Texas Back Inst

Description

In 1971, Dr. Ralph Rashbaum and I met while stationed in the Air Force in Wichita Falls, Texas. At that time, we were not orthopeadic spine surgeons, but were functioning as general medical officers.We noted a significant percentage of our patients complained of back pain. Unfortunately, at that time, back pain was viewed similar to how abdominal pain had been viewed 70 years earlier; that is, abdominal pain was abdominal pain was abdominal pain. There was not a clear definition between a ruptured appendix, a ruptured gallbladder, intestinal torsion and multiple other diagnoses; these evolved over time.Likewise, in regard to back pain, back pain was back pain was back pain. There was not a clear etiology as to whether the symptoms were facet pain, discogenic pain, radicular pain or the cause of radicular pain. Spinal stenosis was just the beginning to be described, and people really did not know what it was. There were also questions concerning whether one could get pain secondary to soft tissue, such as ligamentous hypertrophy as compared to disc herniation, or some other tissue abnormality. No diagnostic category for internal disc disruption existed.

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