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September 3, 1982

Soft Tissue Rheumatic Pain: Recognition, Management, Prevention

Author Affiliations

Hahnemann Medical College and Hospital Philadelphia

JAMA. 1982;248(9):1110. doi:10.1001/jama.1982.03330090080040

This timely book discusses a number of rheumatic afflictions that are responsible for much of the disability that puts rheumatic diseases in first place among potential causes. Not all the disorders are caused by soft-tissue lesions; some derive from joint and bone disease, but their major manifestations are in the soft tissues, and they figure among the important differential diagnoses.

Even the introduction alone could teach worthwhile lessons in clinical diagnosis and therapy. However, the first 11 chapters address themselves to various regions, beginning with the head and neck and including the thoracic outlet, shoulder girdle, elbow, wrist, hand, thoracic cage, dorsal spine, lower back, pelvis, thigh, knee, foreleg, and, finally, the ankle and foot. Peritendinitis, bursitis, ganglia, tendinitis, and psychologically induced syndromes are discussed in detail. Vascular and joint dysfunctions also come under scrutiny, and the medical approach to rotator cuff disorders is carefully detailed. Appropriate illustrations make difficult