Table of Contents

PUBLISHER'S NOTE

PREFACE

Chapter 1 - THE BACKGROUND

Chapter 2 - THE INTERVERTEBRAL DISC

 The Function of the Intervertebral Disc
The Structure of the Intervertebral Disc:
The Outer Covering
The Annulus
The Nucleus
The Nervus Sinu Vertebralis
Anatomical Notes
Surgical Notes
Blood Supply

Chapter 3 - THE ANATOMY OF PAIN IN BACKACHE

 The Two Keys
The Rupture of Fibrillae and The Change To Fibrous Tissue
The Normal Life of the Nucleus
The Pathological Life of the Nucleus
The Remissions of Pain
The Forces Acting On the Intervertebral Disc
The Mathematics of the Relevant Internal Forces In the Disc
The Transmission of Pain
A Theory of the Radiation of Pain
An Aside On Electrical Investigations
Muscle Spasm
Protective Muscle Spasm Is Not Painful
The "Herniated Disc"
Herniation of the Nucleus Into the Spinal Canal Is Not the Cause of Spinal Pain
"Massive Herniation" of an Intervertebral Disc Does Not Occur
Pressure On a Nerve Root Is Not the Cause of Radiating Pain

Chapter 4 - THE RECOGNITION OF NUCLEAR LESIONS

 The Trivial Injury
The Course of the Lesion
The Symptoms:
The Cervical Spine
The Dorsal Spine
The Lumbar Spine
The Flow of Pain in Nuclear Lesions
The History
The Age of the Patient
The Health of the Patient
The Frequency of Nuclear Lesions
The Physical Examination
X-Rays
The Progress of a Nuclear Lesion

Chapter 5 - THE DIFFERENTIAL DIAGNOSIS OF A NUCLEAR LESION

 In Orthopaedic Surgery
Infections
Febrile Illnesses
Chronic Infections
Severe Injuries
Other Orthopaedic Conditions:
Sprains
Kissing Spines
Sprung Back
Hypertropy of the Ligamentum Flavum
Congenital Defects
Foraminal Compression
Osteoporosis
Ankylosing Spondylitis
Osteoarthritis
Paget's Disease
Neurology
Tumours
Neuritis
Gynaecology
Urology
Psychoneurosis
Tension States:
Headaches
Backaches
Pains In the Neck and Shoulders
Malingering
A Few Assorted Ailments
The Hapless Labels
The Mistaken Diagnosis and the "Miraculous Cures
References

Chapter 6 - A MISCELLANY RELATED TO NUCLEAR LESIONS

 Gas In the Nuclear Space
The Unstable Vertebra
Pseudo-Spondylolisthesis
Spondylolisthesis
The Narrowed Intervertebral Disc
Imbibition
Terms Which Should Be Discontinued:
Dehydrated Disc
Degenerated Disc
Prolapsed Disc
Ruptured Disc
Spondylosis
Root Pain
"Root Signs"
Preferable Terms
The Inevitable Term
References

Chapter 7 - THE VALUE OF MANIPULATION

 Extracts From Experts' Opinions
Bankart
Mennell
Mercer
Burrows and Coltart
Wiles
Cyriax
Barbor
Parsons and Cumming
Wilson
A Consideration of Methods of Treatment At Present In Vogue
Bed Rest
Traction In a Hospital Bed
The Plaster Jacket
Injections
Physiotherapy
References

Chapter 8 - THE TECHNIQUES OF TRACTION AND MANIPULATION OF THE SPINE

 Traction
Cervical Spine:
Manipulation Without Traction Apparatus
Rotation
Posterior
Lateral
Cervical Spine: On Table Technique
Rotation
Posterior
Lateral
Cervical Spine: With Traction
Rotation
Posterior
Lateral
Lumbar Spine: On Table
Rotation
Posterior
Lumbar Spine: With Traction
Posterior
Rotation
Dorsal Spine: On Table
Rotation
Posterior
Posterior
Rotation
On Table
Coccyalgia
The Traction Table
The Sacral Extra-Dural Injection
References

Chapter 9 - THE SURGICAL TREATMENT

 The Indications For Surgery
X-Rays
Myelogram
The Operation

Chapter 10 - BACKACHE IS A SIMPLE PROBLEM

 The Diagnosis Is Easily Made
The Diagnosis Is Confirmed by Manipulation of the Spine
Traction-and Manipulation of the Spine Are Perfectly Safe
The Operation Is a Simple One

Bibliography