1. To be sure that ache is not a manifestation of great pathology (similar to a fracture vertebrae, swelling, an infection, illnesses of inner organs). Particularly need to be alert within the presence of so-called symptoms, indicators for all patients will have to cross a diagnostic exam, as an MPT-experiment of his injured spinal segments, to resolve the cause of pain. Research of well being history, basic exam to exclude secondary to help back pain. Some patients required additional instrumental and laboratory investigations. For example, elderly patients, especially women duration necessary to conduct X-ray research or CT densitometry to prevent osteoporosis and compression fractures associated with this pathological process.

2. The following diagnostic step goals at choosing conceivable radiculopathy. The full neurologic exam helps in diagnosing the compression-ischemic syndromes (radiculopathy). An important symptoms for the prognosis of radiculopathy is a mix of ache, with symptoms of “loss.” “Classical” picture contains acute ache, taking pictures ache, parenthesis and other sensory disturbances within the space of R03;R03;innervation of the corresponding root, decreased reflexes and weak point of the “indicator” muscle. Typically, ache goes over 6 weeks. Class of patients with radiculopathy requires dynamic monitoring. The progression of neurological deficit and proof against conservative treatment ache is a sign for surgical treatment.

3. Within the absence of symptoms indicative of great spinal pathology or radiculopathy, it is likely that the ache is quite benign. For an accurate collection of therapeutic ways and determine the effectiveness of treatment turns out to be useful to objectify ache depth and involvement of muscle elements within the ache syndrome. Decide the degree of difficulty of movement as a result of ache, degree of difficulty in lifting his legs up, inspect symptoms of anxiety, muscle tone and local hyper tonicity. Painful muscle stress essentially accompanies the reflex muscular-tonic and ache syndromes, it is important to discover how the muscles within the space of R03;R03;ache and muscle ache out of the zone.

4. Approximately ninety% of patients with exercises return to commonplace life after a month of treatment. If the ache persist after four weeks of treatment, you will have to re-examination aimed at except for serious pathology. It is usually helpful to ask the patient about present psychogenic (together with difficulties in work and circle of relatives life) and to test basic psychological standing (the presence of anxiety, melancholy).