Manual Therapy For Musculoskeletal Pain Syndromes

A pioneering, one-stop manual which harvests the best proven approaches from physiotherapy research and practice to assist the busy clinician in real-life screening, diagnosis and management of patients with musculoskeletal pain across the whole body. Led by an experienced editorial team, the chapter authors have integrated both their clinical experience and expertise with reasoning based on a neurophysiologic rationale with the most updated evidence. The textbook is divided into eleven sections, covering the top evidence-informed techniques in massage, trigger points, neural muscle energy, manipulations, dry needling, myofascial release, therapeutic exercise and psychological approaches. In the General Introduction, several authors review the epidemiology of upper and lower extremity pain syndromes and the process of taking a comprehensive history in patients affected by pain. In Chapter 5, the basic principles of the physical examination are covered, while Chapter 6 places the field of manual therapy within the context of contemporary pain neurosciences and therapeutic neuroscience education. For the remaining sections, the textbook alternates between the upper and lower quadrants. Sections 2 and 3 provide state-of-the-art updates on mechanical neck pain, whiplash, thoracic outlet syndrome, myelopathy, radiculopathy, peri-partum pelvic pain, joint mobilizations and manipulations and therapeutic exercises, among others. Sections 4 to 9 review pertinent and updated aspects of the shoulder, hip, elbow, knee, the wrist and hand, and finally the ankle and foot. The last two sections of the book are devoted to muscle referred pain and neurodynamics. The only one-stop manual detailing examination and treatment of the most commonly seen pain syndromes supported by accurate scientific and clinical data Over 800 illustrations demonstrating examination procedures and techniques Led by an expert editorial team and contributed by internationally-renowned researchers, educators and clinicians Covers epidemiology and history-taking Highly practical with a constant clinical emphasis

Comprehensive in scope and invaluable for both practitioners and students, Mechanisms and Management of Pain for the Physical Therapist, 2nd Edition, thoroughly covers the wide range of issues requiring the interdisciplinary management of pain. Joined by more than 20 international contributors, Dr. Kathleen Sluka provides a practical, evidence-based framework for understanding the basics of pain mechanisms and management. This highly regarded, updated text covers the basics of pain neurobiology and reviews evidence on the mechanisms of action of physical therapy treatments, as well as their clinical effectiveness in specific pain syndromes.

Hip and Knee Pain Disorders has been written to provide a state-of-the-art, evidence-informed and clinically-informed overview of the examination and conservative management of hip/knee pain conditions. Under the current predominantly evidence-based practice paradigm, clinician expertise, patient preference, and best available research determine examination, and prognostic and clinical management decisions. However, this paradigm has been understood by many to place greater value and emphasis on the research component, thereby devaluing the other two. Evidence-informed practice is a term that has been suggested to honor the original intent of evidence-based practice, while also acknowledging the value of clinician experience and expertise. In essence, evidence-informed practice combines clinical reasoning, based on current best evidence, with authority-based knowledge and a pathophysiological rationale derived from extrapolation of basic science knowledge. Unlike other published textbooks that overemphasize the research component in decision-making, this book aims to address the clinical reality of having to make decisions on the management of a patient with hip/knee pain, in the absence of a comprehensive scientific rationale, using other sources of knowledge. It offers an evidence-informed textbook that values equally research evidence, clinician expertise and patient preference. The book is edited by three recognised world leaders in clinical research into manual therapy and chronic pain. Their research activities are concentrated on the evidence-based management of musculoskeletal pain conditions using conservative interventions. For this book they have combined their knowledge and clinical expertise with that of 38 additional contributors, all specialists in the field The contributors include a mix of clinicians and clinician-researchers. Hip and Knee Pain Disorders is unique in bringing together manual therapies and exercise programs in a multimodal approach to the management of these pain conditions from both a clinical, but also evidence-based, perspective. It acknowledges the expanding direct access role of the physical therapy profession. The book provides an important reference source for clinicians of all professions interested in conservative management of the hip and knee regions. It will also be useful as a textbook for students at both entry and post-graduate level.

Using a single treatment model that can be applied to every patient, this unique book is a valuable guide for assessing, identifying, and treating patients with acute and chronic pain in physical therapy practice. It teaches clinicians how to quickly recognize pain patterns and deal with pain using practical pain management techniques (psychosocial interventions, self-help methods) in combination with familiar musculoskeletal approaches (massage, exercise therapy, TENS). Underlying concepts of neurophysiology endocrine physiology, and psychology are explained to convey a greater understanding of pain science and its links to everyday practice. 'PAIN IN PRACTICE is a very readable user friendly book. it approaches the subject of pain from different perspectives with the overriding theme being releveance to clinical reasoning and thus treatment of patients...The book is well designed with the use of green shaded boxes to summarize or highlight important points. there is good use of patient scenarios to facilitate the linking of theory to practice and the many diagrams and flow charts support the text well.' The British Pain Society Newsletter, Spring 2006. Material is organized according to the hierarchy in the sensory nervous system, from familiar to the increasingly complex causes of pain. A single, overarching clinical reasoning model is presented that integrates psychological, neural, and mechanical knowledge, enabling therapists to assess and treat all patients using the same model. The book's rational approach to analyzing pain syndromes discards overly simplistic notions of pain as a mechanical phenomenon. A comprehensive review of outcome measures is provided, which serves as a convenient reference guide for evaluation and clinical practice. Text boxes highlight patient examples, exercises, and interesting background information. Relevant neurophysiology is discussed in a way that translates the information into practical application. Integrative approach to pain management empowers therapists to use familiar musculoskeletal methods in addition to psychosocial methods, enabling them to choose the most appropriate techniques from both areas.

