Diagnosis and Management of Neck and Back Pain in Primary Care

by R. Douglas Collins MD

Overview

Neck and back pain is one of the most common presenting complaints in primary care practice, but can be very challenging to diagnose and manage. Diagnosis and Management of Neck and Back Pain inPrimary Care helps you systematically approach this problem and give your patients the relief they so desperately need. Preeminent physician R. Douglas Collins, MD, FACP gives you the benefit of his decades of experience, offering a wealth of diagnostic pearls as well as holistic guidance on management – much of which is unavailable in any other single reference source.
Features:

• See how to evaluate patients step by step thanks to abundant color illustrations of the examination of patients with neck, thoracic, and low back pain.
• Order the most appropriate laboratory tests and diagnostic procedures with guidance on the most effective and cost-effective approaches for a given presentation.
• Recognize when low back pain is being caused by scoliosis due to a short leg.
• Offer your patients relief through caudal epidural steroid injections, weight loss, simple back exercises, and other tried-and-true methods.
• Know which patients you can treat yourself and which ones you should refer to an orthopedic or neurologic specialist.
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Product Details

ISBN-13:	9781496362742
Publisher:	LWW
Publication date:	08/18/2017
Pages:	156
Product dimensions:	5.80(w) x 8.50(h) x 0.30(d)

Table of Contents

Preface vii

Part I What Do You Do with the Patient with Neck Pain?

A Taking a History of the Patient with Neck Pain 2

B Examination of the Patient with Neck Pain 5

C Diagnosis of the Patient with Neck Pain 18

D Conservative Management of the Patient with Neck Pain 21

E Illustrated Cases of Neck Pain 26

1 Normal Anatomy of the Cervical Spine 26

2 Lateral Herniated Cervical Disk 26

3 Central Herniated Cervical Disk 29

4 Cervical Facet Syndrome 31

5 Neoplasm of the Cervical Spine 31

6 Thoracic Outlet Syndrome 34

7 Cervical Spondylosis 36

Part II What Do You Do with the Patient with Thoracic Pain?

A Taking a History of the Patient with Thoracic Pain 40

B Examination of the Patient with Thoracic Pain 42

C Diagnosis of the Patient with Thoracic Pain 52

D Conservative Management of the Patient with Thoracic Pain 54

E Illustrated Cases of Thoracic Pain 56

1 Normal Anatomy of the Thoracic Spine 56

2 Thoracic Sprain 56

3 Herpes Zoster 59

4 Herniated Thoracic Disc 61

5 Neoplasm of the Thoracic Spine 63

6 Osteoporosis with Compression Fracture of the Thoracic Spine 65

7 Epidural Abscess 67

Part III What Do You Do with the Patient with Low Back Pain?

A Taking a History of the Patient with Low Back Pain 72

B Examination of the Patient with Low Back Pain 76

C Diagnosis of the Patient with Low Back Pain 97

D Conservative Management of the Patient with Low Back Pain 98

E Illustrated Cases of Low Back Pain 106

1 Normal Anatomy of the Lumbosacral Spine 106

2 Herniated Disc 15-51 106

3 Herniated Disc 13-14 109

4 Metastatic Carcinoma of the Lumbar Spine 111

5 Spondylolisthesis 113

6 Lumbar Spondylosis with Spinal Stenosis 115

7 Leriche Syndrome: Arteriosclerosis of the Aorta and Femoral Arteries 117

8 Ovarian Cyst 119

9 Scoliosis due to a Short Leg Syndrome 121

10 Ankylosing Spondylitis 123

11 Greater Trochanter Bursitis 125

Appendix A Illustrations of the Complete Routine Neurologic Examination 128

Appendix B A Good Bedside Manner 137

Appendix C Prescribing Opioids for Chronic Pain 141

Appendix D Preparation of a Medicolegal Report 145

Index 157