[Effectiveness of conservative therapies in chronic backache reflected in the literature]

A review of literature concerning the conservative treatment of low back pain shows that none of the different therapies is favoured. Modern conservative treatment of chronic low back pain starts with an accurate diagnosis. As a frequent cause of low back pain the instability of a spine segment following an intervertebral disc degeneration is identified. If the pathogenesis of the pain is clear, the treatment of low back pain consists of individual positioning and extension, isokinetic training, special physiotherapy, body building, physical therapy, including parts of the back school. An intensive daily training programme which consist of training of muscle endurance and muscle strength, and includes moreover education and training regarding spine function and body mechanics, as well as psychological intervention, seems to be successful.