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| The Book | Back Cover | Reviews | First Chapters | Purchase Release From Pain | |||||||||
First Chapters The pages through the first three chapters are sequenced: 1 | 2 | 3 | 4 | 5 | 6 (The purchased book comes in a 3d book format) Much has recently changed since I began writing this book in 1992. Among the more notable: Leaders in chiropractic have remarkably advanced the merits of its professionalism, in some states, in extraordinary ways. In traditional medicine, some, at long last, are beginning to, at least, listen. At the same time, unhappily, “pain management,” a new discipline, is increasingly equated with specialized injection techniques absent understanding (yet) that biomechanical fundamentals related to the beginnings of many pain syndromes must be appreciated by any professional who professes to treat pain. Regardless, the beginnings of the shift in restoring balance are now noticeable. With history as witness, general change might evolve into ordinary thinking in a few decades, certainly not a few years. Today, the quality of so many lives remains needlessly at risk that the need for this book is as urgent as ever. But, since movement is now, finally, in fact, visible, my arguments countering medical intransigence no longer need to be in the front of the book and have been significantly revised and moved to Appendix B – where I believe they remain vitally important and entertaining nonetheless. PHG
Ted Loseff, M.D. was my friend. This fulfills in part my eulogy to him.
Tomio Yamamoto, M.D. Chief of Orthopedic Surgery, Osaka Koseinenkin Hospital, Japan.
"The cry of
I find it incredible that the body, with it wondrous ability to perform through such exquisite ranges of expression – the voice of a singer - the playing of musical instruments - mind boggling athletic achievement – is truly expected to comprehensively yield answers about its impairments to crude, too often poorly performed, physical examinations that are essentially designed to disclose only major abnormalities, yet - because of the Fundamental Flaw - are the irrefutable criteria of medical determinism!
TABLE OF CONTENTS
CHAPTERS Leveling The Field Of The Controversy
Conviction And Commitment
The Fundamentals
Lessons From People's Stories
Issues Concerning Manipulation’s Acceptance
The Forewords are from notable members of each of the major healing professions. ( Some of their comments may be more directed to professionals):
The skeletal system with its muscles is the largest structure in the body. Yet, physicians often fail to consider extenuating conditions of musculoskeletal origin in the differential diagnosis of diseases causing pain and discomfort. If special procedures that require high tech instrumentation, like computerized axial tomography (CT Scan) and magnetic resonance imaging (MRI), do not show any abnormal findings, there is no justification for the continuous complaint in the minds of many. Unfortunately for the patient, these expensive studies are of little value in diagnosing soft-tissue and joint problems resulting from minimal derangements of the functional anatomy that may be disabling regardless. On the other hand, a careful examination, inspecting the surface anatomy and joints and palpating muscles and other soft tissues, will reveal the diagnosis in most cases. Dr. Goodley is a firm believer in the science and art of manipulative therapy as an essential component of medical care, and he has written this provocative book to assert his case. For longer than I have known him, he has tried to attract serious attention to this fundamental problem within our profession. Finally, he has decided he must make everyone aware of the penalties of inadequate medical examination and failure to apply essential skills. Throughout the many interesting and instructive chapters, he makes a constant and persuasive plea for the medical profession to recognize the value of therapeutic manipulation and, perhaps even more, to come to understand the underlying principles which will markedly improve overall care. That is the crux of his book. He also finds it necessary to censure his profession for being responsible for perpetuating this fault and for promoting the stigma a century ago that led to the present prejudice against manipulation. By so doing, he accepts the risk of incurring the displeasure of some of his colleagues who may not accept his documented criticism with grace; but, for him, this has been a life-long battle, and