Musculoskeletal Medicine – serie

The use of ultrasound guidance to perform diagnostic and therapeutic injections is growing at a rapid rate, as is the evidence to support its use. Even with the increased popularity of ultrasound, there remains a lack of formal training or a standard reference book. Atlas of Ultrasound Guided Musculoskeletal Injections fills this void in the literature and will be useful to physiatrists, orthopedists, rheumatologists, pain medicine and sports medicine specialists alike. Broken down by anatomic structure and heavily illustrated, this book is both comprehensive and instructive. The Editors and their contributors break down the basics (both the fundamentals of ultrasound to needle visibility and the role of injections) and explore ultrasound-guided injection for structures in the shoulder, elbow, wrist and hand, hip and groin, knee, ankle and foot, and spine. Using a clear, heavily illustrated format, this book describes the relevant clinical scenarios and indications for injection, the evidence to support ultrasound use, relevant local anatomy, injection methods, and pearls and safety considerations. It will be a valuable reference for trainees and experienced clinicians alike, for experienced sonographers or those just starting out.

The use of ultrasound guidance to perform diagnostic and therapeutic injections is growing at a rapid rate, as is the evidence to support its use. Even with the increased popularity of ultrasound, there remains a lack of formal training or a standard reference book. Atlas of Ultrasound Guided Musculoskeletal Injections fills this void in the literature and will be useful to physiatrists, orthopedists, rheumatologists, pain medicine and sports medicine specialists alike. Broken down by anatomic structure and heavily illustrated, this book is both comprehensive and instructive. The Editors and their contributors break down the basics (both the fundamentals of ultrasound to needle visibility and the role of injections) and explore ultrasound-guided injection for structures in the shoulder, elbow, wrist and hand, hip and groin, knee, ankle and foot, and spine. Using a clear, heavily illustrated format, this book describes the relevant clinical scenarios and indications for injection, the evidence to support ultrasound use, relevant local anatomy, injection methods, and pearls and safety considerations. It will be a valuable reference for trainees and experienced clinicians alike, for experienced sonographers or those just starting out.

Comprehensive and concise review of the essential facts needed to do a successful clinical rotation in physical medicine and rehabilitation (PM&R). Writing to be quickly read and comprehended, the authors spell out the implications of brain injury, the effects of spinal cord injury, the uses of orthotics and prosthetics, and the crucial importance of cardiac and pulmonary rehabilitation to maximize functional independence. Additional chapters detail the principles of pediatric, neuromuscular, cancer, and orthopedic rehabilitation, and demonstrate the use of electrodiagnostic techniques that can be used to help localize a lesion of the neuromuscular system and determine its severity, time course, and prognosis. The book also provides a handy review for passing PM&R board exams.

Practicing physical medicine and rehabilitation physician Grant Cooper, MD, provides a concise step-by-step approach to confidently establishing a working clinical diagnosis and finding appropriate treatment options for the most common musculoskeletal ailments. Organized by body region and written with superb clarity, this guide details the important questions to ask in history taking, the physical examination maneuvers appropriate for each pathology, the possible explanations and additional tests needed to diagnose the condition, and the most up-to-date treatment options available. The author offers clear explanations why each step in the history and physical examination is performed and discusses the basic pathophysiological processes involved. The ailments covered include neck and shooting arm pain; shoulder pain; elbow pain; wrist and hand pain; low back, hip, and shooting leg pain; knee pain, ankle pain, and foot pain. Numerous photographs demonstrate the correct hands-on methods for physical examination of the patient.

Justinius Kerner, a German medical officer and poet, was the first to realize that botulinum toxin potentially might be useful for therapeutic purposes. Kerner made this observation in 1822, but he did not call the toxin “botulinum toxin. ” Instead, Kerner called it the substance in “wirkenden stoffes,” which translates to “bad sausages. ” Kerner realized that there was a “fat poison” or “fatty acid” within sausages that produced the toxic effects that we now know as botulism. Nearly a century would pass before the bacterium producing the toxin would be isolated and the toxin ultimately renamed “botulinum toxin. ” As farsighted as Kerner was, it is doubtful that even he could have predicted just how much potential therapeutic punch was packed within his wirkenden stoffes. It was not until 1978, more than a century and a half after Kerner’s prediction, that Dr. Allan Scott received Food and Drug Administration approval to test botulinum toxin type A in human volunteers. We do not yet have a comprehensive understanding of precisely how botulinum toxin works in the human body or how our bodies fully respond to the toxin. We do know that it temporarily paralyzes muscle by inhibiting the release of acetylcholine, and it also appears to inhibit the release of other neurotransmitters.

Although I was repeatedly encouraged by friends and colleagues to write a more extensive text, I knew that more laboratory research, methodologi­ cal fine-tuning, clinical information, and significant changes to the concep­ tual foundations, were needed before a truly meaningful book could be written.

Justinius Kerner, a German medical officer and poet, was the first to realize that botulinum toxin potentially might be useful for therapeutic purposes. Nearly a century would pass before the bacterium producing the toxin would be isolated and the toxin ultimately renamed “botulinum toxin.