The Gunn Approach to the I intramuscular Stimulation for Myofascia/ Pain of Radiculopathic Origin C. Chan Gunn MD Ciinical Professor, Multidisciplinary Pain Center, Znixrersity of Washington Medical School, Seattle, USA Foreword by Patrick D. Wall FRSDMFRCP 7rofessor Emeritus Lnited Medical and Dental Schools, London, UK CHURCHILL - LIVINGSTONE ZDIIBURGH LONDON NEW YORK OXFORD PHILADELPHIA ST LOUIS SYDNEY TORONTO 1996 Contents v Foreword ix Lower limb 87 Preface to Second Edition xi Buttock 87 Acknowledgements xiii Posterior thigh 90 Introduction xv Anterior thigh and knee 91 Leg and dorsum offoof 96 Calf 99 An overview 1 Foot 101 , An introduction to radiculopathic pain 3 IMS-the technique 11 Supplementary information 105 I Treating chronic pain 17 I Musculoskeletal pain of spondylotic References for Part 1 18 origin 107 Table I. Shortened muscles in common syndromes 115 Table 11. Segmental innervation of Intramuscular stimulation in muscles 117 practice 21 Sources of supplies 121 Summarv 23 Suggested reading 123 Guidelines for diagnosis 25 Abbreviations monly treated Treatment and needle technique 31 muscles 125 General examination 39 Regional examination and specific treatment 47 Cervical spine 51 Appendices 127 Upper limb 61 List of appendices 129 Shoulder 61 Elbow and forearm 66 Index 161 Wrist and hand 71 Back 75 Dorsal back 75 Lumbar back 78 UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE Seattle, Washington 98 105-6920 ' Dr. Chan Gunn has been a clinical member of the University of Washington Multidisciplinary Pain Center and a consultant at the Center's Pain Clinic since 1983. During this time we e to value his expertise in diagnosis and treatment of many difficult chronic pain patients. His stimulating and informative teaching sessions have been enjoyed by trainees, staff and visiting physici
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