title: [Chronic lower back pain].
abstract: Poor efficiency in terms of treatment of unspecific back pain and related chronic pain syndromes has led to the necessity of general care guidelines addressing evidence-based strategies for treatment of lower back pain (LBP). Systematically validated and reviewed algorithms have been established for all kinds of unspecific back pain, covering both acute and chronic syndromes. Concerning the impact of psychosocial risk factors in the development of chronic LBP, multimodal treatment is preferred to monomodal strategies. Self-responsible acting on the part of the patient should be supported while invasive methods in particular, i.e. operative treatment, should be avoided due to lacking evidence in outcome efficiency.
authors.affiliation: Stiftung Orthopädische Universitätsklinik, Universitätsklinikum Heidelberg, Schlierbacher Landstr. 200a, 69118, Heidelberg, Deutschland. andreas.werber@med.uni-heidelberg.de
authors.forename: A
authors.initials: A
authors.lastname: Werber
authors.forename: M
authors.initials: M
authors.lastname: Schiltenwolf
mesh_terms: D002908:Chronic Disease; D005081:Exercise Therapy / Q000379:methods*; D006801:Humans; D017116:Low Back Pain / Q000175:diagnosis* / Q000628:therapy*; D010147:Pain Measurement / Q000379:methods*; D040242:Risk Reduction Behavior; D012648:Self Care / Q000379:methods*