Abstract

E FFECTIVE physical management and rehabilitation of arthritic disorders requires first an accurate diagnosis, or when that is impossible, a diagnostic formulation that presupposes an understanding of (1) the nature of the disease process; (2) its location, either intraor extra-articular; (3) its potential for permanent joint damage; and (4) the overall prognosis for periarticular structures or joints involved. The second requisite for appropriate physical management is an understanding of rationale for and the limitations of both physical and rehabilitative therapeutics as well as pharmacological measures. It will be the object of this communication to attempt to put into perspective what is known and thereby to establish what it is reasonable to use in the physical management of a variety of common “arthritic” problems.

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