Musculoskeletal injections for joint or tendon problems are performed commonly and their use, which can result in a marked improvement in acute symptoms as well as delay or postpone surgery, is on the rise. Key features: Provides concise, current and portable information Covers the latest treatment options, supported by scientific evidence and guidelines Discusses alternative injections, non-injection measures and novel treatment modalities Text supported by illustrations and video of injection procedures and physiotherapy Ideal for both the non-specialist seeking an introduction to the subject and the more experienced practitioner This accessible guide helps doctors from various disciplines including orthopaedics, sports medicine, rheumatology, radiology and primary care as well as allied health care professionals understand the indications and local anatomy to safely perform injections with complication avoidance. In addition, the book provides useful information regarding other alternatives including physiotherapy and novel modalities. The content is supported by current evidence, guidelines and companion videos.

Research on bone remodeling has resulted in much new information and has led to improvements in design and biomedical practices. Mechanics of Cellular Bone Remodeling: Coupled Thermal, Electrical, and Mechanical Field Effects presents a unified exploration of recent advances, giving readers a sound understanding of bone remodeling and its mathematical representation. Beginning with a description of the basic concept of bone remodeling from a mathematical point of view, the book details the development of each of the techniques and ideas. From there it progresses to the derivation and construction of multifield and cellular bone remodeling and shows how they arise naturally in response to external multifield loads. Topics include: Fundamental concepts and basic formulations for bone remodeling Applications of formulations to multifield internal bone remodeling of inhomogeneous long cylindrical bone Theory and solution of multifield surface bone remodeling A hypothetical regulation mechanism on growth factors for bone modeling and remodeling under multifield loading The RANK-RANKL-OPG pathway and formulation for analyzing the bone remodeling process A model of bone cell population dynamics for cortical bone remodeling under mechanical and pulsed electromagnetic stimulus Recent developments in experiments with bone materials Readers will benefit from the thorough coverage of general principles for each topic, followed by detailed mathematical derivations and worked examples, as well as tables and figures where appropriate. The book not only serves as a reliable reference but is also destined to attract interested readers and researchers to a field that offers fascinating and technologically important challenges.

This practical handbook is an essential reference for GPs when dealing with musculoskeletal disorders, as well as a useful exam prep aid for the common MSK cases that occur in the CSA. Responding to increasing pressures on GPs to reduce the number of referrals and treat more patients in the community, the book covers a breadth of orthopaedic disorders, with clear colour photographs and diagrams to demonstrate techniques in practice. Chapters are authored by experts in each disorder with GP input, putting a strong focus on diagnosis and easy-to-follow processes for deciding courses of action and investigation. Each section explores the range of treatment options for that topic, including step-by-step injection techniques where relevant, and signposts need-to-know areas with 'red flags'. This is an important reach-for guide to assist GPs with easy diagnosis and to provide clear direction on next recommended steps.It will also be useful for medical students taking orthopaedics modules.

Clinics in Developmental Medicine No. 163

Children with craniosynostosis are born with congenital deformities of the face and skull. In severe cases associated problems are common. The child who is not properly cared for can end up blind, deaf and with severe learning difficulties. In addition, they may be left with unacceptable facial deformities. Outside specialized craniofacial units, there is at present nowhere for those involved in primary or secondary care to go for help with the many practical problems that these children present. In this book, a distinguished team of editors have assembled experts in the field to introduce the non-craniofacial specialist to what can be achieved and how they can contribute to the child's welfare. It will be essential reading for paediatricians seeking practical information about the management of these disorders, and for specialists in neurosurgery, ENT, ophthalmology, plastic surgery, maxillo-facial surgery, orthodontics, psychology, genetics, anaesthesia, audiology and speech therapy.

