CONTENTS
I. Introduction
II. Cause of Chronic Pain Low in the Back
III. Syndrome of Chronic Pain Low in the Back Due to Degenerating Intervertebral Disk
IV. Syndrome of Herniating, or Ruptured, Intervertebral Disk
V. Rarer Symptoms and Rarer Cases of Herniating Intervertebral Disk
VI. The Roentgenogram
VII. Pathology
VIII. Etiology
IX. Terminology
X. The Operation
XI. Postoperative Care
XII. Results: Industrial Implications
XIII. Summary and Conclusions
I. INTRODUCTION
Some time ago I studied with Dr. Arthur Steindler, of Iowa City, the problem of chronic pain low in the back in relation to the syndrome of herniating intervertebral disk. We made an attempt to differentiate what we called true herniating, or ruptured, disk from pain low in the back with "reflex" pain. Two observations were outstanding. First, a patient without herniation of the intervertebral disk seldom complained of pain below the knee, although he frequently complained of pain down
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