Stabbed in the Back: Confronting Back Pain in an Overtreated Society
Nortin Hadler knows backaches. For more than three decades as a physician and medical researcher, he has studied the experience of low back pain in people who are otherwise healthy. Hadler terms the low back pain that everyone suffers at one time or another "regional back pain." In this book, he addresses the history and treatment of the ailment with the healthy skepticism that has become his trademark, taking the "Hadlerian" approach to backaches and the backache treatment industry in order to separate the helpful from the hype.
Basing his critique on an analysis of the most current medical literature as well as his clinical experience, Hadler argues that regional back pain is overly medicalized by doctors, surgeons, and alternative therapists who purvey various treatment regimens. Furthermore, he observes, the design of workers' compensation, disability insurance, and other "health" schemes actually thwarts getting well. For the past half century, says Hadler, back pain and back pain-related disability have exacted a huge toll, in terms of pain, suffering, and financial cost. Stabbed in the Back addresses this issue at multiple levels: as a human predicament, a profound social problem, a medical question, and a vexing public-policy challenge. Ultimately, Hadler's insights illustrate how the state of the science can and should inform the art and practice of medicine as well as public policy. Stabbed in the Back will arm any reader with the insights necessary to make informed decisions when confronting the next episode of low back pain.
What people are saying - Write a review
We haven't found any reviews in the usual places.
1 Three Marks of the Past on the Backs of the Present
2 Oh My Aching Back
3 The Pall of Persistence
4 Doc My Back Is Killing Me
5 The Quest for a Better Way Or My Name Is Nortin and Im a Placebo?
6 Invasion of the Spine Surgeons
Acute Low Back American Ann Intern Association benefit century chapter chiropractic Chronic Low Back Chymopapain claimant clinical clinimetrics center Cochrane Collaboration common Controlled Trial coping decade devices disability award disability determination disc discectomy disease disease-insurance account drug effectiveness epidemiology episode ergonomic evidence experience Factors fibromyalgia Furthermore fusion guidelines health-care illness behaviors industry interventions JAMA Journal labeled laminectomy low back pain Lumbar medicine Medtronic musculoskeletal disorders Musculoskeletal Pain N. M. Hadler nerve notion Occup Environ outcome patients percent persistent widespread pain physicians placebo population practice predicament procedure programs Prussian psychosocial Railway Spine randomized Randomized Controlled Trial rcts regional back injury regional back pain regional backache regional low back regional musculoskeletal disorders result rheumatoid arthritis Rheumatology risk scheme sciatica scientific seek social construction Speenhamland system Spinal Manipulation Spine 31 spine surgery ssdi Study suffering surgeons surgical survey symptoms Systematic Reviews therapy tion vertebral workplace