Almost everyone suffers from episodes of back pain in the course of their lives. In the vast majority of cases, the symptoms are self-limiting and there is no serious underlying cause. Therefore, a simple therapy consisting of physical activity and pain medication for four to six weeks is often recommended. This procedure is also recommended by relevant guidelines. However, it is also important to consider the psychosocial situation of the person affected. For example, worries at work or in private life can contribute to the pain symptoms and stand in the way of an improvement.
Special attention is also given to "red flags" where a standard therapy is not possible. These are:
For these symptoms, a different and more targeted treatment is necessary.
Multimodal therapy should be considered, especially for people who experience recurrent pain and have already exhausted other treatment options. Often, these patients are at risk of losing their ability to work. A multidisciplinary team would work in an inpatient or day hospital setting to help the patient regain activity and solve any existing problems that may be standing in the way of healing.
Physiotherapeutic measures such as physiotherapy, manual therapy or physiotherapy on devices are often elementary for the therapy of back pain, although every physician in private practice knows that these prescriptions are a burden on a budget. Moreover, such treaments are not sufficient for many patients. But there are also budget-neutral options that you can consider.
In order to help patients with physical measures, there are certainly variants that do not burden your budget and - even more important: can also be prescribed on a long-term basis.
Rehab sport is one such example. It can be prescribed 50 times over a period of 18 months. Functional training, although more rheumatology-oriented, can also be prescribed for 12 to 24 months without affecting the budget.
Most patients with back pain benefit from physiotherapy and physical activity. In order to achieve a sufficient range of motion, the administration of pain medication is often useful. Remedies, i.e. physiotherapies, can often also be prescribed without affecting the budget. It is therefore worthwhile to take a look at the KVB list of long-term remedies.