[Low back pain: when and what to do]

Orv Hetil. 2015 Aug 16;156(33):1315-20. doi: 10.1556/650.2015.30232.
[Article in Hu]

Abstract

The low back pain has become one of the greatest public health problems worldwide. The author based on the current international standards summarizes the knowledge necessary for every day treatment of low back pain. In acute low back pain the author underlines the necessity of the rapid, accurate diagnosis and separation for specific and non-specific low back pain. In specific acute low back pain the treatment should focus on to eliminate the root causes. In non-specific cases pain killing treatment and early active mobilization is the choice for the therapeutic process. Beside analgesia, the primary goal of the treatment is to prevent becoming chronic the symptomatology. Objectives of the management of chronic low back pain are effective pain reduction, continuous maintainance of physical activity, prevention of permanent disability, and restoration of working ability. Analgesics, non steroid anti-inflammatory drugs, and muscle relaxants reduce pain, while multidisciplinary management programs, personalized and guided physiotherapy, cognitive behavioral therapy, as well as short training programs will help to restore function. Surgical treatment is only indicated in degenerative cases and only after the failure of conservative therapy.

Keywords: acute; akut; chronic; derékfájás; diagnosis; diagnózis; kezelés; krónikus; low back pain; treatment.

Publication types

  • Review

MeSH terms

  • Acute Disease
  • Analgesics, Opioid / therapeutic use
  • Anti-Inflammatory Agents, Non-Steroidal / therapeutic use*
  • Chronic Pain / drug therapy
  • Chronic Pain / etiology*
  • Chronic Pain / psychology
  • Chronic Pain / therapy*
  • Cognitive Behavioral Therapy*
  • Combined Modality Therapy / methods
  • Disabled Persons / rehabilitation
  • Humans
  • Low Back Pain / drug therapy
  • Low Back Pain / etiology*
  • Low Back Pain / psychology
  • Low Back Pain / therapy*
  • Motor Activity
  • Muscle Relaxants, Central / therapeutic use
  • Occupational Diseases / etiology
  • Occupational Diseases / therapy
  • Physical Therapy Modalities*
  • Psychophysiologic Disorders / drug therapy
  • Psychophysiologic Disorders / etiology*
  • Psychophysiologic Disorders / psychology
  • Psychophysiologic Disorders / therapy*
  • Spinal Fusion
  • Workplace / psychology

Substances

  • Analgesics, Opioid
  • Anti-Inflammatory Agents, Non-Steroidal
  • Muscle Relaxants, Central