"You can improve your spinal stenosis! More than half of people over the age of 60 have lumbar spinal stenosis --yet most of us know very little about it, and even less about how to manage it. If your "stenosis diagnosis" has caused you all sorts of confusion and panic, take heart. No matter what course of treatment you are considering, Rehab Your Own Spinal Stenosis will give you the necessary understanding (in easy layman's terms), a wealth of information, and the basic steps that will help YOU improve the health of your spine. Ready to become your spine's number one advocate? Physical Therapist Terri Night has written a fun, easy-to-use how-to, packed with practical tools."--
Spinal stenosis usually brings to mind images of bone spurs, pinched nerves, a wornout spine and pain. However few people know that scientific studies have shown up to 69% of people over the age of 55 to have spinal stenosis on an MRI exam, but no pain. Clearly radiographic pictures of one's spine do not tell the whole tale, as there are many people that are able to live pain-free with spinal stenosis. But if having a horrible looking spine on an MRI doesn't necessarily mean you'll have pain, then what does? Well, consider the study that checked out the back muscles of spinal stenosis patients with an EMG - and found that 17 out of 22 of them had abnormalities Apparently there are other factors involved that might determine if one will have pain or not. Treat Your Own Spinal Stenosis will answer these kinds of questions and more. It will teach you what spinal stenosis is and how it got there. Then, you will learn what you can do about it by putting your spine through a series of "Tune-Ups." Based en rely on randomized controlled trials, Treat Your Own Spinal Stenosis is a simple, yet effective program that can be done in the privacy of your home with minimal cost or equipment. Exercise sheets are included to help guide you step-by-step through a sixweek program. Jim Johnson, P.T. is a physical therapist who has spent over nineteen years treating both inpatients and outpatients with a wide range of pain and mobility problems. He has written many books based completely on published research and controlled trials including The Multifidus Back Pain Solution, Treat Your Own Knees, The Sixty-Second Motivator, Treat Your Own Rotator Cuff, The 5-Minute Plantar Fasciitis Solution, Finding Happiness in a Frustrating World, Exercise Beats Depression and Treat Your Own Tennis Elbow. His books have been translated into other languages and thousands of copies have been sold worldwide. Besides working full-time as a clinician in a major teaching hospital and writing books, Jim Johnson is a certified Clinical Instructor by the American Physical Therapy Association and enjoys teaching physical therapy students from all over the United States.
In this volume, world authorities on spinal surgery from the fields of Neurosurgery, Orthopaedic Surgery, and Neuroscience present current data on the basic science and clinical management of the unstable spine. Unique to this book: a frank presentation of controversies in the field.
Written by an international group of more than 70 leading experts, this volume is a comprehensive, up-to-date review of the anatomy, biomechanics, aetiology, physiopathology, diagnosis, and treatment of lumbar spinal stenosis. Coverage includes information on classification, aetiology, diagnostic imaging, clinical assessment, and physiopathology. A major portion of the book describes the techniques and devices for surgical treatment. Other chapters examine conservative therapies such as drugs, exercise, pain clinic approaches, and spinal cord stimulation. The final section focuses on outcome studies and cost-effectiveness considerations in the management of spinal stenosis.
Offering in-depth coverage of an often-neglected topic, Revision Lumbar Spine Surgery identifies clinical problems and discusses recent major advances in this challenging area. Dr. Robert F. Heary and a team of international experts share their knowledge and experience with even the most difficult lumbar cases, helping you provide optimal outcomes for your patients. You'll find authoritative guidance on indications, diagnosis, approaches, and follow-up, with a focus on the significant advances that have occurred over the past two decades in this fast-changing field. - Identifies the clinical problems related to unsuccessful back spine surgery as well as indications, diagnosis, and new treatment options and advances in this complex area. - Provides in-depth information on the multiple options that exist for most clinical situations: anterior, posterior, lateral, and combined anterior and posterior approaches. - Covers methods of fixation, the use of interbody grafting, and surgical planning related to scar tissues, bleeding, and spinal fluid leaks. - Discusses critical follow-up topics such as key clinical procedures, radiography, patient reported outcomes, and pain management. - Includes timely chapters on robotics, bone density issues, medical fitness concerns, instrumentation options, imaging considerations, and much more.
