A Practical Approach to Orthopaedic Medicine: Assessment, Diagnosis, Treatment

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1 Principles of orthopaedic medicine

1 Clinical reasoning in orthopaedic

3 Connective t,issue inflammation, repair and

remodelling

medicine 3

41

4 Orthopaedic medicine treatment

2 Soft tissues of the musculoskeletal

system 25

techniques

51

Chartered Society of Physiotherapy (CSP) endorsed a

Introduction to Section 1

Clinical Guideline for the Use of Injection Therapy by Physiotherapists that

was originally prepared

by the

The, im of this book is to provide principles of diagnosis

Association of Chartered Physiotherapists in Orthopaedic

and treatment that can be applied to any of the soli tissue

Medicine (ACPOM), a clinical interest group of the CSP

lesions encountered in clinical practice.

(1999). Since then, physiotherapists working as rheuma­

This first section presents the theory behind the princi­

tology or ortJlopaedic practitioners, as seniors in hospital

ples imd practice of urthopaedic medicine, beginning with

clinics or in private practice have risen to the challenge,

the theory underpinning the assessment procedure towards

taking care to comply with stringcnt protocols and direc­

clinical diagnosis. Clinical diagnosis involves the develop­

tions

ment of

a

hypothesis through the consideration of both

subjective