Filling a significant knowledge gap, this book brings the latest information to the evaluation and treatment of patients with a dysfunctional sacroiliac (SI) joint. Beginning with an overview of current anatomical knowledge and the role of pain and surgery, diagnosis and treatment approaches are carefully presented as individual chapters - featuring the origin of each surgical approach, the approach itself, its literary foundation, and overall available results. The final emphasis of the book is on post-operative concerns - including complications, bracing options, rehabilitation and managing patient expectations. Spine surgeons, physical therapists, and other professionals who treat the SI joint will find Surgery for the Painful, Dysfunctional Sacroiliac Joint to be an invaluable resource.
Millions suffer from chronic low back pain. What most people don’t know is that the sacroiliac joint is the actual source of pain in up to 22% of these cases, and that surgery can provide a cure.
Most doctors and surgeons are not trained to check the sacroiliac joint as a source of pain during a routine examination for back pain.
Additional facts are:
• Diagnosing and surgically treating chronic sacroiliac joint pain are not currently taught in medical schools, surgical residency programs or spine surgery fellowships.
• Despite this thousands of sacroiliac joint fusions are being performed annually for pain with this number only escalating each year.
This book explains why and how these opposing facts can exist in America today, and how patients with chronic low back pain can be educated and proactive in order to find the best appropriate and permanent relief for their condition. Dr. Dall has placed a very human face on a real medical problem that has for too long been ignored and undertreated. In doing so, he is eminently qualified to author this book.Among the handful of us who believed the sacroiliac joint caused pain and that this pain could be treated, he was the first to successfully publish his results and findings in a respected research journal. This must be considered a major accomplishment.With his research and this book, Dr. Dall has played a significant role in getting the medical world back on track after losing its way for nearly 90 years. Michael R. Moore, MD
This book thoroughly investigates and seriously scrutinizes one aspect of this enormous surgical device and instrumentation industry by focusing on the manufacturing of devices for fusing the sacroiliac joint. The reader will find that what is currently transpiring in this multi-million-dollar industry, that has been in existence for only about ten years, can be readily generalized to the muti-billion-dollar industry of all surgical device making, that has existed for decades.
It is important for every American to understand how it took industry almost half a century to become the surgical device making powerhouse of today, how enormous amounts of money are made as a result, and how these actions are generating a new paradigm in which patients are simply pawns being outsourced for and manipulated to achieve profits. These pages contain some bold suggestions as to what the first steps for change might look like, and that these changes will not happen from the top down. It will take a formidable grassroots effort to shift the industrial momentum to exact the meaningful change necessary to put the patient back at the top of America’s healthcare pyramid of importance.
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