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Doody's Review ServiceReviewer: Vincent F Carr, DO, MSA, FACC, FACP (Uniformed Services University of the Health Sciences)
Description: This book familiarizes primary care physicians with how to aspirate joints and make injections for symptomatic relief. The first edition was published in 2005.
Purpose: Primary care practitioners are in a unique position to offer patients immediate relief of symptoms in some cases, and this book focuses on preparing them to offer these services. The author has provided a very helpful book.
Audience: The audience is limited to primary care practitioners. Consultants typically would have a more invasive approach to these techniques as they see more complex cases. The author is a family medicine physician writing for a primary care audience.
Features: The book is divided according to individual techniques for joints, skin, and muscles and provides the applicable ICD-9 and CPT codes, which is very helpful. As some of these procedures could be beyond the scope of an outpatient clinic because of comorbid conditions, one significant weakness of the book is the lack of discussion about indications, contraindications, and when to refer to a surgical consultant. The color photographs are somewhat helpful in understanding the orientation of the needle, but they are somewhat limited in describing the procedures. (While the publisher will offer a website with videos of the procedures, the website was not available at the time of review.) Additionally, because of patient gowning, some of the pictures are difficult to interpret, e.g. the anterior approach to the hip joint. An appendix concerning informed consent tends to generalize all procedures and does not consider the adverse possibilities of the medicines injected.
Assessment: This is a very useful book for a primary care physician's library and can serve well as a last minute memory jogger regarding techniques. Presumably, the videos on the website will add instructional material.