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Manualmedizinische Syndrome bei unteren Rückenschmerzen: Teil I

Differenzialdiagnostik und Therapie unter Einbeziehung osteopathischer Verfahren

Manual medical differential diagnosis of low back pain: Part I

Differential diagnostics and therapy under consideration of osteopathic procedures

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Zusammenfassung

Die differenzialdiagnostische Beurteilung schmerzhafter funktioneller Störungen der lumbosakralen Region, also des „unteren Rückenschmerzes“, ist sehr weit gespannt, wird jedoch häufig reduziert auf die Frage einer Chronifizierung. Die manualmedizinische Diagnostik kann hier einen wertvollen Beitrag in der Abgrenzung von struktureller und funktioneller Pathologie leisten. Frühzeitige manualmedizinische therapeutische Maßnahmen scheinen für perakute Beschwerden effektiv zu sein. Die Mobilisation funktioneller Störungen der viszeralen Aufhängungen im kleinen Becken sollte dabei einbezogen werden. In diesem Beitrag und im Beitrag eines Folgehefts werden manualmedizinische Syndrome vorgestellt, die Befundhäufungen aus dem muskuloskeletalen und viszeralen System zusammenfassen. Das erleichtert die primäre differenzialdiagnostische Beurteilung, ebenso aber auch die Therapieplanung. Die Kombination mit den osteopathischen Verfahren ist dabei sehr gewinnbringend. Eine notwendige fachärztliche Differenzialdiagnostik bleibt unumgänglich.

Abstract

The differential diagnostic evaluation of painful functional disorders of the lumbosacral and lumbopelvic region, i.e. so-called low back pain, is very extensive but is often reduced to the question of chronicity. The manual medical diagnosis can make a valuable contribution in the determination of structural and functional pathology. Early application of manual medical therapies seems to be effective for peracute complaints. The mobilization of restrictions of the pelvic visceral attachments should be included. In this review and in a following issue manual medical syndromes are presented that summarize the findings from the musculoskeletal and visceral systems. This alleviates the primary differential diagnostic evaluation as well as treatment planning. The combination with osteopathic methods is very profitable. A necessary specialist differential diagnosis remains essential.

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  1. Berliner Akademie für Osteopathische Medizin (BAOM), Ärztegesellschaft Manuelle Medizin – Berliner Seminar e.V. (ÄMM/DGMM), Berlin, Deutschland

    J. Buchmann, G. Harke, U. Smolenski & R. Kayser

  2. † in ehrendem Gedenken, -, -

    U. Arens

  3. Klinik für Neurologie, Psychiatrie, Psychosomatik und Psychotherapie im Kindes- und Jugendalter, Zentrum für Nervenheilkunde, Universität Rostock, Gehlsheimer Str. 20, 18147, Rostock, Deutschland

    J. Buchmann

  4. Institut für Physikalische und Rehabilitative Medizin, Universität Jena, Jena, Deutschland

    U. Smolenski

  5. Klinik für Orthopädie und Orthopädische Chirurgie, Universitätsmedizin Greifswald, Greifswald, Deutschland

    R. Kayser

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  1. J. Buchmann
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Wesentliche Anteile dieses Beitrages wurden bereits publiziert: Buchmann J, Arens U, Harke G, Smolenski UC, Kayser R (2012) Differenzialdiagnostik manualmedizinischer Syndrome bei unteren Rückenschmerzen unter Einbeziehung osteopathischer Verfahren. Phys Med Rehab Kurort 22:79–108. Mit freundl. Genehmigung des Thieme-Verlags.

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Buchmann, J., Arens, U., Harke, G. et al. Manualmedizinische Syndrome bei unteren Rückenschmerzen: Teil I. Manuelle Medizin 50, 374–386 (2012). https://doi.org/10.1007/s00337-012-0965-9

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