PMID- 24201832 OWN - NLM STAT- MEDLINE DCOM- 20141013 LR - 20211021 IS - 1433-0431 (Electronic) IS - 0085-4530 (Linking) VI - 42 IP - 12 DP - 2013 Dec TI - [Biotechnological therapies for the treatment of back pain: alternatives to corticosteroids]. PG - 1054-61 LID - 10.1007/s00132-013-2197-7 [doi] AB - In recent years, it is increasingly clear that back pain is not only caused by biomechanical problems. Currently, biologically-based local therapy concepts for the treatment of affected spinal regions as an alternative to the standard treatment with steroids are in development or in early stages of clinical application. The common features of these new therapies are to intervene in the regulation of homeostasis at various key points at the affected region and specifically to suppress or block catabolic influences as well as to provide with anti-inflammatory substances and growth factors. These include on one hand the genetically produced Biologicals such as TNF-alpha inhibitors and cytokine antagonists and on the other hand therapies with autologous blood preparations (Autologous Conditioned Serum [ACS], and Platelet Rich Plasma formulations [PRP]). This article presents the individual methods, gives an overview of developments and results of various studies and discusses current recommendations. FAU - Moser, C AU - Moser C AD - Gronemeyer Institut fur Mikrotherapie; Lehrstuhl fur Radiologie und Mikrotherapie, Universitat Witten/Herdecke, Universitatsstr. 142, 44799, Bochum, Deutschland, moser@microtherapy.de. FAU - Thiel, H-J AU - Thiel HJ FAU - Gronemeyer, D AU - Gronemeyer D LA - ger PT - English Abstract PT - Journal Article PT - Retracted Publication PT - Review TT - Biotechnologische Konzepte zur Behandlung von Ruckenschmerzen : Erste Erfahrungen mit Alternativen zu Glukokortikoiden. PL - Germany TA - Orthopade JT - Der Orthopade JID - 0331266 RN - 0 (Adrenal Cortex Hormones) RN - 0 (Anti-Inflammatory Agents) RN - 0 (Antibodies, Monoclonal) RN - 0 (Biological Products) RN - 0 (Intercellular Signaling Peptides and Proteins) SB - IM RIN - Orthopade. 2014 Jul;43(7):688. PMID: 25100289 MH - Adrenal Cortex Hormones/*therapeutic use MH - Anti-Inflammatory Agents/*therapeutic use MH - Antibodies, Monoclonal/*therapeutic use MH - Back Pain/*drug therapy MH - Biological Products/*therapeutic use MH - Blood Transfusion, Autologous/*methods MH - Drug Design MH - Evidence-Based Medicine MH - Humans MH - Intercellular Signaling Peptides and Proteins/*therapeutic use MH - Treatment Outcome EDAT- 2013/11/10 06:00 MHDA- 2014/10/14 06:00 CRDT- 2013/11/09 06:00 PHST- 2013/11/09 06:00 [entrez] PHST- 2013/11/10 06:00 [pubmed] PHST- 2014/10/14 06:00 [medline] AID - 10.1007/s00132-013-2197-7 [doi] PST - ppublish SO - Orthopade. 2013 Dec;42(12):1054-61. doi: 10.1007/s00132-013-2197-7.