Develop your skills and confidence with expert tips for treating back pain For any therapist who has been challenged by a client complaining of pain or stiffness in the neck or back, The Big Back Book: Tips & Tricks for Therapists is packed with ideas and suggestions for the assessment, treatment, and aftercare of the spine. The author shares tips gathered from many years of experience as a physical therapist and massage therapist, providing step-by-step guidance on everything from testing range of motion and documenting findings, to locating specific muscles and vertebrae, to identifying the source of pain and managing posture and muscle tone issues. With a clear and conversational writing style and easy-to-follow organization of chapters, this book allows readers to gain valuable insights and immediately apply techniques into practice. Highlights: Organizes material by sections on cervical spine, thoracic spine, and lumbar spine with each section following a consistent format to aid in quick reference of needed information Presents commonly asked questions, answered by the author, throughout the text Offers helpful hints for encouraging client self-care Includes useful tables, forms, checklists, and questionnaires to optimize treatment outcomes Clarifies methods and concepts with more than 900 simple line drawings The wealth of practical advice and information contained within makes The Big Back Book: Tips & Tricks for Therapists a must-have volume for massage therapists, physical therapists, and osteopaths with clients seeking relief from neck and back pain. Practitioners and students alike will enhance their knowledge and expand their repertoire of assessment and treatment techniques.

Comprehensive Board Review in Orthopaedic Surgery Although the scope of orthopaedic surgery continues to expand on a daily basis, the fundamental information required to pass orthopaedic in-training, board, and maintenance of certification (MOC) exams remains largely unchanged, yet essential. Preparation for the Orthopaedics In-Training Exam (OITE) and American Board of Orthopaedic Surgery (ABOS) Part 1, is highly challenging. Recognizing the considerable challenges faced by residents and practicing orthopaedic surgeons, the authors have written an essential guide that provides invaluable knowledge and clinical pearls on the fundamentals of orthopaedic surgery. Every chapter is coauthored, providing readers with a well-rounded perspective from both a senior faculty member and a recently matriculated orthopaedic resident/fellow. Chapters are organized by subspecialty, with margin boxes that highlight test-taking components, clinical insights gleaned from years of experience, and figures specifically focused on helping readers understand and retain difficult concepts. Pertinent anatomy is precisely illustrated and described in each subspecialty chapter, enabling understanding of normal and pathologic musculoskeletal system structures and functions. Key Features: An emphasis on subjects that are frequently tested on exams Nearly 500 meticulously created illustrations Structured treatment algorithms that include best diagnostic modalities, expected outcomes, and most common complications Study tips, mnemonics, and classification schemes Easy-to-read bulleted formatting enables the reader to organize, synthesize, and memorize the information with ease This indispensable book will greatly benefit orthopaedic residents preparing for board examinations and board-certified orthopaedic surgeons who need to fulfill MOC requirements.

Myasthenia gravis is a complex subject, multidisciplinary and challenging in terms of its clinical, therapeutic and evolutionary aspects. This is evident in the gradual changes over time and in the variety of clinical presentations, the mutable therapeutic responses and the difficulties to standardize the evaluation of results. It is remarkable to review the many advances made in the field of myasthenia gravis. This book is proof of considerable progress made and of the fact that new knowledge today is acquired in shorter time than in the past. This acceleration is a signal of many successful technological advances in clinical and laboratory research. Even in myasthenia gravis, as in other research areas, researchers expect more from new achievements in rapid growing disciplines such as with immunology and genetics. To this, the authors' wanted to draw the attention of the readers.

There has been a shift in the delivery of trauma and orthopaedic services from the specialised to the sub-specialised, while being coupled with a greater multidisciplinary involvement. There are many healthcare professionals involved in the care of trauma and orthopaedic patients, ranging from surgeons, other medical specialities, ward and nursing staff, as well as podiatrists, orthotists, physiotherapists, occupational therapists and social workers. As a result, there is no other up-to-date book available that adequately covers the generality of trauma and orthopaedics, and at the same time appreciates the multidisciplinary approach. This book provides a platform allowing all disciplines to learn about the multifaceted care of these patients with an aim to enhance understanding, promote collaboration and allow the optimisation of care for trauma and orthopaedic patients. The book is aimed at doctors, nursing staff, physiotherapists, occupational therapists and all other staff involved in the care of trauma and orthopaedic patients.

