Low back disorders : a medial enigma
Author(s)
Bibliographic Information
Low back disorders : a medial enigma
Lippincott Williams & Wilkins, c2003
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Note
Includes bibliographical references and index
Description and Table of Contents
Description
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.
Table of Contents
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 Invertebral 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 Discography ... 22 Summary... 22 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 The Intervertebral Disc ... 58 Collagenous Plates... 61 Nuclear Material Causing Nociception ... 6
by "Nielsen BookData"