Management of back pain in medical rehabilitation-clinic

摘要

Low back pain is one of the most common presenting complaints. The one-year prevalence is about 30%. The prevalence increases with age. Lifetime prevalence is over 70%.Causes of back pain are often multi-factorial. During clinical assessment, red flags for serious causes must be excluded. The managing physician has to correlate significant clinical findings to diagnose the pain generator.Analgesics help control and dampen pain sensitization. Needling and injection mechanically disrupt and release taut bands in painful muscles, and stimulate release of endorphin into the systemic circulation. Appropriate exercises help reactivate and rebalance muscles. Together with behavioral therapy and other complementary modalities, the majority of back pain patients will improve with active rehabilitation, without invasive treatment or surgery.