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Case Rep Surg Invasive Proced 2017 | Volume 1 Issue 3
allied
academies
International Surgery and Ortho Conference
October 25-26, 2017 | Toronto, Canada
Introduction:
The back pain is so frequent that appears in every
clinic. Spine disorders are the 1 cause of disability in the United
States and worldwide. The 2010 Global Burden of Disease
(GBD) study recently reported comprehensive information on
the worldwide impact of 291 diseases, injuries and risk factors.
The degree of disability due to low back and neck pain between
1990 and 2010 increased 24% 29% respectively in United
States. (Charles A. Mick, MD 2013). The problem is failing to
diagnose the exact cause of back pain. The majority of back
pain considered Idiopathic (Michael Palma 1965, Nackemson
Al. 1982, Louis G. Jennies, 2005). In recent literature recorded
as nonspecific back pain (AAOS and American pain society
September 2010). In this paper I report the exact cause of
LBP diagnosed, then the correct treatment conducted and
the excess stress and economical lost were prevented. My
new concept is based on personally taking the history and
examining and treating 15665 patients during December 1984
to December 2012.
Method:
The key is to listen to the patient. Nearly all patients
with the first attack of back pain report, that when they lifted
some heavy weight or were involved in an accident something
popped, snapped, orwentoutordisrupted intheirback.Medical
literature is silence to describe what anatomical element was
disrupted or failed to produce back pain. Physiologically Inter
Spinatus Ligaments in continuation with spinal processes make
like a rob in the back of spine. This is similar to string in the
industrial crank for lifting. When we bend it resist against force
of Compression? This ligament is thin tough non-stretchable. It
is made of collagen type I (Similar to collagen in bone). With
excess stress it will fail, never heals and dynasty of low back
pain will be initiated. As a result, later instability of the 2
nd
column of spine will be produced. With mismanagement, the
damage of the disc will follow the initial back pain in a matter
of days, week’s moths or even years will produce leg pain and
sciatica. At this stage the insurance refused to accept treatment
of leg(s) pain and litigation will be initiated. If the condition is
not well treated, effectively, let to spinal Stenosis. Furthermore,
because disturbance of biomechanics of the spine as a result of
initial interspinal ligament injury in the lumbar spine, defense
mechanism leads to hyper lordosis lumbar spine, this lead to
hyper kyphosis Thoracic spine. Then lordosis of cervical spine in
tern cervical disc syndromewill develop.With vagueunderstand
the cause of back pain led to blindly ineffective treatment,
medico-legal stress and high expense will follow. How one can
prove the Inter Spinal Ligament Injury A) History of Injury. B) By
inspection a depth could be seen in thin subject. C) By palpation
by thumb the examiner may feel the depth and the patient
feels severe pain. D) By injection, if the examiner inject 2ml
local anesthesia between the two spinal processes with a 22
gage needles all pain will temporary be relieved. E) Objective;
in lateral x-rays view on flexion and extension a large gap will be
notice between the two spinal processes with ligament injury.
Speaker Biography
S M Rezaian has completed his Orthopaedic Surgery Residency training in London,
England, under world-renowned orthopedic authorities. He has been a Member of the
Royal College of Physicians and the Royal College of Surgeons in London, England, since
1969. He is an active Member and Fellow of the British Orthopaedic Surgeons. He is a
Fellow of the International Society of Orthopaedics and Traumatology (United States
Section), a Diplomat and Fellow in Orthopedic and Spine Surgery of the International
College of Surgeons (United States Section), and many other societies. He is licensed
to practice in the State of California, Iran and England, UK, where he completed his
training and residency in orthopaedic surgery.
e:
rezaian@sbcglobal.netSeyed M Rezaian
California Orthopaedic Medical Clinic, USA
A new concept, etiology of idiopathic back pain