Life without back pain: This mix of several methods helps the best!

Those who are constantly plaguing the cross only want one thing: that the pain disappears. And fast. But unfortunately: Painkillers have been proven to be moderately effective and can have massive side effects in the long run. And after a backlash often complaints remain. "Most of the syndromes of dying are without surgery," says Dr. Karsten Wiechert, chief physician of the spinal center of Scho? N Klinik Mu? Nchen Harlaching. This also applies to 90 percent of intervertebral disc incidents.

Instead of tablets and surgeries, a new approach has become increasingly established: the best and safest ways to treat back pain are those that make patients active. Above all, regular exercise. But also better physical perception, more self-care and targeted relaxation. Because with most problems in the back the Auslo sers can not be sure. 85 percent are considered "unspecific"; only very rarely are serious diseases behind it.



Often, however, the causes of back pain are harmless at first, such as disfigured muscles or stuck fascia (connective tissue sheaths that surround muscles, for example) conditioned by constant sitting and stress. In any case, a positive explanation can help with acute complaints. "It's about reassuring the patient that nothing is broken, that the pain often disappears on its own," says dr. Jan-Peter Jansen, Medical Director of the Pain Center Berlin.

This is the case in one-third of those with "acute non-specific low back pain" within three months, according to a study by the University of Sydney. "To avoid chronification, the most important thing to do is keep moving," says Jansen. NAfter twelve weeks, painful back pain is considered chronic.



90 percent of all intervertebral disc incidents do without surgery

In the treatment of chronic pain, above all, a conviction has prevailed: It does not help a therapy alone. Increasingly, multimodal pain therapy has become established, with therapists from different specialties (such as a doctor, a physiotherapist and a behavioral therapist) attuned to the treatment. Their success has been confirmed by studies. "This interdisciplinary approach was not acknowledged in the same way a few years ago," says Karsten Wiechert.

In most pain centers and rehab clinics, orthopedists now work hand in hand with therapists of all kinds. Even in everyday life, with back pain at home, is it right to be active? and try it out. Not everyone likes the same thing. Some focus on yoga and acupuncture, others help with manual medicine and strength training. The choice of methods is great. We introduce you to those for whom we have found promising studies and who rate the experts positively? for example, in the new national care guideline "Non-specific low back pain", which physicians should use to guide treatment. The psyche plays a big role, even though it is rarely the only reason for back pain



Staying in bed was yesterday - exercise

What is it about:

The Ruins want to be moved. Because too much inactivity can weaken the muscles and probably also favor that the fasciae stick together. Exercise therapy, as the main element of physiotherapy, includes, for example, gymnastics, stretching exercises, strength training ? and sport of all kinds. Especially easy to climb are climbing or swimming, which specifically target the musculature, as well as righting sports such as dancing, hiking or cross-country skiing.

Martial arts are also recommended because he trains strength and coordination. "Since pain can trigger fear of movement, the gentle movement techniques from yoga or tai chi are also particularly suitable," says Andreas Michalsen, Professor of Clinical Naturopathy at the Berlin Charite.

What the research knows about it:

In acute pain, exercise therapy does nothing more than just stay as active as in everyday life. Nevertheless, it is recommended so that patients do not fall into an avoidance attitude for fear of more discomfort, what the chronification favors. With prolonged low back pain, exercise therapy reduces pain more effectively and increases flexibility in comparison to passive therapies.

This applies, for example, to yoga as well as to professionally guided back exercises, as a recent review article shows. Back-specific yoga can be just as physical as physical therapy that patients with lower back pain need less medication, such a US investigation.Decisive factors for the selection of the training are preferences of those affected, their fitness and the guidance of a qualified therapist, write the authors of the current cross-pain guideline.

For whom it is suitable:

For all. Therapists help with the selection of the most suitable individual training.

Who offers it:

Health insurance, health-oriented fitness studios or community colleges offer back training programs.

Changing ways of thinking? behavior therapy

What is it about:

The psyche plays a big role in back pain, even though it is rarely the only cause. Stress can sustain or reinforce pain: Stress such as conflicts in the job, one-sided physical stress, unfavorable mental processing such as the fear that the pain is getting worse.

In a behavior therapy-oriented pain psychotherapy private and professional sources of stress and the mental processing of the pain are considered; Patients learn to track and change unfavorable thinking and behaviors. "The goal of this therapy is to reduce people's anxiety and encourage them to actively participate in life," explains Drs. Regine Klinger, Psychological Director of the Department of Pain Medicine and Pain Psychology at the University Clinic Hamburg-Eppendorf. Sometimes, a few treatment units are enough. It is important that the therapist also keeps an eye on the physical symptoms and works together with family doctor or specialist.

What the research knows about it:

Several studies show an improvement in pain, mobility, and quality of life through cognitive-behavioral therapy for patients at high risk of chronic pain. Also, the number of doctor visits decreased, and the patients were able to return to work faster. A study in the journal "Lancet" showed that cognitive behavioral therapy has a positive effect on subacute and chronic back pain for over a year.

