Zusammenfassung
Akute wirbelsäulenbedingte Schmerzen treten häufig auf. Glücklicherweise haben sie eine starke Tendenz zur spontanen Heilung. Unabhängig von einer Behandlung kehren 50% der Patienten nach 8 Tagen wieder zur Arbeit zurück. Nach 1 Jahr sind nur noch 2% kontinuierlich krank. Allerdings kommt es in vielen Fällen zu Rezidiven, die der Auftakt zu komplizierten Krankheitsverläufen sein können. 15% der Patienten waren auch innerhalb des nächsten Jahres arbeitsunfähig und insgesamt 50 % hatten weiterhin Beschwerden [31]. In den letzten Jahren wurde deutlich, dass diese 15% wahrscheinlich zu niedrig eingeschätzt wurde. Die Mehrheit der Patienten hat mehr oder weniger Beschwerden, aber akzeptiert die Situation [21, 91,122]. Bei diesen chronischen Patienten ist eine Ursache oft nicht leicht nachzuweisen. Die Beschwerden und Symptome bei der körperlichen Untersuchung sind häufig aspezifisch und entsprechen oft nicht den radiologischen Befunden [50].
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Stolker, R.J., Groen, G.J., Vervest, A.C.M. (2002). Radiofrequenzläsionen im Bereich der Brust- und Lendenwirbelsäule und des Iliosakralgelenks. In: Hankemeier, U.B., Hildebrandt, J. (eds) Neurodestruktive Verfahren in der Schmerztherapie. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-59376-5_14
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