Occupational medicine (Philadelphia, Pa.)
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The ergonomist seeks to reduce incidence and severity of occupational musculoskeletal disorders as well as improve productivity and work quality. Thus, ergonomics addresses both the employee and employer.
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Hand pain is the most common complaint among musicians, and it can have devastating effects on careers and, therefore, incomes. An understanding of the artist's mindset, playing techniques, and goals is invaluable in the management of this unique patient.
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Reflex sympathetic dystrophy (RSD) is a diagnosis fraught with clinician disagreement on every facet. The authors explore the controversy, outline prevailing opinions, and stress that no patient should be diagnosed with RSD unless there are strong, objective findings.
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Symptoms and disease processes can overlap, and neurologic symptoms of the hand or arm are not necessarily due to local pathology. To combat these difficulties, the authors present a basic review of neuroanatomy, the neurologic examination, the principles of electromyography, and the process of formulation.