Diagnosis and treatment of pain of vertebral origin by Robert Maigne

By Robert Maigne

''[Dr. Maigne's] neuoranatomical factors are brilliantly illustrated and documented with a profound evaluate of the literature. …The profit he has given sufferers who've come from worldwide for his companies affirms the good thing about his method.'' From the 1st variation foreword by means of, -René Cailliet, M.D. Professor Emeritus, university of medication of the college of Southern California Over the process fifty years, Dr. Robert Maigne has equipped up a world acceptance for his pioneering paintings with spinal-related discomfort. His evaluate and healing thoughts, as soon as thought of progressive, are actually largely permitted as commonplace ways. In analysis and therapy of ache of Vertebral starting place, moment variation, Dr. Maigne provides a complete and hugely insightful overview of either basic and complicated study literature, exploring the anatomic, developmental, and pathological stipulations identified to provide soreness. together with large sections on overview and treatment, he bargains an entire education within the ideas and strategies of manipulation for which he's recognized. He additionally bargains clean methods to the matter of guide medication within the fragile parts of the backbone, in addition to observation on numerous different matters together with failed again syndrome. Dr. Maigne's devotion to inquiry and resistance to assumption, makes this article a useful studying for each clinician. the data he imparts with reference to the mechanics and remedy of discomfort will profit any perform.

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Arteriography has shown that when a subject positions the neck in extension and external rotation, the circulation is compromised on the side contralateral to the rotation (Fig. 8). The proximity of the vertebral artery to the cervicooccipital junction explains the possibility of injury to the arterial wall that may occur with inappropriate maneuvers of the cervical spine. Serious accidents have been described after certain “manipulations,” or even after some prolonged abnormal postures of the cervical spine that can result in vertebral artery compression and thus restrict blood flow between the atlas and the occiput.

The lumbar spine contains the largest disks in the spine (10 mm on average). However, the disk to vertebral body height ratio is only 1:3, as the verte- Relative heights of the intervertebral disks and the bodies of the spinal vertebrae. a. At cervical level, approximately one-third. b. At thoracic level, approximately one-sixth. c. At lumbar level, approximately one third. 1 11 12 SECTION I ANATOMY Sagittal section of an intervertebral disk: 1. Anterior longitudinal ligament seen in the front.

12). This line is seen on a standard anteroposterior radiograph of the cervical spine (forehead and nose on plate) as a line joining the two mastoid processes, which normally passes through the atlanto-occipital articulation. With cranial settling, the odontoid process ascends above this line. Other Anomalies Cranial settling can be accompanied by other anomalies such as occipitalization of the atlas, spina bifida occulta of the atlas, stenosis or deformation of the foramen magnum, subluxation or dislocation of the atlas on the axis, cervical block vertebrae, spina bifida, or platybasia.

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