Overview - Bone Defects Caused by High Energy Injuries, Bone Loss, Infected Non Union, Non Union, Physiology of Autografting, ? Background: Viable Bone and Circulation - Factors Required for Survival of Bone Grafts, ? Use of Solid (Tricortical) and Cancellous Bone Graft, Theory of Induced Membrane/Autograft for Bone Defects, Resorbable Membrane for Space Preservation and Graft Containment, Summary of Animal Work on Induced Membrane, Biological Rationale for Intramedullary Canal as Source of Autograft, Clinical Reports, ? Experience with Masquelet Method and RIA IM Autograft for Bone Defects, Experience with RIA IM Autograft and Non Unions, Patient Morbidity RIA Versus ICBG, RIA Graft and ChronOs Community Experience Using RIA Bone Graft, Management of Complicated Clinical Scenarios, ? Difficult Biomechanics and Good Soft Tissues - How to Handle Subtrochanteric Nonunions, Difficult Soft Tissues and Challenging Biomechanics- How to Handle Distal Tibial Nonunions, Management of Bone Loss, Nonunions and Infect

AANA Advanced Arthroscopy: The Knee, by Robert E. Hunter, MD and Nicholas A. Sgaglione, MD, helps you make the most effective use of advanced and emerging, state-of-the-art arthroscopic techniques for managing a wide range of knee problems. Premier arthroscopic surgeons discuss disease-specific options, managing and avoiding complications, and rehabilitation protocols.in print and online. 14 videos demonstrate tibial plateau fracture management system, anteromedial tibial tubercle transfer, osteochondral allograft for a femoral condyle defect, anatomic single bundle ACL reconstruction, anatomic reconstruction of the posterolateral corner, and more. Access the fully searchable text, along with a video library of procedures and links to PubMed online at expertconsult.com. Stay current through coverage of hot topics like Chondrocyte Transplantation Techniques, Proximal Tibial Osteotomy, Anatomic Single Bundle ACL Reconstruction, Single Bundle PCL Reconstruction, Inlay PCL Reconstruction, and Anatomic Reconstruction of the Posterolateral Corner. Hone your skills thanks to 14 videos of techniques-on Tibial Plateau Fracture Management System, Anteromedial Tibial Tubercle Transfer, Osteochondral Allograft for a Femoral Condyle Defect, Anatomic Single Bundle ACL Reconstruction, Anatomic Reconstruction of the Posterolateral Corner, and more-performed by experts. See arthroscopic surgical details in full color and understand nuances through interpretative drawings of technical details. Optimize surgical results and outcomes with an emphasis on advanced and emerging arthroscopic techniques, surgical tips, and pearls.

The field of sports medicine continues to grow and be popular. The specialty area of sports foot and ankle is particularly exciting. Foot and ankle injury rates continue to be reported at an increasing rate in sports especially in the NFL. Great toe injuries and Lis franc midfoot ruptures can be career ending injuries. Achilles tendon overuse injuries as well as ruptures and peroneal tendon dislocations and tears continue to plague the clinicians and athletes alike. Plantar fasciitis is almost epidemic in the NBA and ankle fractures in the athlete are common but poorly described in the literature. Equally enigmatic are the navicular stress fracture and the Jones fracture of the 5th metatarsal. We hope this issue of Foot and Ankle Clinics will help readers and clinicians diagnose, treat and rehab the athlete with foot and ankle injuries. We have asked our distinguished foot and ankle trained specialists to discuss these areas in the more complicated cases. For instance, a great article has been written about ankle sprains in the athletes but how do we treat effectively the athlete with chronic lateral instability who is large framed (>250#) or has come inherent ligamentous laxity or who has a varus hindfoot or has failed a prior lateral ligamentous reconstruction? Also, what is the best treatment for the difficult problem of syndesmosis injury in the athlete, both acute and chronic. All this and more will be right at your fingertips in this highlight of the complicated foot and ankle problems in the athlete. Enjoy and be up to date

