About the Book

A pioneering, one-stop manual which harvests the best proven approaches from physiotherapy research and practice to assist the busy clinician in real-life screening, diagnosis and management of patients with musculoskeletal pain across the whole body. Led by an experienced editorial team, the chapter authors have integrated both their clinical experience and expertise with reasoning based on a neurophysiologic rationale with the most updated evidence.



The textbook is divided into eleven sections, covering the top evidence-informed techniques in massage, trigger points, neural muscle energy, manipulations, dry needling, myofascial release, therapeutic exercise and psychological approaches. In the General Introduction, several authors review the epidemiology of upper and lower extremity pain syndromes and the process of taking a comprehensive history in patients affected by pain. In Chapter 5, the basic principles of the physical examination are covered, while Chapter 6 places the field of manual therapy within the context of contemporary pain neurosciences and therapeutic neuroscience education.



For the remaining sections, the textbook alternates between the upper and lower quadrants. Sections 2 and 3 provide state-of-the-art updates on mechanical neck pain, whiplash, thoracic outlet syndrome, myelopathy, radiculopathy, peri-partum pelvic pain, joint mobilizations and manipulations and therapeutic exercises, among others. Sections 4 to 9 review pertinent and updated aspects of the shoulder, hip, elbow, knee, the wrist and hand, and finally the ankle and foot. The last two sections of the book are devoted to muscle referred pain and neurodynamics.

About the Author

Edited by Cesar Fernandez de las Penas, PT, MSc, PhD, Head Division, Physical Therapy, Occupational Therapy, Rehabilitation and Physical Medicine, Universidad Rey Juan Carlos, Alcorcon, Madrid, Spain; Clinical Researcher, Center for Sensory-Motor Interaction (SMI), Aarlborg University, Aalborg, Denmark; Joshua Cleland, PT, DPT, PhD, OCS, FAAOMPT , Professor, Physical Therapy, Franklin Pierce University, Manchester, NH, USA and Jan Dommerholt, PT, DPT, MPS, DAAPM, Physical Therapist, Bethesda Physciocare/Myopain Seminars, Bethesda, MD, USA; Lecturer, University of Maryland, Baltimore, USA; Lecturer, Universidad CEU Cardenal Herrera, Valencia, Spain

Table of Contents:
PART 1: GENERAL INTRODUCTION

1. Epidemiology of upper extremity pain syndromes
Louise Thwaites and Karen Walker-Bone

2. Epidemiology of lower extremity pain syndromes
Adam Goode and Sean Rundell

3. History taking
Peter A. Huijbregts

4. History taking for patients with lower extremity syndromes
Megan Burrowbridge Donaldson and Kristina Averell

5. Physical examination
Shane Koppenhaver, Timothy Flynn and Jennifer Crane

6. Treating the brain in chronic pain
Adriaan Louw

7. Mechanical diagnosis and therapy for the spine: McKenzie method
Stephen May and Richard Rosedale

8. Mechanical diagnosis and therapy for the extremity: McKenzie method
Stephen May and Grant Richard Burges Watson

PART 2: CERVICOTHORACIC SPINE IN UPPER EXTREMITY PAIN SYNDROMES

9. Mechanical neck pain
Bryan S. Dennison and Michael H. Leal

10. Whiplash-associated disorders
Michele Sterling

11. Differential diagnosis and treatment of cervical myelopathy, cervical radiculopathy and cervical myeloradiculopathy
Chad Cook and Amy Cook

12. Thoracic outlet syndrome
Susan W. Stralka

13. Thoracic spine manipulation
William Egan, Paul E. Glynn and Joshua A. Cleland

14. Joint mobilization and manipulation of the cervical spine
John R. Krauss, Douglas S. Creighton, Joshua A. Cleland and Cesar Fernandez-de-las-Penas

