Table of Contents
Introduction viii
Part 1 Understanding your back and neck 12
Chapter 1 Your spine 13
Vertebrae 14
Disks 16
Facet joints 16
Nerves 17
Ligaments 19
Tendons 20
Muscles 20
Your spine in action 23
Age and your spine 24
Chapter 2 Back and neck pain 27
What puts you at risk? 27
Understanding pain 30
When to see a doctor 33
Chapter 3 Common back problems 35
Muscle-related conditions 36
Disk conditions 39
Degenerative disease 41
Nerve-related conditions 47
Joint inflammation 51
Spinal deformities 52
Trauma and fractures 54
Infections and tumors 55
Chapter 4 Common neck problems 59
Muscle-related conditions 60
Disk conditions 63
Degenerative disease 64
Nerve-related conditions 66
Malalignment and instability 69
Trauma and fractures 71
Part 2 Believing your pain 78
Chapter 5 Identifying the problem 79
Describing your pain 79
A physical exam 81
Imaging tests 83
Enhanced imaging tests 88
Beyond imaging 90
Getting a second opinion 92
Chapter 6 Home treatment 95
Self-care at home 95
How to ease the pain 96
Movement and exercise 97
Massage 98
Common questions 99
Chapter 7 Physical therapy 103
Seeing a physical therapist 104
Formulating a therapy plan 105
Back exercises 106
Neck exercises 108
Posture and ergonomics 126
Aerobic exercise 128
Chapter 8 Nonsurgical interventions 131
Chiropractic care 131
Acupuncture 133
Injections 135
Radiofrequency ablation 141
Nerve stimulation 142
Traction 143
Medication 143
Stem cell treatments 146
Chapter 9 Surgery 149
Surgery basics 150
Decompression surgery 152
Spinal fusion surgery 154
Tumor surgery 161
Spinal deformity surgery 161
Motion preservation surgery 162
Limitations after surgery 164
Continued pain 166
Failed back surgery syndrome 168
Chapter 10 Living well 171
Exercise and physical activity 171
Improving your posture 176
Improving your weight 181
Getting enough sleep 183
Limiting stress 187
The big picture 188
Index 190