Muscle Pain Syndromes and Fibromyalgia: Pressure Algometry for Quantification of Diagnosis and Treatment Outcome represents a new approach by quantifying the diagnosis and outcome assessment of musculoskeletal pain by pressure algometry. Such quantitative studies are useful in daily practice of pain management as well as in research and medicolegal documentation. The basic question of whether or not pressure sensitivity has reached an abnormal level can be answered quantitatively. Findings of different clinicians can be compared in numbers. The efficacy of different therapeutic procedures can be assessed numerically immediately after injections or physical therapy. Long-term effects of pain medications or physical modalities can be documented. The measurements take a few minutes and are simple and reliable. Muscle Pain Syndrome and Fibromyalgia is clinically oriented and presents the experience of internationally recognized authorities. This means you'll learn: the employment of pressure algometry in quantitative evaluation of pain alleviation by medications and physical modalities documentation of long-term follow up results in plantar fasciitis, failed back surgery and degenerative hip disorders treated by a new injection technique the quantified diagnosis of tender spots, active and latent trigger points and fibromyalgia the specific measurement sites, methods and goals for the evaluation of different treatments you will see how renowned clinicians in Brazil, Italy, Finland, The United States, and Taiwan employ algometry for quantitative diagnosis and evaluation of treatment results. Immediate effects of treatment as well as long-term results were successfully monitored by algometry the importance of distinguishing sensitization in the skin, subcutaneous, and deep tissues for differential diagnosis of muscle pain syndromes sensitivity over active and latent trigger points and referred pain zones Muscle Pain Syndromes and Fibromyalgia is a multidisciplinary comprehensive treatise reviewing the present status of clinical and research application of pressure algometry. This inexpensive method by its simplicity is suitable for employment in the daily practice of pain management. PA represents significant progress in approaching the important but difficult problem of how to quantify a diagnosis that is based upon such a subjective category as pain. Myofascial pain syndrome, fibromyalgia, muscle spasm and inflammation in general can be assessed quantitatively.

An evidence-based reference for integrating manual medicine into everyday clinical practice Written by the authors of the popular Manual Medicine: Diagnostics and Manual Medicine: Therapy, this book is a comprehensive guide to integrating manual medicine into the diagnosis and clinical management of musculoskeletal disorders and pain syndromes. Brimming with instructive images and illustrations, the book provides a solid foundation in general principles of manual medicine, spinal biomechanics, neurophysiology, as well as treatments for each disorder and condition. Separate sections on the spine, limbs, and muscles present clinical applications for structural diagnosis and functional treatment. Highlights: Practical examples of evidence-based approaches to manual medicine 1,313 illustrations and photographs of superb quality that rapidly demonstrate key concepts Coverage of the essentials of the neuro-musculoskeletal examination with step-by-step descriptions of the techniques for observation, palpation, motion tests, functional examination, and provocative tests, including quick screening tests Chapter on the various components of nonradicular pain syndromes, including muscle pain syndromes, with clear diagnostic criteria for distinguishing the non-radicular and soft-tissue pain syndromes from other pain syndromes Succinct descriptions of common clinical neuro-orthopedic disorders and syndromes of the spine, upper limb, and lower limb in tabular format - ideal for rapid reference and review Discussion of the rationale for selecting particular low-risk treatment interventions, as well as a thorough discussion of indications and contraindications for patients with potentially increased risk Discussion of important considerations for documentation, informed consent, patient monitoring, and follow-up measures Practical section with descriptions of exercises for patients to do on their own Potential considerations for future research This book will serve as the definitive reference for all practitioners involved in the diagnosis and medical management of locomotor disorders and painful conditions. It will enable clinicians to enhance their diagnostic and treatment armamentarium by incorporating manual medicine techniques based on the current, evidence-based knowledge of the interrelationships between structure and function.

This book examines a special topic, JMMT. Emphasis is on the etiology of trigger points with a critical overview of current concepts. The contributing authors are the most respected myofascial pain research and practice experts. The authors address the etiology of trigger points, the epidemiology of myofascial pain, clinical management of patients, specific treatment issues, and the role of trigger points in various pain syndromes.

The Science and Clinical Application of Manual Therapy is a multi-disciplinary, international reference book based on work by the top basic science researchers and clinical researchers in the area of Manual Therapy and Manual Medicine (MT/MM). The first book to bring together research on the benefits of MT/MM beyond the known effects on musculoskeletal disorders, it presents evidence of the benefit of MT/MM in treating systemic disorders such as asthma, heart rate dysfunction and GI disturbance. Authored by the leading multidisciplinary basic science and clinical researchers from throughout the world Describes research confirming benefit of MT for musculoskeletal disorders (which helps provide a rational for greater utilization of manual therapy and reimbursement for this healthcare service) Presents the latest findings on the beneficial effect of MT on systemic disorders including asthma, pneumonia, otitis media, heart rate dysfunction and GI disturbance Critically assesses longstanding theoretical models of MT/MM mechanisms with respect to the current understanding of physiological and neurophysiological function Explores the influences of psychological and cortical processes on the effects of MT/MM, including the effect of placebo Uniquely presents research findings from all the manual therapy professions and scientists making the case for the benefits of MT The symposium from which the book was derived was supported by the NIH National Center for Complimentary and Alternative Medicine