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Back Pain: How to Relieve Low Back Pain and Sciatica
Loren Fishman, Carol Ardman

W. W. Norton & Company, 1999 - 286 pages

average customer review:based on 8 reviews
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   highly recommended  highly recommended



One of the Best Lower Back Pain Diagnosis Tools Available

After 5 days of journaling my lower back pain signs and symptoms - I was able to use this book and diagnose my back injury as Spinal Stenosis - Due to a major disc herniated at the L4-L5 inside the vertebral canal. For me the diagnosis was not good - immediate surgery, but as I tore through this book with ease, cover to cover within a 24hr period, I can see how this book is a must buy for those who have back problems several times a year and have not diagnosed the true underlying cause of the pain.

The authors are firm believers in a Doctor/Patient team approach with the patient responsible for aiding the doctor with the proper descriptions in order to truly diagnose the underlying cause of the pain. Using a step by step approach - the author gives the reader a true down to earth understanding of how all the bones, muscles, nerves, tendons, ligaments, disc and connective tissue affecting the lower back work together.

They teach the real difference between symptoms and signs, there-by giving the reader an excellent understanding on how to describe and classify the feelings and pain. They also describe all MD specialist that deal with lower backs to aid you on who might be best fit to help in your diagnosis. They even wiz you by non traditional methods.

Only when you ID the true root cause of the pain - can you begin the road to recovery. With the easy to follow muscle information and nerve charts and an unbelievable amount of excellent symptoms and sign diagnosis aids, I am 100% sold on this book. I am back buying 5 copies just to give out to family and friends that I know suffer through annual rituals of severe back pain and have not had success in really understanding the root cause.


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Great book for those in pain

If you are going to read one book about your sciatica or low back pain, this should be it. The book is very well balanced and covers a lot of ground without getting bogged down in details. It covers the medical background of back problems without becoming a medical text. There are also hints on types of treatments available and how to make rational decisions about what treatment is best for your situation. There are many, many back books out there but this is one of the best written.









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It worked GREAT for ME!!!

Put it this way, I haven't finished the book after owning it for 3 years now, but don't feel it necessary. I bought the book because I couldn't sleep due to back pain on a vacation. I read the first few chapters, said this is me and realized how much the mind influences your bodies well being. End of story, haven't touch the book since but highly recommend it to anyone!!!
Thank you Stern for Telling us about Dr. Sarno!!!


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Sort of helpful

I've read four books on low back pain, and this was third most helpful of the four. The three more interesting ones have their own specific slant, which may or may not be particularly helpful to any individual low back pain sufferer. For what it's worth, here are the four books, in my order of their helpfulness:
1. Treat Your Own Back, by Robin McKenzie. This mostly focuses on one exercize, the Mckenzie "press-up". A few other exercises are mentioned but mostly you hear about the press-up. However, the press-up IS the most-favored exercise by the majority of physical therapists today. The book is too simplistic, but that makes it easy to use by the amateur, which is the point!
2. Back Pain, by Loren Fishman, M.D., and Carol Ardman. This fairly readable book gives a lot of understandable information about back pain causes and symptoms. Particularly helpful to me was the section relating transferred pain symptoms of sciatica to the probable location of lumbar disk hernias. Dr. Fishman is a physiatrist and an advocate of very detailed physical examinations by physicians, but he gives you some self-examination tools as well.
3. Backache Survival, by Robert S. Ivker, D.O. This book is readable and even funny in places. However, the author gives you so many ideas, and so little specific documentation for the research leading to his conclusions, that I was pretty much overwhelmed. I did follow some of his nutritional recommendation. Ivker is a religious practitioner in favor of Tantric Yoga, therapeutic touch, and healing prayers to God. He's also in favor of practically EVERYTHING else except surgery. Ivker is the opposite extreme of simplistic McKenzie--he gives TOO MANY alternatives!
4. Understanding Low Back Pain, by Mario A Gutierrez, M.D. This book gets the booby prize for unreadability and for the complexity of its solutions, mostly surgery.

The bottom line is you're going to have a hard time curing yourself by reading books, but McKenzie comes closest.


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Dr. Loren Fishman, a distinguished clinician and a trailblazer in the treatment of sciatica, believes there's only one road to relief: patients must become partners with their doctors in naming the cause of their pain and in making treatment decisions.

Based on the latest research and on Dr. Fishman's fifteen years of experience in treating patients successfully, Back Pain is filled with pain-saving advice and instructional facts: so many adults suffer bouts of back pain that many doctors consider them normal occurrences, like a cold or flu; more than four days of bed rest can make a back ache worse; patients who choose chiropractors visit them twice as often as those who choose medical doctors; more than 25 percent of people who go to orthopedic surgeons have referred themselves; the initial treatment any doctor is likely to prescribe is aspirin; sciatica is one of the three major causes of back pain.


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