Diagnosis and Treatment of Pain of Vertebral Origin

by Robert Maigne, Walter L. Nieves

Overview

"[Dr. Maigne's] neuoranatomical explanations are brilliantly illustrated and documented with a profound review of the literature.The benefit he has given patients who have come from all over the world for his services affirms the benefit of his method." From the First Edition foreword by, -Rene Cailliet, M.D. Professor Emeritus, Sc

Product Details

ISBN-13:	9781040179062
Publisher:	CRC Press
Publication date:	09/01/2005
Sold by:	Barnes & Noble
Format:	eBook
Pages:	568
File size:	62 MB
Note:	This product may take a few minutes to download.

About the Author

Robert Maigne, Walter L. Nieves

Table of Contents

Anatomy. Biomechanics. Pain of Spinal Origin. Examination of the Spine. Treatment. Clinical Aspects of Pain of Spinal Origin. Manual Techniques.

Editorial Reviews

Reviewer: Edward Abraham, MD (University of Illinois at Chicago College of Medicine)
Description: This is the second edition of a book about diagnosis and management of adults with common neck and back pain.
Purpose: The purpose is to get the reader to look at spinal pain in a new or different light. This important objective is slanted toward the nonsurgical care of these patients with the emphasis on manipulative therapies for the specific common painful disorders.
Audience: The audience includes all medical professionals caring for patients with back and neck pain. Professionals and trainees interested in manual therapies such as osteopaths, naprapaths, and chiropractors are the primary target audience. The author, Robert Maigne, MD, is a trained rheumatologist. Several of his original works on the subject are published in French. Walter L. Nieves, the editor of this English version, is Director of The Headache Center, Hudson Valley, New York.
Features: The book is divided into broad sections covering anatomy, pain of spinal origin, examination of spine, treatment, clinical aspects of pain of spinal origin, manual techniques, and physiology of pain. The central theme of the book is to better understand what is referred to as "painful minor intervertebral dysfunction" (PMID) for which there are no specific clinical or radiographic features. Several useful chapters focus on patient assessment and principles and techniques of manipulation. The discussion of the causes of coccydynia and the need to manipulate the coccyx is enlightening for orthopedists. The author includes a number of interesting observations such as the role of abnormal tissue reflexes and that of the skin pinch-roll test. The reader will learn about the sequential cellulotenoperiosteomyalgic syndromes, junctional syndromes, cervical migraines, and pseudovisceral syndromes. Excellent drawings are used to highlight the origins of referred pain. The drawings and photographs used to illustrate specific manipulation techniques are very detailed, clear, and easy to understand. The bibliography is thorough, and a separate relevant listing of Maigne's publications is presented to aid the reader.
Assessment: This book is quite different from the publications orthopedists read on back and neck pain. There is a growing trend for spine surgeons to refer nonsurgical patients to pain clinics, rheumatologists, physiatrists, and osteopaths for regional injections, manual therapy, and other treatments. Chiropractors and naprapaths have never fully received the respect of medically-trained physicians and this book briefly touches on one aspect of the problem. The need for frequent and prolonged manipulation or adjustment for temporary relief of symptoms in a number of cases does beg the question: What condition is being treated? Unexplained back and neck pain is an enigma which Dr. Maigne has spent his entire medical career trying to decipher. He presents in this book original concepts and principles that I did not know, such as the "rule of pain-free and opposite motion" to manage some painful conditions. I very strongly recommend this truly enlightening work to all medical professionals caring for adult patients with back and neck pain.

Doody's Review Service