Injury to the anterior cruciate ligament (ACL) is common and typically affects young individuals; in particular, girls have higher rates of sustaining non-contact ACL injuries than boys when they engage in sports that involve jumping, pivoting, and changing direction. Multiple intrinsic and extrinsic risk factors for ACL injury have been identified, including anatomic variations, neuromuscular deficits, hormonal status and other related factors. Despite a lack of scientifically validated and published guidelines to help clinicians decide between conservative and surgical treatment, patient-specific criteria, such as age, pain, recurrent joint instability, desired level of activity, occupation and presence of potential concomitant injuries, should be considered. Neuromuscular training can reduce the risk of ACL injury, especially when combined with other strength training exercises. Chapter One in this book outlines the current state of knowledge regarding the risk factors, treatment and prevention of ACL injuries. Chapter Two provides is a better understanding of what associated factors are identified following ACL tear and explore the current understanding of the impact these have on treatment and subsequent outcome. The final chapter discusses surgical and rehabilitation concepts of matrix-induced autologous chondrocyte implantation in the treatment of knee articular cartilage defects.

When a child is diagnosed with Developmental Dysplasia of the Hip (DDH) parents experience a wide variety of emotions and responses, often having an overwhelming need to understand everything about the condition and what the future holds for their child. This exceptional and comprehensive book covers everything you need to know about DDH. Providing explanations of this common condition, outlining the various treatments involved, and detailing what life may be like for you and your child in a cast, this invaluable book also deals with the emotional side of DDH. Written by a parent of a child with DDH specifically for other parents, this book doesn't bombard you with medical jargon, but equips you with the knowledge and facts you need to understand and get to grips with DDH.With comments and case studies from other parents as well as expert comment and advice, Cast Life is a must have book for anyone on their DDH journey.

There are various underlying causes which initiate the sequence of events resulting in compartment syndrome including fractures, bleeding, tightly applied casts or extrinsic compressions devices, burns or vigorous exercise. The first chapter of this book serves to review the current understanding of ACS's pathophysiology and highlight implications for the modernization of diagnosis and treatment. The second chapter reviews the evidence relevant to how anesthesiologists can influence the genesis of compartment syndrome. Anesthesia may influence the development of CS through the use of regional anesthesia, optimum blood pressure control and oxygen delivery, and tailored analgesia in the peri-operative period. It provides support for the best anesthesia practices in an effort to avoid this complication which may have serious adverse effects for the patient. The three essential components of conventional pressure monitoring systems are examined in Chapter 3, which can assist in the diagnosis of CS. In Chapter 4, the authors present their research on acute limb compartment syndrome (LCS), which when left untreated, can result in muscle necrosis and limb loss, and in severe cases, death. Both the prevention and treatment of compartment syndrome in severe cases is examined in detail. Chapter 5 focuses on lower limb compartment syndrome, a clinical entity resulting from increased pressure in a non-expansile tissue space, which is associated with significant morbidity and mortality. Chapter 6 focuses on Paraspinal Compartment Syndrome (PSCS), resulting in the "Bourdon tube effect." The last chapter, Chapter 8, reviews orbital compartment syndrome (OCS), a rare but treatable ophthalmic surgical emergency, caused most often by a retrobulbar hematoma, facial trauma being the most frequent etiological factor

In the explanation of musculoskeletal disorders, the skeleton is usually put forward, and the muscles tend to be forgotten. This seems to be a mistake, and leads to some common misunderstandings, like osteoarthritis being the cause of joint pain, rheumatoid arthritis being an auto-immune disease, disc herniation as the cause of low back pain, meniscal injury as the cause of knee pain, etc. This in turn will lead to inappropriate treatments like painkillers - which sometimes kill the patient, and anyway never treat the root of the pain - or to avoidable surgery. Misunderstanding the role of muscle contractures in other ailments like scoliosis or migraine has not allowed so far a disease-modifying treatment. All the above-mentioned disorders can however be cured, in most cases, by manually treating the causal muscle contractures, which is rather simple. This book explains the origin, the mechanism and the consequences of muscle contractures, as well as the pathomechanisms of joint pains, scoliosis, migraine, and several other diseases, and the principles of their treatment. We will present several research studies showing the efficiency of a simple manual treatment of the contractured muscles that are the prime movers of these diseases.

