Differential Screening of Regional Pain in Musculoskeletal Practice covers screening across the musculoskeletal system, outlining the biochemical basis for pain. This book is written by US based physical therapist, osteopath and naturopath, Deepak Sebastian. Comprised of ten chapters covering each different region of the musculoskeletal system, this book begins with an introduction and discussion of thought process in regional pain. The second chapter investigates the chemical basis of the human body in relation to pain, with the third covering drug-induced regional pain. Subsequent chapters cover specific regions in detail including cervical, thoracic, lumbopelvic, hip, knee, ankle, foot, shoulder, elbow, and wrist and hand pain. Enhanced by 116 images and illustrations, Differential Screening of Regional Pain in Musculoskeletal Practice is an excellent reference guide for physical therapists who need to identify a set of conditions or diagnoses for specific regional pain symptoms. Key Points Reference guide for physical therapists diagnosing symptoms of pain in the musculoskeletal system 116 illustrations and images Written by US based physical therapist Deepak Sebastian

Table of Contents:
Contents 1. Introduction and Thought Process in Regional Pain 1 2. Chemical Basis of the Human Body with Relevance to Regional Musculoskeletal Pain 7 • An Overview of the Biochemical Makeup of the Human Body 9 • Elements and Minerals 10 • Measurement of the Biochemical Makeup and Clinical Relevance 19 • Blood Groups 20 • Blood Tests 20 • Types of Blood Tests 21 • Hematology 21 • Biochemistry 28 • Microbiology 44 • Serology 44 • Other Blood Tests Relevant to Musculoskeletal Pain 44 • Waste Product Tests 47 • Urine Tests 49 • Clinical Laboratory Tests (Normal Values) 52 • Cell 57 • Bone and Soft Tissue Cancer 59 • Tissues 62 3. Drug-induced Regional Pain 64 • Pharmacology 64 • Rationale 64 • Drug-induced Myalgia and Arthralgia 65 • Drug-induced Neuralgia or Neuropathy 74 REGIONAL APPLICATION 4. Cervical Pain 90 • Ligaments 91 • Musculature 94 • Vasculature 95 • Cervical Lymph Nodes 96 • Thyroid Cartilage and Gland 97 • Combined Mechanics of the Upper and Midcervical Spine 97 • Mechanism of Dysfunction 100 • Palpation Around the Cervical Region 102 xii Differential Screening of Regional Pain in Musculoskeletal Practice • Vascular, Musculoskeletal and Systemic Red Flags 104 • Musculoskeletal Red Flags 107 • Congenital Anomaly 113 • Systemic Red Flags (Infection/Inflammation) 115 • Malignancy 116 • Systemic Mediation 118 • Lesions 124 • Description of Examination Procedures 135 • Clinical Implication 143 5. Thoracic Pain 173 • Ligaments 173 • Musculature 174 • Neural Anatomy 174 • Mechanics 175 • Mechanism of Dysfunction 175 • Palpation Around the Thoracic Region 176 • Vascular, Musculoskeletal and Systemic Red Flags 178 • Malignancy/Neoplasms 180 • Systemic Mediation 182 • Vascular 183 • Infection/Inflammation 183 • Congenital 185 • Endocrine 185 • Autoimmune 185 • Deficiency 185 • Lesions 187 • Description of Examination Procedures 195 6. Lumbopelvic Pain 203 • Intervertebral Disc 203 • Facet Joint 204 • Ligaments 205 • Sacrum and Ilia 207 • Musculature 208 • Mechanics in the Lumbar Region 208 • Mechanism of Dysfunction 209 • Mechanics in the Pelvic Region 209 • Walking Cycle Relevant to Pelvic Mechanics 210 • Mechanism of Dysfunction of the pelvic complex 211 • Palpation 212 • Vascular, Musculoskeletal and Systemic Red Flags 214 • Musculoskeletal Trauma 218 • Structural Anomalies 222 • Systemic Red Flags 223 • Malignancy 225 • Systemic Mediation 228 Contents xiii • Vascular 229 • Inflammatory/Infection 229 • Congenital 232 • Endocrine 235 • Autoimmune 237 • Deficiency 239 • Miscellaneous 239 • Yellow Flags 239 • Non-organic Physical Signs in Low Back Pain 240 • Stage Two of the Three Stage Approach 241 • Lesions 241 • Description of Examination Procedures 258 • Mechanical Dysfunction of the Pelvic Complex 260 • Torsional Dysfunctions 263 7. Hip Pain 286 • Osseous Anatomy 286 • Ligamentous Anatomy 287 • Muscular Anatomy 287 • Relevant Neural Anatomy 287 • Vascular Anatomy 288 • Inguinal Lymph Nodes 288 • Mechanics (Normal Roll-Gliding) 289 • Palpation Lumbar Spine, Pelvis and Hip 290 • Stage One 292 • Musculoskeletal Red Flags 293 • Vascular 294 • Inflammatory 294 • Malignancy 295 • Congenital 296 • Autoimmune 296 • Deficiency 296 • Stage Two 297 • Lesions 298 • Anteromedial Hip Pain/Groin Pain 298 • Lateral Hip Pain 306 • Posterior Hip Pain 307 • Hip Joint Somatic Diagnosis 308 • Description of Examination Procedures 309 8. Knee, Ankle and Foot Pain 319 • Knee 319 • Ankle and Foot 323 • Palpation 328 • Stage One: Principles of Examination 331 • Vascular 332 • Malignancy 334 xiv Differential Screening of Regional Pain in Musculoskeletal Practice • Infection/Inflammation 335 • Congenital 337 • Endocrine 338 • Autoimmune 339 • Deficiency 340 • Stage Two 341 • Knee Lesions 343 • Ankle and Foot Lesions 361 • Knee Joint Somatic Diagnosis 378 • Ankle and Foot Somatic Diagnosis 380 • Description of Examination Procedures 385 9. Shoulder Pain 402 • Osseous Anatomy 402 • Ligamentous Anatomy 404 • Muscular Anatomy 405 • Labral Anatomy 406 • Mechanics (Normal Roll-Gliding) 406 • Mechanism of Dysfunction 408 • Palpation 409 • Stage One 410 • Vascular 411 • Inflammatory 412 • Malignancy 414 • Congenital 414 • Endocrine 414 • Autoimmune 414 • Stage Two 415 • Lesions 415 • Superior Shoulder Pain 416 • Anterior Shoulder Pain 417 • Lateral Shoulder Pain 421 • Posterior Shoulder Pain 422 • Rotator Cuff Impingement 425 • Types 426 • Instability 429 • Shoulder Joint Somatic Diagnosis 431 • Acromioclavicular 436 • Sternoclavicular 437 • Subcranial Spine/Mid Cervical Spine 438 • First Rib Elevated 438 • Thoracic Spine 438 • Description of Examination Procedures 438 10. Elbow, Wrist and Hand Pain 452 • Elbow 452 • Wrist and Hand 458 Contents xv • Palpation 462 • Stage One 464 • Vascular 465 • Inflammatory 466 • Malignancy 467 • Congenital 468 • Endocrine 468 • Autoimmune 469 • Stage Two 470 • Medial Elbow Wrist and Hand Pain 471 • Posterior/Dorsal Elbow Wrist and Hand Pain 475 • Lateral Elbow Wrist and Hand Pain 478 • Anterior/Volar Elbow Wrist and Hand Pain 482 • Wrist and Hand Somatic Diagnosis (For Specific Somatic Dysfunction) 486 • Description of Examination Findings 489 Index 499