Hands On Healing with Joanna Wilson

Hands On Healing with Joanna Wilson Deep Tissue, Neuromuscular, Trigger Point Therapy. Relieve pain, increase flexibility and ease of movement. Experience mental and physical relief...

My bodywork focuses on the whole body. Its a combination of mental, emotional and physical relief. I use static pressure for releasing Trigger points ( irritated spots located in taut bands of muscle that constrict movement and refer pain to other areas of the body) with soothing deep strokes applied to the soft tissue of muscles and tendons . Balancing the central nervous system and increasing range of motion. My sessions always include hot rocks to aid in relaxing the nervous system as well as promote healing on all levels. You are draped with a sheet, you are safe and your privacy is always respected. My mission is for you to have an exceptional experience and to leave my office with a complete feeling of wellbeing.

11/26/2018
09/19/2014

i will be in Tuscany this time next week at a Yoga Retreat with Paul Spector. I am the Massage Therapist on the retreat... Im getting excited now.

03/11/2014

Im back to massaging my clients and so happy to be....

i love this magazine. So many ideas to get your life together in all aspects of organizing. Really fun !
03/06/2014

i love this magazine. So many ideas to get your life together in all aspects of organizing. Really fun !

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This is the surgery I just had done. Removal of this painful nerve. Im still in a boot and cant  walk on it yet but cant...
03/05/2014

This is the surgery I just had done. Removal of this painful nerve. Im still in a boot and cant walk on it yet but cant wait to see how GREAT im gonna feel real soon.

Did You Know: Morton's neuroma is an injury to the nerve between the toes, which causes thickening and pain. It commonly affects the nerve that travels between the third and fourth toes.

Causes, incidence, and risk factors

Morton's neuroma is more common in women than in men.

The exact cause is unknown. However, some experts believe the following may play a role in the development of this condition:

Abnormal positioning of toes

Flat feet

Forefoot problems, including bunions and hammer toes

High foot arches

Tight shoes and high heels

Symptoms

Symptoms of Morton's neuroma include:

Tingling in the space between the third and fourth toes

Toe cramping

Sharp, shooting, or burning pains in the ball of your foot (and sometimes toes)

Pain that increases when wearing shoes or pressing on the area

Pain that gets worse over time

In rare cases, nerve pain occurs in the space between the second and third toes. This is not a common form of Morton's neuroma, but treatment is similar.

Signs and tests

Your health care provider can usually diagnose this problem by examining your foot. A foot x-ray may be done to rule out bone problems. MRI or high-resolution ultrasound can successfully diagnose Morton's neuroma.

Nerve testing (electromyography) cannot diagnose Morton's neuroma, but may be used to rule out conditions that cause similar symptoms.

Blood tests may be done to check for inflammation-related conditions, including certain forms of arthritis.

Treatment

Nonsurgical treatment is tried first. Your doctor may recommend any of the following:

Padding and taping the toe area

Shoe inserts

Changes to footwear (for example, shoes with wider toe boxes)

Anti-inflammatory medicines taken by mouth or injected into the toe area

Nerve blocking medicines injected into the toe area

Other painkillers

Physical therapy

Anti-inflammatories and painkillers are not recommended for long-term treatment.

In some cases, surgery may be needed to remove the thickened tissue. This can help relieve pain and improve foot function. Numbness after surgery is permanent, but should not be painful.

Expectations (prognosis)

Nonsurgical treatment does not always improve symptoms. Surgery to remove the thickened tissue is successful in about 85% of cases.

Complications

Morton's neuroma can make walking difficult. Persons with this foot condition may also have trouble performing activities that put pressure on the foot, such as pressing the gas pedal of an automobile. It may hurt to wear certain types of shoes, such as high-heels.

Calling your health care provider

Call your health care provider if you have persistent pain or tingling in your foot or toe area.

Prevention

Avoid ill-fitting shoes. Wear shoes with a wide toe box.

References

McGee DL. Podiatric procedures. In: Roberts JR, Hedges JR, eds. Clinical Procedures in Emergency Medicine. 5th ed. Philadelphia, Pa: Saunders Elsevier; 2009:chap 51.
Davies AM, Grainger AJ. Techniques and imaging of soft tissues. In: Adam A, Dixon AK, eds. Grainger & Allison's Diagnostic Radiology: A Textbook of Medical Imaging. 5th ed. New York, NY: Churchill Livingstone; 2008:chap 45.

