The Back Pain Revolution.The Back Pain Revolution Waddell G. Philadelphia, PA 19106-3399, Churchill Livingstone Imprint of a medical publishing company owned by Elsevier Ltd, but previously owned by Harcourt and Pearsons. Originally formed from Livingstone, Edinburgh, Scotland, and J & A Churchill, London, UK, and subsequently with an office in New York, but now integrated with the rest of Inc, 1998, hardcover, 400 pp, illus, $60. The Back Pain Revolution, written by Gordon Waddell, the world-renowned expert on low back pain and disability, is a valuable compilation of knowledge on the lumbar spine Lumbar spine The segment of the human spine above the pelvis that is involved in low back pain. There are five vertebrae, or bones, in the lumbar spine. Mentioned in: Low Back Pain . The most important aspect of the book is that Waddell expands beyond orthopedics and neurology into the psychological and sociological factors that influence both the patient with low back pain and how these patients are perceived by different cultures throughout the world. This is not just another book on the spine. The first 3 chapters summarize the basic problem of low back pain and the routine procedures for the differential diagnosis differential diagnosis n. Determination of which one of two or more diseases with similar symptoms is the one from which the patient is suffering. Also called differentiation. of lumbar disorders and consequent disability. Chapters 5 through 9 proceed on a similar course for epidemiology, risk factors, impairment measurement, and the physiology of lumbar pain Noun 1. lumbar pain - backache affecting the lumbar region or lower back; can be caused by muscle strain or arthritis or vascular insufficiency or a ruptured intervertebral disc lumbago backache - an ache localized in the back . All of this material would reinforce the experienced clinician's knowledge of current best practice and would serve as a good introduction for students. This introduction, however, would need to be followed by a detailed learning experience. Because it should be the book's first chapter, chapter 4 appears out of sequence. Nevertheless, it presents an fascinating historical survey of low back pain. The timeline begins in Egypt in 1500 BC with a series of 48 case histories recorded on papyrus and continues through the work of Hippocrates (which included cautery cautery, searing or destruction of living animal tissue by use of heat or caustic chemicals. In the past, cauterization of open wounds, even those following amputation of a limb, was performed with hot irons; this served to close off the bleeding vessels as well as with goat dung or a branding iron) to the beginnings of orthopedic medicine in 1874 with Dr Hugh Owen Thomas Hugh Owen Thomas (1834-1891) was a British surgeon. He is considered the father of orthopaedic surgery in Britain. Early life Hugh descended from a family that had originally been settled in Anglesey by a shipwreck in 1745, where a family tradition of bone-setting had . The text also summarizes the "dynasty of the disc," from the work of Andreas Vesalius in 1543 to the present age of fiber optic surgery and molecular therapeutics. The chapter also includes historical discussions of the holistic approach holistic approach A term used in alternative health for a philosophical approach to health care, in which the entire Pt is evaluated and treated. See Alternative medicine, Holistic medicine. to lumbar pain; manual therapy, including osteopathy osteopathy (ŏstēŏp`əthē), practice of therapy based on manipulation of bones and muscles. This school of medicine, founded by A. T. and chiropractic chiropractic (kīrəprăk`tĭk) [Gr.,=doing by hand], medical practice based on the theory that all disease results from a disruption of the functions of the nerves. ; and the "physiotherapy" of therapeutic exercise. The chapter ends with a history of low back disability and compensation. If for no other reason, anyone interested in the lumbar spine would want to purchase this book because of this unique information. Waddell focuses on the psychological and sociological aspects of low back pain in chapters 11 through 15, which expand on his research contributions to spinal medicine and rehabilitation. The text presents a comparative reference of how the patient with low back pain is perceived and treated in different cultures. For the appropriate clinical management of patients with lumbar pain and disability, it emphasizes achieving a balance between behavioral and physiological factors. This material is important for both students and experienced physical therapists. The book concludes with an extensive discussion on the available scientific data regarding effective methods of treating low back pain and managing lumbar spine disorders. The text details the clinical guidelines currently in place in the United States and the United Kingdom and also discusses the relevance of the patient education materials available from the Agency for Health Care Policy and Research (AHCPR AHCPR, n.pr See Agency for Healthcare Research and Quality. ) in the United States. The material is fundamental for any clinician who treats patients with low back pain. This book is an important addition to any physical therapy curriculum and the professional library of any physical therapist who manages patients with lumbar spine disorders. Kent E Timm, PhD, PT, SCS, OCS Covenant HealthCare System Saginaw, Mich Dr Timm is Manager of Outpatient Rehabilitation Services and has 15 years of experience in treating patients with lumbar problems in the orthopedic and sports areas. |
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