From Acute to Chronic Back Pain


Book Description

Chronic back pain continues to be a major cause of distress, disability, work loss, and a huge cost to society. This book examines the risk factors and mechanisms involved in the transition from acute to chronic back pain. It integrates genetic, biomechanical, neurobiological, psychophysiological, psychosocial, and socieconomic risk factors.




From Acute to Chronic Back Pain


Book Description

Chronic back pain has been and continues to be a major cause of distress (both to people with persistent pain and their significant others), disability, work loss, and a huge cost to society. Moreover, with the aging population, it is becoming even more prevalent and as a consequence is having an escalating impact upon the healthcare systems and society as a whole worldwide. A significant issue concerns understanding why, although the majority of people with acute back symptoms recover in a reasonable time, a significant minority evolve into patients with chronic pain and prolonged pain-related disability. Understanding the variables that contribute to chronicity could serve as a basis for early intervention to prevent the downward spiral. In the past 15 years, psychological and psychobiological mechanisms have been identified as important risk factors in back pain, leading to the development of early screending methods (Yellow Flag diagnostics) and new psychosocial interventions. These work by closely targeting treatment modalities to patients' needs. However, many aspects of how acute pain becomes chronic pain remain unexplained. Recent neurobiological work investigating genetic, neurophysiological, and biomechanical processes has uncovererd important mechanisms involved in chronic and acute back pain. From Acute to Chronic Back Pain examines the risk factors and mechanisms involved in the transition from acute to chronic back pain. It integrates genetic, biomechnanical neurobiological, psychophysiological, psychosocial, and socieconomic risk factors. Moreover, the text examines advances in treatment approaches based on evidence from published studies-ranging from prevention of disability to pharmacological, psychological, and rehabilitative strategies and methods. Broad in scope, and with contributions from leading authorities in their respective fields, this book is a valuable and comprehensive work for the many specialities involved with back pain - including those in the fields of clinical and health psychology, physiology, epidemiology, and pain.




Pain


Book Description




Neck and Back Pain


Book Description

Written by world-renowned spine physicians, this volume presents a global view of what is known about neck and back pain. This evidence-based book emphasizes cost-effective diagnosis and treatment. Twenty-one chapters cover topics that range from epidemiology, psychological factors, and work-related influences to surgical and nonsurgical treatments, a review of social security systems, and recommendations.




Evidence-Based Management of Low Back Pain - E-Book


Book Description

Covering all commonly used interventions for acute and chronic low back pain conditions, Evidence-Based Management of Low Back Pain consolidates current scientific studies and research evidence into a single, practical resource. Its multidisciplinary approach covers a wide scope of treatments from manual therapies to medical interventions to surgery, organizing interventions from least to most invasive. Editors Simon Dagenais and Scott Haldeman, along with expert contributors from a variety of clinical and academic institutions throughout the world, focus on the best available scientific evidence, summarizing the results from the strongest to the weakest types of studies. No other book makes it so easy to compare the different interventions and treatment approaches, giving you the tools to make better, more informed clinical decisions. - A multidisciplinary approach covers treatments from manual therapies to medical interventions to surgery, and many others in between. - An interdisciplinary approach enables health care providers to work together. - A logical, easy-to-follow organization covers information by intervention type, from least invasive to most invasive. - Integration of interventions provides information in a clinically useful way, so it's easier to consider more than one type of treatment or intervention for low back pain, and easier to see which methods should be tried first. - 155 illustrations include x-rays, photos, and drawings. - Tables and boxes summarize key information. - Evidence-based content allows you to make clinical decisions based on the ranking the best available scientific studies from strongest to weakest. - Patient history and examination chapters help in assessing the patient's condition and in ruling out serious pathology before making decisions about specific interventions. - Experienced editors and contributors are proven authors, researchers, and teachers, and practitioners, well known in the areas of orthopedics, pain management, chiropractic, physical therapy, and behavioral medicine as well as complementary and alternative medicine; the book's contributors include some of the leading clinical and research experts in the field of low back pain. - Coverage based on The Spine Journal special issue on low back pain ensures that topics are relevant and up to date. - A systematic review of interventions for low back pain includes these categories: patient education, exercise and rehabilitation, medications, manual therapy, physical modalities, complementary and alternative medicine, behavioral modification, injections, minimally invasive procedures, and surgery. - Surgical interventions include decompression, fusion, disc arthroplasty, and dynamic stabilization. - Additional coverage includes patient education and multidisciplinary rehabilitation.




