Back pain – orthopaedic assessment in Freiburg
Back pain is common and usually cannot be explained by a single structure. A careful examination helps distinguish common non-specific courses from conditions requiring more targeted diagnostic investigation.
Possible causes
Muscular overload, inactivity, changes in joints or intervertebral discs, irritation of the small vertebral joints or the sacroiliac joint may contribute. Pain may also radiate into the buttock or leg. Imaging findings and symptoms do not always correspond.
Targeted diagnostics
The clinical course, triggers and mobility are important, as is a neurological examination when pain radiates or numbness or weakness occurs. Imaging is considered particularly when warning signs are present, neurological deficits develop or the course remains unclear despite appropriate treatment.
Treatment
For many cases of back pain, clear information, appropriate activity and a gradual increase in load are central components. Depending on the findings, physiotherapy, manual treatment, medication or other targeted measures may be added.
When immediate medical attention is needed
New marked weakness or paralysis, bladder or bowel dysfunction, numbness in the saddle area, fever or severe pain after an accident are warning signs and require immediate medical assessment.
Preparing for the examination
To assess the problem, the onset and course, exact radiation of pain, changes with load and possible accompanying symptoms are important. Please bring existing medical reports and imaging. Information about previous treatments, occupational demands, sport and medication is also helpful. The examination focuses particularly on mobility, neurological function and possible warning signs. Further tests are recommended only when they may have a specific consequence for treatment or physical capacity.
Please note
This information does not replace a medical examination. Sudden severe symptoms, marked deformity, paralysis or other warning signs should be assessed promptly by a medical professional.