A simple, go-to guide to treating chronic pain with trigger point therapy for physical therapists, bodyworkers, and patients From the bestselling author of The Concise Book of Trigger Points This pocket-sized guide covers practical information about the trigger points-the painful knots that can form in tissues like muscles and fascia-that are central to addressing acute and chronic pain with massage, bodywork, and physical therapy. Full-color illustrations and charts help practitioners, students, and patients identify trigger points and address referred pain patterns with ease. The first chapter introduces relevant information on fascia and myofascial meridians and provides an overview of trigger point symptoms, classification, and formation. Subsequent chapters are organized by muscle group and feature concise-yet comprehensive-sections on each of the main skeletal muscles and their trigger points. Common conditions, such as headaches and back pain, are explored for all of the muscle groups, including the muscles of the: * Face, head, and neck * Trunk and spine * Shoulder and arm * Forearm and hand * Hip and thigh * Leg and foot Written in clear, accessible language, this essential guide offers a wealth of knowledge to the lay reader, the student, or the practitioner.

Revised and updated: a fresh new look to this established best seller, offering unique insights into this versatile and highly effective technique in the physical therapists' toolbox. Muscle Energy Techniques (METs) is a must for any student or practitioner of physical therapy, osteopathy, physiotherapy, chiropractic, or massage therapy. This practical guide, packed full of colour photographs, fully illustrates the theory and practice of a range muscle energy techniques. The book is broken in five parts. In Part I, the author examines the theory and principles behind muscle energy techniques, with chapters introducing the technique itself, muscle imbalances, myofascial slings and core muscle relationships, which leads neatly into the practice behind the technique. Parts II to IV break down the technique into body areas, i.e., upper body, lower body, trunk and pelvis, with clear descriptive explanations of the techniques accompanied by colour photographs with directional arrows showing the practitioner how to maximise the benefits of the treatment. Clear drawings allow the reader to understand the basic anatomy of each muscle. A concluding Part V shows two applications of METs: self-lengthening techniques for the shoulder complex and muscle weakness testing and the gluteals. The complete guide for any student or practitioner of physical therapy and related modalities, this is a book that you will refer to again and again.

Oxford Textbook of Clinical and Biochemical Disorders of the Skeleton 2 is a definitive reference providing comprehensive coverage of common polygenic and rare monogenic disorders, emphasizing new advances in bone cell biology and human skeletal disease. With an up-to-date account of common and rare metabolic disorders of the skeleton, including their causes, clinical aspects, and treatment, this book offers the reader clarity in the complex field of the molecular biology of the skeleton. Topics covered include bone biology and investigation, osteoporosis, osteomalacia and rickets, parathyroid bone disease, Paget disease, and the effects of malignancy on the skeleton. Newer metabolic bone disorders are also included, along with chapters on osteogenesis imperfecta, skeletal dysplasias, osteopetrosis and osteosclerosis, Marfan syndrome, Ehlers-Danlos syndrome, fibrous dysplasia, and ectopic mineralisation. Essential for postgraduates and clinicians, this accessible and highly illustrated book provides a clear authoritative account of metabolic bone diseases in their widest sense. Bringing together considerable advances in the field, it discusses molecular causes and personal experiences of all disorders, ensuring a comprehensive and didactic reference. Enriched with over 100 new illustrations and revised chapters to reflect a rapidly developing field, this second edition will be indispensable for those who look after patients with metabolic bone disease, including general physicians, rheumatologists, endocrinologists, and orthopaedic surgeons, along with paediatricians and geneticists. This print edition of The Oxford Textbook of Clinical and Biochemical Disorders of the Skeleton comes with a year's access to the online version on Oxford Medicine Online. By activating your unique access code, you can read and annotate the full text online, follow links from the references to primary research materials, and view, enlarge and download all the figures and tables. Oxford Medicine Online is mobile optimized for access when and where you need it.