Article First Seen Here: http://1.usa.gov/NgTdeM

03/05/2014

What Is Depression?
by Medical News Today

Depression, also known as major depression, clinical depression or major depressive disorder is a medical illness that causes a constant feeling of sadness and lack of interest. Depression affects how the person feels, behaves and thinks.

Depression can lead to emotional and physical problems. Typically, people with depression find it hard to go about their day-to-day activities, and may also feel that life is not worth living.

Feeling sad, or what we may call "depressed", happens to all of us. The sensation usually passes after a while. However, people with a depressive disorder - clinical depression - find that their state interferes with daily life. Their normal functioning is undermined to such an extent that both they and those who care about them are affected by it.

According to MediLexicon's Medical Dictionary, depression is:

"a mental state or chronic mental disorder characterized by feelings of sadness, loneliness, despair, low self-esteem, and self-reproach; accompanying signs include psychomotor retardation (or less frequently agitation), withdrawal from social contact, and vegetative states such as loss of appetite and insomnia."

What are the different forms of depression?

There are several forms of depression (depressive disorders). Major depressive disorder and dysthymic disorder are the most common.

Major depressive disorder (major depression)

Major depressive disorder is also known as major depression. The patient suffers from a combination of symptoms that undermine his ability to sleep, study, work, eat, and enjoy activities he used to find pleasurable. Experts say that major depressive disorder can be very disabling, preventing the patient from functioning normally. Some people experience only one episode, while others have recurrences.

Dysthymic disorder (dysthymia)

Dysthymic disorder is also known as dysthymia, or mild chronic depression. The patient will suffer symptoms for a long time, perhaps as long as a couple of years, and often longer. However, the symptoms are not as severe as in major depression, and the patient is not disabled by it. However, he may find it hard to function normally and feel well. Some people experience only one episode during their lifetime, while others may have recurrences.

A person with dysthymia might also experience major depression, once, twice, or more often during his lifetime. Dysthymia can sometimes come with other symptoms. When they do, it is possible that other forms of depression are diagnosed.

Psychotic depression

When severe depressive illness includes hallucinations, delusions, and/or withdrawing from reality, the patient may be diagnosed with psychotic depression.

Postpartum depression (postnatal depression)

Postpartum depression is also known as postnatal depression or PND. This is not to be confused with 'baby blues' which a mother may feel for a very short period after giving birth. If a mother develops a major depressive episode within a few weeks of giving birth it is most likely she has developed PND. Experts believe that about 10% to 15% of all women experience PND after giving birth. Sadly, many of them go undiagnosed and suffer for long periods without treatment and support.

SAD (seasonal affective disorder)

SAD is much more common the further from the equator you go. In countries far from the equator the end of summer means the beginning of less sunlight and more dark hours. A person who develops a depressive illness during the winter months might have SAD. The symptoms go away during spring and/or summer. In Scandinavia, where winter can be very dark for many months, patients commonly undergo light therapy - they sit in front of a special light. Light therapy works for about half of all SAD patients. In addition to light therapy, some people may need antidepressants, psychotherapy, or both. Light therapy is becoming more popular in other northern countries, such as Canada and the United Kingdom.

Bipolar disorder (manic-depressive illness)

Bipolar disorder is also known as manic-depressive illness. It used to be known as manic depression. It is not as common as major depression or dysthymia. A patient with bipolar disorder experiences moments of extreme highs and extreme lows. These extremes are known as manias.
What are the signs and symptoms of depression?

Depression is not uniform. Signs and symptoms may be experienced by some sufferers and not by others. How severe the symptoms are, and how long they last depends on the individual person and his illness. Below is a list of the most common symptoms:
A constant feeling of sadness, anxiety, and emptiness

A general feeling of pessimism sets in (the glass is always half empty)

The person feels hopeless

Individuals can feel restless

The sufferer may experience irritability

Patients may lose interest in activities or hobbies they once enjoyed

He/she may lose interest in s*x

Levels of energy feel lower, fatigue sets in

Many people with a depressive illness find it hard to concentrate, remember details, and make decisions

Sleep patterns are disturbed - the person may sleep too little or too much

Eating habits may change - he/she may either eat too much or have no appetite

Suicidal thoughts may occur - some may act on those thoughts

The sufferer may complain more of aches and pains, headaches, cramps, or digestive problems. These problems do not get better with treatment.

