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Unknown to most are the many studies reporting that most low back pain is a rapidly reversible condition; that is, it can be eliminated, often quickly, by the patients themselves. This large subgroup can now be identified early on, providing opportunity for great cost savings and a goldmine of research discoveries about the causes of, and solutions to, low back pain. Dr. Donelson is a veteran spine specialist, researcher and educator who brings badly needed common sense and evidence to this complex problem of low back pain. In this hard-to-put-down account, he accurately exposes flaws in the low back pain scientific process and then offers simple, logical remedies. His insightful review of this valuable, yet ironically overlooked, clinical research reveals both clinical and economic solutions from implementing patient-specific treatments, rather than the "one-size-fits-all" guideline recommendations. This refreshing approach offers clinicians clinical methods to objectively determine non-pharmacologic ways for patients to gain control of their own low back pain and to recover more quickly and simply. Such objective decision-making offers new insights into how to avoid the need for medication, expensive imaging, or specialist referral, including low back surgery. And for the first time, psychosocial factors and manual therapies are placed in their proper perspective. This is a valuable read for any stakeholder seeking to improve the management of low back pain and to dramatically reduce its annual U.S. cost of $50 billion or more. Employers, payers, and disease management groups alike will benefit from these reliable means of determining the few necessary and many avoidable costs of managing low back pain.
This manual covers all types of lower back pain. Beginning with an introduction to low back ache, the text examines uncommon disorders, such as spina bifida, scoliosis and tuberculosis spine, and then common conditions, for example, intervertebral disk prolapse. With nearly 270 images and illustrations, the book also discusses the common causes of lower back pain – poor posture, sedentary lifestyle; and the uncommon causes such as diseases of the lower spine, or radiating pain from the abdominal and genitourinary organs. Short summaries, clinical photographs, X-rays and anecdotes are provided for easy reference and to help understanding.
The Seventh Edition of this textbook is built upon the peer-reviewed literature and research studies in the diagnosis and treatment of low back and radicular pain, focusing on the nonsurgical chiropractic adjusting methods. This text is the culmination of twelve years of updated research and development of spinal manipulation. From spinal stenosis to rehabilitation of low back pain patients to the latest treatise on fibromyalgia, you’ll find it all in Low Back Pain, Seventh Edition.
Low back pain is one of the most common presenting complaints, can be extremely debilitating and carries enormous economic costs. In 70% of cases, however, no obvious cause is apparent. This makes a thorough history and skilled physical examination essential toidentifying the cause of symptoms and developing an effective therapeutic plan. This fully revised second edition of 'Fast Facts: Low Back Pain' is the work of two leading experts. It equips the general healthcare professional with the knowledge and skill required to accurately assess each individual patient and offer the appropriate therapeutic choices for maximum pain relief. • Detailed exploration of the clinical assessment, including history taking, the ‘red flags’ to watch out for, physical observations and gait assessment, psychological considerations, palpation, and neurological and muscle testing. • Expert guidance on the appropriate therapeutic approach for optimal pain relief, covering conservative management, injections and surgical options. • Therapeutic exercises for pain relief and progressive restoration of function. • Maintenance exercises for posture correction, overall stretching and conditioning, andthe avoidance of back strain. All healthcare professionals who evaluate patients with back pain, or who have back pain themselves, will benefit from the thoughtful information and excellent illustrations presented in this comprehensive handbook. Contents: • Clinical assessment • Investigations • Causes of low back pain • Conservative management • Injections and surgery • Future prospects • Back maintenance exercises
Presenting the 4th edition of this excellent text, with the expertise of 19 leading specialists representing the fields of orthopedic surgery, neurosurgery, osteopathy, physical therapy, and chiropractic. These authorities bring you comprehensive, multidisciplinary guidance on low back pain diagnosis, prevention, and education. And, they detail the best of today's surgical treatment approaches as well as the most effective manual manipulation methods.
An authoritative guide to the evaluation and practical management of low back pain, one of the most frequently encountered workplace disability problems. The book furnishes clear advice on diagnosis, clinical presentation, and therapeutic intervention, also covered are workmen's compensation, chronic pain programs, disability evaluations, and legal issues.
The 2nd Edition provides definitive coverage of the medical causes of low back pain. The specific diagnostic and treatment maneuvers required for effective decision making are discussed. Broad implications of the responsible disease process, mechanisms of mechanical failure, and specific medical therapies are covered in depth. Topics include epidemiology, expanded coverage of MRI, occult trauma, myofascial pain and traumatic neuropathy, and occupational low back pain.
This book presents an innovative approach to treatment of lower back dysfunction through physical therapy, based on the practical integration of current scientific data with the extensive clinical experience of the authors and contributors. The updated 3rd Edition of this reference provides comprehensive information on the conservative management of low back pain, including the most current advances in physical therapy. It features contributions by experts in fields such as physical therapy, medicine, surgery, psychology, ergonomics and epidemiology. The early chapters are devoted to basic science and recent research related to diagnosis of back pain syndromes. The remaining chapters address conservative back pain management through physical therapy and exercise, plus strategies for prevention of back injuries in the workplace, and information on behavioral responses and contributions to chronic back pain.
The 2nd Edition of this unique book examines the functional anatomy of the lower back. From this perspective, it develops a system for evaluating the origins of mechanical low back pain, and recommends steps for developing safe, active rehabilitation programs. Beautifully illustrated and easy-to-use, the text cohesively integrates kinesiology, biomechanics, and anatomy with pain therapy. This edition includes more clinical applications, an algorithm of care for managing low back pain, specific methods to train abdominal and trunk extensor mechanisms, and a new section on teaching the patient self-management strategies.