Archives of Physical Medicine and Rehabilitation
Volume 88, Issue 3, Supplement 1 , Pages S22-S28, March 2007

Industrial Medicine and Acute Musculoskeletal Rehabilitation. 5. Interventional Procedures for Work-Related Lumbar Spine Conditions

  • Robert W. Irwin, MD

      Affiliations

    • Department of Rehabilitation Medicine, University of Miami, Miller School of Medicine, Miami, FL
    • Corresponding Author InformationCorrespondence to Robert W. Irwin, MD, Dept of Rehab Med, Univ of Miami, Miller Sch of Med, PO Box 016960 (D-461), Miami, FL 33101.
    • ,
  • Joseph P. Zuhosky, MD

      Affiliations

    • Total Spine Specialists, Department of Physical Medicine and Rehabilitation, Carolinas Medical Center, Charlotte, NC
    • ,
  • William J. Sullivan, MD

      Affiliations

    • Department of Physical Medicine and Rehabilitation, University of Colorado at Denver and Health Sciences Center, Denver, CO
    • ,
  • Patrick M. Foye, MD

      Affiliations

    • Department of Physical Medicine and Rehabilitation, University of Medicine and Dentistry of New Jersey: New Jersey Medical School, Newark, NJ
    • ,
  • Aaron W. Sable, MD

      Affiliations

    • St. John’s Macomb Hospital, Warren, MI
    • ,
  • Andre Panagos, MD

      Affiliations

    • Department of Rehabilitation Medicine, Weill Cornell Medical Center, New York–Presbyterian Hospital, New York, NY.

Abstract 

Irwin RW, Zuhosky JP, Sullivan WJ, Foye PM, Sable AW, Panagos A. Industrial medicine and acute musculoskeletal rehabilitation. 5. Interventional procedures for work-related lumbar spine conditions.

This chapter emphasizes the importance of establishing a differential diagnosis for low back pain (LBP) with and without referred lower-limb pain and outlines potential interventional treatments appropriate for each diagnosis. It is part of the study guide on industrial rehabilitation and acute musculoskeletal rehabilitation in the Self-Directed Physiatric Education Program for practitioners and trainees in physical medicine and rehabilitation. The article specifically focuses on the various interventions used to diagnose or treat those conditions commonly seen in patients with work-related LBP or referred pain in the lower limb. Current criterion treatments for lumbar disk pain, including surgical options, are reviewed.

Overall Article Objective

To give an overview of the current state of diagnosis and treatment options for low back pain with or without referred leg pain focusing on interventional procedures.

Key Words: Arthroplasty, Biochemical markers, Disk, herniated, Facet joint, Injections, epidural, Low back pain, Lumbar region, Rehabilitation, Sacroiliac joint

 

 No commercial party having a direct financial interest in the results of the research supporting this article has or will confer a benefit upon the author(s) or upon any organization with which the author(s) is/are associated.

 Reprints are not available from the author.

PII: S0003-9993(06)01567-X

doi:10.1016/j.apmr.2006.12.012

Archives of Physical Medicine and Rehabilitation
Volume 88, Issue 3, Supplement 1 , Pages S22-S28, March 2007

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