Some illnesses accompany, precede, or cause depression

Anxiety disorders, such as PTSD (post-traumatic stress disorder), OCD (obsessive-compulsive disorder), social phobia, generalized anxiety disorder and panic disorder often accompany depression.

People who are dependent on alcohol or narcotics have a significantly higher chance of also having depression.

Depression is much more common for people who suffer from HIV/AIDS, heart disease, stroke cancer, diabetes, Parkinson's disease, and many other illnesses. According to studies, if a person has depression as well as another serious illness he is more likely to have severe symptoms, and will find it harder to adapt to his medical condition. Studies have also shown that if these people have their depression treated the symptoms of their co-occurring illness improve.

Dementia and mild cognitive impairment (MCI) - scientists from the University of Amsterdam, The Netherlands, found that elderly patients with depression were more likely to develop dementia and MCI. They reported their findings in Archives of Neurology (January 2013 issue).

After gathering and examining data on a group of Medicare recipients in America, the researchers found that a significant proportion of seniors with MCI had depressive symptoms.
Depression and discrimination

79% of people who have been diagnosed with depression say they have experienced discrimination because of their mental disorder.

Most previous investigations have linked depression as a consequence of discrimination. This study, carried out by researchers from King's College London's Institute of Psychiatry, England, and reported in The Lancet in October 2012, found that it can occur the other way round; people may be discriminated because they have depression.

Lead researcher Professor Graham Thornicroft said:

"Previous work in this area has tended to focus on public attitudes towards stigma based on questions about hypothetical situations, but ours is the first study to investigate the actual experiences of discrimination in a large, global sample of people with depression. Our findings show that discrimination related to depression is widespread, and almost certainly acts as a barrier to an active social life and having a fair chance to get and keep a job for people with depression."
What causes depression?

We are still not sure what causes depression. Experts say depression is caused by a combination of factors, such as the person's genes, his biochemical environment, his personal experience and psychological factors.

MRI (magnetic resonance imaging) has shown that the brain of a person with depression looks different, compared to the brain of a person who has never had depression. The areas of the brain that deal with thinking, sleep, mood, appetite and behavior do not appear to function normally. There are also indications that neurotransmitters appear to be out of balance. Neurotransmitters are chemicals that our brain cells use to communicate. However, imaging technology has not revealed why the depression happened.

We know that if there is depression in the family a person's chances of developing depression are higher. This suggests there is a genetic link. According to geneticists, depression risk is influenced by multiple genes acting together with environmental and others factors.

An awful experience can trigger a depressive illness. For example, the loss of a family member, a difficult relationship, physical s*xual abuse.

Obesity gene makes people happy - FTO is a gene which is closely associated with obesity. It is also linked to an 8% lower risk of developing depression, researchers from McMaster University, Canada, reports in Molecular Psychiatry. Put simply, FTO is a gene that is not only linked to obesity, but also happiness.

Folate and B12 deficiency associated with some depression symptoms - scientists from the Hospital District of Southern Savo, Finland, reported in the Journal of Affective Disorders (November 2012 issue) that people with low levels of folate and vitamin B12 have a greater risk of developing melancholic depressive symptoms.

This a much more info here: http://bit.ly/11ixpV1

03/05/2014

All About Achilles Tendonitis
By Jonathan Cluett, M.D.

Achilles tendonitis is a condition of irritation and inflammation of the large tendon in the back of the ankle.

Achilles tendonitis is a common injury that tends to occur in recreational athletes. Overuse of the Achilles tendon can cause inflammation that can lead to pain and swelling. Achilles tendonitis is differentiated from another common Achilles tendon condition called Achilles tendinosis. Patients with Achilles tendinosis have chronic Achilles swelling and pain as a result of degenerative, microscopic tears within the tendon.

Causes of Achilles Tendonitis
The two most common causes of Achilles tendonitis are:
Lack of flexibility
Overpronation

Other factors associated with Achilles tendonitis are recent changes in footwear, and changes in exercise training schedules. Often long distance runners will have symptoms of Achilles tendonitis after increasing their mileage or increasing the amount of hill training they are doing.
As people age, tendons, like other tissues in the body, become less flexible, more rigid, and more susceptible to injury. Therefore, middle-age recreational athletes are most susceptible to Achilles tendonitis.

