Do You Really Need Back Surgery?: A Surgeon's Guide to Neck and Back Pain and How to Choose your Treatment

Overview

Most people have back surgery to relieve pain, but all too often it doesn't help. For the half million people who undergo back surgery each year, and the additional million who are seriously contemplating it, Do You Really Need Back Surgery? is a godsend—an informed, reliable guide to when you should consider surgery and when you should not.
Written by an internationally recognized expert in nerve and spinal surgery, this highly readable guide covers everything back patients ...

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Overview

Most people have back surgery to relieve pain, but all too often it doesn't help. For the half million people who undergo back surgery each year, and the additional million who are seriously contemplating it, Do You Really Need Back Surgery? is a godsend—an informed, reliable guide to when you should consider surgery and when you should not.
Written by an internationally recognized expert in nerve and spinal surgery, this highly readable guide covers everything back patients need to know to make informed decisions about their treatment. The book discusses the details of spinal anatomy; the difference between acute, chronic, and recurring pain; shows how to keep the spine healthy; and explains such terms as spurs, stenosis, and slippage. It also reveals what clues your physician uses to predict whether a given type of pain is likely to go away with rest and exercise, and which types may become emergencies. Dr. Filler discusses the risks of surgery, the decisions you may be faced with and what options you have, and your expectations for recovery. He provides detailed explanations of the wide array of spinal injections and surgeries, including discectomies and fusions, as well as innovative procedures such as electrothermic and laser techniques and artificial disks. He explains the various medical imaging and diagnostic tests available and even covers the complexities of health insurance.
From Pilates to pedicle screws, and from osteoporosis to spina bifida, Do You Really Need Back Surgery? covers all the questions your doctor usually doesn't have the time to answer. Featuring more than 80 illustrations, it is an essential manual for every neck or back pain sufferer.

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Editorial Reviews

Library Journal
For patients suffering from neck and back pain, neurological surgeon Filler provides valuable, detailed information about causes as well as the diagnostic and therapeutic tools available for treatment. In Part 1, he covers the anatomy of the spine, tips for keeping the back healthy, and types of pain. In Part 2, he discusses the different kinds of surgical therapies. Unfortunately, there were some problems in the proofs, e.g., many of the 85 halftone illustrations particularly the x-rays are too small and dark to be helpful. Still, this text is unique for its balanced view of both the causes of and treatment options for back and neck pain. Filler places equal emphasis on surgery and other therapies like physical therapy, back school, acupuncture, yoga, chiropractic, and Rolfing. Recommended for consumer health collections. Marge Kars, Bronson Methodist Hosp., Kalamazoo, MI Copyright 2004 Reed Business Information.
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Product Details

  • ISBN-13: 9780195158359
  • Publisher: Oxford University Press, USA
  • Publication date: 6/28/2004
  • Pages: 336
  • Product dimensions: 9.30 (w) x 6.30 (h) x 1.00 (d)

Meet the Author

Aaron G. Filler, MD, Ph.D. is one of the world's leading authorities on nerve and spinal surgery. He is Medical Director of both the Institute for Nerve Medicine and the Center for Advanced Spinal Neurosurgery, and is an Associate of the Institute for Spinal Disorders, at Cedars Sinai Medical Center, in Los Angeles, California.

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Table of Contents

Foreword
How to use this book : two dozen visits to your doctor 1
Pt. I Spine health
1 Acute, chronic, and recurring : a quick tour of neck and back pain 7
2 The nature of pain and how it is treated 23
3 Keeping the spine healthy : ergonomics for life 41
4 Renewal without surgery : schools of therapy 51
5 Anatomy 101 : from bones, disks, and joints to mind, muscles, and nerves 63
6 Disks, spurs, stenosis, slippage, and osteoporosis 81
7 Spinal symptoms : where does that pain come from? 95
8 Accidents of the embryo : spina bifida and variations at birth 105
9 Medical imaging and diagnostic tests : x-rays, electrons, and magnetic spin 119
10 Recovery and repair in the nerves and spinal cord 139
Pt. II Spine Surgery
11 Without an incision : percutaneous procedures for diagnosis and treatment 155
12 Surgery - before, during, and after : common elements you should know about 171
13 Surgery to take pressure off the nerves 185
14 Surgery inside the spinal dural lining 201
15 Spine carpentry : history and principles of rebuilding the broken spine 207
16 Fixing the cervical spine : surgical approaches for the neck 229
17 Thoracic spine operations : surgical approaches to mid-and upper-back problems 243
18 Lumbar implants and fusion : major surgeries for the low back 251
19 Genes, designer proteins, and biomaterials : the role of biotechnology in spinal surgery 261
20 Risks, outcomes, and choices 269
21 Recovery after surgery 291
22 Health insurance and the cost of surgery 299
Epilogue : knowledge and resilience 313
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