The Hip-a volume in the new Arthritis and Arthroplasty series-offers expert guidance on everything from patient selection and pre-operative planning to surgical approaches and techniques. Clear, evidence-based coverage details which technology and methodology used for total Hip arthroplasty (THA), reconstruction or revision is best for each patient. Access discussions of debates on minimally invasive surgery; component material and bearing options; cemented vs. uncemented fixation of the components; and more. Explore alternatives to THA in younger arthritic patients and view expertly narrated video demonstrations of surgical techniques. In addition to providing practical, pragmatic advice in a concise, readable format, this Expert Consult title offers the full text of the book, as well as links to PubMed and periodic content updates, online at expertconsult.com. Access the full text of the book-as well as links to PubMed and periodic content updates on outcome data, component materials, and surgical techniques-online at expertconsult.com. Features procedural videos-narrated by experts-on the included DVD so you can see how to perform particular techniques. Covers periacetabluar osteotomy, neurovascular injury, and other hot topics to keep you abreast of the latest developments in the specialty. Provides evidence-based, clinically focused guidance on patient selection, pre-operative planning, surgical approach and techniques, bearing surfaces and component materials, disease specific options, the management and avoidance of complications, salvage and revision THA strategies, and more. Discusses variations in technique, including cemented vs. cementless fixation, resurfacing or more radical removal of bone, and minimally invasive technique where the exposure is more limited so you can choose which is most effective for each patient. Explores alternatives to THA in younger arthritic patients such as arthroscopy, arthrodesis, osteotomy, and resurfacing. Includes a review page in every chapter for quick reference to pearls and pitfalls for each topic. Presents photographs and interpretive drawings of surgical techniques in full color to bring out intraoperative details as they appear in the operating room. Your purchase entitles you to access the web site until the next edition is published, or until the current edition is no longer offered for sale by Elsevier, whichever occurs first. If the next edition is published less than one year after your purchase, you will be entitled to online access for one year from your date of purchase. Elsevier reserves the right to offer a suitable replacement product (such as a downloadable or CD-ROM-based electronic version) should online access to the web site be discontinued.

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.

In the issue of the Hand Clinics on "Congenital Hand Differences? the Guest Editor, Dr. Kevin C. Chung, invited world-renowned experts on congenital hand problems to share their insights regarding the treatments and outcomes of a variety of common and uncommon conditions. This volume will present a concise, yet practical guide in understanding and managing the diversity of presentations in these diseases. The illustrations are meticulously presented and the key points are highlighted by the "masters? of the field. This Hand Clinics volume will be an invaluable resource for those interested in advancing their knowledge regarding this intriguing field in hand surgery.

Written by residents for residents, the updated 6th edition of this best-selling handbook provides you with exactly the information you need to overcome the vast majority of challenges you encounter during your surgical residency. With its pocket-size and easy-reference format, this resource enables you to quickly access the right guidance...at the right time...about what to do and how to do it. No resident should be without this essential surgical guide! Provides comprehensive guidelines for the treatment of the most common surgical conditions, including preoperative and postoperative care, as well as relevant pathophysiology. Includes surgical management that encompasses state-of-the-art technology and emphasizes minimally invasive techniques, including important coverage of laparoscopic cholecystectomy, appendectomy, and herniorrhaphy. Provides guidelines for proper medical record keeping as well as other mediocolegal aspects of surgical care. Offers detailed figures depicting important anatomical structures and operative techniques. New chapters cover Surgical Risk Assessment, Head and Neck Malignancy, Mediastinal Tumors, Dialysis Access, and Robotics. Rapid References section offers handy formulas and charts in one easy-access location. Thoroughly revised content throughout ensures that you stay up to date. Expert ConsultT eBook version included with purchase. This enhanced eBook experience allows you to search all of the text, figures, Q&As, and references from the book on a variety of devices.

This issue will explore a variety of topics concerning the hallux and first ray exclusive of hallux valgus. A large portion will focus on hallux rigidus, including etiology, pathomechanics, nonoperative management, and various surgical techniques. Other chapters will address iatrogenic problems, including osteonecrosis, malunion and shortening of the first metatarsal, and nerve disorders of the hallux. Additional topics include hallux varus, sesamoid disorders, and arthroscopy of the first metatarsophalangeal joint. The invited authors are international experts who will review the relevant pathophysiology, treatment options, and clinical outcomes in order to guide the surgeon to appropriately manage patients with these challenging problems.

