Back Pain Understood : A Cutting-Edge Approach to Healing Your Back

by Hainline, Brian

• ISBN13: 9780978772703
• ISBN10: 0978772709
• Edition: 1st
• Format: Paperback
• Copyright: 2007-03-30
• Publisher: Medicus Pr

Summary

In his book Back Pain Understood: A Cutting-Edge Approach To Healing Your Back, Dr. Hainline has combined his years of clinical experience with his knowledge of emerging pain medicine, mind-body medicine, and the multitude of treatment paradigms offered to patients who suffer with chronic back pain. From the most elite tennis player to the most sedentary layperson. Dr. Hainline's writing provides insight into understanding the essential meaning of back pain. Book jacket.

Author Biography

Brian Mainline, M.D., is Chief of Neurology and Integrative Pain Medicine at ProHealth Care Associates in Lake Success, NY, and Clinical Associate Professor of Neurology at New York University School of Medicine

Table of Contents

Introduction	p. xv
Acknowledgments	p. xix
Overview of Low Back Pain
Types of Pain	p. 3
Nociceptive Pain	p. 3
Neuropathic Pain	p. 4
Acute Pain	p. 6
Chronic Pain	p. 7
Pain and Emotion	p. 7
Summary Points	p. 8
Low Back Anatomy	p. 10
The Spinal Column	p. 10
Low Back Musculature	p. 14
Pain-Sensitive Structures	p. 16
Anatomical versus Physiologic Basis of Pain	p. 18
Summary Points	p. 19
Clinicians Who Treat Low Back Pain	p. 21
Physicians	p. 21
Anesthesiologist	p. 22
Family Medicine Physician	p. 22
Internist	p. 22
Neurologist	p. 23
Neurosurgeon	p. 23
Orthopedic Surgeon	p. 24
Pain Medicine Specialist	p. 24
Physiatrist	p. 24
Psychiatrist	p. 25
Radiologist	p. 25
Rheumatologist	p. 25
Multispecialty Pain Center	p. 25
Non-Physician Clinicians	p. 26
Nurse	p. w26
Physical Therapist	p. 26
Physician Assistant	p. 26
Psychologist	p. 27
Complementary and Alternative Medicine	p. 27
Acupuncturist	p. 27
Biofeedback Specialist	p. 28
Chiropractor	p. 28
Massage Therapist	p. 29
Reflexologist	p. 29
Summary Points	p. 29
Imaging and Diagnostic Studies	p. 30
Radiographs	p. 30
Computed Tomography Scan	p. 32
Magnetic Resonance Imaging	p. 33
Myelogram	p. 33
Discogram	p. 35
Ultrasound	p. 35
Bone Scan	p. 36
Electromyography and Nerve Conduction Studies	p. 36
Summary Points	p. 37
Medications	p. 39
Food and Drug Administration Approval	p. 39
Nonsteroidal Anti-Inflammatory Drugs	p. 40
How They Work	p. 40
Side Effects	p. 41
Indications in Pain Management	p. 42
Commonly Prescribed Nonsteroidal Anti-Inflammatory Drugs	p. 43
Muscle Relaxants	p. 47
How They Work	p. 47
Side Effects	p. 47
Indications in Pain Management	p. 48
Commonly Prescribed Muscle Relaxants	p. 48
Narcotic Analgesics	p. 52
How They Work	p. 52
Side Effects	p. 53
Indications in Pain Management	p. 53
Commonly Prescribed Narcotic Analgesics	p. 55
Antidepressants	p. 58
How They Work	p. 58
Side Effects	p. 59
Indications in Pain Management	p. 61
Commonly Prescribed Antidepressants: Tricyclic Antidepressants	p. 61
Selective Serotonin Reuptake Inhibitors	p. 63
Serotonin-Norepinephrine Reuptake Inhibitors	p. 64
Other Antidepressants	p. 65
Anticonvulsants	p. 66
How They Work	p. 66
Side Effects	p. 67
Indications in Pain Management	p. 67
Commonly Prescribed Anticonvulsants	p. 67
Topical Analgesics	p. 71
Corticosteroids	p. 71
Summary Points	p. 72
Non-Surgical Treatments	p. 73
Hands-On Treatment and Exercise	p. 73
Physical Therapy	p. 73
Acupuncture	p. 80
Massage Therapy	p. 80
Spinal Manipulation	p. 82
Biofeedback	p. 84
Relaxation and Meditation	p. 85
Exercises	p. 86
Therapeutic Injections	p. 91
Trigger-Point Injections	p. 91
Epidural Injections	p. 92
Selective Nerve Root Injection (Trans-Foraminal Injection)	p. 94
Facet Injections	p. 95
Intradiscal Electrothermal Therapy	p. 97
