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Manual de Medicina Musculo Esquelética

Manual de Medicina Musculo Esquelética

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Published by: Jorge Campillay Guzmán on Oct 07, 2010
Copyright:Attribution Non-commercial


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Fellow, Interventional Spine, Sports, and Musculoskeletal MedicineDepartments of Orthopedics and Rehabilitation MedicineBeth Israel Medical Center New York, New York
Director of Sports MedicineInterventional Spine and Sports Medicine DivisionDepartment of Rehabilitation MedicineMount Sinai School of MedicineNew York, New York
To my wife Ana, for giving it all meaning.—GCTo my wife Sandra, for providing inspiration, support, and encouragement.—JH
Musculoskeletal complaints are among the most common reasons for a patient to visit the doctor. "Back pain" alone is thesecond most common reason for a patient to visit a primary care physician. Despite the ubiquity of musculoskeletalcomplaints, there remains a lack of comfort in most physicians faced with these complaints. All too often, patients aremanaged on nonsteroidal anti-inflammatory drugs (NSAIDs) and pain killers until the pain progresses to the point that theyare referred to orthopedists for surgical evaluation. Orthopedists for their part might be less familiar with conservativecare algorithms and end up referring to a nonsurgical sports medicine doctor or physiatrist.This
Manual of Musculoskeletal Medicine
provides a step-by-step practical approach to the diagnosis and aggressivenonsurgical management of the most common musculoskeletal complaints. Each section opens with a diagnosis andtreatment algorithm section for common chief complaints (e.g., "shoulder pain," "anterior knee pain"). Broad strokes areused to give the clearest possible picture of the complaint and how it should be approached and managed in a logicalstepwise fashion.Of course, any time a book seeks to review a large amount of material and condense it into the highest-yield and mostuser-friendly points possible, it runs the risk of oversimplification. Please note that the
Manual of MusculoskeletalMedicine
is not intended to replace more detailed texts. This book provides a structural framework into which the readercan add details and nuances gained from further reading and clinical experience.Ideally,
Manual of Musculoskeletal Medicine
will give the internist and family practice physician enough information to feelcomfortable seeing and initially managing musculoskeletal complaints. With the information provided, thegeneral practitioner should recognize when he or she can provide appropriate care and when it is time to refer to aspecialist. Also, the general practitioner can use this book to identify when a musculoskeletal complaint is an emergencysituation and when a complaint deserves surgical evaluation.A physiatrist or other nonsurgical musculoskeletal medicine specialist can use this book to guide diagnosis and treatmentapproaches. Importantly, too, the nonsurgical specialist should also use this book to help identify when it is appropriate torefer for a surgical consultation.Finally, an orthopedist or neurosurgeon can use this book to review diagnosis and aggressive nonsurgical managementalgorithms. Of course, this book will not turn a surgeon into a nonsurgeon. Rather, when a patient presents to a surgeonwith "back pain" or is being referred for a possible fusion for a "herniated disc," the surgeon may use this book as a reviewto make certain that appropriate diagnosis and aggressive nonsurgical care have first been provided before considering thesurgical option.

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