By Ade Adebajo
Musculoskeletal illnesses are the main frequent continual disorder within the united kingdom and one of many best three the explanation why the over 45s stopover at their GP. The ABC of Rheumatology is a pragmatic, introductory advisor to the prognosis, administration and remedy of rheumatology and rheumatic illnesses for the non-specialist. delivering precise overviews of all significant components of rheumatology this totally revised fourth variation contains up to date details on new remedies, treatments, facts and guidance.
An informative and useful resource of data, with hugely illustrated chapters together with boxed summaries, hyperlinks to extra info, interpreting and assets, this good verified ABC identify is an obtainable reference for all fundamental care well-being execs, GPs, junior medical professionals, clinical scholars and nurses.
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Additional info for ABC of Rheumatology (ABC Series)
2010 Blackwell Publishing Ltd. 9781405170680. 32 Traumatic causes of knee pain Injuries are a common cause of knee pain. Most knee injuries in sport occur as a result of indirect trauma, such as a twisting moment to the knee. The structures most commonly injured by this mechanism are the menisci, the collateral ligaments and the cruciate ligaments. These structures may be damaged in isolation, or may occur in combination (for example the anterior cruciate ligament, medial collateral ligament and medial meniscus may be injured in O’Donoghue’s triad).
Three phases have been described: initial gradual development of diffuse and severe shoulder pain, typically worse at night with inability to lie on the affected side, lasting between 2 and 9 months; a stiff phase with less severe pain present at the end range of movement, characterized by global stiffness and severe loss of shoulder movement, lasting about 4 and 12 months; and finally a recovery phase characterized by a gradual return of movement over 5 and 24 months. Severe disability may result in absence from work and inability to perform leisure activities.
Low-dose tricyclic antidepressants may help some patients. Back exercises, aerobic conditioning, loss of excess weight and patient education are effective in managing chronic LBP. A multidisciplinary approach focusing on functional restoration through an intensive rehabilitation programme based on cognitive behavioural therapy is often helpful. The results of back surgery are disappointing when the goal is relief of back pain (such as by spinal fusion or artificial discs) rather than relief of radicular symptoms from neurologic compression.