Designed to be a go-to reference for assessment and treatment planning in the clinic, this is a clear and concise handbook for students and practitioners of dry needling, or medical acupuncture. It includes: * Comprehensive medical illustrations demonstrating trigger point locations and associated pain referral patterns * Easy-to-follow instructions and photographs demonstrating musculoskeletal dry needling points and electroacupuncture techniques * Dedicated section on the acupuncture treatment of tendinopathy * Vital information on palpation and correct needling techniques * Practical guidance on best practice, safety and treatment planning * Overviews of the history and key principles of Traditional Chinese medicine and acupuncture * Up-to-date research on the effect of acupuncture in the treatment of MSK conditions, myofascial pain, trigger points (MTrPS), fascia and pain. The book will be an essential aid for osteopaths, physiotherapists, sports rehabilitators, chiropractors, massage therapists, as well as traditional acupuncturists wishing to understand a Western approach on acupuncture. Other health professionals incorporating, or looking to incorporate dry needling into their treatment programme, will also find this book an invaluable resource.

Case Studies in Systemic Sclerosis deals specifically with Systemic Sclerosis in a case study format. Each case presentation includes illustrative figures, a discussion of the pathophysiology relevant to the case, a discussion of management that is both evidence-based and expert opinion-based and several key references for further reading. With its easy-to-use format, this book presents multiple different manifestations of Systemic Sclerosis to a wide range of readers. Because this disease has a broad range of systemic features, Case Studies in Systemic Sclerosis is a valuable reference tool not only to the community of rheumatologists (trainees, academic and private practice rheumatologists) and dermatologists, but also potentially to internists, gastroenterologists, pulmonologists, cardiologists and nephrologists.

Most books on imaging in sports medicine are concerned with the particular joints or anatomy involved in sports-related injuries. This book, however, takes a different perspective by looking at injuries that are associated with specific sports. All of the well-known major sports, such as football, tennis, and basketball, are included, as are many less common but still very popular sports, such as baseball, American football, and rugby. The chapters on sports-specific injuries are preceded by two chapters on the perspective of clinicians and another two chapters on the general use of MR imaging and ultrasound in sports medicine. The authors of the book are world-renowned experts from five continents. Imaging in Sports-Specific Musculoskeletal Injuries should be of great interest to radiologists, sports medicine physicians, orthopedic surgeons, and rehabilitation physicians, and to anyone interested in the treatment of sports-related injuries.

High patient satisfaction, rapid recovery times, and suitability for outpatient surgery make unicompartmental knee arthroplasty (UKA) an increasingly popular surgical option for treatment of isolated, medial, lateral, and patellofemoral compartment arthritis of the knee. Drs. Richard D. Scott and Vivek Shah impart their considerable expertise in Unicompartmental Knee Arthroplasty, providing orthopaedic surgeons and related clinical staff with the comprehensive, easy-to-read information needed to make the most of this innovative procedure in daily practice. Offers in-depth operative and nonoperative coverage of partial knee replacement. Presents focused information in a quick and easy-to-read format of bulleted summaries and practical advice based on the authors' experience. Covers key topics such as evolving technology, lateral compartment arthroplasty, UKA in the middle-aged patient, UKA in the octogenarian, and prosthetic design considerations. Features high-quality figures, radiographs, and photographs, as well as practical examples, tips, challenges, and recommendations throughout. Enhanced eBook version included with purchase. Your enhanced eBook allows you to access bonus images plus all of the text, figures, and references from the book on a variety of devices.

Research into metabolic bone disease has made remarkable progress over the last 20 years, with the identification of numerous new molecules and pathways regulating bone cells as well as their plasma milieu. Their activities are largely regulated by the physiological status of the body incorporating the biochemical, physical and mechanical functions of bone, kidney and intestinal tissues. The Physiological Basis of Metabolic Bone Disease integrates the knowledge derived from molecular techniques with the fundamental principles of the physiology of these organs.
The book places particular emphasis on bone cell activities and the regulation of plasma calcium, phosphate homeostasis, and whole body nutrition. It reviews the nutritional requirements for calcium and vitamin D for the prevention of osteoporosis. It covers vitamin D, calcium and phosphate absorption; calcium sensing receptors; the role of parathyroid hormone; physiological actions of calcitonin; and the diagnosis and significance of osteoporosis. Reviewing the physiological significance of advances in the molecular biology of metabolic bone disease, this book provides a valuable reference for researchers as well as practicing clinicians.

