Problem Solving in Rheumatology by Kevin Pile

By Kevin Pile

"Problem fixing in Rheumatology" joins this becoming sequence. Co-authored by means of Lee Kennedy who wrote "Problem fixing in Diabetes", it will be a major contribution in a huge and fast-paced scientific sector. each one medical case will spotlight how contemporary advancements in scientific and pharmaceutical examine have had key effect at the perform of rheumatology. greater than 50 instances protecting the entire significant components of rheumatic problems can be incorporated, eg., rheumatoid arthritis, gout, joint substitute surgical procedure, nutrition, ache administration, carpel tunnel syndrome, fibromyalgia, tennis elbow, osteoporosis, ankyklosing spondylitis, infections and tumours to call yet a number of. standard of the sequence, each one case might be observed by way of introductory questions, a number of key references and a administration set of rules. The perform of rheumatology is consistently altering with new how you can deal with problems. it may be a favored e-book, reflecting up to date perform. this can be a sensible and up to date booklet that might be an invaluable addition to the doctor's library.

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4 Clegg DO, Reda DJ, Harris CL et al. Glucosamine, chondroitin sulphate, and the two in combination for painful knee osteoarthritis. New Engl J Med 2006; 354: 795–808. 5 Zochling J, March LM, Lapsley H, Cross M, Tribe K, Brooks P. Use of complementary medicines for osteoarthritis – a prospective study. Ann Rheum Dis 2004; 63: 549–54. 6 Bellamy N, Campbell J, Robinson V, Gee T, Bourne R, Wells G. Viscosupplementation for the treatment of osteoarthritis of the knee. Cochrane Database Syst Rev 2006; CD005321.

A pilot study of the effects of behavioural weight loss treatment on fibromyalgia symptoms. J Psychsom Res 2005; 59: 275–82. QXD 18/3/08 14:28 Page 33 07 Plantar fasciitis 33 P R O B L E M 07 Plantar Fasciitis Case History Shirley is aged 43 years and presents with exquisite pain beneath her left heel when walking. She is moderately obese (body mass index 32 kg/m2) and finds it hard to walk first thing in the morning. She prefers to wear open sandals. Should Shirley have X-rays to determine whether she has a plantar spur?

However, more widespread understanding and clearer definition, along with a more highly developed treatment flow, are beginning to streamline management and improve the outlook. There is a danger that over-enthusiastic investigation might contribute to making the condition more chronic. However, this should not deter the clinician from making a full investigation and the clinical picture warrants it. The major differential diagnosis is other connective tissue disorders, including rheumatoid disease, SLE and scleroderma.

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