[Physical, physiotherapeutic and complementary therapy approaches for back pain]

Back pain is widespread in Germany and requires holistic treatment approaches. A crucial distinction is made between specific and non-specific back pain, with the latter often having multifactorial causes. This article highlights different therapeutic approaches to the treatment of back pain. The focus is on physiotherapy and exercise therapy, which are recommended as central components of treatment in current guidelines. These guidelines can help in the selection of therapy, but individual considerations remain, depending on the clinical findings. Multimodal approaches that integrate physical, psychological, and social dimensions have proven to be particularly effective in chronic pain conditions. It is important to adjust the patients' activity level in the long term and to encourage personal initiative. Physical and/or digital offerings are also suitable for this purpose in some cases.