Author: Ina Dittmann
Supervisor: Lutz Dölz
Background: Chronic non-specific lower back pain is not just a cost-intensive problem for health and pension insurance companies in Germany. Its causes can be viewed as multifactorial. In addition to structural vertebral causes, functional disorders such as incorrect posture or static changes come into question. Literature on the subject also outlines back pain, which is projected to the lower back through various associations from the internal organs of the pelvic cavity. These may be visceral dysfunctions, but could also be pathologies. This visceral associated back pain is the subject of diverse publications; reference is however rarely made to the frequency of occurrence or the intensity of its form.
Issue: This work examines the issue of whether patients with chronic non-specific lower back pain exhibit visceral dysfunctions of the organs in the pelvic cavity and with what frequency and in what form they occur. It also evaluates whether the patients‟ pelvic disposition has an influence on the visceral findings and the pain intensity.
Method: In this study 50 patients with chronic non-specific lower back pain undergo standardised manual screening, which includes a parietal examination of the lumbar spine and a visceral examination of the pelvic organs. Patient details on physical pain at rest or during movement are recorded using a visual analogue scale.
Results: In the case of 92% of the patients examined with chronic non-specific lower back pain, visceral dysfunctions of the organs in the pelvic cavity were found. The examination significantly shows that an increase in intensity of back pain is accompanied by an increase in the visceral findings. This work could not deduce an influence of the pelvic disposition on the visceral findings.
Conclusion: Patients with chronic non-specific lower back pain can exhibit dysfunctions of the organs in the pelvic cavity, which become apparent in a standardised osteopathic examination of the viscera. A more in-depth study is necessary to prove a causal connection between chronic non-specific lower back pain and visceral dysfunctions of the organs in the pelvis.