Non-specific back pain - update
Non-specific back pain
Update on conservative therapy
What modern pain therapy can really achieve
Back pain is one of the most common complaints in modern society - and it is the main reason for sick leave. In over 85% of cases, the cause remains unspecific despite intensive diagnostics. However, it is precisely in these cases that modern conservative therapy shows considerable progress - if it is interdisciplinary, individualized and evidence-based.
What does "non-specific back pain" mean?
Non-specific back pain is present when no clear structural cause (such as a herniated disc, fracture or inflammatory disease) can be diagnosed. The symptoms are usually functional, biomechanical, neurophysiological or psychosocial - or a combination of these. This may initially sound like an unclear situation, but it is a great therapeutic opportunity: because without a dangerous cause, the way is open for targeted, activating treatment.
From passive to active: the paradigm shift in therapy
For a long time, back pain = rest. Today we know that rest is counterproductive. The current guidelines recommend
Early exercise
Targeted education (improve understanding of pain)
Multimodal concepts with exercise, physiotherapy, psychotherapy and educational elements
Individual increase in activity instead of standard programs
At Hockenholz | Therapie & Training | Weiterbildung we take these approaches and combine them with many years of experience in physiotherapy, training therapy and medical yoga - always with the individual situation of each person in mind.
Conservative therapy update: What really helps?
An overview of current evidence-based strategies:
1. Pain therapy: more than just manual techniques
Modern physiotherapy/occupational therapy/sports therapy focuses on functional analysis, movement training and dosed increases in exercise. Passive measures such as massage or heat therapy can have a supportive effect - but are not the main focus. Instead, the focus is on empowerment through movement.
Exemplary techniques:
Functional strength training
dynamic mobilization exercises
Core stability in everyday movements
2. Medical yoga & sensorimotor training
At Hockenholz, we combine classic physiotherapy strategies with well-founded, non-esoteric yoga. Medical yoga works:
Regulates the autonomic nervous system
Pain-relieving through improved body awareness
Stabilizing through controlled movement control
This integrative approach supports people with chronic, stress-related back pain in particular.
3. Psychoeducation & understanding pain
Change begins in the mind. Those who understand pain deal with it differently. In our training courses and therapy sessions, we teach:
the basics of pain physiology
the difference between pain and tissue damage
How fear and avoidance can increase pain
Patients learn to see themselves as an active part of the solution - and not as victims of their complaints.
4. Multimodal therapy & interdisciplinary collaboration
Teamwork is particularly important for chronic or recurring back pain: medical diagnosis, physiotherapeutic support, psychological support and - where appropriate - training therapy or occupational therapy.
At Hockenholz, we are linked to many regional networks and also advise colleagues who want to expand their practice offerings in a meaningful way.
Conclusion: Back pain is treatable - if we change our thinking
Non-specific back pain is not a trivial matter - but it is also no reason for resignation. Modern conservative therapy shows: With an individualized, movement-oriented and biopsychosocial approach, pain can be effectively alleviated, chronification prevented and people can regain their strength.
Are you a therapist and want to delve deeper into the subject?
Then take a look at our training courses on pain therapy, medical yoga and evidence-based movement therapy:
www.hockenholz.com/weiterbildungen
Doyou suffer from back pain yourself?
Arrange a personal appointment at our practice in Berlin - or book an individual online coaching session.
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