Inflammation or irritation of the bursa in the major joints is most often caused by repetitive, minor impact on the area, or from a sudden, more serious injury. Age also plays a role. Overuse or injury to the joint at work or play can also increase a person's risk of bursitis. Incorrect posture at work or home and poor stretching or conditioning before exercise can also lead to bursitis. Anatomic deformities may also add stress on a bursa sac, causing bursitis. Stress or inflammation from other conditions, such as rheumatoid arthritis, gout, psoriatic arthritis, thyroid disorders, or unusual medication reactions may also increase a person's risk. In addition, an infection can occasionally lead to inflammation of a bursa. The most common symptoms of bursitis are pain, stiffness and swelling. The pain may build up gradually or be sudden and severe, especially if calcium deposits are present. Bursitis diagnosis may occur after a clinical examination and it is usually confirmed by imaging such as with an ultrasound or MRI. X-ray images can't positively establish the diagnosis of bursitis, but they can help to exclude other causes of your discomfort. Bursitis can be treated in a number of ways, including rest, nonsteroidal anti-inflammatory drugs, corticosteroids, injections of local anaesthetic or corticosteroids, physical therapy and, in rare cases, surgery. The authors also discuss the treatment options for bursitis in this book.

The authors of this volume have put emphasis on diagnosis, so the presentation is generally concise, yet more comprehensive on key points. In addition, they emphasise diagnostically-important information on immunohistochemistry and molecular genetics, and include additional details when biologically significant. Site-specific soft tissue entities covered in the other atlases are often excluded due to space constraints. The text is aimed as a practical diagnostic aid for pathologists, cytopathologists and pathology trainees, but the authors hope that their clinical colleagues and others may also find it as a useful source of information on soft tissue tumours and tumour-like lesions.

Musculoskeletal Disorders (MSD) are one of the leading classes of health effects and can be caused by various factors, work related and non-work related. MSD refers to health related problems of the locomotor apparatus, i.e. health problems of the skeleton, ligament, muscles, tendons, joints, nerves and cartilage. Rates of musculoskeletal disorders vary by population, their age groups, genders, socioeconomic aspects and other factors. These factors can affect our understanding of the prevalence, incidence, and costs of musculoskeletal disorders aside from the variability of actual prevalence or incidence rates due to etiologic issues or costs due to illness or injury severity or treatment response and recovery. This book provides an analysis of costs of musculoskeletal disorders of employed individuals. It also discusses the application of differential scanning calorimetry for the diagnosis of musculoskeletal disorders, and the effects of stretching and sensory motor training for older adults with musculoskeletal disorders.

Unter den zahlreichen Kunstgelenken, die in den letzten 21ahrzehnten entwickelt und implantiert worden sind, spielen Schultergelenkendoprothesen noch eine ver- gleichsweise geringe Rolle. Dies hangt v.a. mit den anatomischen, biomechani- schen und funktionellen Besonderheiten des Schultergelenks zusammen. Nur an wenigen Kliniken liegen im deutschen Sprachraum bisher gr613ere Erfah- rungen mit der Schuiterendoprothetik vor. Sie beziehen sich hauptsachlich auf Pati- enten mit Gelenkzerst6rungen nach schweren Unfallfolgen, Knochentumoren, rheumatoider Arthritis oder degenerativen Schultererkrankungen. So wird viel- leicht verstandlich, warum das Thema "ktinstlicher Schultergelenkersatz" auf unse- ren Kongressen und Symposien bisher kaum zur Sprache kam. Es lag deshalb nahe, die 35. lahrestagung Nordwestdeutscher Orthopaden im lu- ni 1985 in Kiel zum Anlal3 zu nehmen, den gegenwartigen Stand der Schulterendo- prothetik einmal ausfUhrlich darzustellen und zu diskutieren. Dazu wurden viele der fUhrenden Spezialisten aus dem europaischen Ausland, aus Ubersee und dem deutschen Sprachraum eingeladen, urn tiber ihre Erfahrungen zu berichten. Die Veranstaltung erstreckte sich tiber 2Y2 Tage, die Teilnehmerzahl war auf etwa 100 begrenzt. Eine hervorragende Simultantibersetzung durch Frau Dr. med. A. Beisel, Heidel- berg (Leitung), Mrs. K. Band und Herrn Dip\.-Volksw. E. Feldberg, alle Konferenz- dolmetscher A. I. I. C, sorgte fUr einen lebendigen Gedankenaustausch aller Teil- nehmer, der in keiner Weise zeitlich eingeschrankt war. In der vorliegenden Monographie sind samtliche Beitrage und die wesentlichen Diskussionsbemerkungen zusammengefal3t.

