1st Edition
Mechanical Lumbosacral Spine Pain Anatomy, Histology and Imaging
This book addresses an extremely prevalent medical problem: low back pain. It is not a general anatomy book, but it relates specifically to the lumbosacral spine, encompassing anatomy, histology, histopathology, and imaging all in one volume. For students, the text incrementally introduces them to lumbosacral anatomy terms and scientific knowledge by using photographs of gross and histological sections of the spine, as well as schematic drawings and images, in preparation for clinical practice. It answers many questions about the pathogenesis of low back pain, helpful for clinicians, both for treatment decisions and for counselling patients.
Key features:
- Provides a clear explanation for many of the pain generators in low back pain and illuminates this perplexing and ubiquitous problem
- Addresses a gap in the existing literature, as 'non-specific' or mechanical lumbosacral spine pain accounts for by far most chronic spinal pain sufferers’ complaints for clinicians from general medical practitioners to spinal specialists in various fields such as sports medicine who deal with spinal pain syndromes
- Illustrates anatomical structures that can be injured and thus become responsible for causing mechanical lumbosacral spine pain; frequently, such injuries cannot be detected on sophisticated imaging such as MRI
Chapter 1: General introduction to the lumbosacral spine
Chapter 2: Neuroanatomy summary of the lumbosacral spine
Chapter 3: Gross anatomy and histology of the lumbosacral spine
Chapter 4: Anatomical Atlas: Gross anatomical and histological examples of possible causes of non-specific, and specific, spinal pain syndromes due to lumbosacral spine mechanical dysfunction or failure
Chapter 5: Three clinical examples associated with lumbosacral spine pain of mechanical origin
Conclusion
Definitions
References
Biography
Dr Lynton GF Giles DC (Toronto) MSc, PhD (W Aust) practised full time as a chiropractor for many years and, during that period, he became Honorary Clinical Scientist at Townsville General Hospital (1994-2002) and Adjunct Associate Professor (Clinical) at the School of Public Health, Tropical Medicine and Rehabilitation Sciences, James Cook University, Townsville, Queensland, Australia as well as Clinical Director of the Multidisciplinary Spinal Pain Unit that he helped to establish at the Townsville General Hospital. Prior to this he was Senior Research Fellow and Director of the Spinal Research Laboratory, Division of Science and Technology at Griffith University, Brisbane, Queensland which he established in 1989. He has been a member of the Spine Society of Australia since 1992 and was a member of the British Society of Clinical Anatomists until he retired. He was honoured by the Chiropractors Association of Australia (National) Ltd in 2015 when the Giles Lecture and the Giles Medal for Outstanding Research in Health Science were established.
Description: The book offers a breif, yet surprisingly comprehensive education on mechanical low back pain. It begins with a general introduction to the lumbosacral spine, then provides deep summaries of neuroanatomy, gross anatomy and histology, no specific and specific spinal pain syndromes and clinical examples. The many illustrations, photographs of dissected structures and samples of clinical imaging are informative and of the highest quality.
Purpose: The book's prupose is to fill a gap in the current knowledge base and shed light on the enigma of "mechanical or non specific or idiopathic" low back pain. This is highly worthy purpose, owing to the prevalence of the condition and its enormous cost to the patients and the society. For too long, opioids the first line of treatement for mechanical low back pain. The inherent risk of such treatment and subsequent uman toll beg for a better understanding of the condition and more effective treatment options. The book does an excellent job of illuminating the many different structures and factors at play in mechanical lumbosacral pain.
Audience: The audience indeed include both the students and the practitioners of any health discipline that manages low back pain. MDs, DCs, DPTs and the like will all benefit from this publication. Mechanical low back pain is still poorly understood, and the needs of the target audience will be well met by the information provided in this book. The author is an impressively accomplished and well known authority on the topic, with the credentials and publication record to support his reputation.
Features: The book presents information specific to lumbosacral spine, anatomy, histology, histopathology and imaging. It begins with the basis and builds upon that scaffolding to promote a better understanding of the different potential causes of the mechanical low back pain. Clear writing, well organized material and numerous images as well as a glossary and index, help to achieve this goal.
Assessment: This book is not only the highest quality, but also unique in that it aims to fill a specifc knowledge gap surrounding an extremely common condition of which a greater understanding is sorely needed. It is a fabulous book that I wish was available decades ago.
- Marc Lucente, DC, MA, DIANM (Palmer College of Chiropractic)
