<p>Among Austrian adults aged between 45 and&#xa0;59, a&#xa0;health survey in 2019 revealed that chronic back and neck pain are the first and second most common health problems complained about. Preventing chronicity therefore not only plays a&#xa0;decisive medical role, but also an economic one. Efficient treatment requires a&#xa0;correct and comprehensive diagnosis. The physician is faced with the task of recording and interpreting all the important elements required to make a&#xa0;decision in a&#xa0;short space of time. The increasing time and cost pressures in medicine are putting a&#xa0;strain on physicians. If the older, experienced physician has the resources to make a&#xa0;correct diagnosis in less time, young, inexperienced physicians face ethical and practical difficulties because they logically need more time. This article is intended to provide a&#xa0;multidisciplinary (rheumatological–orthopaedic), comprehensive and practical overview of the current status of diagnosis of chronic back pain. The aim is to provide physicians with a&#xa0;helpful tool for their daily practice. Due to the extensive subject matter, laboratory tests, imaging procedures and, above all, therapy must be dealt with separately.</p>

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Diagnose chronischer Rückenschmerzen

  • Astrid-Maria Schmidt

摘要

Among Austrian adults aged between 45 and 59, a health survey in 2019 revealed that chronic back and neck pain are the first and second most common health problems complained about. Preventing chronicity therefore not only plays a decisive medical role, but also an economic one. Efficient treatment requires a correct and comprehensive diagnosis. The physician is faced with the task of recording and interpreting all the important elements required to make a decision in a short space of time. The increasing time and cost pressures in medicine are putting a strain on physicians. If the older, experienced physician has the resources to make a correct diagnosis in less time, young, inexperienced physicians face ethical and practical difficulties because they logically need more time. This article is intended to provide a multidisciplinary (rheumatological–orthopaedic), comprehensive and practical overview of the current status of diagnosis of chronic back pain. The aim is to provide physicians with a helpful tool for their daily practice. Due to the extensive subject matter, laboratory tests, imaging procedures and, above all, therapy must be dealt with separately.