April 1998 Table of Contents

Douglas B. McKeag, MD

Premenstrual Syndrome: Systematic Diagnosis and Individualized Therapy

A 2-month chart that makes it easy for patients to track their symptoms helps physicians clarify whether the patient suffers from premenstrual syndrome or another condition in the extensive differential.

Scott Ransom, DO, MBA; Julie Moldenhauer, MD

Exercise has three roles in the treatment of hypertension: prevention, initial treatment for mild elevations, and an adjunct to medication moderate or severe hypertension. Exercise can best reduce blood pressure when the patient's activity routine is regular and aerobic.

Alfred A. Bove, MD, with Carl Sherman

Patient Adviser
Low-Pressure Workouts for Hypertension

Alfred A. Bove, MD, with Carl Sherman

Fibromyalgia: Recognizing and Treating an Elusive Syndrome

A working knowledge of the diagnostic criteria for fibromyalgia helps physicians institute the two most important management strategies: reversing the precipitating factor and relieving symptoms. Understanding the role of exercise is also important, because it can be both a precipitant and a treatment.

Richard B. Gremillion, MD

Delayed Complication of a Rib Fracture

Sports-related rib fractures usually heal uneventfully with conservative care. However, as a case study shows, serious complications can develop several days after the injury—underscoring the importance of removing a patient with a possible rib fracture from play.

John O'Kane, MD; Elizabeth O'Kane, MD; Julianne Marquet, MD

When Groin Pain Is More Than 'Just a Strain': Navigating a Broad Differential

When an active patient presents with groin pain, it's natural to consider first the most obvious causes: explosive muscle contractions, cutting maneuvers, overstretching, and overuse. However, the diagnostic possibilities encompass a complex range of musculoskeletal and nonmusculoskeletal causes when the patient's pain is chronic or when the patient is a child or older adult.

Joseph J. Ruane, DO; Thomas A. Rossi, MD

Departments

Editor's Notes
Gluing Minor Skin Wounds

Editorial Board/Staff

Forum

Continuing Sportsmedicine Education

News Briefs
Casey Martin's Case: The Medical Story

Classified Advertising

Pearls

Highlights
Intense Intervention for Smokers

Information for Authors

CME Self Test
This test has expired, but additional CME credit available at http://www.physsportsmed.com/cme.htm

Nutrition Adviser
Jumping for Soy
Nancy Clark, MS, RD

Exercise Adviser
A Traveler's Workout Guide
Bryant Stamford, PhD

Clinical Techniques
Suture Substitutes: Using Skin Adhesives
Aaron Rubin, MD

Index to Advertisers

In an effort to provide information that is scientifically accurate and consistent with accepted standards of medical practice, the editors and publisher of The Physician and Sportsmedicine routinely consult sources believed to be reliable. However, readers are encouraged to confirm this information with other sources. For example and in particular, physicians are advised to consult the prescribing information in the manufacturer's package insert before prescribing any drug mentioned.