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Occupational Low Back Pain: Aggressive Nonsurgical Care,9780849300899
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Occupational Low Back Pain: Aggressive Nonsurgical Care


Edition: 1st
Author(s): Kaplansky, Bryan D.
ISBN10:  0849300894
ISBN13:  9780849300899
Format:  Hardcover
Pub. Date:  12/28/1999
Publisher(s): CRC

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SummaryTable of Contents
Written primarily by non-surgeons, this text outlines the steps to be taken from the time a worker is injured to the time that individual returns to work. Covers diagnosis, imaging techniques, electrodiagnosis, and diagnostic injections. Halftone illustrations. For occupational therapists and students.
Part One: Diagnostic 1(104)
Low Back Pain: History and Physical Examination
3(22)
Howard I. Levy
Overview
3(1)
History
4(5)
Chief Complaint
4(1)
Inciting Event
4(1)
Character and Location of Pain
5(2)
Past Spinal Surgical History
7(1)
Occupational History Issues
8(1)
Tumors, Infections, Fractures, and Cauda Equina Syndrome
8(1)
Physical Exam
9(9)
Observation
10(1)
Standing Phase
10(1)
Seated Phase
11(2)
Supine Phase
13(3)
Prone Phase
16(2)
Specific Syndromes with Findings on History and Physical Exam
18(4)
Discogenic Low Back Pain
18(1)
Herniated Nucleus Pulposus With Sciatica
19(1)
Sacroiliac Joint Dysfunction
19(1)
Facet Joint Dysfunction
20(1)
Soft Tissue and Ligamentous Low Back Pain
20(1)
Lumbar Spinal Stenosis
20(1)
Spondylolysis, Spondylolisthesis, and Instability
20(1)
Nonorganic Back Pain
21(1)
Summary
22(1)
References
22(3)
The Appropriate Utilization of Imaging Studies for Disorders of the Lumbar Spine
25(22)
Thomas D. Rizzo, Jr.
Jerard H. Pietan
Mark V. Reecer
Overview
25(1)
Role of Imaging in Low Back Pain
26(1)
Roentgenographs
27(7)
Bone Scintigraphy
34(2)
Computerized Tomography
36(2)
Myelography
38(1)
Magnetic Resonance Imaging
38(3)
Discography
41(1)
Thermography
42(1)
Summary
43(1)
References
43(4)
Electrodiagnosis and Lumbar Spine Disorders
47(18)
Mayra I. Alfonso
Bryan D. Kaplansky
Jacqueline J. Wertsch
Overview
47(3)
What is Electrodiagnostic Medicine?
47(2)
Who Should Perform the Electrodiagnostic Studies?
49(1)
Pathophysiology of Neuronal Injury
50(1)
Types of Injuries
50(1)
Chronology of Abnormalities
51(1)
Electrodiagnostic Studies
51(7)
Needle Electromyography
52(1)
Nerve Conduction Studies
53(3)
Late Responses H Reflex and F Wave
56(1)
Somatosensory-Evoked Potentials
57(1)
Single-Fiber Electromyography
57(1)
Clinical Applications in Occupational Low Back Pain
58(3)
Overview
58(2)
When to Order Electrodiagnostic Studies
60(1)
Limitations of EMG
61(1)
Electrodiagnostic Report
61(1)
Summary
62(1)
References
63(2)
Diagnostic Spinal Injections for Low Back Pain
65(26)
Jeffrey L. Woodward
Robert E. Windsor
Overview
65(1)
Diagnostic Evaluations
65(3)
Facet Joint Injections
68(5)
Sacroiliac Joint Injections
73(2)
Lumbar Transforaminal Epidural Injections
75(4)
Lumbar Sympathetic Nerve Injections
79(3)
Lumbar Discography
82(4)
Summary
86(1)
References
86(5)
The Functional Capacity Evaluation
91(14)
Boris Terebuh
Nathan Notter
Overview
91(1)
Protocols
91(1)
Validity
92(1)
Indications
93(1)
Measurements
94(7)
A Hybrid Functional Capacity Evaluation Report
96(2)
Functional Capacity Evaluation
98(3)
Limitations
101(1)
Summary
