Skip to main content

Treatment modalities

  • Chapter
Lumbar Spine Syndromes

Abstract

Treatment of low back pain and sciatica remains empirical. In this chapter different modalities will be reviewed and their values discussed. Specifics on when to use the treatment alternatives will be further discussed in the appropriate chapters.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

eBook
USD 16.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 16.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  • Ahlgren SA, Hansen T (1978) The use of lumbosacral corsets prescribed for low back pain. Prosthet Orthot Int 2: 101–104

    Article  PubMed  CAS  Google Scholar 

  • Andersson GBJ, Schultz A, Nachemson A (1983) Intervertebral disc pressures during traction. Scand J Rehabil Med 9: 88–91

    CAS  Google Scholar 

  • Buerger AA, Greenman PE (1985) Empirical approaches to the validation of spinal manipulation. Thomas, Springfield, OH

    Google Scholar 

  • Deyo RA (1983) Conservative therapy for low back pain. Distinguishing useful from useless therapy. JAMA 250: 1057–1062

    CAS  Google Scholar 

  • Deyo RA, Diehl AK, Rosenthal M (1986) How much bedrest for acute low back pain? N Engl J Med 315: 1064–1070

    Article  PubMed  CAS  Google Scholar 

  • Dixon GW (1985) The current status of the scientific basis for manipulation. Curr Concepts Rehabil 2: 41— 43

    Google Scholar 

  • Ejeskär A, Nachemson A, Herberts P et al (1983) Surgery versus chemonucleolyis for herniated lumbar discs. Clin Orthop 174: 236–242

    PubMed  Google Scholar 

  • Ghormley RK (1983) Low back pain with special reference to the articular facets with presentation of an operative procedure. JAMA Cl: 1773

    Google Scholar 

  • Gibson T, Harkness J, Blagrave P, Graham R, Woo P, Hills R (1985) Controlled comparison of short-wave diathermy treatment with osteopathic treatment in nonspecific low back pain. Lancet: 1258–1260

    Google Scholar 

  • Graham R (1980) Clinical trials in low back pain. Clin Rheum Dis 6: 143–157

    Google Scholar 

  • Hadler NM, Curtis P, Gillings DB, Stinnett S (1987) A benefit of spinal manipulation as adjunctive therapy for acute low back pain: a stratified controlled trial. Spine 12: 703 — 706

    Google Scholar 

  • Kane W (1977) Early detection of scoliosis. Orthopedic Digest 5: 13–17

    Google Scholar 

  • Kendall PH, Jenkins JM (1968) Exercises for backache: a double blind controlled trial. Physiotherapy 54: 154–157

    Google Scholar 

  • Kendall PH, Jenkins JM (1968) Lumbar isometric flexion exercises. Physiotherapy 54: 158–163

    Google Scholar 

  • Larsson U, Chöler U, Lidström A, Lind G, Nachemson A, Nilsson B, Roslund J (1980) Auto traction for treatment of lumbago-sciatica. A multicentre controlled investigation. Acta Orthop Scand 51: 791–798

    Google Scholar 

  • Ljunggren AE, Weber H, Larsen S (1984) Autotraction versus manual traction in patients with prolapsed lumbar intervertebral discs. Scan J Rehabil Med 16: 117–124

    CAS  Google Scholar 

  • McCulloch JA (1977) Chemonucleolysis. J Bone Joint Surg [Br] 59: 45–52

    CAS  Google Scholar 

  • McCulloch JA (1980) Chemonucleolysis. Experience with 2000 cases. Clin Orthop 146: 128–135

    PubMed  Google Scholar 

  • McKenzie RA (1981) The lumbar spine: mechanical diagnosis and therapy. Waikanae, New Zealand

    Google Scholar 

  • Mayer T (1985) Using physical measurement to assess low back pain. J Musculoskeletal Med 6: 44–59

    Google Scholar 

  • Mooney V, Robertson J (1976) The facet syndrome. Clin Orthop 115: 149–156

    PubMed  Google Scholar 

  • Nachemson AL, Elfstrom G (1970) Intravital dynamic pressure measurements in lumbar discs. Scad J Rehabil Med [Suppl] 1: 1–40

    CAS  Google Scholar 

  • Nachemson AL (1983) Work for all: for those with low back pain as well. Clin Orthop 179: 77–85

    PubMed  Google Scholar 

  • Nachemson AL, Schultz AB, Andersson GBJ (1983) Mechanical effectiveness of lumbar spine orthoses. Scand J Rehabil Med 9: 139–149

    CAS  Google Scholar 

  • Nordby EJ (1983) Current concepts review. Chymopapain in intradiscal therapy. J Bone Joint Surg [Am] 65: 1350–1353

    CAS  Google Scholar 

  • Postacchini F, Lami R, Massobrio M (1987) Chemonucleolysis versus surgery in lumbar disc herniations. Spine 12: 87–96

    Article  PubMed  CAS  Google Scholar 

  • Rees WS (1974) Multiple bilateral subcutaneous rhizolysis of segmental nerves in the treatment of intervertebral disc syndrome. Ann Gen Pract 26: 126

    Google Scholar 

  • Rothman RH, Simeon FA (1982) The spine. WB Saunders, Philadelphia

    Google Scholar 

  • Shealy CN (1976) Facet denervation in the management of back and sciatic pain. Clin Orthop 115: 157–164

    PubMed  Google Scholar 

  • Spitzer WO et al (1987) Scientific approach to the assessment and management of activity related spinal disorders. Spine 12 [Suppl 1]: S1 —S 59

    Google Scholar 

  • Waddell G (1987) A new clinical model for the treatment of low back pain. Spine 12: 632–644

    Article  PubMed  CAS  Google Scholar 

  • Ward NG (1986) Tricyclic antidepressants for chronic low back pain. Spine 11: 661–665

    Article  PubMed  CAS  Google Scholar 

  • Watkins RG, Collis JS, Jr (1987) Lumbar discectomy and laminectomy. Principles and techniques in spinal surgery. Aspen, Frederick, MD

    Google Scholar 

  • Weber H, Burton K (1986) Rational treatment of low back trouble? Clin Biomech 1: 160–167

    Article  Google Scholar 

  • White AH, Rothman RH, Ray CD (1987) Lumbar spine surgery: techniques and complications. C V Mosby, St. Louis, MO

    Google Scholar 

  • Weinstein J, Spratt KF, Lehmann T, McNeill T, Hejna W (1986) Lumbar disc herniation. A comparison of the results of chemonucleolysis and open discectomy after 10 years. J Bone Joint Surg [Am] 68: 43–54

    CAS  Google Scholar 

  • Wiesel SW, Cuckler JM, DeLuca F et al (1980) Acute low back pain: an objective analysis of conservative therapy. Spine 5: 324–330

    Article  PubMed  CAS  Google Scholar 

  • Williams CP (1965) The lumbosacral spine. McGraw Hill, New York

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

Copyright information

© 1989 Springer-Verlag/Wien

About this chapter

Cite this chapter

Andersson, G.B.J., McNeill, T.W. (1989). Treatment modalities. In: Lumbar Spine Syndromes. Springer, Vienna. https://doi.org/10.1007/978-3-7091-8981-8_3

Download citation

  • DOI: https://doi.org/10.1007/978-3-7091-8981-8_3

  • Publisher Name: Springer, Vienna

  • Print ISBN: 978-3-7091-8983-2

  • Online ISBN: 978-3-7091-8981-8

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics