Muscle Pain: Understanding Its Nature, Diagnosis and Treatment

5 valoración promedio
( 3 valoraciones por Goodreads )
 
9780683059281: Muscle Pain: Understanding Its Nature, Diagnosis and Treatment

For the first time a book that addresses all aspects of muscle pain from basic science to clinical treatment. This book answers all possible questions regarding muscle pain--from local muscle soreness to the fibromyalgia syndrome. The unique concept behind the book is the combination of neuroanatomical and neurophysiological data with the clinical management of all diseases that exhibit muscle pain.

"Sinopsis" puede pertenecer a otra edición de este libro.

From The New England Journal of Medicine:

Muscle pain is common. Fibromyalgia occurs in 2 percent of the general population (in 0.5 percent of males and 1.5 percent of females) and is diagnosed in approximately 15 percent of patients seen in rheumatology clinics and up to 10 percent of those seen in general internal-medicine clinics. Low back pain, which in many cases is of myofascial origin, has a lifetime prevalence as high as 80 percent and accounts for 20 million sick days per year in the United States. Twenty percent of persons in the general population have chronic regional pain. Nocturnal muscle cramps are common in all age groups, with an especially high prevalence among elderly persons (50 percent) and pregnant women (81 percent).

The high prevalence of muscle pain is not surprising, since more than 200 paired skeletal muscles (the exact count depends on the extent of muscle subdivision), each with free nociceptors at nerve endings, account for 40 percent or more of body weight.

Muscle Pain is a well-written book with comprehensive, up-to-date references and many useful figures. The nine chapters clearly review the neurobiologic, pathophysiologic, and clinical manifestations of muscle pain. Helpful features of the book include a summary and outline at the beginning of each chapter; specific treatment recommendations, with a brief review of the pharmacologic characteristics of each drug at the end of most chapters; and a glossary of key words and terms, which nonneurologists will find especially useful. Almost a third of the book is devoted to the most common causes of muscle pain: myofascial pain and the fibromyalgia syndrome.

Myofascial pain denotes both the symptoms caused by myofascial trigger points and a regional pain syndrome characterized by the presence of trigger points. A trigger point is a tender, localized hardening in a skeletal muscle that can evoke referred pain in a characteristic pattern involving different locations in a particular muscle. The concept of myofascial pain has evolved considerably since Arthur Steindler introduced the term in 1939. The late Janet Travell, who had suffered from myofascial pain herself, was largely responsible for putting the disorder and its treatment on the medical map, with publications over a 50-year period. (Travell was the White House physician for Presidents John F. Kennedy and Lyndon B. Johnson; she administered trigger-point injections to President Kennedy for his chronic low back pain and recommended that he use a rocking chair. Travell published two influential books on myofascial pain with David Simons, one of the authors of Muscle Pain.) The chapter on myofascial pain reviews its pathophysiologic features, including electromyographic findings reportedly due to dysfunctional motor end plates and the histogenesis of trigger points. Characteristic patterns of pain and effective treatments, such as trigger-point injections, are summarized.

Fibromyalgia is a chronic condition of increasing sensitivity characterized by widespread pain and confirmed by the induction of pain with 4 kg of palpation pressure in at least 11 of 18 (9 bilateral) soft-tissue tender points in various locations from the occiput to the knees. In contrast to trigger points, tender points cause local pain when pressed but do not refer pain. (The term "tender point" was first used by Smythe and Moldofsky in 1972 and "fibromyalgia" by Hench in 1977.) In the chapter on the fibromyalgia syndrome, I. Jon Russell reviews data supporting the theory that widespread allodynia is due to central nervous system amplification of nociception in general, not to a specific muscle disorder. Medications such as tricyclic antidepressants, nonsteroidal antiinflammatory agents, cyclobenzeprine, and tramadol may help some patients. Even if such treatment is not effective, the physician can help the patient by providing information about the syndrome and by having an accepting attitude.

Not surprisingly, myofascial pain and fibromyalgia are two of the most controversial topics in medicine. Critics note that the criteria for their diagnosis are subjective and that the applicability of the criteria is problematic for several reasons, including poor interexaminer reliability. Various studies that have been reported to demonstrate a pathophysiologic substrate have been subject to vociferous attacks. There is also concern that these diagnoses medicalize psychiatric disorders or encourage unjustified legal claims of injury or disability. Suggested nonhistologic terms for these disorders include aches and pains, the chronic pain syndrome, somatoform pain disorder, the pain amplification syndrome, somatic dysthymia, the hypervigilance syndrome, affective spectrum disorder, and diffuse suffering. Terminology aside, I believe that most of my patients who report pain actually experience pain that has a biologic, albeit often poorly understood, basis.

I highly recommend Muscle Pain to any physician who treats these disorders or wishes to review the growing body of knowledge about their neurobiologic and pathophysiologic features. This book will be of special interest to pain specialists, neurologists, neurosurgeons, rheumatologists, orthopedists, and physiatrists.

Randolph W. Evans, M.D.
Copyright © 2001 Massachusetts Medical Society. All rights reserved. The New England Journal of Medicine is a registered trademark of the MMS.

"Sobre este título" puede pertenecer a otra edición de este libro.

Los mejores resultados en AbeBooks

1.

