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Clinical anatomy and management of thoracic spine pain
  1. Simon Petrides
  1. Clinical Director, The Blackberry Orthopaedic Clinic Walnut Tree, Milton Keynes, Buckinghamshire, UK

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    Eds L G F Giles, K P Singer. Oxford: Butterworth-Heinemann, 2000. ISBN 7506-4789-2.

    Understanding thoracic spine pain is complex and demands the sharing of ideas and knowledge to improve the management of patients. This text highlights the value of a multidisciplinary approach to the complexity of thoracic spine pain. Contributions from anatomy, pathology, chiropractic, osteopathy, and physiotherapy are presented in a readable format. Each section is written by acknowledged experts and provides a summary of relevant material that leads to an improved understanding of the causes of thoracic spine pain. The book highlights a common approach to mechanical treatment that can be provided by disciplines such as osteopathy, chiropractic, and physiotherapy.

    The text is divided into four sections. Section 1 introduces the reasoning behind the text; section 2 introduces clinical neuroanatomy, pathology, and biomechanics of the thoracic spine; section 3 discusses diagnosis of thoracic spine pain; section 4 describes possible management protocols.

    There is perhaps a disproportionately large section of the book devoted to neuroanatomy and gross pathology, with perhaps a less extensive clinical section than one would hope. This book certainly answers one of the commonly asked questions in manual therapy and that is “What is the difference between chiropractic and osteopathy?”

    This book is essential reading for all students of musculoskeletal medicine and also those studying manual therapy of whatever kind. It is indeed a comprehensive review and embraces the more modern multidisciplinary approach to spinal pain. In summary, I would highly recommend the book to anyone remotely interested in the bra strap region!

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