{"id":44535,"date":"2022-06-09T10:24:45","date_gmt":"2022-06-09T10:24:45","guid":{"rendered":"https:\/\/belux.edmo.eu\/?p=44535"},"modified":"2022-06-30T13:59:17","modified_gmt":"2022-06-30T13:59:17","slug":"rafael-nadal-est-il-dope","status":"publish","type":"post","link":"https:\/\/belux.edmo.eu\/fr\/rafael-nadal-est-il-dope\/","title":{"rendered":"Rafael Nadal est-il dop\u00e9 ?"},"content":{"rendered":"

Apr\u00e8s le triomphe et les louanges, la pol\u00e9mique.\u00a0Ces derni\u00e8res heures de nombreuses critiques et\u00a0questions<\/a>\u00a0sont venues du peloton cycliste\u00a0sur les infiltrations dont a b\u00e9n\u00e9fici\u00e9\u00a0Rafael Nadal au niveau du pied pour parvenir \u00e0 gagner son 14e Roland Garros. Alors dopage ou non\u00a0? D\u00e9clic a tent\u00e9 d\u2019y voir clair.<\/p>\n

Une maladie incurable<\/strong><\/p>\n

Rafael Nadal souffre du syndrome de Muller-Weiss. Une pathologie qui consiste en une n\u00e9crose progressive d\u2019un petit os du pied : l\u2019os naviculaire. Cette affection plut\u00f4t rare peut \u00eatre provoqu\u00e9e par des contraintes importantes exerc\u00e9es sur cet os qui entra\u00eenent une moindre vascularisation et sa \u00ab\u00a0mort<\/em>\u00a0\u00bb progressive.<\/p>\n

Chez le tennisman majorquin, cette pathologie s\u2019est d\u00e9j\u00e0 d\u00e9clar\u00e9e \u00e0 l\u2019\u00e2ge de 18 ans\u00a0mais les cons\u00e9quences, notamment en termes de douleur ne font que s\u2019amplifier depuis. C\u2019est\u00a0pour \u00e7a qu\u2019il a recouru \u00e0 des infiltrations durant Roland-Garros.<\/p>\n

Des injections anesth\u00e9siantes<\/strong><\/p>\n

Rafael Nadal ne s\u2019en est d\u2019ailleurs pas cach\u00e9 au fil du tournoi. R\u00e9pondant \u00e0 une question d\u2019une journaliste d\u2019Eurosport qui lui demandait combien d\u2019injections il avait re\u00e7ues pendant le tournoi, il a d\u00e9clar\u00e9 \u00ab\u00a0il vaut mieux que tu ne le saches pas\u2026<\/em>\u00a0\u00bb<\/p>\n

Ensuite, dans une interview cons\u00e9cutive \u00e0 sa victoire, il \u00e9voque l\u2019administration r\u00e9p\u00e9t\u00e9e d\u2019un anesth\u00e9siant local afin de\u00a0rendre la\u00a0douleur supportable et qu\u2019il puisse continuer \u00e0 jouer. Il pr\u00e9cise m\u00eame\u00a0que, suite \u00e0 ces injections locales, il ne ressentait quasiment plus aucune sensation dans son pied gauche, durant certains matches.<\/p>\n

Dopage ou pas ces infiltrations\u00a0?<\/strong><\/p>\n

Si l\u2019on se r\u00e9f\u00e8re \u00e0 la d\u00e9finition du Larousse, le dopage c\u2019est le\u00a0fait d\u2019administrer, en vue d\u2019une comp\u00e9tition sportive, des substances ou proc\u00e9d\u00e9s de nature \u00e0 accro\u00eetre artificiellement les capacit\u00e9s physiques d\u2019une personne ou d\u2019un animal.<\/p>\n

Est-on\u00a0dans ce cas de figure, ici\u00a0? Disons qu\u2019utiliser des substances pour repousser le seuil auquel on ressent de la douleur, c\u2019est une des caract\u00e9ristiques du dopage. C\u2019est d\u2019ailleurs pour cette raison-l\u00e0 qu\u2019on a progressivement interdit les cortico\u00efdes dans le sport. Ils \u00e9taient utilis\u00e9s pour\u00a0permettre aux sportifs qui en prenaient\u00a0de passer au-dessus de la douleur et d\u2019ainsi repousser leurs limites. On est dans ce cas de figure ici.<\/p>\n

Ceci dit, si on s\u2019en r\u00e9f\u00e8re maintenant aux r\u00e8gles en cours\u00a0dans le monde du sport, \u00e9dict\u00e9es par l\u2019Agence Mondiale Anti-dopage alors c\u2019est diff\u00e9rent. Sur le site de l\u2019AMA, il n\u2019y a pas vraiment de d\u00e9finition du dopage. Il y est d\u00e9fini comme\u00a0\u00ab\u00a0une ou plusieurs violations des r\u00e8gles antidopage<\/em>\u00a0\u00bb et la principale r\u00e8gle\u2026 c\u2019est de ne pas consommer de produits inscrits sur la liste des produits interdits.<\/p>\n