101(2)
References
103(2)
Part Two: Treatment 105(126)
Exercise Rehabilitation for Occupational Low Back Pain
107(22)
Barbara A. Heller
Overview
107(2)
Functional Enhancement of the Active Musculoskeletal Subsystem
109(6)
Strength Training
109(1)
Endurance Training
110(1)
Range of Motion
111(2)
The Exercise Program
113(1)
Designing a Rehabilitation Program
114(1)
Consideration of Diagnostic Subsets
115(1)
The Treatment Program
115(11)
The Pain-Control Phase
115(3)
Training Phase
118(1)
Diagnosis-Related Decision-Making and the Exercise Prescription
118(8)
References
126(3)
The Use of Medications in the Treatment of Low Back Pain
129(20)
Gerard A. Malanga
Overview
129(1)
Acetaminophen
130(1)
NSAIDs
131(4)
Muscle Relaxants
135(2)
Opioids
137(2)
Antidepressants
139(3)
Corticosteroids
142(2)
Colchicine
144(1)
Summary
145(1)
References
145(4)
Therapeutic Injections for Low Back Pain
149(22)
Mark V. Reecer
Jeffrey L. Woodward
Overview
149(1)
Epidural Steroid Injections
149(7)
Facet Joint Injections
156(3)
Trigger Point Injections
159(2)
Prolotherapy
161(1)
Intradiscal Corticosteroid Injections
162(1)
Sacroiliac Joint Injections
163(1)
Lumbar Sympathetic Blocks
164(1)
Summary
164(1)
References
164(7)
Manual Medicine
171(30)
James W. Atchison
Overview
171(3)
Specific Assessment Techniques and Contraindications
174(3)
Techniques
177(11)
Indications and Treatment Approach
188(1)
Patient Selection
189(2)
Efficacy
191(2)
Summary
193(1)
References
193(8)
The Use of Physical Modalities for Occupational Low Back Pain
201(12)
Myron M. LaBan
Prathima Reddy
Boris Terebuh
Overview
201(1)
Therapeutic Heat
201(4)
Heat
202(1)
Superficial Heat
202(1)
Deep Heat
202(2)
Physiologic Effects of Heat
204(1)
General Heat Precautions
204(1)
Historical Perspective of Therapeutic Cryotherapy
205(1)
Therapeutic Cryotherapy
205(1)
Physiologic Effects of Heat and General Cold Precautions
206(1)
Traction
206(1)
Electrotherapy
206(4)
Acupuncture
210(1)
Summary
210(1)
References
210(3)
Lumbosacral Orthotics
213(12)
Agnes Soriano Wallbom
Andrew J. Haig
Overview
213(1)
Clinical Utilization
213(1)
Contraindications
214(1)
Actions of Lumbosacral Orthoses
215(2)
Rigidity
215(1)
Immobilization
215(2)
Load-Relieving Effects
217(1)
Other Effects
217(1)
Types of Lumbosacral Orthoses
217(2)
Lumbosacral Orthosis, Corset-Type
217(1)
Semirigid Orthoses
217(1)
Industrial Lumbar Support
218(1)
Industrial Economic Factors
219(2)
Summary
221(1)
References
222(3)
Operative Intervention for Lumbar Spine Disorders
225(6)
John I. Williams
Thomas S. Whitecloud
Overview
225(1)
Multidisciplinary Management of Low Back Pain
225(1)
Surgical Evaluation
226(1)
Surgical Intervention
227(2)
Surgical Outcomes
229(1)
Summary
229(1)
References
230(1)
Part Three: Prevention 231(26)
Prevention of Occupational Low Back Pain
233(24)
Bryan D. Kaplansky
Frank Y. Wei
Overview
233(1)
Prevention Principles
233(1)
Prevention Strategies
234(12)
Ergonomics
234(3)
Worker Selection
237(1)
Preemployment Strength Testing
238(1)
Medical History/Physical Examination
238(1)
Radiologic Screening
238(1)
Education and Training
239(1)
Lifting Techniques
239(1)
Back School Programs
240(1)
Management Training
241(1)
Exercise
242(2)
Risk Factor Modification
244(1)
Lumbar Orthotics
244(2)
Summary
246(1)
References
246(11)
Index 257

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