The Biomechanics of Back Pain

Overview

Authored by experts of international renown, the new edition of The Biomechanics of Back Pain forms a bridge between the latest research and the effective clinical management of patients with back problems. Now published for the first time in full colour, this popular volume now has a bonus website which contains useful PowerPoint presentations, including seminars entitled Back Pain and Forces on the Spine as well as an overview of the Psychosocial Flags Framework.

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Overview

Authored by experts of international renown, the new edition of The Biomechanics of Back Pain forms a bridge between the latest research and the effective clinical management of patients with back problems. Now published for the first time in full colour, this popular volume now has a bonus website which contains useful PowerPoint presentations, including seminars entitled Back Pain and Forces on the Spine as well as an overview of the Psychosocial Flags Framework.

The Biomechanics of Back Pain is essential for all clinicians involved in the care and treatment of patients with back pain, as well as for those studying its causes and methods of prevention.

• Established authoritative text for clinicians, lecturers, researchers and those working in the medico-legal arena
• Emphasizes the latest perspectives in research and shows how it is now leading to advances in clinical methodology
• Provides an overview of the best original research - including more than 350 new references - to provide researchers with the latest and most important information relating to back pain
• Contains over 150 full-colour line artworks and more than 60 photographs

• Additional chapters devoted to Sensorimotor Control, and Cervical Spine Anatomy and Biomechanics
• Includes more than 350 new references
• Now published in full colour with improved page design and navigation
• Bonus website containing useful PowerPoint presentations, which include seminars entitled Back Pain and Forces on the Spine as well as an overview of the Psychosocial Flags Framework

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Editorial Reviews

From the Publisher
Review quotes from previous editions

This book is an excellent addition to the literature on back pain. Biomechanics is fundamental to understanding the physical basis of back pain, but many biomechanical textbooks are very technical and difficult for the non-specialist. What is new and different about this book is that it presents complex ideas very simply and clearly, and applies them to the clinical situation.

This volume is to be highly recommended to all doctors and therapists who deal with patients with back pain.

Professor Gordon Waddell DSc, MD, FRCS Orthopaedic Surgeon, Glasgow [Amazon]

This excellent book presents in one location a synthesis of much of the recent literature on the mechanical factors contributing to low back pain. The logic of the text is easy to follow and each chapter builds upon concepts and ideas presented in earlier chapters. I can think of few books to compare to it and I recommend it highly.

Dana J Lawrence, DC, MMedEd, MA(Palmer College of Chiropractic)

It is refreshing to see a book that interprets and integrates the literature instead of simply repeating studies.

W.S. Marras, Biodynamics Laboratory, Ohio State University

The book is one of the most evidence-based books on the market. The authors are research active and always updating their knowledge.

Principal Lecturer in Physiotherapy, University of Cumbria

Doody's Review Service
Reviewer: Dana J Lawrence, DC, MMedEd, MA (Palmer College of Chiropractic)
Description: The authors' emphasis is on understanding the mechanical explanations for back pain; thus, the book examines anatomy and loads, forces, and pathology for the lumbar spine, with particular importance placed upon biomechanics (as opposed to psychosocial factors). A number of illustrative color photographs benefit the text, whose content includes discussions of functional anatomy of the low back, biology of spinal tissues, epidemiology, spinal loading, and mechanisms of injury. The book concludes with a disucssion of medicolegal issues.
Purpose: The authors' purpose is to examine all the factors that influence back pain, focusing on the mechanical factors in particular. Inasmuch as there has been an emphasis upon psychosocial factors for low back pain in the medical literature, this is a welcome change in direction, since its focus is on biomechanics. This is therefore a needed book and one that should be well accepted. It does exactly what the authors ask it to do, and it does it well.
Audience: This book is directed mainly at those who treat low back pain such as physiotherapists, osteopaths, chiropractors, general practitioners, and nurse and occupational health practitioners. Students in each discipline will find it quite useful as well. The authors are some of the most well-known people in this field in all the world. Their expertise cannot be faulted in any way.
Features: The direction that this book takes is to first discuss the general anatomy of the lumbar spine, from a perspective that goes beyond strict anatomical detail and combines the kinematics and biomechanics of this region. By presenting the musculature of the lumbar region, it is easier to understand how forces created by those muscles will affect the low back. Microstructure is described as well, making it easier to understand the physiology affecting this region. Descriptions of epidemiology help to understand the scope of the problem. Pathology is described in detail. Some detail on prevention is presented. Especially well done are the two chapters on mechanical function of the spine and mechanical damage to the spine. The color plates illustrate key concepts. Shortcomings include the fact that references do not appear at the end of each chapter but are grouped at the end of the text, making it hard to check references. Also, the information on manipulation is glossed over very quickly.
Assessment: This excellent book presents in one location a sythesis of much of the recent literature on the mechanical factors contributing to low back pain. The logic of the text is easy to follow and each chapter builds upon concepts and ideas presented in earlier chapters. This is written at a relatively sophisticated level and as a result provides a wealth of information. I can think of few books to compare to it. I recommend it highly.
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Product Details

