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Myofascial Pain and Dysfunction: The Trigger Point Manual, vol. 2, the Lower Extremities.


Travell JG, Simons DG. Baldmore, MD 21202, Williams & Wilkins, 1992, hardback, 607 pp, illus, $88.

In this outstanding text, the authors have produced a classic companion to the first volume, which dealt with the muscles of the upper half of the body. This text is a perceptive, detailed, and instructive guide for the recognition and management of myofascial pain myofascial pain (mīˈ·ō·fāˑ·shē·  by the discerning practitioner.

In this text, the glossary is logically placed at the beginning of the text to ensure that the reader knows what a term means as it is used and to assist the reader in becoming acquainted with unfamiliar terms. Each chapter describes a different muscle or muscle group, beginning proximally with the quadratus lumborum muscle The Quadratus lumborum is irregularly quadrilateral in shape, and broader below than above. Origin and insertion
It arises by aponeurotic fibers from the iliolumbar ligament and the adjacent portion of the iliac crest for about 5 cm.
 and working distally to the deep intrinsic foot muscles. Every chapter begins with a synoptic syn·op·tic   also syn·op·ti·cal
adj.
1. Of or constituting a synopsis; presenting a summary of the principal parts or a general view of the whole.

2.
a. Taking the same point of view.

b.
 preview of its contents, which includes the pattern of referred pain, anatomical attachments, innervadon, muscle function and action, painful symptoms, patient examination, trigger point trigger point

The event or condition that initiates a predetermined action. For example, the New York Stock Exchange halts trading in stocks when the Dow Jones Industrial Average declines by a specified number of points (the trigger point) in a trading session.
 examination, treatment by intermittent cold with stretch, injection and stretch, and necessary corrective actions. Although the authors describe the use of fluorocarbon fluorocarbon /flu·o·ro·car·bon/ (floor´o-kahr?b?n) any of the class of organic compounds consisting of carbon and fluorine only.  sprays, they also include acceptable alternative techniques that do not pose an environmental hazard 'Environmental hazard' is a generic term for any situation or state of events which poses a threat to the surrounding environment. This term incorporates topics like pollution and Natural Hazards such as storms and earthquakes. .

This text is clearly written and exceedingly well organized. Each chapter contains abundant and respected references. Supplementary references at the end of each anatomy section are provided, primarily for the benefit of teachers and advanced students. The illustrations are copious co·pi·ous  
adj.
1. Yielding or containing plenty; affording ample supply: a copious harvest. See Synonyms at plentiful.

2.
, clear, fine drawings that nicely complement the text. Readers will find this text to be user-friendly.

I highly recommend this text for the practitioner who is treating myofascial pain. It could be a reference in clinics to supplement patient instruction or could serve as a textbook for a course in the management of myofascial pain.

Richard L Don Tigny, PT Don Tigny Physical Therapy Havre, Mont
COPYRIGHT 1992 American Physical Therapy Association, Inc.
No portion of this article can be reproduced without the express written permission from the copyright holder.
Copyright 1992, Gale Group. All rights reserved. Gale Group is a Thomson Corporation Company.

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Author:DonTigny, Richard L.
Publication:Physical Therapy
Article Type:Book Review
Date:Aug 1, 1992
Words:299
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