Summary Points	p. 98
Surgical Treatments	p. 99
Medical Risks of Surgery	p. 99
Laminectomy and Laminotomy	p. 100
Diskectomy and Microdiskectomy	p. 100
Spinal Fusion	p. 104
Lumbar Disc Replacement	p. 104
Rehabilitation Risks Following Surgery	p. 106
Return to Full Activity	p. 107
Pain Risks following Surgery	p. 107
Spinal Cord Stimulation	p. 108
Morphine Pump	p. 109
Summary Points	p. 111
Mind-Body and Integrative Strategies	p. 112
Mind-Body	p. 112
Emotions, Chemicals and Receptors	p. 113
Emotional Processing and Chronic Pain	p. 113
	p. 114
	p. 116
Interpreting Mind-Body Examples	p. 120
Summary Points	p. 121
Low Back Pain Syndromes
Lumbar Strain	p. 125
Clinical Presentation	p. 125
Cause of Lumbar Strain	p. 125
Physical Examination	p. 126
Imaging and Diagnostic Studies	p. 126
Treatment Considerations	p. 126
Nonsurgical	p. 126
Surgical	p. 127
Mind-Body Considerations	p. 127
Illustrative Case	p. 127
Author's Note	p. 129
Summary Points	p. 129
Lumbar Disc Herniation	p. 130
Clinical Presentation	p. 130
Cause of Lumbar Disc Herniation	p. 134
Physical Examination	p. 134
Imaging and Diagnostic Studies	p. 134
Treatment Considerations	p. 137
Nonsurgical	p. 137
Surgical	p. 138
Mind-Body Considerations	p. 140
Illustrative Case	p. 141
Author's Note	p. 142
Summary Points	p. 142
Lumbar Degenerative Disc Disease/Lumbar Spondylosis	p. 143
Clinical Presentation	p. 143
Cause of Lumbar Degenerative Disc Disease	p. 144
Physical Examination	p. 145
Imaging and Diagnostic Studies	p. 146
Treatment Considerations	p. 147
Nonsurgical	p. 147
Surgical	p. 148
Mind-Body Considerations	p. 149
Illustrative Case	p. 150
Author's Note	p. 151
Summary Points	p. 151
Facet Pain	p. 153
Clinical Presentation	p. 153
Cause of Facet Pain	p. 155
Physical Examination	p. 155
Imaging and Diagnostic Studies	p. 156
Treatment Considerations	p. 157
Nonsurgical	p. 157
Surgical	p. 157
Mind-Body Considerations	p. 158
Illustrative Case	p. 158
Author's Note	p. 159
Summary Points	p. 159
Lumbar Stenosis	p. 161
Clinical Presentation	p. 161
Cause of Lumbar Stenosis	p. 162
Physical Examination	p. 163
Imaging and Diagnostic Studies	p. 164
Treatment Considerations	p. 164
Nonsurgical	p. 164
Surgical	p. 165
Mind-Body Considerations	p. 167
Illustrative Case	p. 168
Author's Note	p. 170
Summary Points	p. 170
Sacroiliac Pain	p. 171
Clinical Presentation	p. 171
Cause of Sacroiliac Pain	p. 172
Physical Examination	p. 173
Imaging and Diagnostic Studies	p. 174
Treatment Considerations	p. 175
Nonsurgical	p. 175
Surgical	p. 176
Mind-Body Considerations	p. 176
Illustrative Case	p. 177
Author's Note	p. 178
Summary Points	p. 179
Myofascial Pain	p. 180
Clinical Presentation	p. 180
Cause of Myofascial Pain	p. 182
Physical Examination	p. 183
Imaging and Diagnostic Studies	p. 183
Treatment Considerations	p. 183
Nonsurgical	p. 183
Surgical	p. 185
Mind-Body Considerations	p. 185
Illustrative Case	p. 186
Author's Note	p. 188
Summary Points	p. 189
Failed-Back Syndrome (Post-Laminectomy Syndrome)	p. 190
Clinical Presentation	p. 190
Cause of Failed-Back Syndrome	p. 191
Physical Examination	p. 192
Imaging and Diagnostic Studies	p. 192
Treatment Considerations	p. 193
Nonsurgical	p. 193
Surgical	p. 194
Mind-Body Considerations	p. 195
Illustrative Case	p. 195
Author's Note	p. 197
Summary Points	p. 197
Chronic Pain Syndrome	p. 199
Clinical Presentation	p. 199
Cause of Chronic Pain Syndrome	p. 200
Physical Examination	p. 201
Imaging and Diagnostic Studies	p. 201
Treatment Considerations	p. 202
Nonsurgical	p. 202
Surgical	p. 203
Mind-Body Considerations	p. 204
Illustrative Case	p. 205
Author's Note	p. 207
Summary Points	p. 208
Closing Thoughts	p. 209
Glossary of Terms	p. 211
Index	p. 227
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