Introduction: Etiology, Diagnosis, and Therapy

  • Harold A. Wilkinson


Management of a patient with a failed back following unsuccessful back surgery poses a serious problem to all health practitioners who attempt to aid these unfortunate sufferers. Neurosurgeons, orthopedists, psychiatrists, family practitioners, physical therapists, nurses, and even marriage counselors all too often find themselves frustrated in their therapeutic efforts. Many of these patients fail to respond to prolonged therapy, but the situation is certainly not hopeless. The list of therapeutic possibilities is, in fact, quite long and varied. Unfortunately, in many instances the failure to achieve success must be attributed to a lack of flexibility and versatility in the therapeutic efforts expended on these patients. One’s approach to these problems must be based on a systematic awareness of the potential therapies available and careful tailoring of therapeutic efforts to the patient’s specific symptoms, physical findings, and psychologic makeup.


Physical Therapist Family Practitioner Prolonged Therapy Therapeutic Effort Systematic Awareness 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


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Copyright information

© Springer-Verlag New York, Inc. 1992

Authors and Affiliations

  • Harold A. Wilkinson
    • 1
  1. 1.Division of NeurosurgeryUniversity of Massachusetts Medical SchoolWorcesterUSA

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