کامران محلوجی

Evidence from medical literature implies that back radiculopathy pain is primarily caused by inflammation and disc herniation. Based on our examined sources, this theory was initially put forward in 1934 by two American surgeons, William J. Mixter and Joseph S. Barr. The theory proposes that the intervertebral disc changes shape for various reasons, leading to the compression of nerve fibers in the epidural canal. This compression can result in inflammation, pain, and restrictions in movement. Today, this theory is perceived to be increasingly inconsistent with clinical experiences. Hubert L. Rosomoff was the first to publish the article "Do Herniated Disks Produce Pain?" in 1984. In The Clinical Journal of Pain, he rejected Mixter and Joseph S. Barr's theory, but did not introduce a mechanism for how patients with discopathy do not experience pain.  Recent studies indicate that the human body can adapt to various types of deformities and alleviate the symptoms of a wide range of complications without any measurable change in the pressure or shape of the disc. This study proposes a hypothesis to understand the body's ability to achieve balance and adapt to a deformed disc and radiculopathic pain.

Jundishapur is one of the most important centers for transferring medical knowledge from Persian civilization to Islamic civilization. The studies of this hospital-university center in recent decades have gone through at least three different periods. The third round of Jundishapur studies focuses on new findings and lesser-known reports. The book Adab al-Tabib and its author reports on the ninth century AD about Jundishapur provides new information to researchers in this field that has not been reported so far. The author’s description of this book provides a new picture of the relationship between the Jundishapur Hospital-Training Center and Baghdad, which can be a good reflection of its management, and the transfer of physicians and researchers from Iran to the Center of Islamic Civilization. This information shows how, with the strengthening of Baghdad as a scientific center, Jundishapur slowly lost its importance, and doctors and researchers preferred to migrate to Baghdad for more income. This migration can be considered the second great scientific migration of Iranians in history.