In this easy-to-follow, how-to-do-it atlas, internationally recognized pain expert Dr. Steven D. Waldman provides a compendium of practical physical examination techniques that you can use in your daily practice to evaluate and diagnose patients in pain. Physical Diagnosis of Pain, 5th Edition, is the only atlas devoted to this critical area of pain medicine, offering a real-world focus on how clinicians evaluate pain: "What is it?" rather than "Where is it?". You’ll be guided step by step through the evaluation and diagnosis of more than 280 pain-related conditions based on physical signs. Concise, superbly illustrated chapters help you rapidly diagnose pathology based on physical techniques rather than relying on imaging alone. Examines the full range of pain-related conditions in the cervical spine, shoulder, elbow, forearm, wrist and hand, chest wall, thorax and thoracic spine, lumbar spine, abdominal wall and pelvis, hip, knee, ankle and foot. Addresses sacroiliac joint pain as well as entrapment neuropathies including carpal tunnel syndrome, tardy ulnar palsy, ilioinguinal neuralgia, and tarsal tunnel syndrome. Follows a consistent format in each chapter for quick reference: anatomy, inspection, palpation, and range of motion, followed by relevant special tests. Features hundreds of high-quality radiographic images, clinical photos, and color line drawings to demonstrate the physical exam clearly and simply. Contains new content spanning 50 new conditions and their associated tests, including the Soto-Hall Test for Upper Thoracic Spine Pain, Sill Sign for Lumbar Instability, Compression Test for Sacroiliac Joint Pain, Rust Sign for Cervical Spine Instability, Linder Sign for Cervical Myelopathy, Jull Test for Cervical Strain, Shoulder Abduction Relief Test for Cervical Spine Pain, Kleiger Test for High Ankle Sprain, Valleix Sign for Posterior Tarsal Tunnel Syndrome, and more. Includes 50+ real-time videos of Dr. Waldman and his staff performing physical examination techniques, providing expert, how-to-do-it guidance. An eBook version is included with purchase. The eBook allows you to access all of the text, figures, and references, with the ability to search, customize your content, make notes and highlights, and have content read aloud.
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Section 1: The Cervical Spine
1. Functional Anatomy of the Bony Cervical Spine 2. Functional Anatomy of the Cervical Intervertebral Disc 3. Nomenclature of the Diseased Cervical Disc 4. Painful Conditions Emanating from the Cervical Spine 5. Visual Inspection of the Cervical Spine 6. Palpation of the Cervical Spine 7. Physical Examination of the Cervical Spine: Range of Motion 8. The Cervical Dermatomes 9. The C5 Neurologic Level 10. The C6 Neurologic Level 11. The C7 Neurologic Level 12. The C8 Neurologic Level 13. The Spurling Test for Cervical Radiculopathy Secondary to Herniated Disc or Cervical Spondylosis 14. The Axial Loading Test for Cervical Discogenic Disease 15. The Hoffman Test for Cervical Myelopathy 16. The Sharp Purser Test For Atlanto-Axial Joint Instability
Section 2: The Shoulder