This special issue will deal with various current, state-of-the-art, as well as novel approaches for the management of osteonecrosis. There are original research and review articles about this disease in the hip and knee ranging from cell-based therapies, bone grafting, osteotomies, to the use of pharmacologic agents such as bisphosphonates and iloprost and various prosthetic devices. In addition, better ways to learn about this disease and monitor outcome measurements will be reviewed. More difficult to recognize and treat diseases such as subchondral hip insufficiency fractures, bone marrow edema syndrome, and spontaneous osteonecrosis are also featured.

Logically organized with comprehensive coverage, this newly revised third edition prepares you to choose the right orthopedic tests, accurately assess any patient, and arrive at a clear diagnosis. Trusted for both its depth of coverage and its accessible, accurate information, it features gamuts, clinical pearls, and cross-reference tables for quick and easy reference. Now in brilliant full color, with all new photos of every test, it's even more visually appealing, and illustrates common conditions and procedural tests more effectively than ever before. This edition offers a fresh look at testing for orthopedic conditions, with detailed text that explains the key moves of each test, its alternate names, and the appropriate reporting statement. Extensive cross-referencing ensures that you can easily find the right test for efficient and effective practice, and protocol charts guide you through the examination process step by step. The companion DVD features video footage of Dr. Evans performing each assessment test in the book, along with his expert commentary. Chapters are logically organized by region, and tests within each chapter are arranged alphabetically, so you can find the information you need in seconds! Each test begins with a brief discussion of basic anatomy, then moves into a description of the actual procedure and ends with next-step directives. Critical Thinking questions at the end of each chapter help you apply what you've learned to clinical practice. Orthopedic Gamuts provide summaries of key points in a concise list - numerous gamuts within each chapter help you master material quickly and easily. Clinical Pearls share the author's knowledge gained through years of clinical experience, helping you avoid common misdiagnoses. Cross-reference tables offer at-a-glance guidance on which tests should be used to diagnose particular diseases, for maximum accuracy and efficiency in practice. Each chapter begins with an index of tests for easy reference, and axioms that remind you of elemental information, such as how painful certain maneuvers may be or the extent of some body parts' range. Contains a chapter on malingering (non-organically-based complaints), helping you investigate and determine the root cause of complaint, whether due to injury, for psychological reasons, or an attempt to feign injury for various purposes, such as for improper receipt of worker's compensation. Companion DVD contains video footage of Dr. Evans performing and explaining each assessment test in the book. Full-color photographs demonstrate how to perform 237 orthopedic tests! At the Viewbox feature contains high-quality radiographs that depict various pathologies, as well as musculature and other anatomy that can't be shown photographically.

The Spine Oncology issue presents an updated review of various aspects of the management of tumors affecting the spine. The chapters outline diagnostic studies, patient selection, treatment strategies and all aspects of surgical management including biomechanical principles, complex resection and reconstruction techniques and minimally invasive methods. The chapters are authored by well respected and experienced physicians from around the world. This issue was designed for surgeons managing spine disease, but also will address the needs of the general orthopaedic surgeon, residents and other healthcare specialists who may have an interest in this challenging area.

This volume of Hand Clinics will be devoted to the increasingly important and relevant topic of Evidence Based Medicine or the more inclusive term Evidence-based Practice (EBP). EBP is the integration of individual clinical expertise with the best available external clinical evidence from systematic research and the integration of patients' values and expectations. It is now recognized worldwide as a foundation of quality care and all surgeons and therapists must embrace the concepts and learn the methods. In order to help you become an evidence-based practitioner, this issue will help you develop new skills in find and appraise the best evidence embedded within the volumes of good and bad information available. The issue will focus on how to apply these methods to hand surgery and rehabilitation. The Centers for Medicaid and Medicare Services (CMS), health insurers, and certification boards will provide the impetus for all of us to put into action evidence-based practice. This approach to practice will lead to changes in our behavior. CMS introduced a pay-for-performance (P4P) initiative to promote high quality medical care based on evidence-based medicine by reimbursing top performing hospitals at a higher level than poor performing hospitals. The primary objectives of this program include increasing clinical quality and saving lives. A secondary objective is to improve the cost-effectiveness of health care delivery. Governmental programs like these along with practice guidelines will lead to new expectations on your practice. Whoever controls these initiatives and guidelines, controls medicine and ultimately the flow of money. You don't want to be left behind. This issue will provide you with the basics to get started on your way to practicing evidence-based medicine.

