Therapeutic guidelines in chronic low back pain

Chronic low back pain is a heterogeneous group of disorders with recurrent low back pain over 3 months. The high incidence of lumbago is an important phenomenon in our industrial society. Patients with chronic low back pain often receive multidisciplinary treatment. The bio approach, the psycho-approach, and the social approach optimally reduce the risk of chronicity by providing rehabilitation for patients with persistent pain after the initial acute phase. Damage to the structures of the spinal cord and the occurrence of low back pain as a result of evolutionary, social and medical causes disrupt the rhythm of life and cause less or greater disability. Recovery of patients with low back pain is not limited only to influencing the pain syndrome but requires the implementation of programs to eliminate the complaints that this pathology generates in personal, family and socio-professional terms. This paper aims to familiarize the audience with the medication used, and the programs for active recovery in patients suffering from chronic low back pain.

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Long-term Outcomes in Multidisciplinary Treatment of Chronic Low Back Pain

Spine ◽

10.1097/00007632-200404150-00006 ◽

2004 ◽

Vol 29 (8) ◽

pp. 850-855 ◽

Cited By ~ 68

Author(s):

Luke E. Patrick ◽

Elizabeth M. Altmaier ◽

Ernest M. Found

Keyword(s):

Low Back Pain ◽

Back Pain ◽

Chronic Low Back Pain ◽

Multidisciplinary Treatment ◽

Low Back ◽

Long Term Outcomes

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The chronic low back pain syndrome(CLBPS) and its correlation with the apparent etiologic diagnosis

Pain ◽

10.1016/0304-3959(87)91252-8 ◽

1987 ◽

Vol 30 ◽

pp. S87

Author(s):

P. F. Bejarano ◽

L. N. Cardona ◽

L. Casasbuenas

Keyword(s):

Low Back Pain ◽

Back Pain ◽

Chronic Low Back Pain ◽

Pain Syndrome ◽

Low Back ◽

Etiologic Diagnosis

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Multidisciplinary Treatment for Chronic Low Back Pain: An Evidence-Based Approach

Topics in Pain Management ◽

10.1097/01.tpm.0000792996.05798.98 ◽

2021 ◽

Vol 37 (3) ◽

pp. 1-8

Author(s):

Thomas Gedulig ◽

Hannah Hultine ◽

Joseph Walker

Keyword(s):

Low Back Pain ◽

Back Pain ◽

Chronic Low Back Pain ◽

Multidisciplinary Treatment ◽

Evidence Based ◽

Low Back

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Wie sinnvoll ist die Zweipunktdiskrimination als diagnostisches Mittel bei der Epicondylopathia humeri radialis?

MSK – Muskuloskelettale Physiotherapie ◽

10.1055/a-1539-2504 ◽

2021 ◽

Vol 25 (04) ◽

pp. 181-189

Author(s):

Kirsten Börms ◽

Michael Richter

Keyword(s):

Low Back Pain ◽

Back Pain ◽

Complex Regional Pain Syndrome ◽

Chronic Low Back Pain ◽

Pain Syndrome ◽

Low Back ◽

Epicondylopathia Humeri Radialis

ZusammenfassungDie diagnostische Aussagekraft der Zweipunktdiskrimination (ZPD) als Indikator für chronische Krankheitsprozesse (z. B. Complex Regional Pain Syndrome, Chronic Low Back Pain) ist mehrfach untersucht und gilt als belegt. Das Ziel der vorliegenden Arbeit war es, die ZPD als diagnostisches Mittel in der Ellenbogenregion zu untersuchen.Mithilfe eines Ästhesiometers (Schieblehre) wurde die ZPD im Bereich des lateralen Ellenbogens bei einer Patientengruppe (N = 21) mit der Diagnose Epicondylopathia humeri radialis sowie einer gesunden Kontrollgruppe (N = 40) mit folgender primärer Fragestellung untersucht: Kann die ZPD am Ellenbogen gesunde Proband(inn)en von Proband(inn)en mit Epicondylopathia humeri radialis unterscheiden? Als Basis wurden ZPD-Normwerte anhand der Kontrollgruppe am lateralen Ellenbogen erstellt. In einer vertiefenden Datenanalyse der Patientenpopulation wurden die Daten der Patient(inn)en mit einem akuten (N = 13) mit den Daten der Patient(inn)en mit einem chronischen (N = 8) Zustand verglichen.Im Ergebnis scheint die ZPD kein geeignetes Diagnostikinstrument zur Differenzierung der Fall- von der Kontrollgruppe sowie von akuten und chronischen Verläufen in der lateralen Ellenbogenregion zu sein.

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Psychosomatic aspects of chronic low back pain syndrome

Proceedings of the Latvian Academy of Sciences Section B Natural Exact and Applied Sciences ◽

10.2478/v10046-011-0005-5 ◽

2010 ◽

Vol 64 (5-6) ◽

pp. 202-208

Author(s):

Daina Šmite ◽

Gunta Ancāne

Keyword(s):

Low Back Pain ◽

Back Pain ◽

Emotional Distress ◽

Chronic Low Back Pain ◽

Pain Syndrome ◽

Low Back ◽

Characteristic Parameters ◽

Psychosomatic Aspects ◽

Specific Symptoms

Psychosomatic aspects of chronic low back pain syndrome The purpose of the study was to determine the relationships between emotional distress and pain syndrome, its characteristic parameters and impact on the quality of life in patients with chronic low back pain. The study included 110 patients, mean age 44.2 ± 8.0 years, with clinical diagnosis of lumbar spine disk pathology with chronic low back pain syndrome. The results showed that the studied patients differed by their emotional state. Emotional distress was associated with high intensity and specific symptoms of low back pain syndrome. Musculoskeletal dysfunction was associated with both physical and psychoemotional factors. The interaction of chronic low back pain syndrome complexity and biopsyhosocial factors is shown by a correlation between cytokines IL-10 and IL-8 level in blood serum and both pain intensity and duration, characteristics of emotional and physical status, and level of physical activities.

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