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“Helping clinicians help patients” has been the clear focus of Clinical Sports Medicine from its inception. This fourth edition (CSM4) builds unashamedly on its 20-year history. Twenty-year history? The more than 100 contributing authors average 15 years of practical experience each, so you are holding well over 1500 years of distilled clinical wisdom in your hand!

If you will permit us some level 5 evidence (expert opinion—see all-new Chapter 3), CSM4 provides clinicians in sports and exercise medicine and physiotherapy/physical therapy at least five major benefits:

  • The wholehearted commitment from leading clinical faculty from all over the English-speaking world means that CSM4 provides the reader with an authoritative text—you can trust these authors.

  • At 1270 pages and 67 chapters, CSM4 already carries 25% more pages than the best-selling third edition. Our ruthless editing to focus on clinical relevance means this edition contains 40% new material. CSM4 provides a comprehensive base for your clinical library. We provide some specific examples below.

  • With more than 1000 color images (photos and graphics), the book paints a million words (1000 pictures each painting 1000 words!) over and above its 1270 pages! More than 200 of those images are new to this edition—customized for CSM4's learners—further extending the book's clarity and usability.

  • Every copy of CSM4 comes with a code that gives you online access to more than four hours of assessment and treatment video and audio material. Called Clinical Sports Medicine masterclasses, this material is integrated with the text and will be free of charge to book owners for 12 months from registration at You have “the expert in the room.”

  • Reflecting the expanding evidence base for our field, we include an introduction to evidence-based practice (Chapter 3). All authors aimed to incorporate the best available level of evidence via text, tables, and current references. The online content of CSM4 will benefit from regular updates, adding further to the usefulness of this text for busy clinicians.

In short, CSM4 provides excellent value as an authoritative clinical foundation for physiotherapists, medical practitioners, osteopaths, massage therapists, podiatrists, sports/athletic trainers, sports therapists, fitness leaders, and nurses. It has also proven popular for students in sports physiotherapy, medicine, and human movement studies/kinesiology.

Editors and authors

As the task of editing a book of this magnitude was beyond the two of us, the CSM4 reader now benefits from the wisdom and productivity of seven sports and exercise medicine greats—Roald Bahr, Steven Blair, Jill Cook, Kay Crossley, Jenny McConnell, Paul McCrory, and Timothy Noakes.

The quality of our chapter authors, representing more than 14 countries, grows with each edition. Among our all-star cast, we are particularly grateful to Håkan Alfredson, Elizabeth Arendt, Carl Askling, Kim Bennell, John Drezner, Richard Frobell, Per Holmich, Mark Hutchinson, Gwen Jull, Pekka Kannus, Ben Kibler, Nicola Maffulli, Lorimer Moseley, George Murrell, Kevin Singer, and Willem van Mechelen.

New chapters

The new chapters in this edition are:

Chapter 1 Sports and exercise medicine: addressing the world's greatest public health problem

Chapter 3 Integrating evidence into clinical practice to make quality decisions

Chapter 4 Sports injuries: acute

Chapter 5 Sports injuries: overuse

Chapter 16 Principles of physical activity promotion for clinicians

Chapter 23 Wrist pain

Chapter 24 Hand and finger injuries

Chapter 28 Hip-related pain

Chapter 45 Military personnel

Chapter 47 Medical emergencies in the sporting context

Chapter 48 Sudden cardiac death in sport

Chapter 52 Renal symptoms during exercise

Chapter 54 Exercise to treat neurological diseases and improve mental health

A plethora of new, clinically relevant content

Here is just a sampler of new approaches to specific “hot topics” with a few of the contributing authors:

  • The all-new Chapter 28 Hip-related pain clarifies the concept of femoroacetabular impingement (FAI), its diagnosis and management

  • The latest concussion guidelines based on the Zurich consensus meeting (with Paul McCrory)

  • A fully revamped discussion of neck pain (with Gwen Jull)

  • Further tips on management of tendinopathies (with Jill Cook, Hakan Alfredson, and Ben Kibler)

  • Discussion of whether ACL injuries should be managed operatively or conservatively (with Richard Frobell and Liza Arendt)

  • A revolution in pain science and its implications for clinical practice (with Lorimer Moseley)

  • How to prevent hamstring problems from being a major burden—prevention and treatment strategies (with Carl Askling and Anthony Schache)

  • A practical approach to leg pain, including compartment pressure testing (with Mark Hutchinson and a demonstration on the masterclasses website)

  • How to manage the patient who has seen everyone—and now wants a miracle cure from you (with Jim Macintyre)

  • Prevention of sudden cardiac death and a practical approach to sports cardiology (with Jon Drezner and Sanjay Sharma)

  • Exercise in the heat as well as prevention of hyponatremia (with Tim Noakes)

  • Drugs—based on latest WADA guidelines

We could have made this list much longer but instead we use a toll-free part of the Clinical Sports Medicine masterclasses website ( to take you on a tour.

No single profession has all the answers required to treat the ill or injured sportsperson and to provide exercise advice as needed. CSM4 was created by a champion team of co-authors and critical reviewers tremendously committed to the vision of “Helping clinicians help patients. We are confident that whatever your training, Clinical Sports Medicine fourth edition will reinforce and refine existing knowledge and techniques, and introduce useful new approaches for your clinical practice as well as for your teaching of our wonderful vocation. Enjoy this first hybrid print and digital Clinical Sports Medicine.

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