17. Functional Anatomy of the Shoulder Joint 18. Visual Inspection of the Shoulder 19. Palpation of the Shoulder 20. External Rotation of the Shoulder 21. Internal Rotation of the Shoulder 22. Crossed-Arm Adduction of the Shoulder 23. Abduction of the Shoulder 24. Painful Conditions of the Shoulder 25. Shoulder Instability Syndromes 26. The Anterior Drawer Test 27. The Shift and Load Test For Shoulder Instability 28. The Apprehension Test for Anterior Instability 29. The Jobe Relocation Test for Anterior Instability 30. The Andrews Anterior Apprehension Test For Anterior Instability 31. The Posterior Drawer Test for Posterior Shoulder Instability 32. The Jerk Test for Posterior Shoulder Instability 33. The Posterior Clunk Test for Posterior Shoulder Instability 34. The Sulcus Test for Inferior Glenohumeral Instability 35. The Crank Test For Tears of the Glenoid Labru 36. The SLAP Apprehension Test for SLAP Lesions* 37. The Dynamic Shear Test for SLAP Lesions* 38. The Active CompressionTest for SLAP Lesions* 36. An Overview of Shoulder Impingement Syndromes 37. The Neer Test for Shoulder Impingement Syndromes 38. The Hawkins Test for Shoulder Impingement Syndromes 39. The Gerber Subcoracoid Impingement Test 40. The Zaslav Rotation Resistance Test for Shoulder Impingement 41. Bicipital Tendinitis 42. The Speed Test for Bicipital Tendinitis 43. The Yergason Test for Bicipital Tendinitis 44. The Snap Test for Subluxing Biceps Tendon Syndrome 45. The Biceps Entrapment Test For Biceps Entrapment* 45. The Gerber Lift-Off Test for Rupture of the Subscapularis Muscle 46. The Gerber Belly Press Test for Subscapularis Weakness 47. The Internal Rotation Lag Sign For Rupture of the Subscapularis Tendon 48. The Snapping Scapula Test 49. The Ludington Test for Ruptured Long Tendon of the Biceps 50. Reverse Popeye Sign for Ruptured Long Tendon of the Biceps* 51. The Squeeze Test for Rupture of the Distal Biceps Tendon 52. The Hook Test For Rupture of the Distal Biceps Tendon* 51. Clinical Correlates: Diseases of the Rotator Cuff 52. The Drop Arm Test for Complete Rotator Cuff Tear 53. The Hornblower Test For Rotator Cuff Tear* 53. The External Rotation Lag Sign for Rupture of the Supraspinatus or Infraspinatus Tendons 54. The Dawbarn Sign for Supraspinatus Tendinitis 55. The Empty Can Test For Suprapinatus Tendinopathy 56. The Jobe Supraspinatus Test 57. The Midarc Abduction Test for Infraspinatus Tendinitis 58. The External Rotation Stress Test For Impairment of the Infraspinatus and Teres Minor Muscles 59. The Drop Arm Test for Subdeltoid Bursitis 60. The Adduction Release Test for Subcoracoid Bursitis 61. The Adduction Stress Test for Acromioclavicular Joint Dysfunction 62. The Chin Adduction Test for Acromioclavicular Joint Dysfunction 63. The Paxino Test For Acromioclavicular Joint Pain 64. Sergeant’s Chevron Test for Axillary Nerve Deficits 65. The Adson Maneuver for Thoracic Outlet Syndrome 66. The Costoclavicular Test for Thoracic Outlet Syndrome 67. The Hyperabduction Test for Thoracic Outlet Syndrome
Section 3: The Elbow
68. Functional Anatomy of the Elbow Joint 69. Visual Inspection of the Elbow 70. Palpation of the Elbow 71. Flexion and Extension of the Elbow 72. Supination and Pronation of the Elbow 73. The Valgus Stress Flexion Test for Medial Ligamentous Incompetence 74. The Milking Maneuver Test For Ulnar Collateral Ligament incompetence* 74. The Varus Stress Flexion Test for Lateral Ligamentous Incompetence 75. The Lateral Pivot-Shift Test for Posterolateral Insufficiency 76. The Froment Sign for Ulnar Nerve Entrapment at the Elbow 77. The Jeanne Sign for Ulnar Nerve Entrapment at the Elbow 78. The Wartenberg Test for Ulnar Nerve Entrapment at the Elbow 79. The Little Finger Adduction Test for Ulnar Nerve Entrapment at the Elbow 80. The Valgus Extension Overload Test for Olecranon Impingement 81. The Compression Test for Lateral Antebrachial Cutaneous Nerve Entrapment Syndrome 82. The Snap Sign for Snapping Triceps Syndrome 83. The Creaking Tendon Sign for Triceps Tendinitis 84. The Ballottement Test for Olecranon Bursitis 85. The Tennis Elbow Test 86. The Maudsley’s Test For Tennis Elbow 87. The Chair Lift Test For Tennis Elbow
