The medical history (history of the patient) represents an important component in the diagnosis of back pain or low back pain. Family history Is there a history of frequent back pain in your family? Social history What is your profession? Is there any evidence of psychosocial stress or strain due to your family situation? Current … Back Pain: Medical History
Within the framework of micronutrient medicine (vital substances), the following vital substances (micronutrients) are used for supportive therapy: Omega-3 fatty acid docosahexaenoic acid. Omega-3 fatty acid eicosapentaenoic acid The above vital substance recommendations were created with the help of medical experts. All statements are supported by scientific studies with high levels of evidence. For a … Back Pain: Micronutrient Therapy
Surgical therapy for low back pain depends on the underlying cause. Surgical therapy methods should not be used to treat nonspecific low back pain [S-3-leading line: ⇓⇓]. Surgical therapy is used for radicular and complicated causes. These include: Tumor diseases such as bronchial carcinoma (lung cancer), mammary carcinoma (breast cancer), renal cell carcinoma (kidney cancer), … Back Pain: Surgical Therapy
To prevent back pain, attention must be paid to reducing individual risk factors. Biographical causes Occupations-occupations with Heavy labor (e.g. construction). Carrying and lifting heavy loads (eg, construction, parcel services). Impacts of vibrations on the body (eg, rammers, drills). Working in a seated position (eg, office workers). Work with increased exertion or application of force. … Back Pain: Prevention
Congenital malformations, deformities, and chromosomal abnormalities (Q00-Q99). Marfan syndrome – genetic disorder that can be inherited in an autosomal-dominant manner or can be isolated (as a new mutation); systemic connective tissue disorder that is most notable for tall stature, spider-limbedness, and hyperextensibility of the joints; 75% of these patients have an aneurysm (pathologic (abnormal) bulge … Back Pain: Or something else? Differential Diagnosis
The following are the most important diseases or complications that can be caused by back pain or low back pain: Musculoskeletal system and connective tissue (M00-M99). Movement restrictions Psyche – nervous system (F00-F99; G00-G99) Anxiety Depression Social isolation Symptoms and abnormal clinical and laboratory findings, not elsewhere classified (R00-R99). Chronic pain* (constant pain). Further Avoidance … Back Pain: Secondary Diseases
A comprehensive clinical examination is the basis for selecting further diagnostic steps: General physical examination – including blood pressure, pulse, body temperature, body weight, body height; furthermore: Inspection (viewing). General condition Pelvic position Deformities? Skin (Normal: intact; abrasions/wounds, redness, hematomas (bruises), scars) and mucous membranes. Gait (fluid, limping). Body or joint posture (upright, bent, gentle … Back Pain: Examination
Diagnosis is usually made on the basis of history and physical examination alone. Only in the presence of specific suspected diagnoses (such as tumor diseases or infections) is laboratory diagnostics necessary. If warning signs (“red flags”) are present, further imaging or laboratory tests and/or referral to specialist care should be initiated depending on the suspected … Back Pain: Test and Diagnosis
Therapy target Pain relief and thus improvement of the ability to move Therapy recommendations In the foreground of the therapy of non-specific low back pain is the activation of the affected person! Analgesia (pain relief) according to WHO stage scheme: Non-opioid analgesic For acute low back pain (lumbago), no reduction in recovery time; no evidence … Back Pain: Drug Therapy
The diagnosis is usually made on the basis of the medical history and physical examination. Only when warning signs (red flags; see Symptoms – Complaints below) occur, such as increased pain at night, or fever or paralysis, is more extensive medical device diagnostics necessary. In patients with persistent activity-limiting or progressive low back pain (after … Back Pain: Diagnostic Tests
Pain in the middle back is generally defined as all pain that is located in the area of the flanks, i.e. the lower ribs on the back. These pains in the middle back are a growing burden on more and more patients and can have different origins. In most cases, the cause is found quickly … Back pain in the middle back
Diagnosis In the case of pain in the middle back, a medical history, i.e. a doctor-patient consultation, is usually first carried out to determine whether the patient has perhaps simply overextended himself or whether the pain is of a different origin. By palpation, i.e. palpation, the doctor can determine whether there is muscle cramping or … Diagnosis | Back pain in the middle back
