[Functional backache].

Abstract

Although functional pain must be accepted as a fact by the patient and his physician, the relevant somatic investigation is indicated. The localization of musculoskeletal pain always corresponds to intensified local strain on the locomotor system. By instruction regarding the connection of pain with strain the patient learns to keep his functional pains within tolerable limits by active control of the loads and stresses on his own body. Aggressive diagnostic or therapeutic measures often increase the problem.