Biomechanics of Tendons and Ligaments: Tissue Reconstruction looks at the structure and function of tendons and ligaments. Biological and synthetic biomaterials for their reconstruction and regeneration are reviewed, and their biomechanical performance is discussed. Regeneration tendons and ligaments are soft connective tissues which are essential for the biomechanical function of the skeletal system. These tissues are often prone to injuries which can range from repetition and overuse, to tears and ruptures. Understanding the biomechanical properties of ligaments and tendons is essential for their repair and regeneration.

As many as fifteen million American women, or 5 percent of the adult female population in the US, suffer from the disabling medical condition known as fibromyalgia. If one takes into account husbands, partners, children, and other close relatives, the proportion of the American population directly or indirectly affected by fibromyalgia could be as high as 10 percent, or thirty million persons.
Nonetheless, the medical community is divided over the reality of this condition. One side argues, sometimes heatedly, that the patients are masquerading - pretending a disability they know they do not have. The other side counters, with equal passion, that fibromyalgia sufferers are abused by a society that fails to give them the support they deserve while painfully suffering from this severely debilitating illness.
Without taking sides, Dr. M. Clement Hall presents six fictional, though factually based, case studies of typical patients from differing socioeconomic backgrounds and describes the varying investigations, diagnoses, and treatments they have undergone. Each of these case studies represents a composite of many years of clinical practice rather than one specific patient. Collectively, they cover the range of experiences fibromyalgia patients are likely to have encountered.
By taking this unique approach, Dr. Hall presents an objective overview of the fibromyalgia situation today in North America. Patients, family members, and physicians will see themselves reflected in the descriptions and will gain a broader understanding of this challenging illness.

1 Die Press-Fit-Verankerung.- 2 Indikation, Technik und Ergebnisse der konischen Schraubpfanne bei Primar-und Revisionseingriffen.- 3 Keramik-Polyethylen versus Metall-Polyethylen - Eine in vivo-Analyse.- 4 Keramische Pfanneneinsatze fur totalen Huftgelenkersatz.- 5 Mittelfristige Ergebnisse mit der Keramik-Gleitpaarung in der Huftendoprothetik.- 6 Werkstoffkundliche Aspekte zum UHMW-Polyethylen.- 7 Muller-Bogenschaft-Prothese - Langzeitergebnisse mit vollstandiger Datenerfassung..- 8 Verankerungsprinzipien des Exeter-Schaftes.- 9 Der Lubinus-Schaft.- 10 CLS-Multicenterstudie - 11jahrige Erfahrungen.- 11 Konische Schaftverankerung bei zementfreien Huftendoprothesen.- 12 Die CHENDO-Femurprothese - Trabekular orientiertes Endoprothesensystem.- 13 Bionik als Grundlage eines trabekular orientierten Endoprothesensystems.- 14 CL. ESKA-Stiele/Endoprothesen.- 15 Die Druckscheibenprothese - Fruhergebnisse bei Patienten mit Arthritis.- 16 Zementfreie Schaftverankerung der Individualprothese..- 17 Axis-Stufenschaft.- 18 Die ESKA-Schenkelendoprothese Cut zur inneren metaphysaren Fixation.- 19 Resultate nach zementfreier Implantation des BiContact-Huftendoprothesengeradschaftes.- 20 Robotik am Huftgelenk - Das Robotersystem Robodoc.- 21 Computerassistierter Einbau von Huftprothesenschaften mit dem CASPAR-System.- 22 Erste Erfahrungen mit dem Surgigate-System von Medivision bei der Implantation der Huftpfanne.- 23 Erste Erfahrungen aus der klinischen Testung der computerassistierten Pfannenpositionierung bei der Implantation von Huft-Total-Endoprothesen mit dem NavitrackTM-System.- 24 Computergestutzte Prothesenauswahl und Implantationskontrolle.

