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  • Title: [Chronic low back pain--need for an interdisciplinary approach].
    Author: Pfingsten M.
    Journal: Anasthesiol Intensivmed Notfallmed Schmerzther; 2009 Jan; 44(1):40-5; quiz 46. PubMed ID: 19115188.
    Abstract:
    Low back pain is a burden in health policy and medical care. One of the main problems in that field comes from the fact that a minor part of all patients developchronic pain; those claiming for the main part of all costs. The transition from acute to chronic pain is dominated by psychological factors and there is a strong need to identify them at a very early stage of the illness. Concerning diagnostic procedures it is at first necessary to eliminate red flags. Afterwards, treatment is dominated by motivating the patients to intensify their daily activities and to inform them about the harmless nature of non-specific back pain. In case of chronic pain syndromes there is a strong need for interdisciplinary procedures in diagnosis and multiprofessional treatment. Multimodal treatment should be modelled on the concept of functional restoration.
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