Symptoms of Achilles Tendonitis

The main complaint associated with Achilles tendonitis is pain behind the heel. The pain is often most prominent in an area about 2-4 centimeters above where the tendon attaches to the heel. In this location, called the watershed zone of the tendon, the blood supply to the tendon makes this area particularly susceptible. Patients with Achilles tendonitis usually experience the most significant pain after periods of inactivity. Therefore patients tend to experience pain after first walking in the morning and when getting up after sitting for long periods of time.

Patients will also experience pain while participating in activities, such as when running or jumping. Achilles tendonitis pain associated with exercise is most significant when pushing off or jumping.

X-rays are usually normal in patients with Achilles tendonitis, but are performed to evaluate for other possible conditions. Occasionally, an MRI is needed to evaluate a patient for tears within the tendon. If there is a thought of surgical treatment an MRI may be helpful for preoperative evaluation and planning.

Treatment of Achilles Tendonitis
Treatment of Achilles tendonitis begins with resting the tendon to allow the inflammation to settle down. In more serious situations, adequate rest may require crutches or immobilization of the ankle. There are different treatments for Achilles tendonitis, including ice, manual therapies, medications, injections, and surgery.

Sources:

Saltzman CL, Tearse DS. "Achilles tendon injuries" J. Am. Acad. Ortho. Surg., Sep 1998; 6: 316 - 325.

Schepsis, AA, et al. "Achilles Tendon Disorders in Athletes" Am. J. Sports Med., March 1, 2002; 30(2): 287 - 305.

van der Linden PD, et al. "Fluoroquinolones and risk of Achilles tendon disorders: case-control study" BMJ 2002;324:1306.

Article Here: http://bit.ly/ZWS0fV

Beautiful.....
03/05/2014

Beautiful.....

Just Breathe
The Simplest Means of Managing Stress

Our bodies aren’t shy about telling us that we are stressed out! Muscle tension, backaches, stomach upset, headaches, burnout and other illness states are ways in which the body signals to us the need to relax. Rather than run for that anti-anxiety medication, we can utilize our easiest, natural defense against stress: our breathing. The way we breathe can affect our emotions and mental states as well as determine how we physically respond to stress.

Fight or Flight Response vs. Relaxation Response

The general physiological response to stress is called the stress response or “fight or flight” response. When we experience stress, hormones activated by the sympathetic branch of the autonomic nervous system flood our bloodstream to signal a state of readiness against potential threats to our well being. While these hormones serve to help us act quickly and with great strength during emergency situations, they exemplify the concept that there can be “too much of a good thing.” Chronic stress results in excess release of stress hormones, which can cause immune-system malfunction, gastrointestinal issues, and blood vessel deterioration, among other health complications. Over time, such symptoms can evolve into degenerative diseases like diabetes, obesity, and cardiovascular disease.

We can help preserve and enhance our health, though, by refusing to fall victim to chronic release of stress hormones, even if we are not able to control when or how stressful situations challenge us. We can learn to effectively manage our physiological reaction to stressors by teaching the body to induce a relaxation response. A relaxation response counteracts the effects of the fight or flight response by helping to boost immune system function, reduce blood pressure and cortisol levels, and protect tissues from damage caused by stress-hormones.

Breathing and Relaxation Response

The way we breathe affects our autonomic nervous system (ANS), the branches of which signal automatic physiological reactions in the body, like the fight or flight and relaxation responses. ANS activity is outside of our conscious control. The ANS is responsible for managing our breathing, heart rate, body temperature, digestion, and other basic processes necessary for survival. While the sympathetic branch of the ANS initiates the stress response, the parasympathetic branch induces a relaxation response. Our somatic nervous system, over which we do have conscious control, makes possible the movements of our eyes, limbs, and mouths, for example, as well as how (not whether) we breathe. Thus, we can, through somatic manipulation of our breath, affect which ANS branch remains active, especially during moments of stress.

One of the best means of inducing a relaxation response is through diaphragmatic breathing: inhaling deeply through the chest and virtually into the stomach. Engaging the diaphragm may be the key to inducing a relaxation response through deep breathing because the diaphragm’s close proximity to the vagus nerve. The vagus nerve is a cranial nerve which supplies approximately 75% of all parasympathetic fibers to the rest of the body, and may be stimulated through diaphragmatic movement. Conversely, thoracic breathing that is limited to the chest cavity is associated with the sympathetic branch stress response.