Guest editor Jerome Steck takes a comprehensive look at Revisional Foot and Ankle Surgery with topics such as: "The First Ray," "Flatfoot," "Hindfoot arthrodesis hindfoot," "Charcot," "Ankle Fractures" and more!

This volume in the Core Knowledge in Orthopaedics Series equips you with the key concepts and clinical skills needed to excel in the subspecialty of adult reconstruction and arthroplasty. Inside you'll find concise, clinically focused coverage of the surgical techniques you need to know to obtain optimal patient management outcomes, along with relevant anatomy, biomechanics, limb salvage techniques, imaging, arthroscopy, and more. It's a perfect resource for training...board certification or recertification review...or everyday clinical reference! Apply the guidance in a logical fashion with coverage that progresses from describing commonly seen clinical problems to reviewing less frequently encountered conditions. Follow the most appropriate surgical management approaches. Assimilate the information easily through bulleted text, crisp artwork, clinical charts, tables, algorithms, and annotated key references.

Comprised exclusively of more than two dozen clinical cases covering common injuries of and around the wrist, this concise, practical casebook will provide clinicians with the best real-world strategies to properly manage open and closed fractures, dislocations and nonunions of the distal radius, scaphoid and perilunate. Each chapter is a case that opens with a unique clinical presentation with associated radiology, followed by a description of the diagnosis, assessment and management techniques used to treat it, as well as the case outcome and clinical pearls. Cases included illustrate the surgical management of intra- and extra-articular fractures and malunions of the distal radius - volar plating, k-wires and fracture-specific fixation - Galeazzi fractures, DRUJ fixation, scaphoid-scapholunate-perilunate dislocation and more, including pediatric cases. Pragmatic and reader-friendly, Fractures of the Wrist: A Clinical Casebook will be an excellent resource for orthopedic surgeons and sports medicine specialists confronted with these common injuries of the Wrist.

Die Trainingstherapie mit Geraten: ein wichtiger Bereich der physiotherapeutischen Behandlung. Welche Uberlegungen, Untersuchungstechniken und Evaluationsprozesse sind notwendig, um ein Trainingsprotokoll zu erarbeiten? Wie wird die Trainingstherapie optimal dem aktuellen Stand des Heilungsprozesses und der Belastbarkeit des Patienten in den einzelnen Rehabilitationsphasen angepasst? Das Buch bietet zu diesen Themen alles, was angehende und erfahrene Therapeuten wissen und konnen sollten: die fur die Praxis wichtigen Grundlagen (Anatomie, Biomechanik, Pathomechanik und Pathophysiologie, Neurologie), Untersuchungs- und Behandlungstechniken, den Behandlungsaufbau, die Anwendung je nach Rehabilitationsphase mit Beispielen, Hinweisen zur Patientenmotivation und zur Kommunikation. Die Ubungsanleitungen orientieren sich eng am Mustercurriculum "Gerategestutzte Krankengymnastik" (KGG) der Spitzenverbande der Krankenkassen.