This practical book covers all aspects of diseases of bones and joints in one easily readable volume. Richly illustrated in color with abundant photographs and diagrams, each disease category includes a short introduction, discussion of clinical, radiographic and pathologic features, and treatment suggestions. Fully updated throughout, this new edition discusses the molecular genetics of orthopedic diseases and new imaging modalities such as the PET scan. Newly clarified entities are included, such as failure of metal-on-metal hip prostheses, osteonecrosis of the jaw, atypical femoral fractures, and rapidly destructive hip arthrosis. Drawing on their extensive experience as clinicians and teachers, the authors' accessible narrative style enables easy comprehension. Written by a bone pathologist and an orthopedic surgeon, the book emphasizes a team approach to diagnosis and treatment. This is an essential resource for residents in pathology, orthopedic surgery and radiology, and also serves as a valuable handbook for senior practitioners in these specialties. The book is packaged with a password, giving the user online access to all the text and images.

Explore different techniques while dealing with everyday life with this comprehensive 288-page compendium giving hands-on hope for winning the battle against fibromyalgia/CFS - all assembled in one book ...Having fibromyalgia doesn't mean the end of your life! * Learn positive keys to effective management and treatment* Strengthen your resolve to beat this condition* Eliminate pain and get back to enjoying life* Lays out the battle plan in clear, concise language* Easy but powerful techniques you can apply to your own life* A springboard from which to transform your life* Cemented by author's own experience* Takes a positive, proactive attitude* Knowledgeable, practical, encouraging* Changes the way you think and how you react to stressful situations* Achieve a better, healthier, more fulfilled life* Journey is tough but not impossible as shown by someone who has been through same struggle and come out on top"It has really helped me with managing my pain. There were so many great resources and techniques which I am using daily." - "This has made a huge difference for me and I am feeling more able to enjoy playing with my little boy. Your book makes so much sense. I know that I will be able to continue improving and having control over my health." - "Written in a perfect way for fibro sufferers to read it easily even with fibro fog."

Encompassing the most recent developments in the treatment of movement disorders, this practical paperback guide to clinical presentation, work-up, and management of common pathologies facilitates quick reference by busy clinicians. Detailing current medical, surgical, and non-pharmacologic approaches to the gamut of movement disorders, it is written in expanded outline format, with extensive use of flow charts, algorithms, and tables to provide important information at a glance. This second edition features a new section on psychiatric issues and expanded coverage of deep brain stimulation surgery, which has become an ascendant treatment option since the first edition was published. Numerous tables present drug dosing, side effects, and various therapeutic regimens for quick reference. Key Features:

Provides practical yet authoritative information on diagnosis, work-up, and treatment Encompasses state-of-art treatment options including a new section on psychiatric issues and expanded coverage of deep brain stimulation surgery Enables busy neurologists to quickly pinpoint required information with expanded outline format Addresses medical, surgical, and non-pharmacological approaches to all types of movement disorders Includes numerous management algorithms, tables, and flow charts

Dank verbessertem Instrumentarium und besserem Verstandnis fur die Prinzipien (Behrens und Searls 1986) zum sicheren und wirkungsvollen Gebrauch, wurde der Fixateur externe zu einem unersetzbaren Werkzeug eines jeden erfahrenen Traumatologen. Als wichtigste Indikationen fur den Fixateur externe gelten die 2 Degrees und 3 Degrees offenen Frakturen, infizierte Pseudarthrosen sowie Korrektureingriffe bei Achsenabweichungen und Langendifferenz. Der Fixateur externe wird weiter eingesetzt zur raschen, initialenRuhigstellungvon Weich- teilverletzungen und Frakturen bei Schwerstverletzten, zur Ruhigstellung geschlossener Frakturen mit schwerem Weichteiltrauma (Quetschung des Weichteilmantels, Verbrennun- gen, dermatologische Erkrankungen), bei ausgedehnten Schaft-und periartikularen Bru- chen, zur vorubergehenden gelenkuberbruckenden Ruhigstellung schwerer Weichteil-und Bandverletzungen, bei bestimmten Beckenringverletzungen und ausgewahlten Kinderfrak- turen sowie fur Arthrodesen und Osteotomien. Der Fixateur externe besitzt die einzigartige Moeglichkeit, Knochen-und Weichteile weit ausserhalb der Operations-oder Verletzungszone zu stabilisieren. Falls korrekt angewendet, gewahrt er ungehinderten Zugang zu den entscheidenden Skelett-und Weichteilstrukturen, so dass sowohl Initialversorgung als auch sekundare Wiederherstellung des Knochens und Weichteilmantels ermoeglicht wird. Durch die Verwendung des Fixateur externe bleibt das zusatzliche Gewebetrauma zur primaren Skelett- und Weichteilverletzung sehr gering. Auch das Infektrisiko ist geringer als das bei einer "inneren" Osteosynthese.

