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Pain Assessment and Treatment Center

The Pain Assessment and Treatment Center takes care of outpatients suffering from chronic pain.

The CETD also receives hospitalized patients for consultation, for advice or evaluation, in order to give an opinion on treatments and to guide their pain management after their discharge.

  • Activities


    Each year, the CETD receives more than 1,000 adults and children, and carries out more than 4,500 consultations.

    The activities of the center, a specialized structure identified by the Regional Health Agency , fully meet the new specifications drawn up by the General Directorate for the Offer of Care in the instruction of May 2014.

    The primary mission, for patients in the population basin of Caen and its agglomeration, is to implement a global and structured assessment, to propose a personalized therapeutic project at the end of the assessment..

    In all cases, the conclusions of the assessment are sent to the attending physician and possibly to medical specialists who know the patient.

    Adult pain consultations
    • Specialized consultations : neurology, headaches/migraines, geriatrics, physical medicine and rehabilitation, psychiatry, occupational physician, neurosurgery, psychologist, pain nurse,
    • Carrying out specific treatments :
      • Individual and group therapies for headaches/migraines
      • Individual and group therapies using cognitive-behavioral techniques (low back pain, diffuse polyalgia syndrome)
      • Interviews and therapies with a psychologist
      • Practice of sophrology and hypnosis
      • Acupuncture
      • Electrostimulation ( TENS : Transcutaneous Electrical Nerve Stimulation)
      • RTMS
      • Application of capsaicin patches
      • Rehabilitation under MEOPA
      • Drug withdrawal
      • Balance sheet and evaluation supplements
    Child pain consultations
    • Specific care
      • Relaxation and hypnosis
      • Cognitive-behavioral therapies
      • Manual medicine
      • Transcutaneous neurostimulation
      • Individual and group therapies using cognitive behavioral techniques for children with migraine
    chronic pain

    What is chronic pain?

    Pain is defined internationally as “an unpleasant sensory and emotional experience associated with or resembling that associated with actual or potential tissue damage”.

    Chronic pain is identified as such when it affects the patient for more than three months and affects his quality of life. Most of the time the origin is multifactorial.

    It is therefore what the person suffering from it says what it is, whatever its origin.

    There is chronic pain - or chronic pain syndrome - when the pain has several of the following characteristics:

    • persistence or recurrence,
    • duration beyond what is usual for the presumed cause (in particular evolution for more than three months),
    • insufficient response to treatment,
    • significant impact/impairment of functional capacities, relational life, quality of life.

    Chronic pain can appear at any age, from infancy to old age.

    What pathologies?

    The chronic pain treated is linked to a wide variety of pathologies. The most frequently encountered are the following:

    • Chronic post-surgical pain,
    • Complex neuropathic pain,
    • Low back pain, musculoskeletal disorders, osteo-articular pain,
    • Diffuse polyalgic syndrome (fibromyalgia)
    • Migraines and headaches, facial neuralgia, vascular pain, orofacial pain
    • Complex Regional Pain Syndrome,
    • pain caused by cancer,
    • Abdominal-pelvic and perineal pain
    • visceral pain
  • Consulting
    • Headache Migraine Dr Guillet, Dr Schaeffer,
    • Adult chronic pain (non-cancerous)
    • Child chronic pain
    • Elderly Pain Dr Bourderont
    • Orientation
    • Acupuncture
    • Pain and Physical Medicine and Rehabilitation
    • Pain and Occupational Medicine
    • Spinal cord neuromodulation