For whom it is suitable:

For patients with persistent pain. Especially if the symptoms do not disappear after five to six weeks and there are psychosocial risk factors such as stress at work, feelings of helplessness towards the pain, a tendency to spare oneself extremely well or, in contrast, to suppress the sensation of pain ? CKEN.

Who offers it:

Pain Psychotherapists can be found at www.dgss.org. The Treatment is usually taken over by the health insurance companies.

Simple but effective? heat therapy

What is it about:

Heat can promote blood circulation, relax muscles and fight the pain. Possible forms of application: hot baths, water bottles, toilet cushions, Red light, envelopes, fango packs, hay tickling by Kneipp, thermal plaster.

What the research knows about it:

Waistcoats can alleviate acute pain in the short term, has shown an Australian review work. The effect is likely to increase, if you not only use heat, but also move regularly. Among other things, the American society of American College of Physicians recommends heat in their current guideline as the first measure of acute back pain.

For whom it is suitable:

For all.But if the pain is increased by the heat, could a blight be behind the backache, then heat is no longer the right way.

Who offers it:

In the pharmacy There are, among other things, peat packs or laundry patches, for example with the active ingredient capsaicin, which gives chilies their scars.

A completely new approach? antibiotics

What is it about:

Some backaches are apparently caused by bacteria? and can be relieved by antibiotics. For this revolutionary realization the Da? Nn. Hanne Albert recently awarded the German Pain Award. Albert had noticed that one at More than half of all patients with herniated disc can detect bacteria in the tissue, usually harmless bacteria from the oral flora.

As a result of injuries, they can get into the bloodstream and thus into the intervertebral disc via newly formed blood vessels following a herniated disc. The bacteria can then, even if the herniated disc healed, cause painful inflammation and death and adjacent vortices are detrimental.

What the research knows about it:

Over a long period of time (100 days), scientists led by Hanne Albert prescribed 1,000 milligrams of the antibiotic amoxicillin three times a day, which reduced the pain in about 80 percent of the study participants. The effects set in after six to eight weeks and lasted well beyond the end of the treatment.

For whom it is suitable:

According to Albert Not all patients with lower back pain should be treated with antibiotics. But those in which O? Deme on the bone marrow (so-called Modic Changes) refer to bacteria and in which a bacterial infection is detectable, could "benefit enormously".

Who offers it:

The antibiotic can prescribe any doctor. However, it is about a long-term treatment in higher dose. "The patient would have to pay for it himself, because the approval is missing." And such a long course of antibiotic therapy would certainly not be trivial with regard to the side effects, "says Berlin pain therapist Jan-Peter Jansen.

Needles against the pain? acupuncture

What is it about:

In China, acupuncture has been part of medicine for 5,000 years. In this treatment, at certain points, the acupuncture points, fine needles stung into the skin. Thereby the energy flow in the body should be influenced and the self-healing forces should be strengthened.

What the research knows about it:

For a long time there is evidence that acupuncture can relieve low back pain, at least in the short term. A group of international researchers has recently come that the positive effects of acupuncture on chronic pain persist for more than twelve months in most cases. A recent review work in the "British Medical Journal", in which the Berlin Charite? acupuncture was considered a good treatment for chronic low back pain. The current guidelines recommend combining the treatment with regular exercise.

For whom it is suitable:

Therapists recommend needles especially after a lumbago, with sciatica problems as well as chronic back pain. Acupuncture must not be used for defilements.

Who offers it:

A list of therapists is also available online at the German Association for Acupuncture www.daegfa.de. The health insurances take over the costs imany or all cases.

Healing Hands ? manual medicine

What is it about:

With various manipulations, muscle tension, spinal and joint blockages are loosened, causing pain. Mobilization and manipulation are methods of manual medicine. During mobilization, the therapist works with pressure and stretching, During manipulation, joints are corrected by targeted grips. Only physicians with additional training in this field may use both techniques, whereas physiotherapists only work with mobilization. Manual medicine also includes osteopathy.

What the research knows about it:

According to an American study of around 1700 subjects, manual medicine achieves a short-term improvement in pain sensation of about ten percent? which corresponds to the effect of anti-inflammatory agents. Pain during treatment and soreness after, but serious complications hardly.

For whom it is suitable:

For painful disorders of the joints and spine, such as tension and blockages. Not suitable for osteoporosis or tumors. Discomfort caused by wear or degeneration does not improve.

Who offers it:

Qualified therapists can be found at www.dgmm.de or www.physio-deutschland.de (physiotherapists). The health insurance pays the treatment if the doctor can provide additional training.

Videotipp: Backache? You'll get rid of them with this simple trick!

* Prof. Dr. Andreas Michalsen: "Healing with the power of nature", 304 pages, 19.95 euros, island

*EXTREMELY LOUD* Chiropractic CRACKING takes 14 YEARS of Pain Away (March 2024).



Acupuncture, pain