Low back disorders : a medial enigma / Rene Cailliet.

Format:

Book

Author/Creator:

Cailliet, Rene.

Language:

English

Subjects (All):

Backache.

Backache--Pathophysiology.

Low Back Pain--physiopathology.

Medical Subjects:

Low Back Pain--physiopathology.

Physical Description:

xii, 148 pages : illustrations ; 22 cm

Place of Publication:

Philadedphia ; London : Lippincott Williams & Wilkins, [2003]

Summary:

Written by an expert renowned for his lucid. well-illustrated explanations of complex pain syndromes. Low Back Disorders: A Medical Enigma provides a clear understanding of the mechanisms underlying functions impairment of the of the spine. Using 100 new original drawings, Dr. Cailliet demonstrates the functional anatomy and biomechanics of the spine and explains how impaired biomechanics cause symptoms. The book describes in detail the discogenic pathology that is the predominant factor in impairment and clarifies current concepts on the causes of spinal instability. Dr. Cailliet thoroughly reviews treatment options and their physiological basis and offers recommendations on nonsurgical treatment of low back symptoms.

Contents:

1. The Current Concern with the Low Back 1

Diagnosis 1

Symptoms Related to the Low Back 2

Specific Tissue of the Low Back: Sites of Nociception 6

The Intervertebral Disc 6

Factors of Examination to Determine the Pathoanatomic Basis of Symptoms 8

Tissue Sites of Pain and Impairment 9

The Intervertebral Disc 9

Spinal Instability 10

Radicular Symptoms and Findings 11

Confirmatory Tests 13

Myogenic Low Back Pain 13

Tension Myositis Syndrome 14

Facet Etiology of Low Back Pain 18

Spinal Stenosis 18

Neurologic Determination of Nerve Root Involvement 18

Clinical Measurement of Muscle Function 20

Test of an Increase in Intrathecal Pressure 21

The Milgram Test 21

The Naffziger Test 21

The Valsalva Maneuver 22

The Kernig Test 22

Electromyography 22

2. The Vertebral Column 25

The Lumbosacral Spine 27

Components of the Ligamentous Spine 29

The Intervertebral Disc 29

Collagen Fibers 30

Posterior Spinal Elements 31

The Zygapophyseal Joints: The Facets 33

Ligaments in Spinal Function 35

Muscular System of the Low Back 35

The Static Spine 39

Stability of the Static Spine 40

The Kinetic Lumbar Spine and the Lumbar-Pelvic Rhythm 42

Preparatory Trunk Motions 46

Radiculopathy 51

3. The Intervertebral Disc 58

Collagenous Plates 61

Nuclear Material Causing Nociception 65

Clinical Manifestations of Disc Disease 66

4. The Role of the Facets in Low Back Pain 71

Facet Joint Innervation 74

Degenerative Facet Disease 75

Clinical Manifestations of Facet Disease 75

5. Muscular Control of the Low Back 81

Spasm 82

Myogenic Pain 85

Fatigue 87

Myalgia 87

6. Miscellaneous Abnormal Conditions of the Low Back 90

Spondylolysis and Spondylolisthesis 90

Types of Mechanical Listhesis 90

Symptoms of Spondylolisthesis 92

Treatment 92

Spinal Stenosis 94

Scoliosis 96

Piriformis Syndrome 97

Sacroiliac Disease 100

Treatment 100

Sacro-iliac Pathology Secondary to a Pelvic Fracture 101

Sacralization of a Transverse Process 101

7. Treatment Protocols for Low Back Disorders 104

Management of Acute Symptoms of Low Back Disorders 110

Addressing Acute Pain 111

Steroids and Nonsteroidal Medications 111

Epidural Steroids 111

Physical Modalities for Treatment of Low Back Pain 112

Bed Rest 112

Cryotherapy 113

Therapeutic Heat 113

Manipulation 114

Traction 114

Exercise in the Treatment of Low Back Disorders to Regain Spinal Stability 115

Recruitment of Muscles in Spinal Stability 115

Specific Exercise Protocols 117

Flexibility 117

Strengthening Exercises 118

Back School 121

Intermittent Rest Periods 123

Psychologic Aspects of Low Back Disorders 123

Biologic Treatment of Sciatica 134.

Notes:

Includes bibliographical references and index.

ISBN:

0781744482

OCLC:

51009584