This groundbreaking new text explains and documents the scientific basis of chronic pain in Joint Hypermobility Syndrome (JHS) and other heritable disorders of connective tissue from the physiological, epidemiological, genetic and clinical viewpoints. It asks the reader to consider the possibility of JHS, identify it clinically, understand its co-morbidities, including interdependencies with Fibromyalgia and Chronic Fatigue Syndrome, while managing the condition appropriately.
Hypermobility, Fibromyalgia and Chronic Pain takes a multi-specialty and multidisciplinary approach to understanding JHS and its management, drawing together expertise from a broad group of internationally-recognized authors. The book is split into two sections. Section 1 deals with the clinical manifestations of JHS and Fibromyalgia, their epidemiology and pathophysiology. Section 2 covers clinical management. Here the reader will find chapters covering pharmacotherapeutics, psychotherapy and physical therapies that address the needs of patients from childhood to adulthood.
It is hoped that Hypermobility, Fibromyalgia and Chronic Pain will advance knowledge of therapies and provoke further research while stimulating interest and encouraging debate.
Prologue Sarah Gurley-Green
SECTION 1: CLINICAL SCIENCE 1. The heritable disorders of connective tissue: epidemiology, nosology, and clinical features Alan J Hakim, Fransiska Malfait & Anne De Paepe
2. What is the joint hypermobility syndrome? - JHS from the cradle to the grave Rodney Grahame with contributions from Jaime F Bravo, Nathan Hasson, Rosemary Keer & Susan M Maillard
3. The physiology of pain Maliha Shaikh, Alan J Hakim & Nicholas Shenker
4. Anxiety disorders, their relationship to hypermobility and their management Rocio Martin-Santos, José Alexandre Crippa & Anthony Bulbena
5. Fibromyalgia and hypermobility Anisur Rahman & Andrew Holman
6. Neuromuscular physiology in joint hypermobility
6i Cardiovascular autonomic dysfunction and chronic fatigue in fibromyalgia and joint hypermobility syndrome Jaime F. Bravo, Gonzalo Sanhueza, Alan J Hakim 6ii Bowel dysfunction in joint hypermobility syndrome and fibromyalgia Adam D Farmer & Qasim Aziz 6iii Gastrointestinal manifestations of opioid therapy in chronic pain syndromes Adam D Farmer & Qasim Aziz 6iv Proprioceptive dysfunction in JHS and its management William R Ferrell & Peter W Ferrell
SECTION 2: THERAPY 7. Pharmacotherapy
7i Pharmacotherapy in fibromyalgia Andrew J Holman 7ii Pharmacotherapy in joint hypermobility syndrome Howard A Bird
8. Pain management and cognitive behavioural therapy H. Clare Daniel
9. Physiotherapy and occupational therapy in the hypermobile adult Rosemary Keer & Katherine Butler
10. Physiotherapy and occupational therapy in the hypermobile adolescent Alison Middleditch
11. Physiotherapy and occupational therapy in the hypermobile child Susan M Maillard & Julie Payne
12. Regional complications in joint hypermobility syndrome
12i The shoulder joint Anju Jaggi & Simon M Lambert 12ii The hand Katherine Butler 12iii The hip joint Marc George & Marcus JK Bankes 12iv The knee Fares Haddad & Rohit Dhawan 12v The hypermobile foot Ron S McCulloch & Andrew Redmond with contribution from Rosemary Keer 12vi Pregnancy and the pelvis Rodney Grahame & Rosemary Keer 12vii The cervical spine and jaw a The cervical spine Rosemary Keer b Temporomandibular joint - physiotherapy management Lynn Bryden c Temporomandibular joint - surgical intervention Waseem Jerjes & Colin Hopper 12viii The thoracolumbar spine Kaye Walls
13. Fitness, sport, performance and the principles of rehabilitation Jane Simmonds
Consultant Rheumatologist and General Physician.
Keer, Rosemary J. Specialist Chartered Physiotherapist, Central London Physiotherapy Clinic, Harley Street, London UK.
Grahame, Rodney Consultant Rheumatologist, University College Hospital, London, UK.