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This groundbreaking new text explains and documents the scientific basis of chronic pain in Joint Hypermobility Syndrome (JHS) and other heritable disorders of connective tissue from the physiological, epidemiological, genetic and clinical viewpoints. It asks the reader to consider the possibility of JHS, identify it clinically, understand its co-morbidities, including interdependencies with Fibromyalgia and Chronic Fatigue Syndrome, while managing the condition appropriately. Hypermobility, Fibromyalgia and Chronic Pain takes a multi-specialty and multidisciplinary approach to understanding JHS and its management, drawing together expertise from a broad group of internationally-recognized authors. The book is split into two sections. Section 1 deals with the clinical manifestations of JHS and Fibromyalgia, their epidemiology and pathophysiology. Section 2 covers clinical management. Here the reader will find chapters covering pharmacotherapeutics, psychotherapy and physical therapies that address the needs of patients from childhood to adulthood. It is hoped that Hypermobility, Fibromyalgia and Chronic Pain will advance knowledge of therapies and provoke further research while stimulating interest and encouraging debate. Comprehensively relates practical therapy to the nature of the underlying pathology Covers in one single text both the scientific and practical management aspect of Joint Hypermobility Syndrome and its allied pathologies Contributions from over 30 leading international experts Multidisciplinary approach will support all health professionals working in this field
Following a brief description of the historical and genetic background of the condition HMS is described in relation to other connective tissue disorders, such as Ehlers-Danlos syndrome, the Marfan Syndrome etc. The hypermobility syndrome is distinct from hypermobility (as in one joint only), which most physiotherapists are familiar with, and this difference will be explored. Hypermobility, is something people are born with, but it does not necessarily produce symptoms. It is present in between 5-15% of the population. Many of these will suffer symptoms at some stage in their life. It may occur in childhood, adolescence, adulthood, pregnancy or old age. Each of these stages is covered in the book, with detailed information on the presentation of the condition and its management. There are contributions from a variety of medical practitioners experienced in this field:. Consultant Rheumatologist, Professor R Grahame, Consultant Paediatrician, Dr K Murray, GP, Dr E Mansi, several physiotherapists, who specialise in different areas; Rosemary Keer (adults), Alison Middleditch (adolescents), Vicky Harding (Chronic pain), Jane Simmonds (Rehabilitation) & Sue Maillard (paediatric). There will also be a contribution from Sarah Gurley-Green, past Chairperson to the Hypermobility Syndrome association. Demonstrates how to identify the condition in the clinic. Discusses treatment and management strategies. Provides examples in the form of case studies. Includes details of a comprehensive assessment procedure, which differs depending on the stage of the disorder and the age of the patient. Features contributions by experts in a range of medical fields.
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