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Non-Specific Low Back Pain
Open accessAbstract
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 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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Metadata
- 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)
- 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)
- 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
- 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 › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Musculoskeletal pain and rehabilitation
- Health Sciences › Medicine › Orthopedics and Sports Medicine › Spine and Intervertebral Disc Pathology
- Health Sciences › Medicine › Obstetrics and Gynecology › 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
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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