88. The Golfer’s Elbow Test 89. The Polk Test To Differentiate Lateral From Medial Epicondylitis 90. The Brachialis Jump Test for Climber’s Elbow
Section 4: The Forearm
91. The Compression Test for Radial Tunnel Syndrome 92. The Forced Pronation Test for Pronator Syndrome 93. The Pinch Test for Anterior Interosseous Syndrome 94. The Creaking Tendon Test for Intersection Syndrome
Section 5: The Wrist and Hand
95. Functional Anatomy of the Wrist 96. Visual Inspection of the Wrist and Hand 97. Palpation of the Wrist and Hand 98. Extension of the Wrist and Hand 99. Flexion of the Wrist and Hand 100. Adduction of the Wrist and Hand 101. Abduction of the Wrist and Hand 102. Painful Conditions of the Wrist and Hand 103. The Wristwatch Test for Cheiralgia Paresthetica 104. The Finkelstein Test for de Quervain Tenosynoviti 105. The Tethered Thumb Test for de Quervain Tenosynovitis* 105. The Allen Test for Patency of the Radial and Ulnar Arteries at the Wrist 106. The Watson Stress Test for Arthritis of the Carpometacarpal Joint of the Thumb 107. The Swanson Grind Test for Arthritis of the Carpometacarpal Joint of the Thumb* 107. The Ulnar Click Test for Ulnar Impaction Syndrome 108. Carpal Tunnel Syndrome 109. The Tinel Sign for Carpal Tunnel Syndrome 110. The Phalen Test for Carpal Tunnel Syndrome 111. The Opponens Weakness Test for Carpal Tunnel Syndrome 112. The Opponens Pinch Test for Carpal Tunnel Syndrome 113. The Two-Point Discrimination Test for Carpal Tunnel Syndrome 114. The Dowart Hotdog Sign for Carpal Tunnel Syndrome 115. The Spread Sign for Ulnar Tunnel Syndrome 116. The Extreme Flexion/Extension Test for Ganglion Cysts of the Wrist 117. The Hunchback Carpal Sign for Carpal Boss 118. The Tuck Sign for Extensor Tenosynovitis of the Wrist 119. The Palmar Band Sign for Dupuytren Contracture 120. The Allen Test for Patency of the Digital Arteries of the Fingers 121. The Catching Tendon Sign for Trigger Finger Syndrome 122. The Sausage Finger Sign for Psoriatic Arthritis 123. The Swan Neck Deformity Sign 124. The Boutonnière Deformity Sign 125. The Heberden Node Sign for Osteoarthritis of the Distal Interphalangeal Joints 126. The Bouchard Node Sign for Osteoarthritis of the Proximal Interphalangeal Joints 127. The Ice Water Test for Glomus Tumor of the Finger
Section 6: The Chest Wall, Thorax and Thoracic Spine
128. Winged Scapula Sign for Entrapment of the Long Thoracic Nerve of Bell 129. The Suprascapular Notch Sign for Suprascapular Nerve Entrapment Syndrome 130. The Shoulder Retraction Test for Costosternal Syndrome 131. The Swollen Costosternal Joint Sign for Tietze Syndrome 132. The Shrug Test for Sternoclavicular Joint Dysfunction 133. The Hooking Maneuver Test for Slipping Rib Syndrome 134. The Flexion Test for Acute Thoracic Vertebral Compression Fracture
Section 7: The Lumbar Spine
