Cargando…
Back pain treatment: a new perspective
This article aims to provide new perspectives for the treatment of low back pain (LBP). A narrative literature review highlights the treatment strategies currently anchored in the guidelines as well as the extensive attempts to identify subgroups within the non-specific low back pain (NSLBP) classif...
Autor principal: | |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
SAGE Publications
2022
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9260567/ https://www.ncbi.nlm.nih.gov/pubmed/35814351 http://dx.doi.org/10.1177/1759720X221100293 |
_version_ | 1784742066645893120 |
---|---|
author | Steinmetz, Anke |
author_facet | Steinmetz, Anke |
author_sort | Steinmetz, Anke |
collection | PubMed |
description | This article aims to provide new perspectives for the treatment of low back pain (LBP). A narrative literature review highlights the treatment strategies currently anchored in the guidelines as well as the extensive attempts to identify subgroups within the non-specific low back pain (NSLBP) classification. A variety of multimodal approaches exist for both diagnostic assessments and therapy approaches. Nonetheless, there are often gaps in the classification systems as well as in published treatment concepts with regard to the implementation of musculoskeletal functional disorders. Indeed, a growing body of evidence shows that more holistic and flexible approaches are needed to individually diagnose and target the complexity of LBP. As an example, both a diagnostic and a (independently developed) therapeutic LBP concept will be presented and discussed. Ultimately, guidelines and subgroup classification systems can only reflect the complexity of LBP, if they capture its entire multidimensional and biopsychosocial character in both the diagnostic and therapeutic processes. Furthermore, the expansion of the pain definition to include the nociplastic pain mechanism, as an important driver of LBP, has the potential to provide important impulses for further necessary research. In conclusion, the implementation of a functional musculoskeletal approach along with the emerging nociceptive pain concept in individually targeted holistic approaches seems to be the successful way to deal with the complexity of LBP. |
format | Online Article Text |
id | pubmed-9260567 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | SAGE Publications |
record_format | MEDLINE/PubMed |
spelling | pubmed-92605672022-07-08 Back pain treatment: a new perspective Steinmetz, Anke Ther Adv Musculoskelet Dis Pathophysiology and Management of Musculoskeletal Pain This article aims to provide new perspectives for the treatment of low back pain (LBP). A narrative literature review highlights the treatment strategies currently anchored in the guidelines as well as the extensive attempts to identify subgroups within the non-specific low back pain (NSLBP) classification. A variety of multimodal approaches exist for both diagnostic assessments and therapy approaches. Nonetheless, there are often gaps in the classification systems as well as in published treatment concepts with regard to the implementation of musculoskeletal functional disorders. Indeed, a growing body of evidence shows that more holistic and flexible approaches are needed to individually diagnose and target the complexity of LBP. As an example, both a diagnostic and a (independently developed) therapeutic LBP concept will be presented and discussed. Ultimately, guidelines and subgroup classification systems can only reflect the complexity of LBP, if they capture its entire multidimensional and biopsychosocial character in both the diagnostic and therapeutic processes. Furthermore, the expansion of the pain definition to include the nociplastic pain mechanism, as an important driver of LBP, has the potential to provide important impulses for further necessary research. In conclusion, the implementation of a functional musculoskeletal approach along with the emerging nociceptive pain concept in individually targeted holistic approaches seems to be the successful way to deal with the complexity of LBP. SAGE Publications 2022-07-04 /pmc/articles/PMC9260567/ /pubmed/35814351 http://dx.doi.org/10.1177/1759720X221100293 Text en © The Author(s), 2022 https://creativecommons.org/licenses/by-nc/4.0/This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access page (https://us.sagepub.com/en-us/nam/open-access-at-sage). |
spellingShingle | Pathophysiology and Management of Musculoskeletal Pain Steinmetz, Anke Back pain treatment: a new perspective |
title | Back pain treatment: a new perspective |
title_full | Back pain treatment: a new perspective |
title_fullStr | Back pain treatment: a new perspective |
title_full_unstemmed | Back pain treatment: a new perspective |
title_short | Back pain treatment: a new perspective |
title_sort | back pain treatment: a new perspective |
topic | Pathophysiology and Management of Musculoskeletal Pain |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9260567/ https://www.ncbi.nlm.nih.gov/pubmed/35814351 http://dx.doi.org/10.1177/1759720X221100293 |
work_keys_str_mv | AT steinmetzanke backpaintreatmentanewperspective |