NHG-Richtlijnen
NHG-Standaard
M54
2.1
februari 2017
september 2024
L. Bewegingsapparaat

Richtlijnen diagnostiek

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Anamnese

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Lichamelijk onderzoek

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Aanvullend onderzoek

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Evaluatie

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Richtlijnen beleid

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Niet-medicamenteuze behandeling

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Medicamenteuze behandeling

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Controles

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Consultatie/verwijzing

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Belangrijkste wijzigingen

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Kernboodschappen

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Inleiding

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Scope

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Buiten de scope

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Overzicht

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Achtergronden

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Epidemiologie

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Pathofysiologie

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Risicofactoren

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Risicofactoren voor ontstaan

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Risicofactoren voor chronisch beloop

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Screening op hoog risico chronisch beloop

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Natuurlijk beloop

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Klinisch beeld

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Richtlijnen diagnostiek

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Spoed

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Anamnese

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Uitsluiten specifieke oorzaak

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Bij klachtenduur van 3 tot 4 weken of bij frequent recidiveren

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Specifieke oorzaken

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Lichamelijk onderzoek

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Aanvullende diagnostiek

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Beeldvormend onderzoek

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Vermoeden van een wervelfractuur

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Vermoeden van een metastase van een prostaatcarcinoom

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Vermoeden andere specifieke oorzaken

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Evaluatie

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Specifieke oorzaak

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Diagnose aspecifieke lagerugpijn

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Overige differentiële diagnostiek

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Richtlijnen beleid

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Stappenplan

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Voorlichting en advies

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Aard van de aandoening

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Mate van activiteit

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Beeldvormende diagnostiek

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Behandeling

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Arbeidssituatie

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Thuisarts.nl

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Niet-medicamenteuze behandeling

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Stap 1: Voorlichting en advies

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Stap 2: Opbouw van activiteiten

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Tijdcontingente aanpak

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Stap 3: Oefentherapie

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Manipulaties

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Stap 4: Gedragsmatige behandeling

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Stap 5: Multidisciplinaire revalidatie

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Zelfmanagement

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Medicamenteuze behandeling

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Pijnmedicatie

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Antidepressiva

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Anti-epileptica

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Benzodiazepinen

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Injecties

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Overige behandelingen

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Radiofrequente laesie

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Operatieve behandeling

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Controle

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Consultatie/verwijzing

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Organisatie van de zorg

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Referenties

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NHG-werkgroep:
Bons SCS, Borg MAJP, Van den Donk M, Koes BW, Kuijpers T, Ostelo RWJG, Schaafstra A, Spinnewijn WEM, Verburg-Oorthuizen AFE, Verweij HA
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