This is the first book to cover minimal-invasive treatment of osteoporotic, tumorous and traumatic vertebral fractures in the English language. In addition to detailed descriptions of the techniques, including tips and tricks from experts, the book contains a chapter about the medical treatment of osteoporosis, which is indispensable in the interdisciplinary approach to osteoporosis. This acclaimed innovative concept unites several treatment aspects. More conservative treatment methods are also presented in this work. All chapters reflect new developments and clinical findings in the field of orthopaedics, surgery, traumatology and neurosurgery.
The official publication of the International Society for the Study of the Lumbar Spine, this volume is the most authoritative and up-to-date reference on the lumbar spine. This edition provides more balance between basic science and clinical material and has been completely reorganized for easy reference. New chapters cover gene therapy, outcomes assessment, and alternatives to traditional nonoperative treatment. The editors have also added chapters on preparation for surgery, surgical approaches, spinal instrumentation, and bone grafts. Chapters on specific disorders have a consistent structure—definition, natural history, physical examination, imaging, nonoperative treatment, operative treatment, postoperative management, results of surgery, and complications.
Biportal endoscopic spine surgery has been rapidly developed recently, and Unilateral biportal endoscopic spine (UBE) surgery may be new stream in spine surgery. UBE surgery is a new concept of surgery that is different from the existing one portal endoscopic surgery, and has the advantage of being familiar with spinal surgeons as the surgical anatomy is similar to a general surgical method, and the learning curve period is short. The 4mm diameter endoscope provides a very clear image, and it can be safely operated under magnified and clear endoscopic view. It is also available to use general surgical instruments in addition to endoscopic surgical instruments during UBE approaches. Currently it is being performed not only in the lumbar spine, but also in the cervical and thoracic spine. In addition, simple laminectomy, disc removal, and spinal fusion are possible. With the advancement of UBE surgery, spinal surgeons from various countries have been performing UBE in recent years, and it is gradually spreading to the world. This will be the first book summarizing from basic to advanced techniques with abundant illustrations and video aid for easy understanding.
Endoscopic technology has advanced to the point where practitioners can now access, visualize, and treat spine pathologies previously only accessible through open surgical approaches. Endoscopic Spine Surgery 2nd Edition provides a comprehensive background on endoscopic spine surgery and covers an unparalleled number of minimally invasive spine procedures that have revolutionized the spine treatment paradigm. Readers will greatly benefit from many years of expertise and wisdom shared by master spine surgeons Daniel Kim, Gun Choi, Sang-Ho Lee, and Richard Fessler, and their expert contributors. Due to the narrow endoscopic view, subtle microanatomical differences in the lumbar, thoracic, and cervical regions are not always easy to visually discern. To address this challenge, the book contains detailed procedural descriptions and images mirroring endoscopic views spine surgeons encounter in the OR. Organized anatomically, 53 chapters guide readers systematically through lumbar, thoracic, cervical, and craniocervical junction procedures for pathologies ranging from low back pain and deformities to tumors, lesions, infections, and trauma. Key Features More than 1000 high quality images including color procedural photographs and medical illustrations provide in-depth visual understanding. Spinal pathologies and procedures delineated in 75 videos accessible via the Media Center - from case studies to step-by-step technique tutorials. Covers the full spectrum of spine endoscopy including percutaneous approaches, microdiscectomy, laminectomy, discectomy foraminotomy, hemilaminectomy, thoracic decompressions, fusion, fixation, and thoracoscopic procedures. The use of state-of-the-art technology such as ultrasonic bone dissectors, endoscopic radiofrequency denervation, the video telescope operating monitor (VITOM), minimally invasive tubular retractors, and 3D stereo-tubular endoscopic systems. Neurosurgical and orthopaedic residents, spine fellows, and seasoned spine surgeons will all greatly benefit from the significant knowledge and insights revealed in this remarkable multimedia resource. This book may also be of interest to neurosurgical and orthopaedic nurses, physical therapists, chiropractors, and medical device professionals.