Back pain

Comprehensive treatment to relieve your symptoms

The human back isn’t made for sitting down for long periods of time, strain on one side or a lack of movement. It results in tense muscles, overstrained ligaments or shortened tendons, which are the most common causes of acute pain in the back region. Movement, targeted strength training and relaxation exercises often help. However, back pain can also be a sign of other disorders.

At Schoen Clinic, all of our departments work closely together for an accurate diagnosis of your back pain and therapy that’s right for you.

Causes & symptoms

Back pain is not just back pain

It’s essentially separated into “acute” and “chronic” back pain. Acute pain occurs suddenly and lasts less than twelve weeks. Chronic back pain, on the other hand, is present for longer.

Even if it’s caused by tension and a lack of movement in a lot of patients, back pain must always be taken seriously. It can also be a symptom of many other ailments. It is therefore important to uncover the exact cause.

Causes: how does back pain occur?

When sitting for long periods of time at the computer, the muscles in the neck and trunk can become overly strained. Strain on one side of the body, reduced movement and excessive weight can also lead to painful, tense muscles, stretched ligaments and shortened tendons. Almost 80% of the population suffer from back pain at some point in their lives.

The large majority are 50 years of age or older. The vast majority of back pain targets a specific area and can be traced back to a clear cause. Often, more or less severe instances of wear (degeneration) are present in the spine. However, severe degeneration does not necessarily cause severe pain. In fact, a small degree of wear in the wrong area can lead to extreme back pain.

Symptoms: back pain warning signs

A fist in the neck, a strong pulling in the buttocks and painful pressure in the area of the spine is how many patients describe their acute back pain. While chronic back pain can deviate between weak and severe, acute pain tends to be just as bad.

Lumbago is an acutely occurring back pain. Those affected can barely move, or can only move their upper body under severe pain. There are many causes for this. Frequently, the joints in the spine cannot be moved any more. In some cases, a pinched nerve is also the trigger.

Acute back pain typically doesn’t just affect the back area. It can also spread to the arms or legs. Feelings of numbness or paralysis are warning signs (red flags) of acute, more serious causes. Seek a doctor immediately in this case.

Diagnostics

Diagnosis: how we uncover the cause of your back pain

Back pain may be due to a wide variety of causes. At Schoen Clinic, we’re specialised in back pain. Using accurate and individual diagnostics, we’ll find out the reason for your symptoms.

Thorough examination with function tests

After an extensive consultation, an intensive physical examination will be performed. We’ll then examine your posture and the alignment of your spine. In addition, we’ll look for any existing painful points caused by movement or pressure. Subsequent tests will clarify the mobility of your spine. Furthermore, we’ll check the sensitivity, reflexes and strength of your muscles through a neurological examination. This may reveal evidence of a pinched nerve.

If we suspect limitations in function, we can carry out targeted testing through training and physiotherapy.

Imaging when specific causes of pain are suspected

If your pain lasts longer than two to three weeks even with therapy, an X-ray scan should be completed. Magnetic resonance imaging (MRI) is also part of our diagnostics when we suspect specific causes of pain or involvement of the nerve structures. MRI is often crucial in the case of previous accidents, uncontrolled, undesired and severe weight loss, or fever accompanied by back pain. If required, we can also carry out additional examinations such as specific lab tests, computer tomography (CT) or bone density measurement.

Special recommendation for a precise diagnosis

You may have already visited different doctors who couldn’t provide you with a clear answer. The Schön Klinik Back Institute in München-Harlaching and Hamburg ensures a holistic examination from the start. Here, orthopaedic specialists, neurologists, pain therapists, psychologists and physiotherapists work together as a team to provide an exact diagnosis.