Low back disorders : a medical enigma / Rene Cailliet.

Format:

Book

Author/Creator:

Cailliet, Rene.

Language:

English

Subjects (All):

Backache.

Backache--Pathophysiology.

Physical Description:

1 online resource (160 p.)

Edition:

1st ed.

Place of Publication:

Philadedphia : Lippincott Williams & Wilkins, [2003]

Language Note:

English

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 functional impairment 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:

Low Back Disorders

CONTENTS

PREFACE

FOREWORD

1. THE CURRENT CONCERN WITH THE LOW BACK

DIAGNOSIS

SYMPTOMS RELATED TO THE LOW BACK

SPECIFIC TISSUE OF THE LOW BACK: SITES OF NOCICEPTION

The Intervertebral Disc

FACTORS OF EXAMINATION TO DETERMINE THE PATHOANATOMIC BASIS OF SYMPTOMS

TISSUE SITES OF PAIN AND IMPAIRMENT

THE INTERVERTEBRAL DISC

SPINAL INSTABILITY

RADICULAR SYMPTOMS AND FINDINGS

CONFIRMATORY TESTS

MYOGENIC LOW BACK PAIN

TENSION MYOSITIS SYNDROME

FACET ETIOLOGY OF LOW BACK PAIN

SPINAL STENOSIS

NEUROLOGIC DETERMINATION OF NERVE ROOT INVOLVEMENT

CLINICAL MEASUREMENT OF MUSCLE FUNCTION

TEST OF AN INCREASE IN INTRATHECAL PRESSURE

The Milgram Test

The Naffziger Test

The Valsalva Maneuver

The Kernig Test

ELECTROMYOGRAPHY

DISCOGRAPHY

SUMMARY

2. THE VERTEBRAL COLUMN

THE LUMBOSACRAL SPINE

COMPONENTS OF THE LIGAMENTOUS SPINE

COLLAGEN FIBERS

POSTERIOR SPINAL ELEMENTS

THE ZYGAPOPHYSEAL JOINTS: THE FACETS

LIGAMENTS IN SPINAL FUNCTION

MUSCULAR SYSTEM OF THE LOW BACK

THE STATIC SPINE

STABILITY OF THE STATIC SPINE

THE KINETIC LUMBAR SPINE AND THE LUMBAR-PELVIC RHYTHM

PREPARATORY TRUNK MOTIONS

Radiculopathy

3. THE INTERVERTEBRAL DISC

COLLAGENOUS PLATES

NUCLEAR MATERIAL CAUSING NOCICEPTION

CLINICAL MANIFESTATIONS OF DISC DISEASE

4. THE ROLE OF THE FACETS IN LOW BACK PAIN

FACET JOINT INNERVATION

DEGENERATIVE FACET DISEASE

CLINICAL MANIFESTATIONS OF FACET DISEASE

5. MUSCULAR CONTROL OF THE LOW BACK

SPASM

MYOGENIC PAIN

FATIGUE

MYALGIA

CONCLUSION

6. MISCELLANEOUS ABNORMAL CONDITIONS OF THE LOW BACK

SPONDYLOLYSIS AND SPONDYLOLISTHESIS

TYPES OF MECHANICAL LISTHESIS

SYMPTOMS OF SPONDYLOLISTHESIS

Treatment

SCOLIOSIS.

PIRIFORMIS SYNDROME

SACROILIAC DISEASE

SACRO-ILIAC PATHOLOGY SECONDARY TO A PELVIC FRACTURE

SACRALIZATION OF A TRANSVERSE PROCESS

7. TREATMENT PROTOCOLS FOR LOW BACK DISORDERS

MANAGEMENT OF ACUTE SYMPTOMS OF LOW BACK DISORDERS

Addressing Acute Pain

STEROIDS AND NONSTEROIDAL MEDICATIONS

Epidural Steroids

PHYSICAL MODALITIES FOR TREATMENT OF LOW BACK PAIN

Bed Rest

Cryotherapy

Therapeutic Heat

Manipulation

Traction

EXERCISE IN THE TREATMENT OF LOW BACK DISORDERS TO REGAIN SPINAL STABILITY

Recruitment of Muscles in Spinal Stability

Specific Exercise Protocols

Flexibility

Strengthening Exercises

Back School

Intermittent Rest Periods

PSYCHOLOGIC ASPECTS OF LOW BACK DISORDERS

BIOLOGIC TREATMENT OF SCIATICA

SUBJECT INDEX.

Notes:

Bibliographic Level Mode of Issuance: Monograph

Includes bibliographical references and index.

Description based on print version record.

ISBN:

1-4698-7995-6

OCLC:

874161777