(DOWNLOAD) "Low Back Strains (Hand Made History)" by Allan Macdonald ~ Book PDF Kindle ePub Free
eBook details
- Title: Low Back Strains (Hand Made History)
- Author : Allan Macdonald
- Release Date : January 01, 2010
- Genre: Health & Fitness,Books,Health, Mind & Body,
- Pages : * pages
- Size : 50 KB
Description
A low back strain, myo-fascial or ligamentous, is one of the commonest injuries of the back. An acute postero-lateral prolapse of a low lumbar intervertebral disc is relatively rare. Yet is has become commonplace for the public and the profession lazily to label them all with the one glib phrase of a "slipped disc". This is a diagnosis which is often fear-inspiring and psychologically damaging to the patient. It may bring temporary mana to the doctor for his alleged ability to make a quick diagnosis, even if a wrong one, and possibly benefit his reputation because the strained back, which it has been all along, gets better in a few days or a few weeks, as it nearly always does, provided that it is not over treated. A truly prolapsed disc all too often does not. Muscle strains are found with great frequency near all the joints of the extremities. They vary from the rupture of a few fibres, as in the pulled hamstring of the footballer, and the partial tear of the gastrocnemius or the tennis elbow to the more serious frank tendon and muscle ruptures in the rotator cuff of the shoulder, the arms and the leg. Yet some doctors appear to believe that they do not occur in the low back, where the greatest muscular strains in the body are centred, or, at all events, to gloss over their common occurrence there. Ligamentous sprains of almost all of the peripheral joints are well recognised and treated for the most part successfully by strapping in a relaxed position or by splinting them in various ways until they have healed themselves in nature's own good time. The same lesions occur in the low back. The signs and symptoms are the same, and so, too, should be the treatment. When a patient sprains his ankle badly he feels immediate pain, followed a little later by stiffening of the joint, which is held in an abnormal position by muscle spasm and which hurts him when he walks on it. Under proper treatment it clears up in from ten days to three weeks' time. So, too, when he hurts his back he feels the same pain, usually more severely because larger joints and muscles are involved. His back stiffens up in just the same way and for the same reason as in the ankle--namely, to hold the affected area in as relaxed--and, therefore, as comfortable--a position as can be obtained. Hence the scoliosis or sciatic list, which does not, of itself alone, prove the presence of a prolapsed disc, but only that of low back strain. Much more certain signs of nerve-root pressure must be elicited before the term "slipped disc" can truthfully be allowed to slip out. A pain down the buttock or the back of the thigh is not sciatica from nerve-root pressure but merely a referred pain from a low back joint injury, in exactly the same way that pain about the region of the deltoid insertion is a referred pain in the case of a shoulder injury, and not a brachial neuritis from a cervical disc protrusion.
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