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