Journal of Back and Musculoskeletal Rehabilitation - Volume 5, issue 1
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Journal of Back and Musculoskeletal Rehabilitation is a journal whose main focus is to present relevant information about the interdisciplinary approach to musculoskeletal rehabilitation for clinicians who treat patients with back and musculoskeletal pain complaints. It will provide readers with both 1) a general fund of knowledge on the assessment and management of specific problems and 2) new information considered to be state-of-the-art in the field. The intended audience is multidisciplinary as well as multi-specialty.
In each issue clinicians can find information which they can use in their patient setting the very next day. Manuscripts are provided from a range of health care providers including those in physical medicine, orthopedic surgery, rheumatology, neurosurgery, physical therapy, radiology, osteopathy, chiropractic and nursing on topics ranging from chronic pain to sports medicine. Diagnostic decision trees and treatment algorithms are encouraged in each manuscript. Controversial topics are discussed in commentaries and rebuttals. Associated areas such as medical-legal, worker's compensation and practice guidelines are included.
The journal publishes original research papers, review articles, programme descriptions and cast studies. Letters to the editors, commentaries, and editorials are also welcomed. Manuscripts are peer reviewed. Constructive critiques are given to each author. Suggestions for thematic issues and proposed manuscripts are welcomed.
Abstract: The radiologic work-up of shoulder pain in the aging athlete should be tailored to meet the needs and expectations of the patient and physician. The value of high quality plain radiographs cannot be over-emphasized. When a more sophisticated imagine is necessary, the choice between arthrography, ultrasound, or MRI imaging is not straightforward. Arthrography is an excellent test to demonstrate full rotator cuff tears. In competitive athletes, a more sophisticated look at the rotator cuff and adjacent structures may be desired, which can be satisfied by MR imaging.
Abstract: Many seasoned athletes are more prone to injury than their younger counterparts due to the effects of aging, lack of coaching, and long intervals between workouts (‘weekend warriors’). This is compounded if the middle-aged athlete was not an athlete as a young adult and therefore lacks prior instruction in good training habits. The author reflects on his own recent injury and interactions with medical care providers. Advice for care-givers includes: (1) wasting no time in work-up if the odds of successful treatment depend on timely diagnosis; (2) remembering to inform the patient of what can be expected during diagnostic and…treatment procedures; (3) not forgetting the psychological well-being of your athlete-patient, and remembering you are treating the person, not just an injury; (4) helping the athlete-patient stay in shape during recovery; (5) involving the athlete-patient in decisions about treatment options, based on a mutual understanding of goals; (6) not assuming the seasoned athlete lacks the same aspirations as the young adult athlete; and (7) helping the athlete prevent other injuries for which he might be at risk.
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