By Ade Adebajo
Musculoskeletal ailments are the main common persistent affliction within the united kingdom and one of many best three explanation why the over 45s stopover at their GP. The ABC of Rheumatology is a realistic, introductory consultant to the prognosis, administration and remedy of rheumatology and rheumatic ailments for the non-specialist. supplying precise overviews of all significant parts of rheumatology this absolutely revised fourth version contains up-to-date info on new remedies, cures, proof and guidance.
An informative and sensible resource of data, with hugely illustrated chapters together with boxed summaries, hyperlinks to additional info, interpreting and assets, this good tested ABC name is an available reference for all basic care health and wellbeing execs, GPs, junior medical professionals, clinical scholars and nurses.
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Extra info for ABC of Rheumatology (ABC Series)
Management depends on the severity and cause. Reference Speed C, Hazleman B, Dalton S. Fast Facts: Soft Tissue Rheumatology. Health Press, Oxford, UK, 2000. Further reading Arthritis Research Campaign. The Painful Shoulder. An information booklet. Arthritis Research Campaign, York, UK, 2009. asp Binder A. Neck pain. Clinical Evidence 2006; 15: 1654–1675. Bjelle A. Epidemiology of shoulder problems. Baillière’s Clinical Rheumatology 1989; 3: 437–451. Buchbinder R, Green S, Struijs P. Tennis elbow.
Plain radiographs are not necessary in primary care 18 ABC of Rheumatology unless glenohumeral arthritis is suspected. Likewise, MRI is seldom necessary to establish the diagnosis, even in specialist care. rare SAPHO syndrome (synovitis, acne, pustulosis, hyperostosis, osteomyelitis). Treatment—Treatment is needed to control severe pain, improve range of movement and promote function. Patients should be informed of the generally favourable prognosis. Treatment with analgesia and NSAIDS is the same as for rotator cuff disease.
Trials of ultrasound have been conflicting but have generally reported marginal or no benefit, while laser therapy trials and trials of various other physical therapies have consistently been negative. There is no strong and consistent evidence that ESWT provides benefits in terms of pain and function in lateral epicondylitis. Acupuncture (needle, laser or electro-acupuncture) may provide short-term pain relief. Botulinum toxin injection and topical glyceryl trinitrate have recently been proposed as treatments for lateral epicondylitis, but further research is required before these therapies can be recommended.