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If an acute backpain episode occurs, how does the natural course of it look like? |
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If we look to 100 spinal-pain-patients, luckily just 4-7% of these people have a positive so called "red flag" cause of pain. Examples for red flags are tumor, inflammation, neurological deficite, fracture, acute osteoporosis, spondylolisthesis,... - but more than 90% out of these 100 have none of the red flags, but mostly complex functional problems out of the joints, ligaments, tendons, or fasciae. Within one week 60% of the patients are back to the job. After 12 weeks of spinal pain 90-95% of the patients are painfree or at least pain. Backpain is responsible of >40% of the early retirerer.
Just 5-10% of the back pain patients become chronic, where the normal mechanistic view is not valid any more.
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