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Physikalische Medizin, Rehabilitationsmedizin, Kurortmedizin 2012; 22(2): 79-108
DOI: 10.1055/s-0031-1298956
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© Georg Thieme Verlag KG Stuttgart · New York

Differenzialdiagnostik manualmedizinischer Syndrome bei unteren Rückenschmerzen unter Einbeziehung osteopathischer Verfahren

Manual-Medical Differential Diagnosis of Low Back Pain Including Osteopathic ProceduresJ.  Buchmann1 , 2 , U.  Arens[*] , G.  Harke1 , U.  C.  Smolenski1 , 3 , R.  Kayser1 , 4
  • 1Ärztegesellschaft Manuelle Medizin – Berliner Seminar e. V. (ÄMM / DGMM) / Berliner Akademie für Osteopathische Medizin (BAOM)
  • 2Klinik für Neurologie, Psychiatrie, Psychosomatik und Psychotherapie im Kindes- und Jugendalter, Zentrum für Nervenheilkunde, Universität Rostock
  • 3Institut für Physikalische und Rehabilitative Medizin, Universität Jena
  • 4Klinik für Orthopädie und Orthopädische Chirurgie, Universitätsmedizin Greifswald AöR
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Publication History

Publication Date:
13 April 2012 (online)

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Zusammenfassung

Die differenzialdiagnostische Beurteilung schmerzhafter funktioneller Störungen der lumbosakralen und lumbopelvinen Region, also des sog. „unteren Rückenschmerzes“ ist sehr weit gespannt, wird jedoch häufig auf die Frage einer Chronifizierung reduziert. Die manualmedizinische Diagnostik kann hier einen wertvollen Beitrag in der Abgrenzung von struktureller und funktioneller Pathologie leisten. Frühzeitige manualmedizinische therapeutische Maßnahmen scheinen für perakute Beschwerden effektiv zu sein. Die Mobilisation funktioneller Störungen der viszeralen Aufhängungen im kleinen Becken sollte dabei einbezogen werden. Im folgenden Beitrag werden manualmedizinische Syndrome vorgestellt, die Befundhäufungen aus dem muskuloskelettalen und viszeralen System zusammenfassen. Das erleichtert die primäre differenzialdiagnostische Beurteilung, ebenso aber auch die Therapieplanung. Die Kombination mit den osteopathischen Verfahren ist dabei sehr gewinnbringend. Eine notwendige fachärztliche Differenzialdiagnostik bleibt unumgänglich.

Abstract

The differential diagnostic evaluation of painful functional disorders of the lumbosacral and lumbopelvic region, i.e. the so-called “low back pain” is very extensive, but is often reduced to the question of chronicity. The manual medical diagnosis can make a valuable contribution in such cases for determination of structural and functional pathology. Early application of manual medical therapies seems to be effective for peracute complaints. The mobilization of restrictions of the pelvic visceral attachments should be included. In the following review manual medical syndromes are presented that summarize the findings from the musculoskeletal and visceral system. This is intended to facilitate the primary differential diagnostic evaluation, as well as treatment planning. The combination with osteopathic methods is very profitable. A necessary specialist differential diagnosis remains essential.

Schlüsselwörter

Rückenschmerz - Unterbauchschmerz - Leistenschmerz - Verkettung - osteopathische Verfahren - dorsales lumbosakrales Syndrom - lumbopelvines Syndrom

Keywords

low back pain - abdominal pain - groin pain - concatenation - osteopathic methods - dorsal lumbosacral syndrome - lumbopelvic syndrome

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1 † in ehrendem Gedenken.

PD Dr. med. habil. J. Buchmann

Ärztegesellschaft Manuelle Medizin – Berliner Seminar (ÄMM), Klinik für Neurologie, Psychiatrie, Psychosomatik und Psychotherapie im Kindes- und Jugendalter, Zentrum für Nervenheilkunde der Universität Rostock

Gehlsheimer Straße 20

18147 Rostock

Email: johannes.buchmann@med.uni-rostock.de

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