The Back Sufferers' Bible

The Back Sufferers' Bible

by Sarah Key
The Back Sufferers' Bible

The Back Sufferers' Bible

by Sarah Key

Paperback(Third edition)

$26.99 
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Overview

The human spine is not well suited for our way of life and as a result back pain is pandemic—there is hardly anyone who has not been bothered by it at some time. Advanced as we are in other areas of science, with fixing backs we are little further ahead. This book breaks new ground, and is written for sufferers and practitioners alike. In layman's language it charts a new, easy-to-understand model for the way the human spine breaks down, starting off with commonplace and totally reversible conditions (which 90% of us have), and progressing to the more difficult ones. The Back Sufferers' Bible describes clearly how each stage of back pain manifests, and sets out a logical course of treatment programs. It explains when you need medication and when you need to rest in bed. It explains all the exercises—how to do them and the common pitfalls with each one. It gives you all the information you need to play an active part in your own treatment. For practitioners, there is a new section of comprehensive source material and further reading.

Product Details

ISBN-13: 9781760295097
Publisher: Allen & Unwin
Publication date: 04/01/2017
Edition description: Third edition
Pages: 272
Sales rank: 1,107,554
Product dimensions: 6.00(w) x 9.00(h) x 0.70(d)

About the Author

Sarah Key has been practicing the management of spinal and skeletal joint problems for three decades. She has a clinic in Sydney and also sees patients in the UK, where she is physiotherapist to the Royal Family. Sarah is the author of two previous books, Back in Action and The Body in Action.

Table of Contents

Foreword v

Introduction 1

The way it might be 1

The way it is… 2

The way it goes wrong 4

The way ahead… 10

1 How a normal spine works 13

What is a spine? 13

The lumbar vertebrae 13

The spinal ligaments 19

The intervertebral discs 23

The nutrition of the discs 28

The vertebral movements 30

The facet joints 33

The bending human spine 36

The spinal nerves 40

The muscles which work, the spine 41

2 The stiff spinal segment 50

What is a stiff spinal segment? 50

Causes of a stiff spinal segment 52

Unremitting spinal compression reduces disc metabolism 54

Gravity squeezes fluid from the discs 55

Abdominal (tummy) weakness allows the spine to 'sink' 56

Sustained postures accelerate fluid loss and poor varieties of movement prevent fluid replacement 57

Chronic protective muscle spasm compresses the problem disc 63

Abnormal postures increase neurocentral compression and reduce metabolic activity of the discs 65

Injury can rupture the cartilage endplate between vertebra and disc 70

The disc breaks down 72

The way this back behaves 74

The sub-clinical phase 74

The acute phase 75

Acute palpation 76

What causes the acute pain? 76

The sub-acute phase 77

Sub-acute palpation 78

The chronic phase 78

Chronic palpation 79

What causes the chronic pain? 79

What you can do about it 80

Aims of self-treatment for segmental stiffness 80

A typical self-treatment for acute segmental stiffness 81

A typical self-treatment for sub-acute segmental stiffness 82

A typical self-treatment for chronic segmental stiffness 83

3 Facet joint arthropathy 85

What is facet joint arthropathy? 85

Diagnosis by manual palpation 89

Causes of facet arthropathy 91

Disc stiffening allows the facet capsules to tighten 91

Disc narrowing causes the facet joint surfaces to override 92

A sway back causes the lower facets to jam 94

Weak tummy muscles can jam the facets 97

A shorter leg invokes a greater restraint role of the facets 98

Golf clinic 101

The way this back behaves 101

The acute phase 101

Manual diagnosis of an acutely inflamed facet 102

What causes the acute pain? 103

Interrupting the pain cycle 104

The chronic phase 105

Lessening the pain 105

What causes the chronic pain? 107

What you can do about it 109

The aims of self treatment for facet joint arthropathy 109

A typical self-treatment for acute facet joint arthropathy 110

A typical self-treatment for sub-acute facet joint arthropathy 111

A typical self-treatment for chronic facet joint arthropathy 112

4 The acute locked back 114

What is an acute locked back? 114

Causes of an acute locked back 117

A natural 'window of weakness' early in a bend 117

Segmental stiffness predisposes to facet locking 119

Muscle weakness contributes to facet locking 120

The way this back behaves 122

The acute phase 122

What causes the acute pain? 123

The sub-acute phase 124

The chronic phase 125

What you can do about it 126

The aims of self treatment for an acute locked back 126

A typical self-treatment for acute locked back 127

A typical self-treatment for sub-acute locked back 128

A typical self-treatment for chronic locked back 129

5 The prolapsed 'slipped' intervertebral disc 132

What is a prolapsed disc? 132

Diagnostic techniques 137

Disc surgery 139

Causes of a prolapsed disc 141

Pre-existing breakdown alters the propeities of the nucleus and weakens the disc wall 142

Bending and lifting stress breaks down the back wall of the disc 143

Intensifying the breakdown 144

The way this back behaves 146

The acute phase 146

What causes the acute pain? 148

The chronic phase 150

What causes the chronic pain? 153

What you can do about it 154

The aims of self treatment of a prolapsed disc 154

A typical self-treatment for acute prolapsed disc 155

A typical self treatment for sub-acute prolapsed disc 156

A typical self-treatment for chronic prolapsed disc 157

6 The unstable spinal segment 158

What is segmental instability? 158

Diagnosis 162

Spinal surgery 164

Causes of segmental instability 165

Primary breakdown of the disc 165

Primary breakdown of the facet joints 168

Incompetence of the 'bony catch" mechanism of the facet joints 169

Weakness and poor coordination of the trunk muscles 171

Some speculation 172

The way this back behaves 173

The acute phase 173

What causes the acute pain? 174

The sub-acute phase 174

The chronic phase 176

What causes the chronic pain? 178

What you can do about it 178

The aims of self treatment for segmental instability 178

A typical self-treatment for acute instability 179

A typical self-treatment for sub-acute instability 180

A typical self-treatment for chronic instability 181

7 DEALING with acute back pain 183

What acute back pain does to your body 183

What you can do yourself: The 2 Important Appeasing Exercises for Acute Back Pain 185

1 The Wiggly Wagglies 185

2 Knees Rocking Every Which Way 187

8 Treating your own back 190

Helping yourself 190

Preliminary thoughts 190

The Procedures 191

Bed rest 191

The correct way to rest in bed 194

Medication 195

Painkillers and NSAIDs 196

Muscle relaxants 197

Exercises for treating a bad back 199

Rocking the knees to your chest 199

Rolling along the spine 200

Legs passing 205

Reverse curl ups 206

The BackBlock 209

Segmental pelvic bridging 215

The Ma Roller 217

Squatting 219

Toe touches in the standing position 221

Diagonal toe touches 223

Floor twists 225

The Cobra 226

From the Cobra to the Pose of the Child 229

The Sphinx 229

Spinal intrinsics strengthening 230

Reference reading 235

Index 253

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