Table Of ContentBACK PAIN -
An International Review
BACK PAIN
An International Review
Edited by
John K. Paterson, MB, BS, MRCGP
President of the British Association of Manipulative Medicine;
Member of the Scientific Advisory Committee and Chairman of
the Terminology Subcommittee of the Federation Intemationale
de M edecine M anuelle
and Loic Burn, BA, MRCS, LRCP, DPhysMed
President of the Federation Intemationale de Medecine
Manuelle; Past President of the British Association of
Manipulative Medicine; Member Ex-Committee, Scientific
Section, British League against Rheumatism; Member, Council of
Management, National Back Pain Association
KLUWER ACADEMIC PUBLISHERS
DORDRECHT/BOSTON/LONDON
Distributors
for the United States and Canada: Kluwer Academic Publishers, PO Box 358, Accord Station,
Hingham, MA 02018-0358, USA
for all other countries: Kluwer Academic Publishers Group, Distribution Center, PO Box 322,
3300 AH Dordrecht, The Netherlands
British Library Cataloguing in Publication Data
Back pain - an international review.
1.~an.Back.Backache
I. Paterson, John K (John Kirkpatrick), 1921- II. Burn, Loic, 1936-
616.73
ISBN-13:978-94-010-7472-8 e-ISBN-13:978-94-009-2165-8
DOl: 10.1007/978-94-009-2165-8
Copyright
© 1990 by Kluwer Academic Publishers
Softcover reprint of the hardcover 1st edition 1990
All rights reserved. No part of this publication may be reproduced, stored in a retrieval system,
or transmitted in any form or by any means, electronic, mechanical, photocopying, recording or
otherwise, without prior permission from the publishers, Kluwer Academic Publishers BV,
PO Box 17, 3300 AA Dordrecht, The Netherlands.
Published in the United Kingdom by Kluwer Academic Publishers, PO Box 55, Lancaster, UK
Kluwer Academic Publishers BV incorporates the publishing programmes of D. Reidel,
~artinus Nijhoff, Dr W. Junk and MTP Press.
Contents
List of Contributors x
Preface XVI
Introduction
L. Burn XVIl
The economics of back pain
P. Lapsley xxiii
PLENARY PAPERS
1 The peripheral modulation of nociceptive input
B. Lynn 3
2 Intradiscal pressure changes and the clinician
G.B.!. Andersson 12
3 Electromyography - its significance to the manipulator
1. V. Basmajian 21
4 The clinical testing of pain
A.E. Reading 27
5 The spinal modulation of pain
S. McMahon 37
6 Principles and problems in clinical research in low back pain
MA. Nelson 52
7 Referred pain and tenderness
1. Fossgreen 60
8 Basic case analysis
L. Burn and 1.K. Paterson 64
v
BACK PAIN - AN INfERNATIONAL REVIEW
9 Manual therapy - 1989
K Lewit 75
10 An osteopathic approach to manipUlation
A. Stoddard 89
11 Low back pain of thoracolumbar origin
R. Maigne 96
12 The Cyriax contribution to manipulation
M.A. Hutson 102
13 ManipUlation of the sacroiliac joint
A. Stevens 105
14 The diagnosis and therapy of sacroiliac joint dysfunction utilizing
manual medicine techniques, in particular the muscle energy technique
by Mitchell
H.-D. Neumann 119
15 Injections in the lumbar area
G. Marx 139
16 Drug therapy
R. Pastrana 143
17 The causes of poor results of surgery in low back pain
H. Tilscher and M. Hanna 144
18 Treatment of pain with electrical stimulation (TENS) and acupuncture
M. Mehta 156
19 Hypnosis in musculoskeletal medicine
H.B. Gibson 165
DIRECTED PAPERS
20 Comments on the evolution of the sacroiliac joint
H.-D. Wolff 175
21 Clinical aspects of sacroiliac function in walking
P.E. Greenman 186
vi
CONTENTS
22 The sacroiliac lesion - does it exist?
M.e. T. Morrison 195
23 Differential diagnosis of muscle tone in respect of inhibitory techniques
m
~~~
24 Practical approaches to the normalization of muscle tension
A.H. Laxton 200
25 Metameric medicine and atlas therapy
A.Arlen 212
26 The method of autotraction in manual medicine
e.
G. Brngnoni and Leuci 227
27 The space truss as a model for cervical spine mechanics - a systems
science concept
S.M. Levin 231
28 Anamnesis as diagnostic tool in musculoskeletal medicine
K Rekola 239
29 A new technique of proprioceptive re-education in manual medicine
e.
I. Colombo and Leuci 247
FREE PAPERS
30 Cranial and visceral symptoms in mechanical pelvic dysfunction
L. Silverstolpe and G. Hellsing 255
31 A study of the contribution of pain to rotation of vertebrae in the
aetiology and pathogenesis of lateral spinal curvature
M. Wislowska 259
32 Pelvic dysfunction
K Lewit 271
33 Pyriformis muscle syndrome
e.
F. Combi, I. Colombo and Leuci 285
34 Iliosacrallesion and the quadratus lumborum syndrome
J.P. Randeria 289
VII
BACK PAIN - AN INfERNATIONAL REVIEW
35 The cervico-Iumbar syndrome
H. Biedennann 292
36 Clinical application of the basic physical principles for the use of
mobilization and manipulation
E.Rychllkova 300
37 Non-inflammatory joint pain in rheumatoid arthritis: the diagnostic
role of intra-articular anaesthesia in the understanding of
brachiogenic shoulder pain
K Hiemeyer and H. Menninger 306
38 The foot and manual medicine
P.Demma 311
39 Frozen wrist: the contribution of thermography
R.M. Ellis and I. Swain 314
40 The New Zealand Association of Musculo Skeletal Medicine:
Postgraduate courses for doctors
D.R. Dalley 316
41 The nature and significance of trigger points
R. T.D. FitzGerald 319
42 Low back pain, manipUlation and long-term outcome
m
Aaa~
43 The computerized documentation of clinical and manual results
M. Hanna, H. Tilscher and C. Weich 332
44 Lumbar sciatica - comparison of results 10 years after surgical or
conservative treatment
S. Lorincz, H. Tilscher and M. Hanna 343
45 A study to evaluate the outcome of acute backache with drug therapy
and manipulation
M.R. Shah 356
46 Dorso-Iumbar junction: biomechanical significance of mamillaris
processus and transversospinales muscles
G. Piganiol, P. Trouilloud, G. Berlinson, I.-F. Renard and I.-Y. Comu 363
viii
CONTENTS
47 Skin rolling in the treatment of chronic pain
S. Kmagozian and J.P. Duivon 366
48 The importance of patient selection and imaging techniques in the
success of chemonucleolysis
P. Slatter 372
49 Radiofrequency denervation of the zygapophyseal joint nerve supply
D.G. Vivian 378
50 Manipulative medicine and sports injuries
F. Combi and I. Colombo 385
51 T3 syndrome
D.M. Fraser 387
52 Radiographic signs of the function of the intrinsic muscles of the
cervical spine
J. Jiroul 391
53 Radio-functional analysis of the cervical region of the spinal column
according to Arlen in post-traumatic syndrome
M. Kraemer and A. Patris 393
54 Therapy of the atlas compared with traditional manipulation in
sacroiliac dysfunction
KJ. Eiden 404
55 Atlas therapy and neuromuscular diseases
H. Lohse-Busch 410
Index 423
ix
List of contributors
G B J Andersson G Brugnoni
Department of Orthopedic Surgery Servicio di Riabilitazione
Rush-Presbyterian-St Luke's Case di Cura "s. Camillo"
Medical Center Via M. Macchi 5
1653 West Congress Parkway, 1471J 20124 Milano
Chicago Italy
IL60612
USA LBum
31 Wimpole Street
A Arlen London Wi
Centre de Cure UK
Parc Albert Schweitzer
F-68140 Munster A G Chila
France College of Osteopathic Medicine
Ohio University
J V BasmaJian Grosvenor Hall
Department of Medicine and Athens, OH 45701
Anatomy USA
McMaster University
Hamilton I Colombo
Ontario LBN 3Z5 Istituto di Terapia Fisica Ospedale
Canada Ca'Grande Niguarda di Milano
Via Ghiberti 11
G Berlinson 20149 Milano
Nogent Italy
F-52800 France
FCombi
H Biedermann Istituto di Fisioterapia
Department of Surgery Ospedale Bassini
Universitat Witten-Herdecke Via M. Gorki 50
Ev. Krankenhaus Schwerte Cinisello Balsamo (Milano)
Schiitzenstr. 9 Italy
D-5840 Schwerte
FRG
x
BACK PAIN - AN INI'ERNATIONAL REVIEW
J.YCornu J Fossgreen
CRF les Rosiers Department of Rheumatology
45 rue Bazin Aarhus Amtssygehus
Dijon University Hospital
F-21000 France DK 8000 Aarhus C
Denmark
DR Dalley
St Albans Medical Centre DM Fraser
PO Box 21044 Orthopedic Medicine Clinic
Christchurch 1 5147 Lewiston Road
New Zealand Lewiston
NY 14092
PDemma USA
10, rue Nicolas Charlet
75015 Paris H H Gibson
France Department of Psychology
The Hatfield Polytechnic
J P Duivon Hatfield
Groupe d'Etude de Medecine Herts. ALlO 9AB
Manuelle RhOne Alpes UK
89 Cours Emile Zola
69100 Villeurbanne PE Greenman
France College of Osteopathic Medicine
Department of Biomechanics
KJ Eiden Michigan State University
Rosenheimer Strasse 181 East Lansing
8000 Munchen 80 MI48824
FRG USA
RM Ellis M Hanna
Wessex Regional Rehabilitation Unit Ludwig Boltzmann Institute and
Odstock Hospital Department for Conservative
Salisbury Orthopaedics and Rehabilitation
Wilts. SP5 8BJ Speisingerstr.109
UK A-ll34 Vienna
Austria
R T D FitzGerald
52 Shurland Avenue G Hellsing
Minster Department of Clinical Oral
Sheerness Physiology
Kent ME12 2RS Karolinska Institute
UK Box 4064
S-141 04 Huddinge
Sweden
Xl