15. Therapeutic exercise for mechanical neck pain
Carol Kennedy

PART 3: LUMBAR SPINE PAIN SYNDROMES

16. Mechanical low back pain
Scott Burns, Edward Foresman, Stephenie Kraycsir, and Joshua A. Cleland

17. Lumbar radiculopathy
Chad Cook and Mark Wilhelm

18. Lumbar spine instability
Bryan S. Dennison and Michael Leal

19. Lumbar spine in lower extremity pain syndromes
Scott Burns, Paul E. Glynn, Edgar Savidge and Joshua A. Cleland

20. The contribution of the pelvic floor muscles to pelvic pain
Ruth Lovegrove Jones

21. Chronic low back pain
Mark D. Bishop, Joel E. Bialosky and Charles W. Gay

22. Joint mobilization and manipulation of the lumbar spine
Emilio J. Puentedura

23. Therapeutic exercise for mechanical low back pain
Carol Kennedy and Lenerdene Levesque

24. Sacroiliac joint as source of pain: diagnosis and management
Kenneth E. Learman

PART 4: THE SHOULDER REGION IN UPPER EXTREMITY PAIN SYNDROMES

25. Acromioclavicular joint
Janette W. Powell, Ian Shrier, Peter A. Huijbregts

26. Sternoclavicular joint
Erland Pettman

27. Rotator cuff lesions shoulder impingement
Peter A Huijbregts and Carel Bron

28. Glenohumeral instability
Steven C. Allen, Russell S. VanderWilde and Peter A. Huijbregts

29. Superior labrum anterior-to-posterior (SLAP) lesions
Janette W. Powell and Peter A. Huijbregts

30. Frozen shoulder
Carel Bron, Arthur de Gast and Jo L. M. Franssen

31. Joint mobilization of the shoulder
Wayne Hing, Jack Miller and Cesar Fernandez-de-las-Penas

32. Motor control of the shoulder region
Mary E. Magarey, Mark A. Jones and Samuel R. Baida

33. Therapeutic exercises for the shoulder region
Johnson McEvoy, Kieran O?Sullivan and Carel Bron

PART 5: THE HIP REGION IN LOWER EXTREMITY PAIN SYNDROMES

34. Hip osteoarthritis
Alexis A. Wright

35. Other hip disorders: muscle, labrum and bursa
John Dewitt and David Kohlrieser

36. Postoperative management of hip disorders
Robert C. Manske and Erik Meira

37. Joint mobilization and manipulation of the hip
Jack Miller and Wayne Hing

38. Therapeutic exercises for the lower quadrant
Carol Kennedy and Lenerdene Levesque

PART 6: THE ELBOW REGION IN UPPER EXTREMITY PAIN SYNDROMES

39. Elbow tendinopathy: lateral epicondylalgia
Bill Vicenzino

40. Other elbow disorders: elbow instability, arthritic conditions
Chris A. Sebelski

41. Joint mobilization and manipulation of the elbow
Helen Slater and Cesar Fernandez-de-las-Penas

PART 7: THE KNEE REGION IN LOWER EXTREMITY PAIN SYNDROMES

42. Ligamentous and meniscal injuries of the knee
Carol A. Courtney and Craig P. Hensley

43. Knee osteoarthritis
Lars Arendt-Nielsen and Cesar Fernandez-de-las-Penas

44. Patellofemoral pain syndrome
Johnson McEvoy and Caroline MacManus

45. Postoperative management of the knee: ligamentous, meniscal and total joint replacement
Jodi Young and Ellen Pong

46. Joint mobilization and manipulation of the knee
Cody Weisbach, William Egan, Paul E. Glynn and Joshua A. Cleland

47. Tendinopathy for the knee
Ellen Pong

PART 8: THE WRIST AND HAND REGIONS IN UPPER EXTREMITY PAIN SYNDROMES

48. Tendinopathies of the wrist and hand
C. Joseph Yelvington and Ellen Pong

49. Carpal instability
Ellen Pong

50. Carpal tunnel syndrome
Luca Padua, Daniele Coraci and Cesar Fernandez-de-las-Penas

51. Other entrapment neuropathies
Joy C. MacDermid and David M. Walton

52. Joint mobilization and manipulation
Peter A. Huijbregts, Freddy M. Kaltenborn and Traudi Baldauf Kaltenborn

53. Finger and thumb pathology
Joy C. MacDermid, Ruby Grewal and B. Jane Freure

PART 9: THE FOOT AND ANKLE IN LOWER EXTREMITY PAIN SYNDROMES

54. Ankle sprains
Thomas Denninger and Gary Austin

55. Plantar heel pain
Matthew P. Cotchett

56. Postoperative management of foot and ankle disorders 623
Stephanie Albin, Mark W. Cornwall and Thomas G. McPoil

57. Manipulation of the foot and ankle
William Egan, Wayne Hing, Jack Miller and Joshua A. Cleland

58. Tendinopathy for the foot and ankle
Ellen Pong

PART 10: SOFT TISSUES IN THE UPPER AND LOWER QUADRANT

59. Referred pain from myofascial trigger points
Cesar Fernandez-de-las-Penas, Hong-You Ge, Lars Arendt-Nielsen and Jan Dommerholt

60. Manual treatment of myofascial trigger points
Cesar Fernandez-de-las-Penas, Jaime Salom-Moreno, Hong-You Ge and Jan Dommerholt

61. Dry needling of trigger points
Jan Dommerholt and Erik H. Wijtmans

62. Muscle energy approaches
Gary Fryer

63. Myofascial induction approaches
Andrzej Pilat

PART 11: NEURODYNAMICS IN THE UPPER AND LOWER QUADRANTS

64. Peripheral nerve mechanisms of chronic upper limb pain: nerve dynamics, inflammation and neurophysiology
Jane Greening and Andrew Dilley

65. Clinical neurodynamics in the upper and lower quadrants
Emilio J. Puentedura, Paul E. Mintken and Adriaan Louw