he seeks the higher goal that our profession will listen now and provide better care. Dr. Goodley's ethic is if he does not release this information now, he is commensurately responsible for future cases such as those he so graphically describes. Nevertheless, he is right, because manipulation can and does relieve pain by adjusting derangements in joint mobility, as does massage and stretching of muscles for symptoms of myofascial pain syndromes. Dr. Goodley carefully describes other far reaching alterations in body physiology because of these conditions, and he describes therapeutic methods, some of which are of such detail that manipulation is clearly seen as a completely logical application of sound biomechanics. He removes the mystery of manipulation well enough that a few procedures can even be performed, if circumstances warrant, by a careful reader. I applaud Dr. Goodley for his straightforward way of bringing this ancient concept to our modern practice of medicine. More than other physicians, Dr. Goodley is highly qualified to write this book. He is a physiatrist, a specialist in Physical Medicine and Rehabilitation, and he has studied with and mastered the manipulative concepts of the best teachers in the world. Dr. Goodley carefully describes why he has been such a strong advocate for these methods since shortly after his graduation from medical school where he learned none of them. This book relates his experiences and enviable triumphs in restoring disabled patients to a productive life with these methods. Yet, during that same time, he tirelessly taught, or tried to, what he had learned so there might not be a distinction between his accomplishments and those of too many others in our profession who have been unwilling to reexamine the manipulative procedures. Those of us in the medical profession who have practiced Orthopaedic Medicine can vouch for the effective outcome of properly applied manipulative therapy. Would that we all had the ability and dexterity of Paul H. Goodley.
Herman J. Flax, M.D., M. Med. Sc. (Phys Med), FACP, FAAPM&R, ACRM, ABPM&R,ABEM, Hon Prof in Med Scs, Universidad Catolica Madre y Maestra September 30, 1993 “The collection of cases described is…awesome.” Manipulation to relieve pain is as old as antiquity when children were trained to walk on the spines of their grandparents to relieve their aching backs. The sensitive interdependence of structure and function in the human body was realized in 1874 by Dr. Andrew Taylor Still, and Dr. Goodley well describes his work in this remarkable book. He was another reluctant maverick who saw too many die of disease during the Civil War and then three of his immediate family from spinal meningitis despite the best that medicine had to offer. In 1960, during his maiden voyage into general practice, Paul H. Goodley, M.D. applied the technique he had learned in an introductory course on manipulation to Ozzie Hansen and saved this man's life. The experience also changed the road for Dr. Goodley who discovered that he had within his hands a therapeutic skill heretofore undreamed of. I also had to discover the benefit a patient could experience under my hands for in the final analysis it is not the wonders that Still or others performed that mattered, but whether my patients or Dr. Goodley's patients could similarly benefit. I remember the bricklayer who had fallen from a scaffold in 1953. He was brought into my office supported by two men because severe vertigo prevented him from standing alone. My joy was as great as his was when, after that one specific treatment his vertigo was gone and he walked out unassisted. Dr. Goodley's story of Richard in "the case of the strangling pituitary" which occurred in the early eighties, brings to mind some of Sutherland's early experiments as he sought to understand the implications of cranial trauma and develop techniques for correcting it. In this book Dr. Goodley has dared to challenge his first profession. He has dared to expose an imbedded blind spot in its vision, and in this time of profound change in the system of medical care, he has revealed the essential need to address a whole patient. The musculoskeletal system comprises 65% of this patient. It is the machinery of life. Emotion can only be expressed through it. Prevention must be addressed within it and the inner healing forces of the body can be liberated through it. Read, mark, learn and inwardly digest the profound wisdom to be found within these pages. Viola M. Frymann D.O., F.A.A.O.