The content of this book is intended to provide the toxicologist in drug development in the pharmaceutical and biotechnology industries with a broad understanding of bone and its interactions with other organ systems in safety assessments. The book is divided into three parts. The first part describes our current understanding of bone biology and its primary regulatory pathways. Additional chapters address regulatory and study design considerations for incorporating bone end points in toxicology studies, with special consideration being given to juvenile toxicology studies. This is intended to address recent regulatory requirements to evaluate skeletal development for drugs in development for pediatric populations. The second part of the book describes the principal techniques and methods used in bone research; understanding how these end-points are derived is fundamental to their appropriate application. These first two parts of the book provide the background and the means to develop the concepts in part three which describes bone and its interaction with other organ systems. The unique series of chapters in part three, contributed to by key leaders in their respective fields and in bone research, provides a comprehensive collective work. Although constantly evolving, the crosstalk and interaction of the skeleton with several organ systems is now recognized and well documented, such as for the reproductive system, muscle and kidney, while our understanding of the interaction with other organ systems, such as the immune system and CNS, is in its infancy. Recent work highlights the key role of the skeleton in the regulation of energy metabolism and the impact this has on research in metabolic diseases such as obesity and diabetes. The hope is that this book will enlighten many and encourage more to explore the impact of new compounds on the skeleton in the development of effective and safe drugs.

Duchenne Muscular Dystrophy, an inherited and progressive muscle wasting disease, is one of the most common single gene disorders found in the developed world. In this fourth edition of the classic monograph on the topic, Alan Emery and Francesco Muntoni are joined by Rosaline Quinlivan, Consultant in Neuromuscular Disorders, to provide a thorough update on all aspects of the disorder. Recent understanding of the nature of the genetic defect responsible for Duchenne Muscular Dystrophy and isolation of the protein dystrophin has led to the development of new theories for the disease's pathogenesis. This new edition incorporates these advances from the field of molecular biology, and describes the resultant opportunities for screening, prenatal diagnosis, genetic counselling and from recent pioneering work with anti-sense oligonucleotides, the possibility of effective RNA therapy. Although there is still no cure for the disorder, there have been significant developments concerning the gene basis, publication of standards of care guidelines, and improvements in management leading to significantly longer survival, particularly with cardio-pulmonary care. The authors also investigate other forms of pharmacological, cellular and gene therapies. Duchenne Muscular Dystrophy will be essential reading not only for scientists and clinicians, but will also appeal to therapists and other professionals involved in the care of patients with muscular dystrophy.

This book describes in detail current best practice in the diagnosis and treatment of malignant pediatric bone tumors and also discusses other important aspects of management. Clinical assessment, the role of different imaging modalities and choice of biopsy procedure are explained and an individual chapter is devoted to diagnostic pathology. The treatment-oriented chapters offer in-depth descriptions of chemotherapeutic regimens, radiation therapy, limb-salvage options and amputation-related issues and in addition consider the approach to lung nodules, the role of biomarkers, off-therapy monitoring and the treatment of relapse. Psychosocial impacts and needs are addressed and guidance provided on nursing during treatment and rehabilitation following orthopaedic surgery. Closing chapters evaluate emerging therapies and discuss disparate aspects of survivorship. The authors are acknowledged experts and include many contributors from the Nationwide Children's Hospital, a leading pediatric care facility in the United States.

This book contains the full papers presented at the MICCAI 2014 workshop on Computational Methods and Clinical Applications for Spine Imaging. The workshop brought together scientists and clinicians in the field of computational spine imaging. The chapters included in this book present and discuss the new advances and challenges in these fields, using several methods and techniques in order to address more efficiently different and timely applications involving signal and image acquisition, image processing and analysis, image segmentation, image registration and fusion, computer simulation, image based modeling, simulation and surgical planning, image guided robot assisted surgical and image based diagnosis. The book also includes papers and reports from the first challenge on vertebra segmentation held at the workshop.

This volume explores experimental approaches used to study Duchenne muscular dystrophy (DMD), an X-linked degenerative skeletal muscle disease caused by mutations in the dystrophin gene. Including the latest progress and scientific achievements, the book covers recent discoveries achieved through in vivo gene editing which have proven to be promising in restoring dystrophin expression, at least in ameliorating skeletal muscle symptoms, and the contents focus on "Omics" techniques in gene expression, protein expression, miRNAs, and long non-coding RNA analysis, as well as experimental studies of the structural/functional changes affecting the skeletal and cardiac muscles and ongoing preclinical studies and clinical trials. Written in the highly successful Methods in Molecular Biology series format, chapters include introductions to their respective topics, lists of the necessary materials and reagents, step-by-step, readily reproducible laboratory protocols, and tips on troubleshooting and avoiding known pitfalls. Authoritative and practical, Duchenne Muscular Dystrophy: Methods and Protocols serves as a guide for researchers exploring the complicated nature of dystrophin in the hope of helping the victims of this disorder.

