[Commonplace and yet underestimated: The demanding treatment of chronic back pain : Evidence-based diagnostics, treatment and critical reflection of the guidelines].

IF 0.8 4区 医学 Q3 ANESTHESIOLOGY
Schmerz Pub Date : 2026-10-01 Epub Date: 2026-09-14 DOI:10.1007/s00482-026-00965-2
Axel Gassen, Julia Wölfle-Roos
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引用次数: 0

Abstract

Back pain is among the leading causes of disability and work absenteeism worldwide. Approximately 85-90% of cases are classified as non-specific and mostly show an innocuous trajectory. Decisive for the guideline-conform management are the structured differentiation of specific causes, early identification of chronicity risk factors and an activating biopsychosocial treatment approach. Imaging should only be performed when clinically indicated. Exercise therapy represents the central conservative treatment modality. Pharmacotherapies are mainly used to support active rehabilitation strategies. Interdisciplinary multimodal programs improve long-term function, participation and quality of life, particularly in chronic pain conditions. Interventional procedures can be meaningful in selected patients with clearly defined indications.

[司空见惯却又被低估:对慢性背痛的苛刻治疗:基于证据的诊断、治疗和对指南的批判性反思]。
背痛是世界范围内导致残疾和旷工的主要原因之一。大约85-90%的病例被归类为非特异性,并且大多数显示出无害的轨迹。对于符合指南的管理来说,关键是对具体原因进行结构化的区分,早期识别慢性风险因素,以及积极的生物心理社会治疗方法。只有在临床指征时才应进行影像学检查。运动疗法是主要的保守治疗方式。药物治疗主要用于支持主动康复策略。跨学科多模式方案改善长期功能,参与和生活质量,特别是在慢性疼痛条件下。在有明确适应症的患者中,介入手术是有意义的。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Schmerz
Schmerz 医学-临床神经学
CiteScore
2.00
自引率
20.00%
发文量
64
审稿时长
6-12 weeks
期刊介绍: Der Schmerz is an internationally recognized journal and addresses all scientists, practitioners and psychologists, dealing with the treatment of pain patients or working in pain research. The aim of the journal is to enhance the treatment of pain patients in the long run. Review articles provide an overview on selected topics and offer the reader a summary of current findings from all fields of pain research, pain management and pain symptom management. Freely submitted original papers allow the presentation of important clinical studies and serve the scientific exchange. Case reports feature interesting cases and aim at optimizing diagnostic and therapeutic strategies. Review articles under the rubric ''Continuing Medical Education'' present verified results of scientific research and their integration into daily practice.
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