La lombalgie récurrente ou lombalgie chronique ?

The reason for consultation “low back pain” is extremely common. It is a big consumer of time, waiting time for patients, energy for professionals involved in chronic pain. We receive in consultation many patients for whom, the recent knowledge, both of the disc physiology and sagittal balance of the spine, must enable us to extract them from the too global framework of “chronic low back pain”. This painful complaint, protean and invasive, is a source of errors of diagnosis and exhaustion on the part of therapists. But with the help of a focused and targeted interview, a rigorous clinical examination, we can respond quite easily to the patient. We will highlight the most common mechanical causes and in particular 2 little known entities and source of validated and relevant therapeutic solutions. Traumatic, inflammatory (rheumatic, infectious, tumoral…) causes are not the subject of our remarks. The transition to chronicity concerns only 10% of low back pain.