Non-Specific Low Back Pain

Chenot, Jean-François; Greitemann, Bernhard; Kladny, Bernd; Petzke, Frank; Pfingsten, Michael; Schorr, Susanne Gabriele

doi:10.3238/arztebl.2017.0883

Cited by 282Musculoskeletal pain and rehabilitationSpine and Intervertebral Disc PathologyPregnancy-related medical research

Non-Specific Low Back Pain

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Chenot, Jean-François, Greitemann, Bernhard, Kladny, Bernd, Petzke, Frank, Pfingsten, Michael, Schorr, Susanne Gabriele·2017·Deutsches Ärzteblatt international

DOI 10.3238/arztebl.2017.0883PMC PMC5769319

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Abstract

BACKGROUND: For many years, low back pain has been both the leading cause of days lost from work and the leading indication for medical rehabilitation. The goal of the German Disease Management Guideline (NDMG) on nonspecific low back pain is to improve the treatment of patients with this condition. METHODS: The current update of the NDMG on non-specific low back pain is based on articles retrieved by a systematic search of the literature for systematic reviews. Its recommendations for diagnosis and treatment were developed by a collaborative effort of 29 scientific medical societies and organizations and approved in a formal consensus process. RESULTS: If the history and physical examination do not arouse any suspicion of a dangerous underlying cause, no further diagnostic evaluation is indicated for the time being. Passive, reactive measures should be taken only in combination with activating measures, or not at all. When drugs are used for symptomatic treatment, patients should be treated with the most suitable drug in the lowest possible dose and for as short a time as possible. CONCLUSION: A physician should be in charge of the overall care process. The patient should be kept well informed over the entire course of his or her illness and should be encouraged to adopt a healthful lifestyle, including regular physical exercise.

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Pharmacotherapy for CBP shows small beneficial effects but brings adverse events.
“Pharmacotherapy shows small beneficial effects but also brings along a number of adverse events [9, 10].”
From EFFects of Exposure and Cognitive behavioral Therapy for chronic BACK pain (“EFFECT-BACK”): study protocol for a randomized controlled trial (2024) · cites this paper as [10]

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Authors: Chenot, J.-F., Greitemann, B., Kladny, B., Petzke, F., Pfingsten, M., & Schorr, S. G.
Affiliations: Universitätsmedizin Greifswald (DE)
Deutsche Rentenversicherung Bund (DE)
Universitätsmedizin Göttingen (DE)
German Agency for Quality in Medicine (DE)
ORCID: Chenot, Jean-François
Kladny, Bernd
Petzke, Frank
Schorr, Susanne Gabriele
Venue: Deutsches Ärzteblatt international
Publisher: Deutscher Arzte-Verlag GmbH
Published: 2017-12-25
Volume: 114
Issue: 51-52
Pages: 883-890
ISSN: 1866-0452 (ISSN-L)
DOI: 10.3238/arztebl.2017.0883
PMC: PMC5769319
OpenAlex: W2801155169
Cited by: 282
References: 135
Citations by year: 2026: 6 · 2025: 27 · 2024: 35 · 2023: 32 · 2022: 47 · 2021: 44 · 2020: 38 · 2019: 29 · 2018: 12 · 2017: 6 · 2013: 5
FWCI: 2.95
Type: journal article
Language: de
Open access: green
www.ncbi.nlm.nih.gov
Locations: Deutsches Ärzteblatt international (publishedVersion)
Europe PMC (PubMed Central) (publishedVersion)
PubMed Central (publishedVersion)
PubMed (publishedVersion)
Funders: Andrew W. Mellon Foundation
Topics: Health Sciences › Medicine › Pharmacology › Musculoskeletal pain and rehabilitation
Health Sciences › Medicine › Pathology and Forensic Medicine › Spine and Intervertebral Disc Pathology
Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Pregnancy-related medical research
Keywords: non-specific low back pain, disease management guidelines, diagnosis, treatment guidelines, conservative treatment, pharmacotherapy, physical activity, patient information, health promotion
MeSH terms: Exercise Therapy, Germany, Humans, Lumbar Vertebrae, Prospective Studies, Low Back Pain, Practice Guidelines as Topic

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