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The three main authors are academics with chairs of physical medicine and rehabilitation within North America. Of a total of 214 contributors only three were from Europe. The aim of the book is to cover a variety of medical conditions any specialist or GP could encounter in his or her medical practice. There is an emphasis on chronic medical conditions requiring rehabilitation from the practitioners’ perspectives in an ambulatory setting. The concept is to complement existing texts of rehabilitation medicine and provide an efficient and useful reference tool in the office setting. The 162 chapters are divided into three parts covering musculoskeletal, pain and rehabilitation of chronic medical conditions. Chapters are well organized to a set pattern including synonyms, ICD coding, definitions, symptoms, physical examination (findings), functional limitations, diagnostic studies, treatment (initial, rehabilitation, procedures including surgery), potential disease complications, potential treatment complications and references. Although standing alone each chapter follows in logical order with respect of anatomical or related conditions. The entire book is very readable and although orientated to world rather than purely UK medicine deals succinctly with most important issues. The text is scientifically correct and is superbly illustrated with extremely clear radiological images. The tables showing details of physical examination manoeuvres are particularly helpful. The book is comprehensive except for the provision of an index rather than just chapter headings in the hard copy version and details specifically about cognitive testing, cold injuries and skin conditions other than systemic lupus erythematosus. Some medical complications of physical medicine and rehabilitation are better dealt with by Cardenas and Hooton in their focused manual on the subject. This edition covers new topics such as labral tears (shoulder and hip) and conditions associated with cancer and its treatment. The book serves well as a useful and economic reference source for its wide intended audience. As an occupational physician, it represents at present a helpful source of specialized reference material. Unless rehab services in the UK become more accessible, the book is likely to become a standard aid in dealing with multidisciplinary teams treating severely injured employees.