Mense Dr. Med., Siegfried; Simons MD, David G.; Russell MD PhD, I. Jon
Editorial: LWW
ISBN 10: 0683059289 ISBN 13: 9780683059281
Nuevos Tapa dura Cantidad: > 20
Librería
Professional and Academic Bookstore
(Dundee, MI, Estados Unidos de America)
Valoración
[?]

Descripción LWW. Hardcover. Estado de conservación: New. 0683059289 *DELIVERED 1-4 business days after shipping** BRAND-NEW. **DELIVERED FAST! Delivery EAST of the Mississippi River only takes 1-2 BUSINESS DAYS after shipping (EXCEPTION: delivery to FL, ME, VT, NH, and a small area of MA takes 3 BUSINESS DAYS after shipping); orders WEST of the Mississippi are usually delivered within 1-4 BUSINESS DAYS after shipping (small areas of OR and ID can take 5 business days). PLEASE NOTE: UPS does not generally deliver to PO Boxes or APO addresses, so please be sure to give us a physical street address to deliver to; also, unfortunately, we cannot ship this item to Alaska or Hawaii. *(this applies to domestic shipments within the continental U.S. - other destinations may take longer) THANKS!. Nº de ref. de la librería L9780683059281-010917L

Más información sobre esta librería | Hacer una pregunta a la librería

Comprar nuevo
EUR 86,56
Convertir moneda

Añadir al carrito

Gastos de envío: EUR 6,78
A Estados Unidos de America
Destinos, gastos y plazos de envío

2.

Mense Dr. Med., Siegfried, Simons MD, Da
Editorial: LWW (2000)
ISBN 10: 0683059289 ISBN 13: 9780683059281
Nuevos Tapa dura Cantidad: 2
Librería
Murray Media
(North Miami Beach, FL, Estados Unidos de America)
Valoración
[?]

Descripción LWW, 2000. Hardcover. Estado de conservación: New. Never used!. Nº de ref. de la librería P110683059289

Más información sobre esta librería | Hacer una pregunta a la librería

Comprar nuevo
EUR 112,99
Convertir moneda

Añadir al carrito

Gastos de envío: EUR 1,70
A Estados Unidos de America
Destinos, gastos y plazos de envío

3.

Mense Dr. Med., Siegfried; Simons MD, David G.; Russell MD PhD, I. Jon
Editorial: LWW
ISBN 10: 0683059289 ISBN 13: 9780683059281
Nuevos Tapa dura Cantidad: 1
Librería
Cloud 9 Books
(Wellington, FL, Estados Unidos de America)
Valoración
[?]

Descripción LWW. Hardcover. Estado de conservación: New. 0683059289 New Condition. Nº de ref. de la librería NEW7.0260884

Más información sobre esta librería | Hacer una pregunta a la librería

Comprar nuevo
EUR 117,75
Convertir moneda

Añadir al carrito

Gastos de envío: EUR 4,25
A Estados Unidos de America
Destinos, gastos y plazos de envío

4.

Siegfried Mense Dr. Med.; David G. Simons MD; I. Jon Russell MD PhD
Editorial: LWW (2000)
ISBN 10: 0683059289 ISBN 13: 9780683059281
Nuevos Tapa dura Primera edición Cantidad: 1
Librería
Irish Booksellers
(Rumford, ME, Estados Unidos de America)
Valoración
[?]

Descripción LWW, 2000. Hardcover. Estado de conservación: New. book. Nº de ref. de la librería M0683059289

Más información sobre esta librería | Hacer una pregunta a la librería

Comprar nuevo
EUR 122,97
Convertir moneda

Añadir al carrito

Gastos de envío: GRATIS
A Estados Unidos de America
Destinos, gastos y plazos de envío

5.

Mense Dr. Med., Siegfried; Simons MD, David G.; Russell MD PhD, I. Jon
Editorial: LWW
ISBN 10: 0683059289 ISBN 13: 9780683059281
Nuevos Tapa dura Cantidad: 4
Librería
Diafan Media
(Geneva, IL, Estados Unidos de America)
Valoración
[?]

Descripción LWW. Hardcover. Estado de conservación: New. 0683059289 New Condition *** Right Off the Shelf | Ships within 2 Business Days ~~~ Customer Service Is Our Top Priority! - Thank you for LOOKING :-). Nº de ref. de la librería 2BOOK3P306116

Más información sobre esta librería | Hacer una pregunta a la librería

Comprar nuevo
EUR 126,06
Convertir moneda

Añadir al carrito

Gastos de envío: EUR 4,22
A Estados Unidos de America
Destinos, gastos y plazos de envío

6.

Siegfried Mense/ David G Simons/ I. Jon Russell
Editorial: Lippincott Williams & Wilkins (2001)
ISBN 10: 0683059289 ISBN 13: 9780683059281
Nuevos Tapa dura Cantidad: 1
Librería
Revaluation Books
(Exeter, Reino Unido)
Valoración
[?]

Descripción Lippincott Williams & Wilkins, 2001. Hardcover. Estado de conservación: Brand New. 1st edition. 385 pages. 10.00x7.00x1.00 inches. In Stock. Nº de ref. de la librería 0683059289

Más información sobre esta librería | Hacer una pregunta a la librería

Comprar nuevo
EUR 151,67
Convertir moneda

Añadir al carrito

Gastos de envío: EUR 6,75
De Reino Unido a Estados Unidos de America
Destinos, gastos y plazos de envío