Author/Editor		Travnik, Ludvik
Title		Kronična bolečina v ledveni hrbtenici
Translated title		Chronic low back pain
Type		članek
Source		Sanitas et labor
Vol. and No.		Letnik 6, št. 1
Publication year		2007
Volume		str. 7-24
Language		slo
Abstract		Multiple, evidence-based guidelines worldwide have indicated how acute low back pain should be managed. Treatment for chronic low back pain (pain persisting for over 3 months) falls into three broad categories: monotherapies, multidisciplinary therapy, and reductionism. Most monotherapies either do not work or have limited efficacy (analgesics, nonsteroidal anti-inflammatory drugs, muscle relaxants, antidepressants, physiotherapy, manipulative therapy and surgery). Multidisciplinary therapy based on intensive exercises improves physical function and has modest effects on pain. The reductionist approach (pursuit of a pathoanatomical diagnosis with the view to target-specific treatment) should be implemented when a specific diagnosis is needed. While conventional investigations do not reveal the cause of pain, joint blocks and discography can identify zygapophysial joint pain, sacroiliac joint pain and internal disc disruption.
Descriptors		LOW BACK PAIN SPINAL STENOSIS SPONDYLITIS INTERVERTEBRAL DISK DISPLACEMENT