[Chronic backache--do guidelines/standards exist?]

Chronic (low) back pain patients are about to become a main problem of epidemiological and social aspects, especially concerning working conditions. Statistical investigations show rapid progression in application for disability pensions. The author wants to point out that statistical normal phenomena as (low) back pain can no longer be explained by our so-called established handling in reasons, diagnosis and treatment, even not in prophylaxis. Therefore there is a great need for--mainly bio-socio-psychological--studies and efforts concerning etiology, diagnosis and therapeutic concepts of low back pain, especially focussed on working place conditions and disability. In the uplined paper some new concepts are presented and discussed in order to trigger some new points of view and make clear, that further investigations are necessary.