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How to Treat Low Back Pain : A Guide for Treating Causes of Low Back Pain for Physicians and APPs / Timothy R. Deer and Nomen Azeem, editors.
- Format:
- Book
- Language:
- English
- Subjects (All):
- Backache--Treatment.
- Backache.
- Physical Description:
- 1 online resource (538 pages)
- Edition:
- First edition.
- Place of Publication:
- London, England : Academic Press, [2025]
- Summary:
- How to Treat Low Back Pain: A Guide for Treating Causes of Low Back Pain for Physicians and APPs focuses on current technology and cutting-edge treatment options, all validated by data.Each chapter presents a thorough review of patient selection, procedure technique, and potential adverse complications for each recommended treatment.
- Contents:
- Front Cover
- How to Treat Low Back Pain
- Copyright
- Dedication
- Contents
- Contributors
- Foreword
- Acknowledgment
- I - Understanding the pathology of disease
- 1 - Normal structures of the lumbar spine
- Introduction
- Osseous structures
- Vertebral body
- Pedicles
- Laminae
- Facet (zygapophyseal) joints
- Spinous and transverse processes
- Intervertebral discs
- Spinal cord and spinal nerves
- Vascular structures
- Muscles and ligaments
- Conclusions
- References
- 2 - Obtaining an appropriate history from the low back pain patient
- Importance of history in the workup of LBP
- Benefits of a comprehensive history
- The first step in appropriate management
- History as a foundational step
- Treat the symptoms, not the images
- Limitations of imaging
- Dimensions of the symptom of low back pain
- Paraspinal pain
- Direct tenderness to palpation along the spine
- Unilateral flank pain
- Lateral back pain
- Periscapular Pain
- Onset of pain
- Initial onset of pain
- Sudden or gradual onset
- Duration of symptoms
- Precipitating factors
- Similar pain previously?
- Character
- Describing the quality or character of pain (e.g., dull, sharp, burning)
- Radiation
- Assessing if pain radiates to other body regions
- Pace of illness
- Understanding the progression of symptoms
- Exacerbating or relieving factors
- Identifying factors or movements that worsen or alleviate pain
- Severity
- Quantifying pain severity using a pain scale
- Associated symptoms
- Exploring additional symptoms or systemic complaints
- Reference
- 3 - Physical examination
- General physical examination
- Neurologic examination
- Motor strength examination
- Sensation
- Deep tendon reflexes
- Coordination
- Provocative tests
- Lumbar radicular pain.
- Straight leg raise
- Crossed straight leg raise
- Femoral stretch test
- Discogenic pain/vertebrogenic pain
- Zygapophyseal joint
- Sacroiliac joint
- 4 - Imaging for low back pain
- Magnetic resonance imaging
- Degenerative conditions
- Diskogenic pain
- Vertebrogenic back pain (Modic endplate changes)
- Degenerative spondylolisthesis
- Disk herniation
- Lumbar stenosis with neurogenic claudication
- Lateral recess stenosis
- Foraminal stenosis
- Synovial cysts
- Compression fractures
- Spondylolysis
- Spine infections
- Spine neoplasm
- Postoperative back pain conditions
- Pseudoarthrosis
- CT imaging of low back pain
- Physics and image generation
- Unique benefits
- Limitations
- Clinical cases
- Ultrasonography
- Plain radiographs
- Positron emission tomography-computed tomography
- Bone scan
- Conclusion
- 5 - Other diagnostic work up
- Overview: Use of electromyography/nerve conduction study
- History and background
- Science behind diagnostic study
- Indication and patient selection
- Technique and interpretation
- Complication
- Pearls and pitfalls
- Discography
- Myelograms
- Complications
- Further reading
- II - Conservative treatments
- 6 - Physical therapy and exercise
- History of physical therapy and therapeutic exercise
- Clinical course of low back pain
- Initial assessment and diagnostic triage
- Classifying low back pain
- Mechanical Diagnosis and Therapy
- Summary and conclusion
- Further reading.
- 7 - Chiropractic treatment of low back pain
- Science behind treatment
- Nociceptive low back pain
- Treatments
- A typical chiropractic visit
- McKenzie exercises
- Evidence
- Potential complications
- 8 - Other conservative treatment
- Treatment- overview of acupuncture
- Treatment- overview of dry-needling
- Indications and patient selection
- Technique
- Treatment overview of cupping
- History &
- background
- Treatment- overview of TENS
- Treatment - overview of biofeedback
- Other techniques
- Treatment- overview of pain psychology
- Cognitive behavior therapy
- Acceptance and commitment therapy
- Mindfulness based therapy
- III - Interventional treatments
- 9 - Injections for lumbar pain syndromes
- Trigger point injections
- Background
- Anatomy
- Indications and contraindications
- Cautions/complications
- Efficacy/literature
- Lumbar interlaminar epidural injection
- Lumbar transforaminal epidural injection
- Background.
- Anatomy
- Caudal epidural injection
- Intraarticular facet injection
- Sacroiliac joint injection
- 10 - Radiofrequency ablation of the medial branches
- History of radiofrequency ablation of the lumbar facet joints
- Anatomy/etiology of facet-mediated pain
- Diagnosis
- Evidence for treatment
- Indications for treatment and patient selection
- Techniques
- Clinical pearls and pitfalls in lumbar radiofrequency ablation
- 11 - Ablation of the basivertebral nerve
- Anatomy and pathophysiology
- Clinical presentation
- Diagnostic imaging
- Treatment
- Procedure description
- 12 - Intradiscal biologic implants for low back pain
- Regenerative therapeutic approaches to treating IVDD
- Compositions of PRP and BMC
- Role of biochemical factors
- Role of cells and extracellular vesicles
- Strategies for therapeutic interventions
- Nonregenerative therapeutic approaches to treating IVDD
- Composition of nucleus pulposus allograft
- Intradiscal biologic implant technique
- 13 - Percutaneous Interlaminar Lumbar decompression (PILD)
- History
- Perioperative.
- Procedural technique
- Procedural advances
- Postoperative
- Pearls
- Pitfalls
- 14 - Interspinous process spacers
- History/background
- Indications &
- patient selection
- Benefits/risks
- Patient positioning
- Deploying the implant
- Two level implant
- Implant removal
- Interspinous spacers: The vertiflex option
- 15 - Minimally invasive spinal arthrodesis
- Review of current data/evidence
- Indications
- Contraindications
- Current specific implants available
- Aurora: Zip
- Southern spine: StabiLink
- Spinal simplicity: Minuteman
- KIC ventures: InSpan
- Clinical pearls
- 16 - Minimally invasive sacroiliac joint fusion for the treatment of sacroiliac joint pain
- Background and history
- Available devices and clinical evidence
- Surgical technique for sacroiliac joint fusion-Posterior approach using a single graft
- Lateral approach
- Posterolateral (posterior oblique) approach
- 17 - Vertebral augmentation
- Etiology
- Pathophysiology
- Clinical presentation/physical examination
- Diagnosis/differential diagnosis
- Conservative management
- Vertebroplasty
- Vertebroplasty procedure
- Kyphoplasty
- SpineJack
- Review of literature
- Procedure technique
- Prevention
- IV - Neurostimulation for low back pain
- 18 - Dorsal column spinal cord stimulation (SCS)
- Anatomy and physiology of the spine relevant to dorsal column stimulation
- Indications and contraindications for dorsal column stimulation.
- Patient selection criteria.
- Notes:
- Includes bibliographical references and index.
- Description based on publisher supplied metadata and other sources.
- Description based on print version record.
- ISBN:
- 9780443159633
- 0443159637
- OCLC:
- 1477220256
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