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  • Title: [Back pain--how to prevent disability. Planning for graduated therapy].
    Author: Keel P.
    Journal: MMW Fortschr Med; 1999 Jun 03; 141(22):33-8. PubMed ID: 10468473.
    Abstract:
    Early detection and prevention of chronicity is of prime importance. In the acute phase of the condition, this involves the use of a range of simple diagnostic measures, the aim of which is to search for possible warning signs of a serious disorder with a specific cause. If the patient's complaints are unspecific, a rapid return to his/her usual daily activities should be the aim, supported by patient instruction and management of pain. When the patient's complaints persist for more than 4 weeks, a more comprehensive diagnostic work-up is indicated, with the aim of establishing the underlying cause of persisting problems. In addition to a renewed search for specific causes, this includes the identification of psychosocial factors that might be impediments to the return of the patient to his/her usual activities. For further diagnostic and therapeutic considerations, these points require particular attention.
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