This authoritative reference examines the causes of--and offers workable solutions to--the widespread problem of musculoskeletal injuries among armed forces personnel. Specific chapters on combat, non-combat, training, and fitness injuries shed necessary light on the nature and scope of the epidemic, including impact on active service members and the resulting quality of life issues in veterans. An overview of these injuries by anatomic region highlights treatment, disability, and prevention issues in military settings. The book also translates the standard public health model for preventing injuries into military context, giving professionals guidelines for developing strategies tailored to the unique strengths and risks of this population. Featured in the coverage: * The burden of musculoskeletal injuries in the military. * Traumatic combat injuries. * Deployment and non-battle injuries. * Epidemiology of musculoskeletal injuries by anatomic region. * Application of the public health model for injury prevention. * Barriers to injury prevention in the military. Its depth of detail makes Musculoskeletal Injuries in the Military critical reading for orthopedic surgeons, physical therapists, athletic trainers, military leaders, military and VA healthcare staff including physicians and policymakers, public health and injury prevention professionals, occupational health and safety professionals, musculoskeletal injury and disease researchers, and veterans' health advocacy groups.

This volume provides leading-edge protocols in the study of the molecular and cellular biology of muscle stem cells. Chapters detail current and updated methods for muscle stem cell isolation, culture, molecular analysis, cellular analysis, and reintroduction in vivo as well as protocols for studying myogenic stem cells in non-mammalian model systems. Written in the highly successful Methods in Molecular Biology series format, chapters include introductions to their respective topics, lists of the necessary materials and reagents, step-by-step, readily reproducible laboratory protocols, and tips on troubleshooting and avoiding known pitfalls. Authoritative and cutting-edge, Muscle Stem Cells: Methods and Protocols aims to ensure successful results in the further study of this vital field.

"Ankylosing spondylitis and Klebsiella "is a comprehensive and informative text on the cause of Ankylosing spondylitis. Ankylosing spondylitis" ("AS) is a condition which affects 20 million people worldwide and is likely caused or initiated by a bowel infection from "Klebsiella "bacteria.

When a patient is infected by "Klebsiella "bacteria, his or her immune system will make antibodies against all the antigens or molecules found in the microbe. Because some of the bacterial antigens resemble self tissues, the anti-bacterial antibodies will attack not only the bacteria but also the self tissues such as the joints and the cells having the same HLA molecules, which is how the disease AS starts. This is the concept of molecular similarity or molecular mimicry which previously has been found to work in two other autoimmune diseases; rheumatic fever and rheumatoid arthritis.

The first paper on this subject was published in 1976 and since then over 100 papers on rheumatological topics have been published, from Prof Ebringer s group, at the Division of Life Sciences, King s College in London, UK.

The relevant information from these papers is extracted and presented in this book format making it accessible to health professionals, research institutions, pharmaceutical companies and universities and the general public.

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Ankle injuries are often sport related and pose a diagnostic and therapeutic challenge. Over the past 25 years, Niek van Dijk, founder of the Amsterdam Foot and Ankle School and author of this book, has developed a new philosophy of ankle arthroscopy. It entails a comprehensive approach which includes various diagnostic strategies and the application of a number of minimally invasive endoscopic techniques. The procedures are based on research programs and long-term outcome studies performed at the Orthopaedic Research Center Amsterdam. Use of these techniques has spread throughout the world; they are now recognized as the state of the art and have been used to treat many leading professional athletes. This diagnostic and operating manual presents the Amsterdam Foot and Ankle School approach for a wide variety of ankle and hindfoot problems. Clear step-by-step instructions are provided with the help of numerous high-quality illustrations, most of which are in color. Access to a web-based educational site is also available to readers.