Research on bone remodeling has resulted in much new information and has led to improvements in design and biomedical practices. Mechanics of Cellular Bone Remodeling: Coupled Thermal, Electrical, and Mechanical Field Effects presents a unified exploration of recent advances, giving readers a sound understanding of bone remodeling and its mathematical representation. Beginning with a description of the basic concept of bone remodeling from a mathematical point of view, the book details the development of each of the techniques and ideas. From there it progresses to the derivation and construction of multifield and cellular bone remodeling and shows how they arise naturally in response to external multifield loads. Topics include: Fundamental concepts and basic formulations for bone remodeling Applications of formulations to multifield internal bone remodeling of inhomogeneous long cylindrical bone Theory and solution of multifield surface bone remodeling A hypothetical regulation mechanism on growth factors for bone modeling and remodeling under multifield loading The RANK-RANKL-OPG pathway and formulation for analyzing the bone remodeling process A model of bone cell population dynamics for cortical bone remodeling under mechanical and pulsed electromagnetic stimulus Recent developments in experiments with bone materials Readers will benefit from the thorough coverage of general principles for each topic, followed by detailed mathematical derivations and worked examples, as well as tables and figures where appropriate. The book not only serves as a reliable reference but is also destined to attract interested readers and researchers to a field that offers fascinating and technologically important challenges.

This is a comprehensive framework for the care needed by children and their famiies following a traumatic brain injury.

Covering both noninvasive and surgical treatment alternatives, Critical Limb Ischemia defines practical guidelines for a multidisciplinary approach to critical limb ischemia, and follows a step-by-step description of the latest techniques.

Topics covered include:

• balloon angioplasty and stenting
• cryoplasty
• pharmacotherapy
• topical therapies combined with hyperbolic oxygen treatment
• endovascular techniques
• strategies for leg revascularization

Provides vascular surgeons, general and interventional cardiologists, interventionalists, radiologists, podiatrists, and endocrinologists a valuable resource for daily practice.

This book arose from a request by Ron Landes of Landes Bioscience for a book on the role of the sarcomere in human skeletal muscle diseases following our article "When contractile proteins go bad: The sarcomere and skeletal muscle disease" in BioEssays in 2005 (Vol 27, pages 809-822). The sarcomere is also the basis of heart diseases, but the remit of this book is skeletal muscle diseases alone. A number of the chapters in the book provide an up-to-date review of diseases caused by mutated proteins in the different sub-compartments of the sarcomere, others document the techniques currently being used to investigate the pathobiological bases of the diseases, which remain largely unknown, with finally discussion of possible routes to therapies. The book is intended to provide a snapshot of this rapidly moving field. I thank all the authors who responded positively to my request to provide chapters in their particular areas of expertise, with many of the chapters thus written by the discoverers of the diseases being described. Hopefully the book might generate interest in young scientists to participate in this field of research, in particular to take up the challenge of trying to develop effective treatments for these diseases caused by dysfunction of the fundamental unit of muscle contraction, the sarcomere.

This reference documents state-of-the-art trends and advancements in the utilization imaging modalities for the analysis of bones and their surrounding soft tissues, including muscles, tendons, ligaments, nerves, and blood vessels. Exploring technologies such as ultrasound, MRI, CT, CT arthrography, MR arthrography, and fluoroscopy, this source contains expertly written chapters on preoperative imaging, tumor evaluation, and biomechanics.

"[Dr. Maigne's] neuoranatomical explanations are brilliantly illustrated and documented with a profound review of the literature. ...The benefit he has given patients who have come from all over the world for his services affirms the benefit of his method." From the First Edition foreword by, -Rene Cailliet, M.D. Professor Emeritus, School of Medicine of the University of Southern California Over the course of fifty years, Dr. Robert Maigne has built up an international reputation for his pioneering work with spinal-related pain. His assessment and therapeutic techniques, once considered revolutionary, are now widely accepted as standard approaches. In Diagnosis and Treatment of Pain of Vertebral Origin, Second Edition, Dr. Maigne presents a comprehensive and highly insightful review of both fundamental and advanced research literature, exploring the anatomic, developmental, and pathological conditions known to produce pain. Including extensive sections on assessment and therapy, he offers a complete training in the principles and techniques of manipulation for which he is known. He also offers fresh approaches to the problem of manual medicine in the fragile areas of the spine, as well as commentary on several other issues including failed back syndrome. Dr. Maigne's devotion to inquiry and resistance to assumption, makes this text a valuable reading for every clinician. The knowledge he imparts with regard to the mechanics and treatment of pain will benefit any practice.

