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Crooked : outwiting the back pain industry and getting on the road to recovery / Cathryn Jakobson Ramin.

by Ramin, Cathryn Jakobson, author.

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New York : Harper, c2017.

9780062641786 (hardcover) :

xii, 409 pages ; 24 cm

Introduction: A terrible affliction : when I went looking for a solution, I found a much bigger problem -- PART I: PROBLEMS. Back pain nation : how we got into this mess ; A tale of two tables : why back patients "fail" chiropractic treatment and physical therapy ; Hazardous images : why you do not need--or want--to have an MRI ; Needle jockeys : how epidural steroid injections can go wrong ; The gold standard : why lumbar spinal fusion is never your only remaining option ; Google your spine surgery : the truth about "cutting-edge" procedures, as advertised online and on TV ; Replacement parts : why a bionic lumbar spine is not in the cards ; The opioid wars : how chronic opioid therapy keeps you in pain -- PART II: SOLUTIONS. Head case : what your brain has to do with your back ; The back whisperers : how to find a rehabilitation partner ; The right kind of hurt : how a much-maligned machine may still change everything ; The posture mavens : how to make gravity your friend -- Conclusion: Six years later.

"In her effort to manage her chronic back pain, investigative reporter Cathryn Jakobson Ramin spent years and a small fortune on a panoply of treatments. But her discomfort only intensified, leaving her feeling frustrated and perplexed. In the process of searching for better solutions, she exposed a much bigger problem. Costing roughly $100 billion a year, spine medicine--often ineffective and sometimes harrnful--exemplified the worst aspects of the U.S. health care system. The result of six years of intensive reporting, Crooked offers a startling look at back pain medicine, and provides practical advice and solutions. Jakobson Ramin interviewed scores of spine surgeons, pain management doctors, physical medicine and rehabilitation physicians, exercise physiologists, physical therapists, chiropractors, and specialized bodywork practitioners. She met with many patients whose pain and desperation led them to make life-altering decisions, and with others who triumphed over their limitations. Stunningly brilliant and utterly comprehensive, Crooked is not only important but also essential to millions of back pain sufferers and all types of health care professionals. Jakobson Ramin shatters assumptions about surgery, chiropractic methods, physical therapy, spinal injections, and painkillers, and addresses evidence-based rehabilitation options--showing, in detail, how to avoid therapeutic dead ends, while saving money, time, and considerable anguish."--Jacket.

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