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Doody's Review ServiceReviewer: Dana J Lawrence, DC, MMedEd, MA (Palmer College of Chiropractic)
Description: This book presents an overview of the complexity of spinal pain and looks at a wide variety of potential treatment approaches, most of which are conservative in nature. This is especially so with regard to chiropractic management. The book first looks at the anatomical/pathological basis of low back pain, then moves into describing its neurophysiological basis. Only after a sound basis for pain has been established do the authors then move to describing treatment options. This reflects the authors' training as FT, PhD (Singer) and DC, PhD (Giles); both have doctorates in anatomy.
Purpose: There is a great deal of confusion and little consensus with regard to the treatment and management of low back pain. While a lot of books exist that discuss this subject, few do so from the perspective offered here. While diagnosis is not downplayed, the emphasis is on understanding how pain and problems arise. Once that understanding is achieved, it becomes easier to select an appropriate intervention.
Audience: The audience will mainly consist of chiropractors, osteopaths, and physical therapists, as well as their students. There will also be interest by medical physiatrists and by those who want a more pathoanatomical understanding of the cause of low back pain.
Features: One strength of this book is its use of photomicrographs of the anatomy of involved areas. This reflects, in particular, Dr. Giles' training; he developed staining procedures as part of his doctoral studies. These help to illustrate concepts relating to the anatomical and neurological basis of low back pain. The author list is also impressive, drawing on individuals from a variety of associated disciplines.
Assessment: This is a strong and comprehensive text that examines its topic from a new and exciting perspective. It will supplement existing texts and should fit nicely into basic chiropractic, osteopathic, and physical therapy curricula. The material is logically organized so that anatomy is learned before physiology, and both come before diagnosis and treatment. I highly recommend this text.