Self-Empowerment through Breathing

Situations may catalyze stress for us when we are uncertain about them or unable to control their outcome. We may feel helpless, overwhelmed, fearful, or forced into stifling our true feelings, and may experience additional anxiety over our inability to control the resulting hormonal fight or flight response. The key to stress management is recognition that while we may not be able to control the stressor, we can always control our reaction to it. We have choices: whether to relax through diaphragmatic breathing techniques until we feel ready to make beneficial decisions, or to just react while on sympathetic branch automatic pilot. Even if we don’t find a solution to the stressful situation, choosing to take time out to breathe protects our bodies from detrimental effects of stress.

Upon experiencing fear or anxiety, our diaphragm involuntarily flattens and we breathe in a shallow manner as our body prepares for action. Armed with the knowledge that we can create a counter-response by breathing deeply, we can change any automatic course of action. When a stressor engages us, we can consciously control the speed and fullness with which we inhale, trusting that a relaxation response will happen as long as we keep breathing in this manner and do not lose patience. Recognizing the need to breathe diaphragmatically is half the battle; actually doing it is what empowers and frees us.

Diaphragmatic Breathing Techniques

To practice diaphragmatic breathing, lie down on your back or sit in a comfortable cross-legged position with your back as straight as possible (maybe against a wall) and close your eyes. Place your hands on your abdomen. Slowly inhale, filling your lungs and what seems like your stomach, to the point where your hands rise with the breath. Hold your breath for a few seconds, then slowly exhale completely. Repeat this process for many breaths, savoring the recognition that you are sending life-sustaining oxygen to all the cells of your body.

One of the keys to creating a relaxation response is to “be the breath.” Focusing on the breath helps you be present. When thoughts enter your mind, acknowledge them, let them go, then refocus the mind on the sound of your breath. Perhaps visualize a relaxing scene or imagine continuous ocean waves slowly rolling into the shoreline. Maybe listening to peaceful music or repeating a mantra in your head that brings you serenity will help you free your mind of distracting thoughts. Your memory is another tool you have to facilitate relaxation. Recalling a time of great happiness can help you replace negative feelings with pleasant ones. Tapping into your particular spiritual belief system at this time might also help you relax; some people find that saying a prayer while breathing deeply can help decrease stress.

Diaphragmatic Breathing Offers Multidimensional Benefits

Bridging the mind and body through deep breathing is a multidimensional experience. Because the sympathetic and parasympathetic branches of the ANS are regulated by chemical messengers called neurotransmitters, rather than neural impulses from the brain, brain stem and spinal cord, these branches are influenced by our emotional responses to environmental stimuli. Neurotransmitters create physiological reactions by relaying information based upon our feelings to various cells within the body. The digestive tract is especially rich with neurotransmitter receptor sites, which may explain “gut feelings."

Fear, for example, initiates thoracic breathing associated with sympathetic branch activity. When we breathe in a shallow manner, we utilize only half of the alveoli (air filled sacs) in our lungs. Diaphragmatic breathing employs all the alveoli in our lungs while helping the body and mind relax. By repeatedly expanding our lungs to full capacity, we improve our metabolism by increasing oxygen supply to the rest of the body, promoting detoxification in the lungs, and enhancing digestion.

We may also be able to change the emotions which engendered the stress response by releasing their power over us through the breath. Clear thinking and creative decision-making may follow and lead to more positive emotions. The multidimensional effects of deep breathing illustrate the complex connections between the mind and the body and enhance our understanding of stress-related disease prevention and treatment.

When It Comes to Stress, Be Your Breath

The solution to stress lies within us. Nature has given us a defense mechanism with which to combat the physical effects of stress: parasympathetic nervous system activity catalyzed by diaphragmatic breathing. While breathing alone may not resolve the issue stressing us, it can empower us to healthfully adapt on mental, emotional, physical, and even spiritual levels.

Consciously breathing is a core element of mind-body philosophies such as yoga, meditation and Tai Chi (diaphragmatic breathing as described in this article most closely resembles meditation). Mind-body disciplines, such as Yoga and Tai Chi, which embrace specific postures and/or fluid movements offer added benefits of improved balance, flexibility and circulation. Regularly practicing diaphragmatic breathing through any mind-body technique can help us establish a relaxation routine. When something is routine, we can “just do it” (i.e. let our thoughts go because we don’t need to think so much about what we are doing). A movement –based breathing practice may be the best means of relaxation for more physically active people, and can be a great way for less-active folks to get some exercise.