I met Paul under unusual circumstances. He agreed to come to Los Angeles Chiropractic College to teach during one of our annual sessions. I'd never heard of him before, but for an M.D. to accept such an invitation in 1977was unusual in itself. What first captured my attention was his intensity. There was nothing casual about him. He was a man with a passionate mission, and what he said made sense. It also countered the "prevailing wisdom" of his medical colleagues and got him into considerable trouble over time. Despite those obstacles he persisted because he was committed to what he had to do. We were so impressed with his integrity and his knowledge that, at one time, he was invited to teach on faculty at LACC. Amazingly, I suppose, he seriously considered it for the sake of what his professional life had become. It didn't come to pass because of other influences that were unforeseen and beyond any of our control. When LACC was selected by the chiropractic colleges to administer a federal $2 million research grant for research concerning the efficacy of manipulation, Paul was the only M.D. selected. Again, unforeseen circumstances cancelled it, but, again, chiropractors from all over the United States and Canada had a chance to meet Paul and test his integrity. He was trusted. More than most, Paul has experienced and understands the strengths and weaknesses of chiropractic. In this book, he has dealt with all his professional colleagues: allopaths, osteopaths, chiropractors and physical therapists honestly, according to his experiences. Till now, it is the sum of Paul's professional work. It is a statement of the essential ingredient that medicine must reconsider and replace into its primary thinking. If there is any book that will break the bonds of ignorance, fear and prejudice that have kept manipulation from being seen in the light, this is it. It is not cute. Its primary purpose is not to plead. As Paul Goodley is honest, so is this book. He tells it like it is because that may be the only way people will listen. And they must or we will continue to suffer the wages of bad medicine.
Frank Schoenholtz , D.C. Dr. Goodley and I became friends when we first met, in 1972, while I was coordinating a one-month course in San Francisco by Geoffrey Maitland. Our paths have crossed many times since both professionally and personally. My involvement in the evolution of manual therapy in physical therapy for the past 32 years coincides with his efforts, in medicine, which he began in the early 60's. A difference is that physical therapists, in general, did not resist the flow of essential skills that are so intuitively logical to my profession whereas Paul largely encountered the massive resistance of his profession that was threatened and unwilling to listen that biomechanics, the foundation of virtually all physical examination, had not been part of the training of virtually any physician for over a hundred years. He persisted regardless because he knew he was right, and eventually events made clear to him that it was his destiny to be a maverick with a vital message. Release From Pain is the culmination of his professional lifetime of experiences in proving these methods. In 1974, I became both founding secretary/treasurer of the International Federation of Manipulative Therapy, a special interest group within the World Confederation of Physical Therapy and a member of the Orthopaedic section of the American Physical Therapy Association. In 1979, I participated in the founding of the first one-year residency program in the U.S.A. for physical therapists in Manual Therapy at Kaiser-Permanente in Northern California . (My own manipulative skills came from my spending three months with Geoffrey Maitland in Australia in 1970.) I state the facts about myself to qualify my remarks concerning Dr. Goodley's efforts in Release From Pain. I have observed Dr. Goodley in his clinical work and assisted him in his teaching, most specifically when he was the Consultant to the U.S. Veterans Administration in Orthopaedic Medicine when, for a few years, he trained the chief P.T.s of each hospital. I had the pleasure of introducing him once as, “The best physical therapist I know.” And, his friend, I am well aware of his decades of battle for the basics of medicine to be restored. I have seen his integrity hold against the stresses, so I am honored to write this Foreword from the perspective of a physical therapist. Release From Pain represents the essence of what Dr. Goodley has learned and applied over his professional lifetime in his task of trying to understand and relieve pain syndromes early on. It is a fascinating voyage of discovery that you can travel with him and “live with” some very special patients some of whose problems eluded the best medicine had to offer until they were subjected to what should have been done first as general procedure – understanding the patient's history, seeking the responsible biomechanical expressions of their problems – and resolving them accordingly. Dr. Goodley has integrated medical skill, manipulative skill and patient respect in this book. Release From Pain is replete with clinical examples that both illustrate the clinical reasoning he learned by persisting in his search for solutions to his patients needs, and which he illuminates with case studies to inspire the reader how positive outcomes may be achieved. (Four, maybe five, of his cases resulted in the discovery of new diagnoses – three of them in cases that had been failures at medical universities.) From this perspective, he authoritatively addresses chronic pain (long standing pain) and implicitly challenges what has been the status quo in Western medicine. The pages through the first three chapters are sequenced: 1 | 2 | 3 | 4 | 5 | 6 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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