Often considered the prototypic autoimmune disease, Lupus is characterized by protean manifestations and affects a wide range of organ systems. Despite widespread availability of anti nuclear antibody testing and other technological diagnostic advances, the diagnosis of lupus can be elusive, difficult, and inexact. Treatment of the disease can also be challenging. Advances in immunology and biotechnology have led to a burgeoning world of new therapies in development that offer patients the real possibility of new therapies and physicians and scientists novel insights into the pathogenesis of this complicated immunological disease. Lupus Erythematosus: Clinical Evaluation and Treatment summarizes the clinical aspects of lupus facing the general clinician in the 21st century. In this invaluable, practical book, the reader will find introductory chapters regarding general diagnostic and treatment principles, followed by chapters addressing the lupus-specific organ manifestations. Special topics regarding pregnancy and comorbidities are also presented. Written by highly experienced physicians with special expertise in lupus, Lupus Erythematosus: Clinical Evaluation and Treatment is an indispensable reference for the common and not so common problems affecting patients with lupus.

Providing the most up-to-date research and current clinical knowledge of diabetic bone disease and the challenges still facing the research and clinical care communities, this book unites insights from endocrinology and orthopedics to create a truly unique text. The first part covers clinical and pre-clinical applications and research. The first two chapters present the clinical and epidemiological data about diabetic bone disease, evaluated and reviewed for type 1 and type 2, respectively. This is followed by discussions of how the propensity to fracture in diabetic bone disease can impact fracture risk assessments and how it can be adjusted for using current clinically relevant fracture risk models. A comprehensive overview of orthopedic complications observed in diabetes is next, as well as a focus on the consequences of diabetes on periodontal disease. Other topics include the utility of skeletal biomarkers in assessing diabetic bone disease, how drugs used to treat diabetes may also have skeletal consequences, and the possibility that diabetes may fundamentally impact early progenitor cells of various bone lineages and thus globally impact bone. The second part covers biomechanics and bone quality in diabetes: how diabetes ultimately may impact the architecture, integrity, and quality of bone. Utilizing the expertise of top researcher and clinicians in diabetic bone disease in one comprehensive text, this volume will be a useful and thought-provoking resource for endocrinologists and orthopedic surgeons alike.

Fully updated in a new, contemporary edition - the bestselling guide to cider vinegar, and its role in reducing pain and improving mobility.

Hundreds of thousands of people with arthritis have been helped by the Margaret Hills Clinic and by Margaret's bestselling book, Treating Arthritis: The Drug-free Way. Cider vinegar is a cornerstone of the treatment protocol, and this companion title has been completely updated with all-new recipes featuring this amazing natural product, in addition to suggesting a wide variety of other uses, all of which can help to reduce arthritic pain and joint stiffness.

Embracing the simple principles that make this drug-free protocol so effective, this book will help you to make cider vinegar a regular part of your daily diet, and offer insight into just why it is so effective. In addition to reducing inflammation and improving mobility, cider vinegar can aid with weight loss - it can also replace many of the chemically-derived products in your home, or in your personal care routine, making your environment a healthier and potentially much less toxic one.

The very many recipes in this book all feature the wonder ingredient that is cider vinegar, and they all cater for vegetarians and vegans. There are recommendations for those managing auto-immune conditions such as coeliac disease, or food allergies, and the emphasis throughout is on fresh, raw, local ingredients.

Cider Vinegar complements Margaret Hills' renowned Treating Arthritis programme to offer gentle, natural and manageable steps to reduce pain and improve mobility.

