Low Back Pain: Mechanism, Diagnosis and Treatment

The Seventh Edition of this textbook is built upon the peer-reviewed literature and research studies in the diagnosis and treatment of low back and radicular pain, focusing on the nonsurgical chiropractic adjusting methods. This text is the culmination of twelve years of updated research and development of spinal manipulation. From spinal stenosis to rehabilitation of low back pain patients to the latest treatise on fibromyalgia, you’ll find it all in Low Back Pain, Seventh Edition.

You’ll find detailed discussion of:

  • Biomechanics of the spine involved in low back pain
  • The neurophysiology and pathology of the intervertebral disc and neural tissues in pain production, emphasizing compressive and chemical etiology of nerve pain
  • Both federally and non federally funded spine research reports of flexion distraction spinal biomechanics and clinical outcomes of its application
  • Researched updated application of flexion distraction and decompression spinal manipulation for spinal stenosis, disc herniation, facet syndrome, spondylolisthesis, transitional segment, scoliosis, and mechanical back pain
  • Research studies of Ram Gudavalli, PhD performed at Palmer and National Universities of Chiropractic in collaboration with the Loyola University Stritch School of Medicine and Hines VA hospital
  • Sacroiliac joint update of anatomy and biomechanics of spinal manipulation
  • Chiropractic spinal manipulation compared to medical care and surgery of back and radicular pain for clinical outcomes and cost of care
  • Rehabilitation of the back pain patient and its necessity in clinical management
  • Intervertebral disc classification of degeneration, herniation types and clinical significance 

New chapters in the Seventh Edition cover:

  • Nutritional factors in the treatment of intervertebral disc degeneration and osteopenia and osteoporosis of bone
  • Treatment for back pain in the pregnant female patient with flexion distraction spinal adjustments
  • Fibromyalgia: updated diagnosis and treatment of this problem condition
  • Physiological therapeutics used in general chiropractic clinical practice in spine care
  • The history and evolution of Cox flexion distraction chiropractic spinal manipulation
  • Diagnostic testing from physical examination, diagnostic imaging, laboratory testing, and their combined input to correct diagnosis of the back pain patient

STOP Back Pain: Kiss Your Back, Neck And Sciatic Nerve Pain

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Learning About the Sciatic Nerve

Many people that experience pain in their back or lower extremities will talk about it coming from the sciatic nerve. This may come from a diagnosis from their doctor, or may just be a guess on their part based on where the pains are located. In spite of this, many people don’t actually know much about the sciatic nerve, other than that it can cause pain!

The sciatic nerve, the largest and longest nerve in the body, starts in the lower part of the back, also known as the lumbosacral spine. The sciatic nerve, along with all its nerve branches, is ¾ inch in diameter and an inch long, and is responsible for the sensory and motor functions in the knee, calf, thigh, ankle, feet and toes. The sciatic nerve has a pathway for nerve braches that go from the lower back right to the toes.

If the sciatic nerve is somehow injured, it may become inflamed and cause symptoms called sciatica. Although many people believe sciatica is a disease, it is actually a bunch of symptoms. When a patient gets sciatica, there can be pain anywhere from the lower back right down to the toes. The pain may be in any one of those places or in all of them. If a person has a condition called a herniated disc, it will press against the sciatic nerve, causing many different symptoms starting with numbness or weakness to severe excruciating pain. People with sciatic nerve pain often have difficulties with even the simplest tasks like walking, sitting or standing.

The sciatic nerve consists of branches that go to different parts of the body. It starts in the lower back and goes into the pelvic area (sacrum). From the sacrum, it travels through a path called the sciatic foramen at which point it branches off into two branches called the articular branch and muscular branch. The articular branch flows through the hip area while the muscular branch operates the muscles that enable the movement we make, the leg flexor muscles. The sciatic nerve is what enables not only our motor functions, but also any feeling we may have in the calf, ankle, knee, thigh, toes or foot.

The sciatic nerve is usually injured by trauma to the thighs or buttocks or fractured pelvis. Sitting or lying for a long period may put pressure on the buttocks may also cause the sciatic nerve to become damaged. At one time, open back surgery was the only cure for an injured sciatic nerve, but there are now different types of treatments such as laser surgery, physical therapy and chiropractic manual manipulation.

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For active people, it provides a flexible massaging experience which has a very beneficial effect on muscle and back, shoulders or neck stiffness. This unit is also very good for soothing overall bodily fatigue and improves blood circulation and metabolism in the treated areas.

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