[Commonplace and yet underestimated: The demanding treatment of chronic back pain : Evidence-based diagnostics, treatment and critical reflection of the guidelines].

Axel Gassen, Julia Wölfle-Roos

Abstract readReviewEnglish Abstract

In one paragraph

Review in Schmerz (Berlin, Germany), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it

0cells of the map it votes in

0citing papers in PubMed

–field-weighted citation impact

1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors.

Axel GassenFachbereich Orthopädie und Unfallchirurgie, m&i-Fachklinik Bad Liebenstein, Kurpromenade 2, 36448, Bad Liebenstein, Deutschland. axel.gassen@fachklinik-bad-liebenstein.de.

Julia Wölfle-RoosFachbereich Orthopädie und Unfallchirurgie, m&i-Fachklinik Ichenhausen, Ichenhausen, Deutschland, Krumbacher Straße 45, 89335.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Back pain is among the leading causes of disability and work absenteeism worldwide. Approximately 85-90% of cases are classified as non-specific and mostly show an innocuous trajectory. Decisive for the guideline-conform management are the structured differentiation of specific causes, early identification of chronicity risk factors and an activating biopsychosocial treatment approach. Imaging should only be performed when clinically indicated. Exercise therapy represents the central conservative treatment modality. Pharmacotherapies are mainly used to support active rehabilitation strategies. Interdisciplinary multimodal programs improve long-term function, participation and quality of life, particularly in chronic pain conditions. Interventional procedures can be meaningful in selected patients with clearly defined indications.

Indexed as

Back PainChronic PainEvidence-Based MedicineGuideline AdherencePractice Guidelines as TopicAnalgesicsCombined Modality TherapyDiagnosis, DifferentialExercise TherapyHumansInterdisciplinary CommunicationIntersectoral CollaborationModels, BiopsychosocialPain ManagementPain MeasurementAnalgesicsBack pain/guideline-based managementBiopsychosocial pain modelChronic painPain therapy, interdisciplinary multimodalPharmacological pain management

Identifiers

PMID42734645

DOI10.1007/s00482-026-00965-2

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.