Versicherungsmedizin / herausgegeben von Verband der Lebensversicherungs-Unternehmen e.V. und Verband der Privaten Krankenversicherung e.V
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Evaluation of lower back pain (LBP) in terms of legal assessment is important since pain, as the most frequent symptom of diseases of the human musculoskeletal system, is a subjective sensation. Frequently, medical findings are not consistent with the subjective pain sensation. Because of multi-dimensional causes of (chronic) LBP and a high impact of psychosomatic comorbidity, the assessor has to prove all complaints of a test subject in terms of consistency with the (objective) findings. Therefore, it is often necessary to include psychosomatic aspects into the evaluation of multi-dimensional origins of LBP.
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Versicherungsmedizin · Mar 2013
[The value of drug level testing in the assessment of chronic pain syndromes].
Objective or objectifiable clinical findings are essential and of great value to the medical expert to evaluate the state of illness or disability. Drug level testing provides objective data and therefore has to be performed to rate drug therapy and compliance and to reveal attempted deceptions by the test person in the assessment of chronic pain syndromes.