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The ultimate resource for learning and mastering minimally invasive spine surgery techniques An estimated 1.5 million instrumented spinal procedures are performed every year in the US. The majority of decompressions and about 50% of fusion procedures can be performed completely or partially using minimally invasive spine surgery (MISS) techniques. The full potential of MISS techniques has yet to be realized. Essential Step-by-Step Techniques for Minimally Invasive Spinal Surgery by internationally renowned MISS neurosurgeon Roger Hartl, spine-neurosurgeon Rodrigo Navarro-Ramirez, and an impressive group of global multidisciplinary contributors is the most comprehensive and detailed textbook written to date on this topic. The foundation of the book is built on six interacting principles critical to surgical success, and MISS in particular: Target, Technology, Technique, Teaching and Training, Testing, and Talent. The text starts with an opening chapter on the definition of MISS and introduction of these principles. Fifty-six subsequent chapters provide a comprehensive discussion on how to utilize an MISS approach for a full spectrum of spinal pathologies using nuanced variations specific to the operating surgeon. To ensure readers are well versed in all aspects of MISS, these chapters include painstaking details on indications, contraindications, pathoanatomy, operating room set-up, step-by-step techniques, and postoperative management. Key Highlights Contributions from master spine surgeons across the world provide a balanced global perspective on mastering and incorporating diverse techniques into practice Invaluable clinical pearls including tips/tricks and complication avoidance High-quality images, figures, anatomic drawings, and imaging studies illustrate relevant anatomic approaches and corridors and delineate why anatomic mastery is critical to MISS Twenty-five videos enhance the ability to learn and implement MISS approaches This is a must-have resource for practicing spine surgeons interested in MISS who wish to learn the latest techniques from master surgeons and achieve optimal patient outcomes. The text and videos also provide a robust training tool for senior-level orthopaedic and neurosurgery residents and spine fellows. This print book includes complimentary access to a digital copy on https://medone.thieme.com.

Chondrosarcoma, a rare cancer that develops from cartilage cells, occurs mainly in the bones but can also appear in the soft tissue of the pelvis, hip and shoulder. Unfortunately, these cancers are highly resistant to both chemotherapy and radiation, and no successful adjuvant therapies currently exist. As such, surgical treatment and resection remain the mainstays of management for patients with these tumors. This concise text is a comprehensive presentation of the current knowledge regarding the development, diagnosis and management of chondrosarcomas. Part I discusses pathology, molecular biology and imaging features of chondrosarcomas. The different types of skeletal and extraskeletal tumors are presented in detail in part II, including conventional and secondary tumors. Management approaches are outlined and described in part III - limb salvage surgery is the most common, and although less effective, radiation and chemotherapy are indicated in certain cases. Part IV examines the future of chondrosarcoma management and development of novel adjuvant therapies, as well as the relationship of this disease to similar types (e.g., chordoma). Bringing together the most up-to-date information on this rare cancer, Chondrosarcoma will be a valuable resource for orthopedic oncologists, researchers and all medical professionals treating these challenging tumors.

A much revised and redesigned edition of Adams's classic textbook on fractures. The trusted Outline textbooks, now celebrating their 50th year in print, are well known for being clear, comprehensive and concise and will appeal to undergraduate, postgraduate and trainee surgeon alike. New edition of highly praised book with an established reputation Well known for its clear writing style and logical classification of fractures Basics of treatment are summarised in a useful appendix for quick reference and revision Provides up-to-date surgical therapies as well as conservative treatment options New author line-up Clear new page format, using two-colour design Extended artwork programme, now including two-colour line artworks, new radiographs, MRI and CT scans Enhanced anatomical classification system Advances in cell biology and molecular genetics New chapter on osteoporosis, including fracture treatment in the elderly

The human lumbopelvic area has become the focus of a considerable amount of new and intriguing research relevant to effective diagnosis and treatment of low back pain. Back function has recently been studied from a broader perspective, including the analysis of the coupled function in spine, pelvis and legs. These approaches lead to new questions about dynamic stability and motor control in general, and specifically about the spine and pelvis. These new insights obviously imply new approaches in the prevention and treatment of low back pain and pelvic pain. Unique to this book is its in-depth coverage of this subject area by a team of international contributors who represent the broad range of professionals involved in clinical research and therapy. These experts cover a vast area of lumbopelvic experience, from effective treatment and rehabilitation to epidemiology, anatomy, biomechanics, pain and motor control, surgery and manual therapy. Evidence -based focus Final conclusions including perspectives with each chapter Each chapter is relevant and up to date New high profile contributors Updated references Introduction and closure for each chapter Special attention given to stability and muscle function

