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Occupational Musculoskeletal Disorders Hardcover – April 15, 1999

ISBN-13: 978-0781714952 ISBN-10: 0781714958 Edition: Second

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Product Details

  • Hardcover: 433 pages
  • Publisher: Lippincott Williams & Wilkins; Second edition (April 15, 1999)
  • Language: English
  • ISBN-10: 0781714958
  • ISBN-13: 978-0781714952
  • Product Dimensions: 1 x 6.5 x 9.5 inches
  • Shipping Weight: 2 pounds
  • Average Customer Review: 4.2 out of 5 stars  See all reviews (5 customer reviews)
  • Amazon Best Sellers Rank: #10,365,241 in Books (See Top 100 in Books)

Customer Reviews

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Most Helpful Customer Reviews

22 of 24 people found the following review helpful By A Customer on April 19, 1999
Format: Hardcover
Few problems that patients have are more contentious and confusing than the occupational musculoskeletal disorders. As Dr. Hadler documents, conditions like persistent low back pain, neck pain, and arm pain have not yielded to simple mechanical explaniations nor to simple mechanical cures. This book is about why that is. In his passionate, lively, inimitable way, Dr. Hadler examines the physiology, the social psychology, and even the policies that influence these disorders. In the process, he has written a medical textbook unlike any other you will come across. It is part practical guide to the care of the patient with regional musculoskeletal symptoms, part history text, and part polemic. And it could change the way we all think about these common and troubling conditions.
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13 of 13 people found the following review helpful By Mark Schoene on February 10, 2005
Format: Hardcover
The outmoded management of occupational musculoskeletal disorders robs millions of workers of their productivity, their dignity, and their sense of well-being. It engulfs the medical system with desperate patients. It fills disability rolls and tears at the fabric of our economy and social safety net.

The new edition of Occupational Musculoskeletal Disorders (3rd edition, 2004) is perhaps the best book ever written on this topic. It describes a scientific revolution in thinking about back pain, arm pain, knee problems, fibromyalgia, and the suffering that accompanies them.

For the physician, this is a hands-on guide to the intricacies of occupational musculoskeletal illnesses-their natural history, their diagnosis and management, and their regulatory and legal implications. For the ailing worker, it is an essential roadmap to coping with these illnesses and to navigating the medical and disability systems

Author Nortin M. Hadler, MD, was recently described in JAMA-the official journal of the American Medical Association-as a "philosopher and consummate physician." He has an encyclopedic knowledge of the scientific evidence and the courage to challenge the thinking that has created the current crisis.

This book is full of new evidence, elegant thought, and writing to match. Read this book. And then, as Hadler suggests, spread the word.

Mark Schoene

Editor, the BackLetter

p.s. Readers may be also be interested in Hadler's other recent book The Last Well Person: How to Stay Well Despite the Healthcare System. It is a guide to preserving a sense of health and well-being in a medical culture that would turn all of us into "ticking disease time bombs." The Last Well Person provides a valuable counterpoint to Occupational Musculoskeletal Disorders.
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2 of 2 people found the following review helpful By M. Caruso on October 5, 2009
Format: Hardcover Verified Purchase
Nortin Hadler is an accomplished researcher who helps us understand healthcare issues is a new way. This is solid research that should be on the desk of every company risk manager. It should change how we spend our money to prevent worker lost time and disability. See also Worried Sick by Hadler and Explain Pain by Butler and Moseley.
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1 of 1 people found the following review helpful By Joan M. Stephens on July 20, 2009
Format: Hardcover Verified Purchase
If you've had shoulder, neck or back pain read this book before you visit your surgeon! He backs up all information with footnotes of articles.
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3 of 18 people found the following review helpful By Stanley Wen on October 22, 2003
Format: Hardcover
Dr. Hadler has written here a book that is turgid, but not so much with content. Rather, the book is a reliquary for 50 cent words and abstruse sentence structure. Although I purchased the book to augment my diagnosis and treatment of work-related musculoskeletal disease (MSD), I ended up reading passages to challenge my fellow workers to decipher.
Here's an example:
"Seduced by the promise of dramatic diagnosis, of unbridled interventions for cure, and the largesse of wage replacement or more, the American worker has been urged on by surgeons, lawyers, and common practice to confront the contest of causation with escalating vigor." -- page 231
and:
"Medicine has been remiss in focusing on that portion of the experience of morbidity that operates within and under medical purview." -- page 19
In addition, Dr. Hadler seems obsessed with the use of the words "predicament" and "ubiquitous".
Beyond the prose, I have a problem with the book's presentation of subject matter. Rather than a authoritative textbook format with citations, Dr. Hadler meanders through conjecture, anecdotes and fact, citing supporting studies from time to time. Sometimes, the paragraphs tighten into textbook format statements. But, given the brief nature of the discussion, it appears that these paragraphs are written in haste. These paragraphs lack essential physical diagnosis and treatment details.
In summary, this book lacks the crucial information that physicians need to develop good practice skills. Instead, it is filled with flowery conversation written in a Jane Austin-style circumlocution. Unless you are a very un-busy physician, you won't enjoy this book.
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More About the Author

