Evolution of treatment for unspecific back pain: From past to future

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Published Aug 27, 2024
https://doi.org/10.62438/tunismed.v102i9.5162
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Vol. 102 No. 9 (2024): Tunis Med sept 2024

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Daniela Herrera
Center for Diagnostic and Health, Munich. Technical University of Munich, Department Health and Sport Sciences, Germany
Christian Hartard
Center for Diagnostic and Health, Munich, Germany
Helmi Ben Saad
University of Sousse, Farhat HACHED Hospital, Research Laboratory LR12SP09 «Heart failure», 4000 Sousse, Tunisia
https://orcid.org/0000-0002-7477-2965
Leonardo Montanari Mota
Center for Diagnostic and Health, Munich. Technical University of Munich, Department Health and Sport Sciences, Germany
Viviane Alves Dos Santos
Center for Diagnostic and Health, Munich, Germany
Chetna Sinha
Center for Diagnostic and Health, Munich, Germany
Rahma Jedidi
Center for Diagnostic and Health, Munich, Germany
Diana Hartard
Center for Diagnostic and Health, Munich, Germany
Sara Khaled
Center for Diagnostic and Health, Munich. Deutsche Hochschule für Prävention und Gesundheitsmanagement GmbH, Saarbrücken, Germany
Stefan Hartard
Center for Diagnostic and Health, Munich, Germany
Manfred Hartard
Center for Diagnostic and Health, Munich, Germany

Abstract

Unspecific back pain (UBP) has long puzzled medical professionals. Historically, back pain (BP) was often attributed to mystical causes, treated with incantations or herbal concoctions. The Middle Ages shifted towards empirical practices, though still intertwined with superstition, using methods like leeches and bloodletting. The Renaissance introduced systematic healthcare approaches, laying the foundation for modern medicine. The 20th century saw significant advancements with diagnostic imaging, pharmacotherapy, physical therapy, and surgical interventions, though UBP remained elusive. Recent decades have seen a paradigm shift towards multidisciplinary approaches, addressing BP's multifactorial nature through holistic methods considering biomechanical, psychosocial, and lifestyle factors. This shift integrates quantitative research with hermeneutic interpretation, emphasizing evidence-based guidelines. Non-pharmacological interventions such as exercise therapy, electrotherapy, cognitive behavioral therapy, and mindfulness-based stress reduction have gained prominence, empowering individuals in their recovery. Technological innovations like virtual reality and artificial intelligence offer personalized treatment plans, optimizing outcomes. The future of BP treatment holds promise with advancements in regenerative medicine, neuromodulation, telemedicine, and remote monitoring platforms, enhancing accessibility and continuity of care, especially in underserved communities. However, challenges such as the opioid epidemic and healthcare disparities remain, necessitating judicious prescribing practices and equitable resource distribution. The evolving treatment landscape for UBP reflects the dynamic interplay between scientific progress, clinical innovation, and societal needs, aiming to alleviate the burden of back pain and improve quality of life.

Keywords:

Cognitive Behavioral Therapy, Diagnostic Imaging, Mindfulness-Based Stress Reduction, Multidisciplinary Care, Regenerative Medicine

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This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

Author Biography

Helmi Ben Saad, University of Sousse, Farhat HACHED Hospital, Research Laboratory LR12SP09 «Heart failure», 4000 Sousse, Tunisia

  • Professor of Physiology and Functional Explorations at the Faculty of Medicine of Sousse - Tunisia, Department of Physiology and Functional Explorations at EPS Farhat HACHED - Sousse - Tunisia.
  • President of the College of Physiology and Functional Explorations (terms: 2014-2017 and 2021-2023).
  • Master's degree in Biological and Medical Sciences from the University of Montpellier I, France.
  • World expert in spirometry (ranked 1st in Africa): https://expertscape.com/ex/spirometry/c/afr.
  • Diploma of Advanced Studies in "Human Movement Sciences" from the University of Montpellier I, France.
  • Interuniversity Diploma "Pathophysiology of Exercise and Functional Exercise Explorations" from the University of Montpellier 1, France.
  • International PhD in Sciences between the Universities of Montpellier I (France) and Monastir (Tunisia).
  • European Spirometry Driving License Part 1 (theory only) and the European Spirometry Training Program (Part 2: knowledge and competence in practice) and the European Spirometry train-the-trainer course.
  • Invited speaker at numerous international congresses on respiratory functional explorations.
  • Author of over 250 scientific articles in indexed and impact factor journals.
  • Potential reviewer for over 100 indexed and impact factor journals and potential external reviewer for the University of Cape Town (South Africa), uwait (Kuwait) and Mutah (Jordan).
  • Winner of the Sadok BESROUR Award for Excellence in Medical Research (2021).
  • Web:
  1. http://scholar.google.fr/citations?hl=fr&user=oeV_0OwAAAAJ&view_op=list_works&sortby=pubdatehttp://www.researchgate.net/profile/Helmi_Ben_Saad
  2. https://publons.com/author/602231/helmi-ben-saad#profile
  3. https://www.researchgate.net/profile/Helmi_Ben_Saad

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