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Summing up of SBU report on bad backs
With a bad back is meant pained conditions in neck, lumbar spine and shoulders. According to the report of SBU (National council for evaluation of medical methods) there are about 50 methods of examination and as many methods of treatment, which all have a program for examination/treatment of bad backs. Almost 100.000 persons are reported sick or pensioned because of bad backs. This means an enormous suffering for the individual and huge costs for the society. In spite of all efforts the problem of ”bad backs” has so far not been solved.
Injuries of the back, symtoms
There are almost one hundred named spine injuries and an unknown number that are not named. If you want to simplify this, you can sum up all these injuries in eight groups, namely intervertebral disc herniation, spinous stenosis, shift of the vertebra, disc degeneration, fracture of the vertebra, infection, tumors and inflammation.
Current treatments
The methods of examination are many, so are the different forms of treatment. The results of the examinations are not congruous. The diagnosis of some conditions are quite certain, of others on the other hand doubtful or even contradictory. Finally we still have a lot of patients suffering from pained back, and we can´t name the disease and all the less the cause.
Forms and measures of treatment
They are in direct connection to the method of examination. In most cases the measures to relieve or cure problems of the back are those that:
Promote rest, reduce spasm (cramp), reduce inflammation, reduce pain, increase strength, increase mobility, increase stamina, changes mechanical structures, changes neurological structures, increase the functional and physical capacity, modifies the place of work.
Other measures deal with social factors in a wide sense and treatment of psychic components. See: http://www.sbu.se/ |