BIOGRAPHICAL SKETCH

Nortin M. Hadler, MD
MACP, MACR, FACOEM

Dr. Hadler is a graduate of Yale College and The Harvard Medical School. He trained at the Massachusetts General Hospital, the National Institutes of Health, and the Clinical Research Centre in London. He was certified a Diplomate of the American Boards of Internal Medicine, Rheumatology, Allergy & Immunology and Geriatrics. He joined the faculty of the University of North Carolina in 1973 and was promoted to Professor of Medicine and Microbiology/Immunology in 1985. He serves as Attending Rheumatologist at the University of North Carolina Hospitals.
He has lectured widely, including many named lectureships, and is a frequent commentator for the print and broadcast media. He has garnered multiple awards and served lengthy Visiting Professorships in England, France, Israel and Japan. He was selected as an Established Investigator of the American Heart Association and has been elected to membership in the American Society for Clinical Investigation and the National Academy of Social Insurance. He has been elevated to Master of the American College of Physicians and the American College of Rheumatology and is a Fellow of the American College of Occupational and Environmental Medicine.
The molecular biology of hyaluran and the immunobiology of peptidoglycans were the focus of his early investigative career to be superseded by his fascination with what he initially termed "industrial rheumatology." For 30 years he has been a student of "the illness of work incapacity"; over 200 papers and 12 books bear witness to this interest. He has detailed the various sociopolitical constraints imposed by many nations to the challenges of applying disability and compensation insurance schemes to such predicaments as back pain and arm pain in the workplace. He has dissected the fashion in which medicine turns disputative and thereby iatrogenic in the process of disability determination, whether for back or arm pain or a more global illness narrative such as is labeled "fibromyalgia." He is widely regarded for his critical assessment of the limitations of certainty regarding medical and surgical management of the regional musculoskeletal disorders. The third edition of his monograph, Occupational Musculoskeletal Disorders, was published by Lippincott Williams & Wilkins in 2005 and provides a ready resource as to his thinking on the regional musculoskeletal disorders.
In the past decade, he turned his critical razor to much that is considered contemporary medicine at its finest. His assaults on medicalization and overtreatment appear in many editorials and commentaries and 4 recent monographs:
McGill-Queens University Press published The Last Well Person. How to stay well despite the health-care system in 2004 (paperback 2007). UNC Press published Worried Sick. A prescription for health in an overtreated America (2008, paperback 2012), Stabbed in the Back. Confronting back pain in an overtreated society (2009), and Rethinking Aging. Growing old and living well in an overtreated society (2011). A fifth book, Citizen Patient, is in press and scheduled for release early in 2013. Les Presses de l'Université Laval / Les Éditions de l'IQRC is the publisher of French translations: Le Dernier des Bien Portants (2008), Malades d'inquiétude (2010), Poignardé dans le dos (2011) - won Prix Prescrire in 2012, and Repenser le vieillissement (2012, in press).

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