Skills in Rheumatology


Book Description

This Open Access book presents practical approaches to managing patients affected by various rheumatological diseases, allowing readers to gain a better understanding of the various clinical expressions and problems experienced by these patients. Discussing rheumatology from an organ systems perspective, it highlights the importance ofdetailed musculoskeletal examinations when treating patients affected by rheumatological diseases. The book first explores the latest diagnostic approaches and offers key tips for accurate musculoskeletal examinations before addressing the various treatment modalities, with a particular focus on the most common joints involved in rheumatoid arthritis: the wrists and the metacarpophalangeal joints (2nd and 3rd). Featuring easy-to-understand flow diagrams and explaining the common medical problems associated with rheumatic disease, such as shortness of breath and anemia, it is not only a valuable resource to rheumatologists, but will also appeal to medical students, junior residents, and primary healthcare physicians.




Spinal Instability


Book Description

In this volume, world authorities on spinal surgery from the fields of Neurosurgery, Orthopaedic Surgery, and Neuroscience present current data on the basic science and clinical management of the unstable spine. Unique to this book: a frank presentation of controversies in the field.




Relieving Pain in America


Book Description

Chronic pain costs the nation up to $635 billion each year in medical treatment and lost productivity. The 2010 Patient Protection and Affordable Care Act required the Department of Health and Human Services (HHS) to enlist the Institute of Medicine (IOM) in examining pain as a public health problem. In this report, the IOM offers a blueprint for action in transforming prevention, care, education, and research, with the goal of providing relief for people with pain in America. To reach the vast multitude of people with various types of pain, the nation must adopt a population-level prevention and management strategy. The IOM recommends that HHS develop a comprehensive plan with specific goals, actions, and timeframes. Better data are needed to help shape efforts, especially on the groups of people currently underdiagnosed and undertreated, and the IOM encourages federal and state agencies and private organizations to accelerate the collection of data on pain incidence, prevalence, and treatments. Because pain varies from patient to patient, healthcare providers should increasingly aim at tailoring pain care to each person's experience, and self-management of pain should be promoted. In addition, because there are major gaps in knowledge about pain across health care and society alike, the IOM recommends that federal agencies and other stakeholders redesign education programs to bridge these gaps. Pain is a major driver for visits to physicians, a major reason for taking medications, a major cause of disability, and a key factor in quality of life and productivity. Given the burden of pain in human lives, dollars, and social consequences, relieving pain should be a national priority.







Back Sense


Book Description

On occasion nearly everyone experiences short-term back pain from sore or strained muscles. But for many who come to treat their back gingerly because they fear further "injury," a cycle of worry and inactivity results; this aggravates existing muscle tightness and leads them to think of themselves as having a "bad back." Even worse is the understandable but usually counterproductive assumption that back pain is caused by "abnormalities"–bulging disks, a damaged spine, and so on. However, these abnormalities are frequently found in those who have absolutely no pain whatsoever. In reality, most backs are strong and resilient, built to support our bodies for a lifetime; truly "bad backs" are rare. Drawing on their work with patients and studies from major scientific journals and corporations, the authors of Back Sense–all three are former chronic back pain sufferers themselves–developed a revolutionary self-treatment approach targeting the true causes of chronic back pain. It is based on conclusive evidence proving that stress and inactivity are usually the prime offenders, and it allows patients to avoid the restrictions and expense of most other treatments. After showing readers how to rule out the possibility that a rare medical condition is the source of their problem, Back Sense clearly and convincingly explains the actual factors behind chronic back pain and systematically leads readers toward recapturing a life free of back pain.