English: Low back pain
Lumbargia, lumbago, lower back pain, lumbar syndrome, lumbar root irritation syndrome, compression syndrome, lumbar intervertebral disc syndrome, sciatica, sciatica, lumbar sciatica, sciatica, facet syndrome, vertebral joint pain, myofascial syndrome, tendloomygenic reflex syndrome, spinal syndrome
Chronic back pain is an ongoing and growing problem in our society. One can even now speak of a “widespread disease”, since chronic back pain leads to very frequent visits to the doctor, absenteeism at work and, ultimately, immense costs.
The reasons for chronic back pain can be many. Often organic causes can be found, which are mostly responsible for acute and often also for chronic back pain.
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But what about the many patients for whom no findings can be made that could explain the intensity and duration of the perceived pain?
Medicine today assumes that the psyche plays a decisive role in the majority of pain patients. However, this means By no means that pain patients are mentally ill per se, that they imagine pain or Are simulants. Today's understanding of pain should be body and Unite psyche.
Classification of the causes of chronic back pain according to the WHO:
The physical causes for the development of chronic back pain can be extremely diverse. Damage to the spine, its joints and ligaments and inflammatory processes are just as conceivable as, for example, tumor diseases or damage to other organs that "radiate" into the back. A majority of these causes can now be identified or excluded with diagnostic methods. What you cannot do, however, is to draw a direct conclusion on the pain perception from the findings.
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The central point here is the question: "What does the pain do to the patient and how does the patient deal with it?" Everyone knows pain and everyone knows that pain can influence our behavior. Since pain patients have to deal with this mechanism of cause and effect on a permanent basis, behavior and, in addition, the whole lifestyle can change. Pain patients run the risk of getting caught in a “vicious circle” that arises from this very mechanism.
Example:
Pain in the back leads to relief. Resting can lead to "fearful" behavior, since rest and caution promise freedom from pain. Anxiety, on the other hand, often leads to retreat. Retreat leads to loneliness and sadness, and in the end it can lead to depression. Depression, in turn, increases pain.
Of course, this mechanism does not work for everyone. It has been found that certain personality traits are crucial for the development of such a vicious circle.
The so-called "social environment" that surrounds us is made up of the people, but also the institutions that we deal with on a daily basis and that shape our lives. Now the social environment in this country has its peculiarities with certain groups, such as Dealing with sick people. Dealing with the sick is by no means always the same.
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A person who breaks a leg while skiing is viewed differently than someone who suffers from schizophrenia, for example. This handling now also has a clear influence on the course of the disease. (E.g. a depressed patient will suffer significantly more if he is excluded because of his illness.).
$config[ads_text2] not foundIn the same way, there are also factors with regard to patients with chronic back pain which one has to believe that they exacerbate the pain and thus “make it chronic”. E.g. If the patient is hurt by his environment, for example by accusing him of being a simulant, the symptoms will worsen.
You might also be interested in this topic: Psychosomatic back pain
Who am I?
My name is dr. Nicolas Gumpert. I am a specialist in orthopedics and the founder of .
Various television programs and print media report regularly about my work. On HR television you can see me every 6 weeks live on "Hallo Hessen".
But now enough is indicated ;-)
The spine is difficult to treat. On the one hand it is exposed to high mechanical loads, on the other hand it has great mobility.
The treatment of the spine (e.g. herniated disc, facet syndrome, foramen stenosis, etc.) therefore requires a lot of experience.
I focus on a wide variety of diseases of the spine.
The aim of any treatment is treatment without surgery.
Which therapy achieves the best results in the long term can only be determined after looking at all of the information (Examination, X-ray, ultrasound, MRI, etc.) be assessed.
$config[ads_text4] not foundYou can find me in:
Directly to the online appointment arrangement
Unfortunately, it is currently only possible to make an appointment with private health insurers. I hope for your understanding!
Further information about myself can be found at Dr. Nicolas Gumpert
The main disturbances to be mentioned here are:
With all of these diagnoses, increased pain (also in the back) is conceivable.
The diagnosis of chronic back pain is often associated with other psychosomatic disorders on the therapeutic side. The most common additional disorder is depression. The second most common are panic disorder / panic attack or agoraphobia. Only then should the somatoform disorders be mentioned.
In a large number of pain patients, pain medication abuse develops over time.
Pain is very subjective. Nevertheless, it is possible to make pain a little more tangible by using various diagnostic instruments before and during a possible therapy.
All important information for the therapist is recorded by the patient over a defined period of time (e.g. one week).
E.g. Frequency, severity and duration of pain, frequency of medication use, activities before pain, etc.
The pain perception scale tries to capture the psychological changes in the patient that are caused by the pain. It is also a good tool during therapy to record progress.
Therapy of chronic back pain:
Nowadays, the treatment of chronic back pain typically takes place in several stages.
You can find a list of contacts with certified pain therapists in the appendix to our book “The unrecognized suffering - Chronic back pain and psychotherapy”.
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A - neck pain
B - upper back pain
C - lumbar spine pain
Lumbago (lumbago)
D - lumboglutealgia
(Radiating into the buttocks)
E - Lumboischialgia
(Radiating into the leg)
You can find an overview of all Dr-Gumpert images at: medical illustrations