For some, spirituality may permeate the mind-body breathing practice. The role of spirituality in stress management may relate to how we perceive situations beyond our control. Wayne Dyer, an inspiration guru, lectures and writes that we are eternal spiritual beings who are having temporary human experiences, which seems like another way of saying “don’t sweat the small stuff.” Believing in a higher power (whatever that means to us individually) can relieve us of the perceived burden of always having to handle things on our own.

Learning to cultivate a relaxation response may involve trying various methods until you discover the one that works for you. Finding a technique that you enjoy is the key to making it a lifestyle habit. When you feel the effects of stress… just breathe.

References and Resources:

Merck Manuals Online Medical Library. Autonomic Nervous System: Introduction

Sinatra, S. Heartbreak and Heart Disease. Keats Publishing, 1999.

Stockdale B. You Can Beat the Odds: Surprising Factors Behind Chronic Illness and Cancer. Sentient Publications, 2009.

Found here: http://bit.ly/105KmQ0

Art By Chalermphol Harnchakkham at Huebucket

03/05/2014

Food and oxygen are carried to the brain by many blood vessels. These vessels are found on the surface of the brain and deep within the brain. The blood vessels (and nerves) enter the brain through holes in the skull called foramina.

Although the brain is only about 2% of the total body weight in humans, it receives 15-20% of the body's blood supply. Because brain cells will die if the supply of blood which carries oxygen is stopped, the brain has top priority for the blood. Even if other organs need blood, the body attempts to supply the brain with a constant flow of blood.

More here: http://bit.ly/MFJGlI

What an eye catcher.....
03/05/2014

What an eye catcher.....

Muscle Leggings! By Black Milk Clothing

03/05/2014

Plantar fasciitis is inflammation of the thick tissue on the bottom of the foot. This tissue is called the plantar fascia. It connects the heel bone to the toes and creates the arch of the foot.

Causes, incidence, and risk factors:
Plantar fasciitis occurs when the thick band of tissue on the bottom of the foot is overstretched or overused. This can be painful and make walking more difficult.

You are more likely to get plantar fasciitis if you have:
• Foot arch problems (both flat feet and high arches)
• Long-distance running, especially running downhill or on uneven surfaces
• Sudden weight gain or obesity
• Tight Achilles tendon (the tendon connecting the calf muscles to the heel)
• Shoes with poor arch support or soft soles
Plantar fasciitis is seen in both men and women. However, it most often affects active men ages 40 - 70. It is one of the most common orthopedic complaints relating to the foot.

Plantar fasciitis is commonly thought of as being caused by a heel spur, but research has found that this is not the case. On x-ray, heel spurs are seen in people with and without plantar fasciitis.
Symptoms

The most common complaint is pain and stiffness in the bottom of the heel. The heel pain may be dull or sharp. The bottom of the foot may also ache or burn.

The pain is usually worse:
• In the morning when you take your first steps
• After standing or sitting for a while
• When climbing stairs
• After intense activity
The pain may develop slowly over time, or suddenly after intense activity.

Signs and tests
The health care provider will perform a physical exam. This may show:
• Tenderness on the bottom of your foot
• Flat feet or high arches
• Mild foot swelling or redness
• Stiffness or tightness of the arch in the bottom of your foot.

1. Wapner KL, Parekh SG. Heel pain. In: DeLee JC, Drez D Jr, Miller MD, eds. DeLee and Drez’s Orthopaedic Sports Medicine. 3rd ed. Philadelphia, Pa: Saunders Elsevier; 2009:section F.
2. Abu-Laban RV, Ho K. Ankle and foot. In: Marx JA, Hockberger RS, Walls RM, et al, eds. Rosen’s Emergency Medicine: Concepts and Clinical Practice. 7th ed. Philadelphia, Pa: Mosby Elsevier; 2009:chap 55.
3. Silverstein JA, Moeller JL, Hutchinson MR.Common issues in orthopedics. In: Rakel RE, ed. Textbook of Family Medicine. 8th ed. Philadelphia, Pa: Saunders Elsevier;2011:chap 30.

Article first seen HERE: http://1.usa.gov/RzodrK

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