{"title":"Louis Gifford","description":"\u003cp\u003eDelve into Louis Gifford's influential works on musculoskeletal pain management and rehabilitation. Discover insightful approaches to assessment, treatment, and patient care, perfect for practitioners and students alike. 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It presents the current evidence on whatwe know about the sympathetic nervous system and the implications it has for patients with complex regional pain syndromes. Part 1 tackles controversial issues surrounding the role of the sympathetic nervous system in pain states and explores clinical challenges and questions that surround the topic. Can visceral disease precipitate musculoskeletal disorder? What do we know about mind body pathways? Where does the immune system fit in? What is complex regional pain syndrome? What is sympathetic maintained pain? How is it managed and treated? What are sympathetic blocks? Do they work? What happens to tissues when they are immobilised or under-used? What role does the sympathetic nervous system play in oedema, ischaemia and supersensitivity development? How can it cause pain? Part 2 is devoted to pain management. A single and highly authoritative chapter provides the information and clinical tools for us to deal more effectively with the distress and anger shown by some patients with back pain. There are excellent guidelines for clinicians seeking to further their 'Yellow Flag' assessment and management skills Part 3 addresses clinical effectiveness. It introduces, explains and discusses the concept and provides a rich resource for further research and investigation of the topic. There is also a critical look at 'evidence' and research into the effectiveness of acupuncture and TENS to help our understanding of the systematic review process and the pitfalls that so often occur in clinical research. The Topical Issues in Pain series derives from the work, study days and seminars of the Physiotherapy Pain Association and is written by clinicians for clinicians. Each volume reviews the literature and presents best practice in a lively and understandable text. 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More and more students are using them to learn clinical skills and as key references for study and research. The accolades the series has received from within and outside the profession are both moving and cheering for Physiotherapy. This 5th volume energetically moves the boundaries of Physiotherapy on, divided into 5 sections, it considers some of the most important issues and challenges facing clinicians and society today. The section on return to work (3) examines the financial and human costs of work absence, the difficulties that surround and often prevent people in pain from returning to work and finally details practical ways of helping patients actually get there. It is becoming increasingly clear that the traditional treatments being offered for common and benign pain states, whether by therapists, Drs or Surgeons, are ineffective when measured in terms of return to work and confident function - why is this? The answers most likely lie in the broader, multidimensional, understanding of pain biology (section 5) that is embraced in the principles and practice of cognitive-behavioural therapies and approaches (section 4), especially when they are used alongside physical rehabilitation programmes (sections 1, 2, 3 \u0026amp; 4). Vitally, these proven approaches are patient-orientated requiring highly trained experts in listening, explaining and communicating (sections 1 \u0026amp; 2). This book acknowledges that there no simple 'fix' that takes a hurting human being from a state of vulnerability back to one of physical confidence and full working potential. What it is does though, is breathe a breath of optimism into the current state-of-the-art of the physical pain-management process that, when skilfully applied, actually does help a great deal. 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