135. Functional Anatomy of the Lumbar Spine 136. An Overview of the Nomenclature of the Diseased Lumbar Disc 137. An Overview of Painful Conditions Emanating from the Lumbar Spine 138. Visual Inspection of the Lumbar Spine 139. Palpation of the Lumbar Spine 140. Range of Motion of the Lumbar Spine 141. The Schober Test For Lumbar Spine Flexion 142. The Kemp Test For Lumbar Facet Joint Dysfunction 143. The Lumbar Dermatomes 144. The L4 Neurologic Level 145. The L5 Neurologic Level 146. The S1 Neurologic Level 147. The Lasegue Straight Leg Raising Test for Lumbar Root 148. The Sitting Straight Leg Raising Test for Lumbar Root Irritation 149. The Naffziger Jugular Compression Test for an Equivocal Lasegue Straight Leg Raising Test 150. The Flip Test for Lumbar Nerve Root Irritation 151. The Buckling Knee Test for Lumbar Nerve Root Irritation 152. The Spurling Test for Lumbar Nerve Root Irritation 153. The Bragard Test for Lumbar Nerve Root Irritation 154. The Ely Test for Lumbar Nerve Root Irritation 155. The Fajersztajn Test for Lumbar Nerve Root Irritation 156. The Stoop Test for Spinal Stenosis 157. The Babinski Sign for Diseases of the Corticospinal System 158. The Chaddock Sign for Diseases of the Corticospinal System 159. The Oppenheim Sign for Diseases of the Corticospinal System 160. The Gordon Sign for Diseases of the Corticospinal System
Section 8: The Abdominal Wall and Pelvis
161. The Sit-Up Sign for Anterior Cutaneous Nerve Entrapment Syndrome 162. The Waddling Gait Sign for Osteitis Pubis Syndrome 163. The Direct Pressure Spring Test for Osteitis Pubis* 163. The Yeoman Test For Sacroiliac Joint Pain 164. The Van Durson Standing Flexion Test For Sacroiliac Joint Pain 165. The Pideallu Sitting Flexion Test For Sacroiliac Joint Pain 166. The Stork Test For Sacroiliac Joint Pain 167. The Gaenslen Test For For Sacroiliac Joint Pain 168. The Fortin Finger Test For Sacroiliac Joint Dysfunction* 168. The Numb Medial Thigh Sign for Obturator Nerve Entrapment Syndrome 169. The Sacroiliac Compression and Distraction Test For Pelvic Fracture* 169. The Novice Skier Sign for Ilioinguinal Nerve Entrapment Syndrome 170. The Femoral Stretch Test 171. The Burning Lateral Thigh Sign for Meralgia Paresthetica
Section 9: The Hip
172. Functional Anatomy of the Hip 173. Visual Inspection of the Hip Joint 174. Palpation of the Hip 175. Flexion of the Hip 176. Extension of the Hip 177. Abduction of the Hip 178. Adduction of the Hip 179. Internal Rotation of the Hip 180. External Rotation of the Hip 181. Painful Conditions of the Hip 182. The Thomas Test for Flexion Deformity of the Hip 183. The Trendelenburg Test for Weak Hip Abductors 184. The Hopalong Cassidy Sign for Antalgic Gait 185. The Patrick/FABER Test for Hip Pathology 186. The Waldman Knee Squeeze Test for Adductor Tendinitis 187. The Resisted Hip Extension Test for Ischial Bursitis 188. The Resisted Hip Abduction Test for Gluteal Bursitis 189. The External Derotation Test for Gluteal Tendinopathy* 189. The Resisted Hip Adduction Test for Iliopsoas Bursitis 190. The Hip Lag Sign For Gluteus Medius Tear* 190. The Piriformis Test For Piriformis Syndrome 191. The Frieberg Forceful Internal Rotation Test for Piriformis Syndrome* 192. Pace Nagel Resisted Contraction Maneuver for Piriformis Syndrome* 193. The FAIR Test for Piriformis Syndrome* 194. The Beatty Test for Piriformis Syndrome* 195. The Fishman Test for Piriformis Syndrome* 196. The Heel Contralateral Knee (HCLK)Test for Piriformis Syndrome* 191. The Resisted Abduction Release Test for Trochanteric Bursitis Pain 192. The Fulcrum Test For Stress Fractures of the Femur 193. The Ober Test for Iliotibial Band Contracture 194. The Snap Sign for Snapping Hip Syndrome 195. The Hip Dislocator Sign For Snapping Hip Syndrome* 195. The Fan Sign For Snapping Hip Syndrome* 195. External Snapping Hip Sign For External Snapping Hip Syndrome* 196. Internal Snapping Hip Sign For Internal Snapping Hip Syndrome* 197. Active Iliopsoa Snapping Test For Internal Snapping Hip Syndrome*