Or, a priori, l\u2019anesth\u00e9siant local dont parle Rafael Nadal\u00a0n\u2019entre pas dans la liste des produits interdits\u00a0et donc n\u2019est pas consid\u00e9r\u00e9 comme \u00ab\u00a0produit dopant interdit\u00a0\u00bb. Aux yeux de l\u2019AMA, Rafael Nadal est en r\u00e8gle.<\/p>\n

\u00ab\u00a0Mais il\u00a0en serait tout autrement s\u2019il \u00e9tait cycliste, explique Gilles Goetghebuer, le r\u00e9dacteur en chef du magazine Sport et Vie.\u00a0En\u00a0effet le peloton cycliste s\u2019est dot\u00e9 de r\u00e8gles plus s\u00e9v\u00e8res qui interdisent toute forme d\u2019injections\u00a0: intraveineuse, intramusculaires\u2026 Sauf \u00e0 de tr\u00e8s rares exceptions qui doivent \u00eatre valid\u00e9es par un m\u00e9decin. S\u2019il \u00e9tait cycliste Rafael Nadal n\u2019aurait pas pu concourir.<\/em>\u00a0\u00bb<\/p>\n

Des cortico\u00efdes\u00a0?<\/strong><\/p>\n

Reste une question\u00a0: Rafael Nadal b\u00e9n\u00e9ficie-t-il d\u2019un traitement incluant aussi des cortico\u00efdes\u00a0? Il n\u2019a pas r\u00e9pondu aux questions pos\u00e9es sur le sujet. Bien que repris dans la liste des produits dopants, ces cortico\u00efdes peuvent encore \u00eatre administr\u00e9s dans certains cas, si le sportif b\u00e9n\u00e9ficie d\u2019une\u00a0AUT (une Autorisation d\u2019Usage Th\u00e9rapeutique).<\/p>\n

Si on ignore ce qu\u2019il en \u00e9tait pour ce Roland Garros, on sait par contre que le tennisman espagnol en a b\u00e9n\u00e9fici\u00e9 par le pass\u00e9. Lors des Jeux Olympiques de Rio de Janeiro, des hackers (qui avaient pirat\u00e9 les donn\u00e9es de l\u2019AMA) ont r\u00e9v\u00e9l\u00e9 que certains sportifs de haut niveau avaient rentr\u00e9 des AUT pour pouvoir recevoir des cortico\u00efdes\u2026 et le nom de Rafael Nadal figurait dans la liste.<\/p>\n

Et la sant\u00e9 dans tout \u00e7a\u00a0?<\/strong><\/p>\n

Au-del\u00e0 de toutes ces questions r\u00e9glementaires et \u00e9thiques, il y a enfin et surtout un enjeu de sant\u00e9. \u00ab\u00a0Administrer de\u00a0telles infiltrations, explique Gilles Goetghebuer,\u00a0c\u2019est comme si dans une voiture, quand un voyant de panne moteur s\u2019allume, vous alliez masquer le voyant rouge, plut\u00f4t que de traiter le probl\u00e8me\u2026 Continuer \u00e0 faire du sport aussi intense sur un pied \u00e0 ce point fragilis\u00e9 c\u2019est prendre un tr\u00e8s grand risque pour la suite\u00a0\u00bb<\/em>.<\/p>\n","protected":false},"excerpt":{"rendered":"

Apr\u00e8s le triomphe et les louanges, la pol\u00e9mique.\u00a0Ces derni\u00e8res heures de nombreuses critiques et\u00a0questions\u00a0sont venues du peloton cycliste\u00a0sur les infiltrations…<\/p>\n","protected":false},"author":4,"featured_media":53738,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[125,116,129,135,138],"tags":[],"class_list":{"0":"post-44535","1":"post","2":"type-post","3":"status-publish","4":"format-standard","5":"has-post-thumbnail","7":"category-fact-check-fr","8":"category-non-classifiee","9":"category-sante","10":"category-science-fr","11":"category-societe"},"acf":{"type":"\u00c9v\u00e9nement ferm\u00e9","location":"","start_date":"","start_date_event_begins_at":"","start_date_event_ends_at":"","end_date":"","end_date_event_begins_at":"","end_date_event_ends_at":"","organizer":"","show_metatags":true,"id":"","authors":"Arnaud Ruyssen","organization":"RTBF","featured_image_copyright":"Getty Images","text_copyright":"RTBF","source":"https:\/\/www.rtbf.be\/article\/rafael-nadal-est-il-dope-11008104","fact_checker":"https:\/\/belux.wpengine.com\/wp-content\/uploads\/2022\/01\/rtbf-logo.jpg","fact_checker_logo_image":false},"yoast_head":"\nRafael Nadal est-il dop\u00e9 ? 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