Contemporary Conservative Care for Painful Spinal Disorders




Table of Contents


Part I

Introduction and Overview of Degenerative Spine Problems

1

Rationale for Modern Spine Care --- 3
Tom G. Mayer

2

Epidemiology of Spinal Diseases ---10
John W. Frymoyer

3

Relationship Between Cervical and Lumbar Spine Disorders:

The Evaluation and Nonoperative Management --- 24
E. Shannon Stauffer


Part II

Anatomy, Physiology, and Biochemistry of Spinal Disorders

4

Structure and Function of the Lumbar Spine --- 35
Nikolai Bogduk

5

Physiology and Spine Mechanics --- 56
Malcolm H. Pope

6

Neurophysiology of Pain --- 67
James N. Weinstein

7

The Intervertebral Disc and Spinal Disease: Biochemical Concepts --- 74
David R. Eyre

8

Concepts of Soft Tissue Hemeostatis and Healing --- 84
Wayne H. Akeson
David Amiel
Savio L-Y Woo
Jean-Jaques Arbitol
Steven R. Garfin

9

Potentials of Magnetic Resonance Imaging (MRI) for Spinal Diagnosis --- 02
Paul L. Flicker

10

Current Research of Spinal Disorders --- 113
Tapio Videman

Michele C. Battie

11

Differential Diagnosis of Low Back Pain --- 122
Gerald S. Laros


Part III

Psychosocioeconomic Factors Related to Spinal Disorders

12

Psychological Concepts of Pain --- 133
C. David Tollison
Donald W. Hinnant
Michael L. Kriegel

13

Social Factors Affecting Back Pain --- 43
Dennis Barnes

4

Affective Disorders in Back Pain --- 149
Peter B. Polatin

15

Socioeconomic Factors in Back and Compensation Systems
Judith Greenwood


Part IV

Acute Spinal Care Options: Evaluation and Treatment

16

Historic Perspective on Conservative Treatments for Acute Back Problems --- 169
Richard A. Deyo

17

The Osteopathic View of Acute Spinal Disorders --- 181
Philip E. Greenman

18

The Role of Occupational Medicine Physician in the Management of Industrial Injury --- 191
George M. Smith

19

The Chiropractic View of Acute Spinal Disorders --- 202
Scott Haldeman

20

A Physical Therapy Perspective on Acute Disorders --- 211
Robin McKenzie

21

Historic Perspectives on Patient Education and Its Place in Acute Spinal Disorders --- 221
Claudia P. Jackson

22

Sports Medicine Early Care --- 235
Stanley A. Herring

23

Surveillance Systems for Acutely Injured Patients --- 245
Timothy A. Garvey

Sam W. Wiesel


Part V

Subacute Spinal Disorders

24

The Subacute Patient: To Operate or Not to Operate - This is the Question --- 253
Vert Mooney

25

The Shift from Passive Modalities to Reactivation --- 270
Tom G. Mayer

26

Early Development of Physical and Mental Deconditioning in Painful Spinal Disorders --- 278
Robert J. Gatchel

27

Quantification of Function --- 290
Janice Keeley

28

Preoperative Care and Education --- 308
Hamilton Hall

29

Postoperative Rehabilitation and Training --- 318
Jeffery A. Saal
Joel S. Saal

30

Functional Capacity Evaluation and Work Hardening Perspectives --- 328
Susan J. Isernhagen

31

Integrated Work Hardening --- 346
Leonard N. Matheson


Part VI

The Place for Surgical Treatment

32

Structural Diagnostic Testing --- 364
Arthur H. White

33

Surgical Management of Low Back Pain Disorders --- 383
Steven R. Garfin
Harry N. Herkowitz

34

Surgical Decision Making: A System Based on Classification and Symptom Chronology --- 403
Vert Mooney


Part VII

Rehabilitation of the Patient With Chronic Spinal Disorders

35

Rehabilitation vs. Conservative Care: Patient Selection Criteria --- 433
Tom G. Mayer

36

Psychosocial Assessment and Disability Management in the Rehabilitation of Painful Spinal Disorders --- 441
Robert J. Gatchel

37

History of Pain Management Treatment --- 55
Patrick R. Johnson
Wilbert E. Fordyce

38

Psychoactive Medications as Adjuncts in Functional Restoration --- 465
Peter B. Polatin

39

Functional Restoration Treatment for Chronic Spinal Disorder or Failed Back Surgery --- 473
William Kermond
Robert J. Gatchel
Tom G. Mayer

40

Functional Restoration Treatment Outcomes --- 482
Rowland G. Hazard


Part VIII

Special Issues in Spinal Care

41

Vocational Rehabilitation --- 491
Patty Newton
Steven Carter

42

Ergonomic Considerations in Workplace Design and Worker Selection --- 500
Gary D. Herrin

43

The Role of Pre-Employment Screening Prevention --- 522
Michele C. Battie
Stanley J. Bigos

44

Impairment Evaluation Issues and the Disability System --- 531
Gunnar B.J. Andersson

45

Legal Issues and Concepts of Disability --- 536
George Preston

46

Assessment of Pain in Disability Determination --- 549
James Friction
Andrew F. Nelson
Matthew Monsein
David Florence

47

American Medical Association's Guides to the Evaluation of Permanent Impairment: A Standardized Approach --- 562
Alan J. Engelberg