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Index
Cover
Half title
Title
Copyright
Dedication
Contents
Acknowlegdments
Introduction
Part One: Taking the Mystery Out of Low Back Pain
Chapter 1. Understanding Why Your Back Hurts
Is It Mechanical or Medical?
How Your Back Works
How Your Pain Threshold Fluctuates
Chapter 2. Working With Your Doctor
Questions to Help You Find the Cause
The Physical Examination
Doctors and Health Care Professionals Who Treat Low Back Pain
Chapter 3. What Diagnostic Tests Can—and Cannot—Tell You
Conventional X rays
Magnetic Resonance Imaging (MRI)
Computed Axial Tomography (CT)
Myelography
Bone Scan
Discography
Bone Densitometry
Electrodiagnostic Tests
Blood Tests
Part Two: Knowing Your Treatment Options
Chapter 4. The Basic Back Pain Relief Program
Control Physical Activities but Limit Bed Rest
Using Over-the-Counter Medications
Applied Therapy
Aerobics: Expanding Your Comfort Zone—Gradually
Maintain a Positive Attitude
If Back Pain is Chronic
Chapter 5. Recognizing and Treating Mechanical Low Back Pain
Muscle Strain, Spasm, and Trauma
Disc Degeneration and Osteoarthritis (Lumbar Spondylosis)
Herniated Disc and Sciatica
Cracked Vertebral Bodies (Spondylolysis and Spondylolisthesis)
Piriformis Syndrome
Scoliosis
Spinal Stenosis
Chapter 6. Recognizing and Treating Medical Causes of Low Back Pain
Infection
Bone Tumors and Cancer
Inflammatory Diseases
DISH Syndrome (Diffuse Idiopathic Skeletal Hyperostosis)
Ochronosis
Fibromyalgia
Tension Myositis Syndrome
Myofascial Pain Syndrome
Osteoporosis
Blood Disorders and Aneurysms
Diabetic Neuropathy
Pain from Nearby Organs
Back Pain in Pregnancy and Menstruation
Chapter 7. How and When to Use Medications Effectively for Pain
NSAID and COX-2 Inhibitors
Muscle Relaxants
Narcotic and Non-Narcotic Analgesics
Corticosteroids
Chapter 8. Treatment With Exercise and Physical Therapy
Working with a Physical Therapist
Flexion Exercises
Extension Exercises
The “C” and “S” Curves
Transcutaneous Electrical Nerve Stimulation (TENS)
Chapter 9. Complementary Therapies
Manual Manipulation
Massage and Other Body Work Techniques
Acupuncture
Yoga and Other Body, Mind, and Spirit Techniques
Mind-Body Therapies
Meditation and Relaxation
Body Self-Awareness
Magnet Therapy
Homeopathy
Nutritional Supplements
Chapter 10. What to Know Before You Consider Surgery
Understanding the Risks
Discectomy
Spinal Fusion
Spinal Instrumentation: The Hardware Store
Emergency Surgery
Anterior Spine Surgery
Your Hospital Stay
Choosing an Orthopedic Surgeon or Neurosurgeon
After Surgery—The Hard Part
Failed Back Surgery Syndrome
Future Surgical Treatments
Part Three: Living Without Back Pain
Chapter 11. Lower Your Risk for Back Pain with Prevention
Lifestyle Changes
Use Good Body Mechanics
Keep Working
Keep Your Bones Strong
Chapter 12. Enjoy Sex Without Hurting Your Back
Painless Positions
Medication and Libido
Sexercises
Epilogue: Back in Control!
Glossary
Appendix A: Dr. B’s Back School FAQ
Appendix B: Medications for Low Back Pain
Appendix C: Best Back Resources on the Internet
Index
About the Author
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