Low back pain - Vereinigung Zuercher Internisten

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Low back pain - Vereinigung Zuercher Internisten

Low back pain: Chronic low back pain[Back in Time, FMH, Bern, 1997][Villiger PM, Seitz M: Rheumatologie inKürze, Stuttgart: Thieme 2006]Chronic low back pain: Lasts > 12 weeksPain in the backPain in the legYellow flags:• Longstanding back problems• Work non-satisfaction• Psychosocial problems (divorce etc.)• Financial compensation claim• More than one pain localisation• Integrative problems (foreigners)• Alcohol-, cigarette-, drug-abuse• Financial problems• Fair and DepressionInterdisciplinary approachDiagnostic procedureMRI• Differential diagnosisHospitalizationKonservative treatment, painmanagement, interventionaltherapy.If not successful: discussion withspine surgeon.

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