Innovative Neuromodulation serves as an extensive reference that includes a basic introduction to the relevant aspects of clinical neuromodulation that is followed by an in-depth discussion of the innovative surgical and therapeutic applications that currently exist or are in development. This information is critical for neurosurgeons, neurophysiologists, bioengineers, and other proceduralists, providing a clear presentation of the frontiers of this exciting and medically important area of physiology. As neuromodulation remains an exciting and rapidly advancing field-appealing to many disciplines-the editors' initial work (Essential Neuromodulation, 2011) is well complemented by this companion volume.

Lupus, a disease of the immune system, can be quite deadly, claiming the lives of thousands of patients yearly. Dr. Daniel J. Wallace is one of the world's leading authorities on this disorder, an eminent clinician who has treated over 3,000 lupus patients, the largest such practice in America. His The Lupus Book, originally published in 1995, immediately established itself as the most readable and helpful book on the disease. Now Dr. Wallace has once again completely revised The Lupus Book, incorporating a wealth of new information. This Sixth Edition discusses new drug information and newly discovered information about the pathology of the diseaseall laid out in user-friendly language that any patient could understand. In particular, Wallace discusses the first drug for lupus to be approved by the FDAbelimumab (Benlysta)as well as other drugs in clinical trials. Readers will also discover fully updated sections on the science of lupus and breakthroughs in research including: genetics, microbiome, and clinical trial methodology. And as in past editions, the book provides absolutely lucid answers to such questions as: What causes lupus? How and where is the body affected? Can a woman with lupus have a baby? And how can one manage this disease? Indeed, Dr. Wallace has distilled his extensive experience, providing the most up-to-date information on causes, prevention, cure, exercise, diet, and many other important topics. There is also a glossary of terms and an appendix of lupus resource materials compiled by Dr. Wallace. Over 1.5 million Americans have lupus. The new Sixth Edition offers these patients and their families an abundance of reliable, information that will help them manage the disease and live a happier life.

Are you looking for concise, practical answers to questions that are often left unanswered by traditional sports medicine references? Are you seeking brief, up-to-date, expert advice for common issues that can be encountered when working with athletes? Quick Questions in Ankle Sprains: Expert Advice in Sports Medicine provides a unique format of concise and to the point responses with clinical application, backed by the latest research on sports-related ankle sprains among athletes. Drs. Patrick O. McKeon and Erik A. Wikstrom and their contributors present 39 common clinical questions regarding the prevention, assessment, treatment, management, and rehabilitation of ankle sprains. Co-published with the National Athletic Trainers' Association, Quick Questions in Ankle Sprains: Expert Advice in Sports Medicine provides concise answers to 39 frequently asked clinical questions. Written in a conversational tone, the authors of the individual questions represent a variety of different backgrounds and are experts in their respective field. The variety of questions and brevity of responses will make this a book that is easy to read and reference at the point of care. Some sample sections and questions include: Risk and reduction of ankle sprains What effect does prophylactic bracing and/or taping have on reducing lateral ankle sprain risk? Diagnosis What are the most useful clinical tests to accurately diagnose syndesmotic and medial ankle sprains? Treatment and rehabilitation To what extent should I use manual therapies to treat ankle sprains and chronic ankle instability? Surgical considerations When should I refer my patient with an ankle problem to an orthopedic surgeon? Quick Questions in Ankle Sprains: Expert Advice in Sports Medicine is the perfect at-your-side resource for the athletic trainer, team physician, or sports medicine clinician looking for practical answers to sports-related ankle sprain questions. The concise and conversational tone allows the reader to readily apply the information into their everyday practice. Other books in the Series Include: Quick Questions in Heat-Related Illness and Hydration Quick Questions in Sports-Related Concussion Quick Questions in the Shoulder

Musculoskeletal Imaging Volume 2 provides a comprehensive review of the subject matter commonly encountered by practicing radiologists and radiology residents in training. This volume includes succinct overviews of metabolic, infectious, and congenital diseases; internal derangement of joints; and arthography, and ultrasound. Part of the Rotations in Radiology series, this book offers a guided approach to imaging diagnosis with examples of all imaging modalities complimented by the basics of interpretation and technique and the nuances necessary to arrive at the best diagnosis. Each pathology is covered with a targeted discussion that reviews the definition, clinical features, anatomy and physiology, imaging techniques, differential diagnosis, clinical issues, key points, and further reading. This organization is ideal for trainees' use during specific rotations, for exam review, or as a quick refresher for the established musculoskeletal imager. It is a must-read for residents and practicing radiologists seeking a foundation for the essential knowledge base in musculoskeletal imaging. Musculoskeletal Imaging Volume 1 reviews trauma, arthritis, and tumor and tumor-like conditions.

