being Index was used to evaluate the patient’s level of stress before and two weeks after injections. Fifteen minutes after dextrose injections, pain induced by the skin rolling test at the arm was decreased (-3.0 ± 1.6; p<0.0001). Two weeks after treatment, the global body pain score was significantly reduced (-2.0 ± 2.4; p<0.0001) and the total WHO score increased (+21.0 ± 20.5; p<0.0001). Treatment of polyneuralgic patients with neural prolotherapy of seven acupuncture points significantly improves well-being sensation and reduces pain. [less ▲]

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See detailPelvic trauma and pudendal syndrome (post-traumatic pudendal syndrome)
BECO, Jacques ULiege; ANTOLAK, Stanley; SEIDEL, Laurence ULiege et al

in Pelviperineology: Multidisciplinary Pelvic Floor Journal (2018)

The pudendal syndrome can result from pelvic trauma but the link is difficult to prove. The study was intended to disentangle potentially linking elements of the post-traumatic pudendal syndrome, in ... [more ▼]

The pudendal syndrome can result from pelvic trauma but the link is difficult to prove. The study was intended to disentangle potentially linking elements of the post-traumatic pudendal syndrome, in particular perineodynia (perineal pain), one of the salient symptoms of the pudendal syndrome. Two case reports were used to illustrate the point. The study was based on 394 female patients of whom 216 (54.8%) had a history of pelvic trauma. Patients were further classified into mutually exclusive groups according to presence/absence of perineodynia and, for those with pelvic trauma, according to latency of pain appearance (pain before trauma, early onset, or late onset). Urge urinary incontinence, cystalgia, anal incontinence and proctalgia fugax were found statistically more frequent in the pelvic trauma group. Perineodynia visual analog score, NHI-CPSI score and Wexner’s score were also significantly greater in traumatic patients. The three pudendal syndrome clinical signs were significantly more present in pelvic trauma patients than in non-trauma subjects. In the three post-traumatic perineodynia groups with different latency, only minor significant symptoms frequency differences were observed but importantly urge incontinence, cystalgia, anal incontinence and proctalgia fugax remained more frequent than in the non-trauma perineodynia group for similar pain scores. Post-traumatic pudendal syndrome is a reality. Perineodynia, urge incontinence, anal incontinence, proctalgia fugax and cystalgia are the most frequently symptoms encountered. These findings recommend performing a detailed history search for any symptom of the pudendal syndrome and a comprehensive clinical examination including its three clinical signs after any significant pelvic trauma. [less ▲]

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