Dieser umfassende Uberblick vermittelt Ihnen klinikbezogen das aktuelle Wissen zur allgemeinen und speziellen Pathologie der Gelenkerkrankungen und des Bindegewebes.
Didaktisch klar, mit umfangreichem Abbildungsmaterial
- Fundierte Darstellung der Pathogenese und Morphologie
- Detaillierte Beschreibung der einzelnen Krankheiten
- Mikroskopischer, makroskopischer und Rontgenbefund ubersichtlich in synoptischen Tableaus
Ein Handbuch und Nachschlagewerk, das Ihnen praktische Entscheidungshilfen fur die Befundinterpretation und Therapie liefert."

Osteoblasts are highly specialised mesenchymal cells that are mainly responsible for the formation and maintenance of the skeletal architecture. They produce extracellular matrix proteins and are regulators of matrix mineralisation during bone formation and remodelling. In this book, the authors discuss the morphology, functions and clinical implications of osteoblasts. Topics include osteoblasts under mechanical strain; mesenchymal stem cells (MSC) into osteoblasts for bone tissue engineering; osteoblast function and their role in skeletal bone diseases; bone morphogenetic proteins (BMP) and osteoblastogenesis inhibitors; the effect of molecular and biochemical differentiation agents on bone formation; and the evaluation of characteristics of osteoblasts and factors related to osteoblastic differentiation and mineralisation.

Scoliosis is a lateral spinal deformity often coupled with vertebral rotation with most of the cases presenting as idiopathic. In this book, the authors present topical research in the study of the causes, symptoms and treatment of scoliosis. Topics discussed include the history and classification of scoliosis; the connection between idiopathic scoliosis, orthodontics and occlusion and their therapeutic implications; the trunk posture of the elderly population in Southern Brazil using the Shadow Moire Technique; new physical therapy interventions for scoliosis; effects of load carriage on children with scoliosis; and the relationship of the pineal gland, melatonin and scoliosis.

Italian physician L Galvani demonstrated the relationship between electricity and muscle contraction that occurs in the electric fluid carried to the muscles by the nerves. He coined the term animal electricity to describe the muscle-activating force. One hundred and fifty years after he determined that muscle activation is generated by an electric fluid carried by the nerves, mathematician N. Wiener studied an artificial hand controlled by an electrical current produced in the muscles. This book discusses new developments, procedures and applications of electromyography.

This book covers our current understanding of the role of mesenchymal stem cells (MSCs) and other mesenchymal progenitors in skeletal regeneration, encompassing bone, cartilage and whole joint regeneration. The expansion reflects developments in the field to include data on the use of MSCs in drug development, growth factors, scaffolds and biomechanical manipulations for skeletal trauma and diseases, including osteoporosis and arthritis.

Written for an audience of clinicians and young researchers who are exposed to MSCs in their work, this work summarizes recent findings pertaining to the definition and characterization of MSCs in skeletal tissues and discusses the mechanisms of their actions in regeneration of bone in vivo. The authors describe recent findings pertaining to the efficacy of MSC therapies in animal models and in human clinical trials and bring together literature showing that the ways MSCs are extracted, expanded and implanted can considerably affect bone formation outcomes. Finally, it presents the latest knowledge on the nature of native MSCs in skeletal tissues, which provide a platform for novel in situ tissue regeneration approaches for systemic bone disease such as osteoporosis.
Focuses specifically on the use of stem cells in skeletal tissue generation for a broad audience of stem cell, cancer, and bone biologists, orthopedists, oncologists, and regenerative medicine specialistsProvides a short historical detour and foundational information on founding concepts, discoveries and personalities in MSC researchAssists a new generation of scientists and clinicians in digesting the multitude of journal articles on the topic by providing easily-absorbed and condensed foundational context"

This concise guide brings orthopaedic surgeons and paediatricians up to date with the latest developments in the management of bone and joint (osteoarticular) infections in children. Beginning with an introduction to the causes and development of osteoarticular disorders, the following chapters discuss their clinical features, laboratory diagnosis and treatment options, both surgical and conservative. Each chapter describes a different infection and its management, with a separate chapter examining drug-resistant osteoarticular tuberculosis and co-infection with HIV. The final section discusses advances and research in the condition. Key points Concise guide to the diagnosis and management of bone and joint infections in children Each chapter discusses a different infection and covers conservative and surgical treatment Final chapter describes new advances and research Includes more than 150 full colour images and illustrations