This essential handbook for sports medicine clinicians combines resources from various United States and International Olympic Committee sporting guidelines; national and international youth, scholastic, collegiate, and professional associations; and real-world experience to provide the most up to date and relevant information needed to fulfill coverage duties for sporting events. Easy to read, concise, and complete, this guide is a one-stop reference for sideline medical coverage of nearly fifty sports. Geared for live event coverage, chapters deliver quick hit specifics designed for in-the-moment use on the field.The book opens with a review of general coverage concepts applicable to most sports along with chapters dedicated to overriding medical concerns including emergency management, nutrition and hydration, adaptive sports considerations, and doping in sports, among other key topics. The core of the book focuses on coverage details for individual sports, organized by contact level and presented in a templated format for quick identification. Each sport-focused chapter describes its history, governing organizations, participants, rules and regulations, equipment, medical coverage logistics, medical emergencies, and common injuries. A dedicated "Medical Bag" for every sport outlines the necessary items providers should have at hand for managing emergencies and common injuries. This essential handbook belongs in every sports bag and will serve as a ready resource for clinicians and sideline personnel covering sporting events at any level. Key Features: Handy reference for on-field, sideline, or event sports coverage - with digital access for mobile use on most devices Current guidelines for almost 50 sports, including information specific to the disabled athlete when applicable Every chapter contains sport-specific information on emergencies and common injuries What's in your bag? Highlights medical bag essentials by sport, so you're always prepared Includes general chapters on clinician role, traveling with a team, pre-participation exams, medicolegal and ethical concerns, and approach to signature medical emergencies in sports

The book that set the standard for the role of correlating imaging findings to clinical findings as part of a comprehensive patient evaluation, more specific treatment plans and better outcomes is back in a New Edition. Here's everything Physical Therapists need to know about medical imaging. This comprehensive guide helps you develop the skills and knowledge you need to accurately interpret imaging studies and understand written reports. Begin with a basic introduction to radiology; then progress to evaluating radiographs and advanced imaging from head to toe. Imaging for commonly seen traumas and pathologies, as well as case studies prepare you to meet the most common to most complex challenges in clinical and practice. A great resource for Physical Therapist wanting to get a functional… "yet easy to read textbook in musculoskeletal imaging: a subject matter that could be most challenging and laborious to read and understand… then use clinically the next day. A most enjoyable presentation and way to develop clinical competency." - Kim D., Online Reviewer GREAT TEXTBOOK!! "Wonderful and informational book with great add-ons as well with the online code to learn more!!" - Shirley J., Online Reviewer Excellent book! I find the chapters are very well... "organized and make the subject of musculoskeletal imaging both interesting and digestible for someone who is just beginning to wade in the water of learning about imaging in the rehab environment." - Online Reviewer

As ultrasound is used more widely by a range of healthcare professionals as a successful imaging tool for musculoskeletal conditions, Musculoskeletal Ultrasound demystifies the technique for students and practitioners who do not necessarily have specialised knowledge in this area. The text is written at a level suitable for both students and more experienced practitioners, and has been edited by experienced sonographers working in consultant practice and education. It covers basic ultrasound anatomy and normal variants, common pathology, how to report, and differential diagnoses processes. With contributions from leading musculoskeletal sonographers and a physiotherapist, and with input from radiology and rheumatology, this book provides a rounded, evidence-based resource for anyone wishing to incorporate musculoskeletal ultrasound into their practice. Accessible, step-by-step approach to support understanding Highly illustrated, ultrasound images included throughout Tips to help the reader problem solve and avoid common pitfalls