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A pragmatic management strategy for low back pain—an integrated multimodal programme based on antidysfunctional medicine 

A pragmatic management strategy for low back pain—an integrated multimodal programme based on antidysfunctional medicine
Chapter:
A pragmatic management strategy for low back pain—an integrated multimodal programme based on antidysfunctional medicine
Author(s):

Stefan Blomberg

DOI:
10.1093/med/9780199674107.003.0060
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date: 04 December 2020

The biopsychosocial model was an important move towards improved pain care. However, from the perspective of the somatically focused dysfunction theory, it is unfortunate that the ‘bio’ prefix is so closely associated with the structural/pathomorphological paradigm. Patients with dysfunctional conditions constitute the largest group of pain sufferers to which this paradigm should be applied. Moreover, possibly aside from purely psycho-existentially based conditions in which pain is not a feature, dysfunctional pain causes more suffering in the population than any other medical state. Furthermore, the existential dimension of pain suffering—with obvious clinical consequences for the management of pain patients—is severely underestimated. The aim of this chapter is to interest the reader in the successful treatment results at the Stockholm Clinic—Stay Active (STAYAC). The therapeutic model includes manual therapy, steroid injections, muscle stretching, medical exercise therapy, traction modalities, and prolotherapy, closely incorporated in a cognitive behavioural and psychotherapeutic approach.

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