  • ISBN-13: 9780702043130
  • Publisher: Elsevier Health Sciences
  • Publication date: 9/21/2012
  • Edition number: 3
  • Pages: 336
  • Sales rank: 1,210,688
  • Product dimensions: 7.50 (w) x 9.80 (h) x 0.90 (d)

Meet the Author

I commenced research into spinal pain, in 1972, when essentially nothing was known about the problem. There being no established groups or departments working on this problem, I forged my own career, using borrowed resources. I commenced in a Department of Anatomy, where I pursued the innervation of the vertebral column as a fundamental element in understanding the sources and mechanisms of spinal pain. Professor Jim Lance fostered this interest, and accommodated my PhD studies. In his department I continued my anatomy studies but was able also to commence clinical applications. I developed and tested new diagnostic and surgical procedures for back pain and for neck pain. While in Professor Lance's Department, I participated in laboratory studies of the mechanisms of migraine. At the University of Queensland I continued to develop and apply the diagnostic and surgical techniques that I started at the University of NSW, serving as an honorary medical officer at the Pain Clinic of Princess Alexandra Hospital. Meanwhile I supervised science and medicine postgraduate students who undertook basic science studies into the biomechanics of the back and neck.
At the University of Newcastle, I had established a reputation sufficient to attract a grant from the Motor Accidents Authority of NSW to investigate the cause and treatment of neck pain after whiplash. The grant supported three PhD students over a six year period. They performed studies that validated the diagnostic procedures and which tested the surgical procedures in a placebo-controlled double-blind randomized trial.
Having established an international standing in the development and testing of treatments for spinal pain, I participated in the design and analysis of controlled trials conducted elsewhere in Australia and in the USA. These tested the efficacy of: lumbar radiofrequency neurotomy for back pain, intradiscal electrothermal anuloplasty for back pain, prolotherapy for back pain, exercises for neck pain.
Between 1997 and 2002 I conducted the National Musculoskeletal Medicine Initiative which developed and tested evidence-based practice guidelines for the management of back pain, neck pain, shoulder pain, knee pain, and pain in the foot, wrist, and elbow.
My work has been awarded the Volvo Award for Back Pain Research, the Research Prize of the Cervical Spine Research Society, the Award for Outstanding Research of the North American Spine Society, and three times the Research Prize of the Spine Society of Australia. My students have been awarded research prizes by the International Association for the Study of Pain, the Australian Rheumatology Association, and the Australian New Zealand College of Anaesthetists.
I have never had a funded department to which to attract investigators and academics. I have relied on scholarships for students, and the goodwill of private practitioners who wished to contribute to clinical research. Of late, I have been supervising Neurosurgery residents undertaking studies of the outcomes of treatment for Radicular pain and back pain.

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Table of Contents

1. Introduction

2. The vertebral column and adjacent structures

3. Muscles and fascia of the lumbar spine

4. Nerves and blood supply to the lumbar spine

5. Back pain

6. Epidemiology of back trouble

7. Biology of spinal tissues

8. Growth and ageing of the spine

9. Forces acting on the thoracolumbar spine

10. Mechanical function of the thoracolumbar spine

11. Mechanical damage to the thoracolumbar spine

12. Cervical spine biomechanics

13. Posture, creep and "functional pathology"

14. Sensorimotor control

15. Spinal degeneration

16. Preventing back pain

17. Conservative management of back pain

18. Biomechanics rationale for spinal surgery

19. Surgery for disc prolapse, spinal stenosis and back pain

20. Medico-legal considerations

21. Summary and Conclusions

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