Relief of Back Pain

George Ehni, MD
JAMA. 1980;244(2):136. doi:10.1001/jama.1980.03310020018016.
Text Size: A A A
Published online

To the Editor.—  The letter from Stanley H. Bohrer, MD (242:2845, 1979), concerning the comfort he gets from sleeping in a hammock calls for comment, lest he or others think themselves the first to make such an observation. In 1948 Van Gelderen1 described the painful effects of the lordotic posture and the good effect of reversing lordosis in two patients with spondylotic compression of the cauda equina. In his report he used lying in a hammock supine and prone as test procedures, reporting that lying in a hammock supine relieved symptoms, whereas the opposite did not. Since about that time the lordotic posture while walking has been recognized as an important contributing factor in neurogenic intermittent claudication. Rounding the back, walking in a stooped-forward position, stooping down to reverse lordosis, sleeping with the knees up under the chin to produce reverse lordosis, and sleeping with hips flexed in a


Sign In to Access Full Content

Don't have Access?

Register and get free email Table of Contents alerts, saved searches, PowerPoint downloads, CME quizzes, and more

Subscribe for full-text access to content from 1998 forward and a host of useful features

Activate your current subscription (AMA members and current subscribers)

Purchase Online Access to this article for 24 hours




Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).


Some tools below are only available to our subscribers or users with an online account.

Sign In to Access Full Content

Related Content

Customize your page view by dragging & repositioning the boxes below.