Section 10: The Knee
195. Functional Anatomy of the Knee 196. Visual Inspection of the Knee 197. Palpation of the Knee 198. Flexion of the Knee 199. Extension of the Knee 200. Rotation of the Knee 201. An Overview of Painful Conditions of the Knee 202. The Bulge Sign for Small Joint Effusions 203. The Ballottement Test for Large Joint Effusions 204. The Valgus Stress Test for Medial Collateral Ligament Integrity 205. The Swain Rotary Stability Test For Medial Knee Instability* 205. The Varus Stress Test for Lateral Collateral Ligament Integrity 206. The Anterior Drawer Test for Anterior Cruciate Ligament Integrity 207. The Flexion-Rotation Anterior Drawer Test for Anterior Cruciate Instability 208. The Lachman Test for Anterior Cruciate Ligament Integrity 209. The Posterior Drawer Test for Posterior Cruciate Ligament Integrity 210. The Hughston External Rotation-Recurvatum Test for Posterior Cuciate Instability 211. The Quadriceps Active Test for Posterior Cruciate Ligament Integrity 212. The Pivot Shift Test for Anterolateral Rotary Instability 213. The Reverse Pivot Shift Test of Jakob for Posteriorlateral Instability 214. The Tibial External Rotation Test for Posteriolateral Corner Injury 215. The Perkins Test for Patellofemoral Pain Syndrome 216. The Patellar Grind Test For Patellofemoral Pain Syndrome 217. The Fairbanks Apprehension Test for Lateral Patellar Subluxation 218. The Patellar Tilt Test for Lateral Retinacular Dysfunction 219. The McMurray Test for Torn Meniscus 220. The Apley Grinding Test for Meniscal Tear 221. The Squat Test for Meniscal Tear 222. The Thessaly Test For Medial Meniscal Tear 223. The Twist Test for Semimembranosus Insertion Syndrome 224. The Knee Extension Test for Quadriceps Expansion Syndrome 225. Bursitis of the Knee 226. The Creaking Tendon Sign for Hamstring Tendinitis 227. The Noble Compression Test For Iliotibial Band Syndrome 228. The Bump Sign for Baker Cyst of the Knee 229. Foucher’s Sign For Baker Cyst
Section 11: The Ankle and Foot
229. Functional Anatomy of the Ankle and Foot 230. Visual Inspection of the Ankle and Foot 231. Palpation of the Ankle and Foot 232. The Wave Test for Ankle Joint Effusion 233. The Anterior Drawer Test for Anterior Talofibular Ligament Insufficiency 234. The Inversion Test for Anterior Talofibular Ligament Insufficiency 235. The Eversion Test for Deltoid Ligament Insufficiency 236. The Squeeze Test for Syndesmosis Ankle Strain 237. The External Rotation Test for Syndesmosis Ankle Strain 238. The Tinel Sign for Anterior Tarsal Tunnel Syndrome 239. The Tinel Sign for Posterior Tarsal Tunnel Syndrome 240. The Creak Sign for Achilles Tendinitis 241. Toe Raise Test for Achilles Tendon Rupture 242. The Thompson Squeeze Test for Achilles Tendon Rupture 243. The Matles Test For Achilles Tendon Rupture 244. The Calcaneal Jump Sign for Plantar Fasciitis 245. The Calcaneal Squeeze Test For Calcaneal Fracture* 246. The Windlass Test For Plantar Fasciitis 247. The Mulder Sign for Morton Neuroma 248. Digital Nerve Stretch Test For Morton Neuroma* 249. Metatarsophalangeal Drawer Test For Metatarsophalangeal Joint Instability* 250. The Paper Pull Out Test For Plantar Plate Tears*
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