title: [Treatment of myofascial lumbar dorsal pain. Effective clinical diagnostics and therapy].
abstract: BACKGROUND
  Lumbar dorsal pain is a problem that must be taken seriously and is part of many people's everyday lives. Not only does it cause high costs for the health system, it also frequently leads to inability to work. The significance of the myofascial system is still not taken seriously enough in therapy and clinical diagnostics, when treating dorsal pain. In the following article, the effectiveness of specifically targeted therapy for myofascial pain is evaluated.
  
  
  METHODS
  Included in the study were 44 patients referred for lumbar dorsal treatment-resistant pain to a practice specializing in pain therapy. Therapy focused on treatment of the affected muscle area with physiotherapy and the additional techniques of infiltrating trigger points, neural therapy, and general relaxation exercises. Medication was optimized according to the specific guidelines for the condition. The effect of therapy was evaluated using the German pain questionnaire (Deutsche Schmerzfragebogen).
  
  
  RESULTS
  After the therapy phase, patients had a significantly lower intensity of pain, anxiety, and depression, as well as an increased quality of life.
  
  
  CONCLUSIONS
  The results indicate that targeted treatment of muscles and fascia in patients with chronic back pain can lead to a reduction of pain symptoms. The consideration of the myofascial systems, particularly in relation to nonspecific back pain, could contribute to improving the treatment of pain and contribute to lowering costs.
authors.affiliation: Universitätsmedizin Magdeburg, Magdeburg, Deutschland.
authors.forename: R
authors.initials: R
authors.lastname: Levene
authors.forename: O
authors.initials: O
authors.lastname: Günther
authors.forename: H-J
authors.initials: HJ
authors.lastname: Rothkötter
authors.forename: N
authors.initials: N
authors.lastname: Bitterlich
authors.forename: J
authors.initials: J
authors.lastname: Buchmann
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001008:Anxiety Disorders / Q000523:psychology / Q000628:therapy; D003131:Combined Modality Therapy; D003866:Depressive Disorder / Q000523:psychology / Q000628:therapy; D005260:Female; D006801:Humans; D017116:Low Back Pain / Q000175:diagnosis / Q000523:psychology / Q000628:therapy*; D008297:Male; D008875:Middle Aged; D009209:Myofascial Pain Syndromes / Q000175:diagnosis / Q000188:drug therapy* / Q000523:psychology; D059408:Pain Management / Q000379:methods*; D010147:Pain Measurement; D011788:Quality of Life / Q000523:psychology