Hip and Knee Pain Disorders. An Evidence-Informed and Clinical-Based Approach Integrating Manual Therapy and Exercise

My Story

PART I: HIP AND KNEE PAIN DISORDERS

• Chapter 1 Epidemiology of Hip and Knee Pain
• Chapter 2 Clinical Reasoning for Hip and Knee Tendinopathies
• Chapter 3 Patellofemoral Pain
• Chapter 4 Hip and Knee Osteoarthritis
• Chapter 5 Other Hip Disorders: FAI Syndrome, Hip Dysplasia, Hip Instability
• Chapter 6 Muscle & Tendon Injuries of the Hip and Knee: Quadriceps, Hamstrings, Adductors, Gluteals
• Chapter 7 Knee Disorders: Ligament and Meniscus Post-operative Rehabilitation

PART II: CLINICAL EXAMINATION OF HIP AND KNEE PAIN DISORDERS

• Chapter 8 Clinical History in Patients with Lower Quadrant Pain
• Chapter 9 Hip and Knee Outcome Measures: are they valid for clinical setting?
• Chapter 10 Sono-anatomy and Scanning Technique of Hip and Knee
• Chapter 11 Clinical Examination of the Lumbar Spine in Patients with Hip and Knee Pain
• Chapter 12 Clinical Examination of the Hip and Knee
• Chapter 13 Sacroiliac Joint Pain Diagnosis in Patients with Hip and Knee Pain
• Chapter 14 When are Foot and Ankle Impairments Important for Hip and Knee Disorders?

PART III: MULTIDISCIPLINARY MANAGEMENT OF HIP AND KNEE PAIN DISORDERS

• Chapter 15 Effectiveness of Manual Therapy Approaches for Hip and Knee Pain Disorders: An Evidence-based Approach
• Chapter 16 Joint-Biased Interventions for Hip and Knee Pain Disorders
• Chapter 17 Muscular-Biased Interventions for Hip and Knee Pain Disorders
• Chapter 18 Clinical Neurodynamics in the Lower Quadrant
• Chapter 19 Exercise Programs for Hip and Knee Pain Disorders
• Chapter 20 Therapeutic Neuroscience Pain Education: Treating the Brain in Hip and Knee Pain Syndromes
• Chapter 21 What is multimodal management? Integrating Hands-ON and Hands-OFF Interventions for Chronic Pain in the Lower Extremity

Hip and Knee Pain Disorders has been written to provide a state-of-the-art, evidence-informed and clinically-informed overview of the examination and conservative management of hip/knee pain conditions. Under the current predominantly evidence-based practice paradigm, clinician expertise, patient preference, and best available research determine examination, and prognostic and clinical management decisions. However, this paradigm has been understood by many to place greater value and emphasis on the research component, thereby devaluing the other two. Evidence-informed practice is a term that has been suggested to honor the original intent of evidence-based practice, while also acknowledging the value of clinician experience and expertise. In essence, evidence-informed practice combines clinical reasoning, based on current best evidence, with authority-based knowledge and a pathophysiological rationale derived from extrapolation of basic science knowledge. Unlike other published textbooks that overemphasize the research component in decision-making, this book aims to address the clinical reality of having to make decisions on the management of a patient with hip/knee pain, in the absence of a comprehensive scientific rationale, using other sources of knowledge. It offers an evidence-informed textbook that values equally research evidence, clinician expertise and patient preference.

The book is edited by three recognised world leaders in clinical research into manual therapy and chronic pain. Their research activities are concentrated on the evidence-based management of musculoskeletal pain conditions using conservative interventions. For this book they have combined their knowledge and clinical expertise with that of 38 additional contributors, all specialists in the field The contributors include a mix of clinicians and clinician-researchers.

Hip and Knee Pain Disorders is unique in bringing together manual therapies and exercise programs in a multimodal approach to the management of these pain conditions from both a clinical, but also evidence-based, perspective. It acknowledges the expanding direct access role of the physical therapy profession. The book provides an important reference source for clinicians of all professions interested in conservative management of the hip and knee regions. It will also be useful as a textbook for students at both entry and post-graduate level.

Benoy is a specialist lower limb physiotherapist and Advance Practice Physiotherapist, working for the NHS in the United Kingdom. He also works in private practice in Central London. He has a special interest in Chronic Hip and Groin pathologies and management of running Injuries. He is passionate about application of research in clinical practice and is involved in regular teaching on multiple courses, both in the UK and overseas. More than 2500 participants have attended his course in the last 8 years. He is also the clinical lead for shockwave education in the UK. Benoy has research papers, published in internationally peer-reviewed journals. He is also a trained musculo-skeletal sonographer and employs diagnostic ultrasound in his clinical practice.

Carol A. Courtney PT, PhD, ATC is Professor at Northwestern University. She received a Bachelor of Science in Physical Therapy from Washington University in St Louis, Master of Science from the University of South Australia and Louisiana State University, and a PhD from the University of Miami. Dr. Courtney is a licensed physical therapist and athletic trainer, and has been recognized as a Fellow of the American Academy of Orthopaedic Manual Physical Therapists. In 1991 and 1992, she was chosen to serve on the USA medical staffs for the Pan American Games in Havana, Cuba, and the Olympic Games in Barcelona, Spain. Dr. Courtney has clinical expertise in the management chronic musculoskeletal pain and sports injury. Her research investigates the effects of knee joint injury and osteoarthritis on pain processing and joint function, as well as modulation of pain mechanisms through manual therapy and exercise interventions. She has over 100 peer-reviewed publications, book chapters and conference presentations and has presented both nationally and internationally on this research.

César Fernández-de-las-Peñas PT, PhD, Dr­MedSci, is full professor at Universidad Rey Juan Carlos (URJC), Madrid, Spain, where he is also leader of the Clinical Pain Research Group on Manual Therapy and Exercise. He combines his research activity with clinical practice as Head, Division of Physical Therapy Department, at the University Physical Therapy Clinic. He re­ceived a bachelor’s degree in physical therapy from URJC, a first PhD from Aalborg Uni­versity in Denmark on the subject of headaches (2007) and a second PhD in Spain (2008). He obtained his Doctoral Degree in Master Sciences in Aalborg in 2012 on the topic of central sensitization in chronic pain syndromes. He has received several awards for his research and clinical practice.

César has published around 550 peer-reviewed publications and is the first-named author of approximately 250. His research activi­ties are concentrated on the neuroscience of pain. He has more than 200 peer-reviewed papers on upper quadrant pain syndromes, including shoulder pain conditions. His personal interest is the integration of manual therapy, dry needling and exercise interventions for the management of chronic pain conditions of the upper extremity.

In his clinical practice César treats patients with chronic pain disorders, particularly neck and shoulder pain. His clients include professional sport players whose activities involve the upper extremity, such as climbers, boxers, and basketball players. His premise is: “integrating clinical practice with research is the key for our patients”

César is often invited to present keynote lectures at international conferences, and he has taught workshops in over 20 countries. He is the main editor of 10 textbooks on manual therapy for chronic musculoskeletal pain including Temporomandibular Disorders, also published by Handspring Publishing. He is one of the Editors of the third edition of Travell, Simons & Simons’ Myofascial Pain and Dysfunction: the Trigger Point Manual and is the co-editor of Trigger Point Dry Needling: an evidence and clinical-based approach.