Establishing the diagnosis of low back pain: patient selection for interventional pain medicine

Autor: R. Mestrum, Pascal Vanelderen, Pieter De Vooght, Kris Vissers, M. Puylaert, Jan Van Zundert, René Heylen, Maarten van Kleef, Koen Van Boxem
Rok vydání: 2013
Předmět:
Zdroj: Pain Management. 3:129-136
ISSN: 1758-1877
1758-1869
DOI: 10.2217/pmt.13.3
Popis: SUMMARY Low back pain is one of the most prominent healthcare problems but there is no gold standard for its diagnosis. Aspecific low back pain can be subdivided into radicular and mechanical pain. The diagnosis mainly relies on a combination of elements, such as medical history, physical examination, medical imaging and other possible additional tests. Once a working diagnosis has been established, confirmation of the causative structure and level is sought by means of diagnostic blocks. The use of the different diagnostic tests and blocks should be guided by the balance between the potential benefit (mainly in terms of improved treatment outcome, the possible burden for the patient and the chances of withholding potential effective treatment to patients) with false-negative test results.
Databáze: OpenAIRE