Part of the new Core Knowledge in Orthopaedics series, this new resource provides concise and practical coverage of the most essential knowledge in orthopaedics and sports medicine for infants and children. It opens with a review of the differences between the pediatric and adult skeletons, and continues with a chapter covering physical examination techniques for paediatric patients. The book then explores a broad range of individual orthopaedic problems and disorders. Abundant tables, algorithms, and specially designed diagrams assist readers in mastering key concepts quickly and efficiently. Covers all areas of pediatric orthopaedics, including upper and lower extremity disorders, injuries, and deformities * musculoskeletal infections * muscular dystrophy and arthrogryposis * sports medicine * spina bifida * synovial disorders * trauma * cerebral palsy and neuromuscular disorders * and more. Uses concise, bullet-point text with numerous charts, tables, and algorithms to expedite reference. Features a wealth of outstanding illustrations, original drawings, and clinically relevant radiographs. Offers lists of bibliographical sources at the end of each chapter. With 26 additional contributing experts

The second edition to this successful textbook is for all physiotherapy students and newly qualified physiotherapists working in orthopaedics at both undergraduate and postgraduate levels. The authors have drawn on their many years of experience and clinical work in various orthopaedic settings to help students with clinical reasoning when faced with apparently diverse patient problems. The content of this book moves from normal to abnormal and from simple to complex. Case studies and self-assessment sections encourage participation by the reader to help students develop a reasoned and logical approach towards the management of their orthopaedic patients. Chapter summaries emphasize key areas of importance. Case studies illustrate problem-solving approaches and demonstrate how to manage specific client groups. Objectives and prerequisites are included for each section, alerting readers to what they should know before and after reading. Reading and practice assignments include recommended prerequisite knowledge and experience. Well-illustrated text includes line diagrams, photographs, and radiographs to clarify important concepts. New chapters on Hydrotherapy and Gait present current knowledge on these areas. Chapters have been updated to include more information on the upper limb. Chapters on Decision Making and Clinical Reasoning in Orthopaedics and Gait Analysis in the Clinical Situation have been thoroughly updated and revised.

The biceps tendon is one of the most challenging anatomic structures to completely understand. Its precise role for shoulder function has yet to be completely defined, and pathologic conditions exist at both its proximal and distal ends. In recent years, the biceps labral complex has been recognized as a common cause of shoulder pain among patients. Accurate diagnosis, utilizing both physical examination and imaging, is crucial to decision-making regarding the most effective treatment. Many controversies exist surrounding the management of biceps pathology with a myriad of potential solutions to consider. This practical text breaks down the biceps into succinct, digestible portions with expert tips and tricks to help manage bicipital problems in a wide array of patients. Sensibly divided into three thematic sections, it encompasses all aspects of the biceps tendon, including relevant anatomy, diagnosis, imaging, and non-operative management (including rehabilitation and biologic treatments). Surgical management strategies as they pertain to both proximal and distal biceps tendon pathologies will be covered, including both arthroscopic and open tenodesis, transfer, and inlay and onlay fixation methods. A review of associated complications and how to avoid them is likewise described in detail, along with post-surgical rehabilitation techniques to maximize return to play. Ideal for orthopedic surgeons and sports medicine specialists at all levels, The Management of Biceps Pathology will be a unique resource for all clinicians facing challenges treating the active patient with shoulder and elbow pain.

This is a medical text book aimed at all health care professionals who care for patients with back pain. It is a book for health professionals about the understanding and management of back pain. It has become established as one of the leading examples of a biopsychosocial approach to medicine. It sets out to challenge unsubstantiated beliefs regarding the best way to treat and manage back pain and to create an interdisciplinary debate on the subject. Patients and society are demanding more effective approaches to this huge problem. This requires a radical rethink among professionals about their individual contributions to the problem. This book is about the revolution that is taking place in this area. Gordon Waddell is the world authority on the topic of the back pain revolution. The content addresses huge problems of concern to many disciplines and governments. The unbiased, open-minded view looks at the issues and the evidence and invites the readers to consider, debate, and agree on the best course of action. Comprehensive coverage of all aspects of the problem offers both interventionist and conservative approaches to treatment, psychosocial issues, economic factors, patient education, and prevention. A new chapter on Occupational Health Guidelines keeps the reader up-to-date. New information allows the book to expand on the insights of the previous edition, which was considered a classic text. More social and work-related research and material provides information on these important issues. Updated guidelines and references make this resource one of the best for current practice. The new illustrations, graphs, tables, and education handouts present Waddell's theory in a fresh, new way that aids in the reader's understanding.