Save Your Hands! 2nd Edition is an excellent book for chiropractors as well as other manual therapy practitioners. Lauriann Greene and Richard Goggins have done a great job creating a comprehensive manual for preventing upper extremity cumulative trauma injuries. I’ve practised chiropractic and researched ergonomic solutions to musculoskeletal disorders (MSDs) for over 20 years, and I find this book valuable for providing strategies that will help practitioners spare their bodies. While the title of this book refers to the hands, there is a great deal of information that will reduce the risk of musculoskeletal injury throughout the entire body, both on and off work. This book is well organized, and divided into three sections: causes of cumulative trauma injuries, prevention, and treatment. Part 1 presents information about injury rates and body regions at risk for MSDs. Of special note is Chapter 3, which includes a comprehensive description of injury risk factors and a clear and concise overview of the biomechanics behind these risk factors. Part 2 is probably the most important section of the book, providing in-depth information about how to prevent cumulative musculoskeletal injuries through the use of ergonomics practices such as work table height adjustments, ergonomically designed tools to reduce hand and arm stress, and use of improved body mechanics. I particularly like Table 5 in Chapter 6 illustrating the weights of different body parts that practitioners frequently lift and hold throughout the workday. This section also provides useful information on general health and physical conditioning. Part 3 is essential for chiropractors who have already developed symptoms of musculoskeletal injury. After years of practice many of us experience hand, wrist, elbow, shoulder and back pain due to the physically demanding nature of our work and I have known many practitioners who have left the profession due to carpal tunnel syndrome and other cumulative trauma MSDs. Chiropractors and other manual therapy practitioners tend to sacrifice themselves for their patients without thinking about the cost to their bodies. Chapter 14 presents an excellent review of the common symptoms and disorders associated with cumulative trauma that we may ignore in ourselves, and provides a good reminder of how minor symptoms develop into major injuries. Save Your Hands! 2nd Edition provides a comprehensive approach to understanding, treating and preventing cumulative MSDs associated with the demanding job of providing manual therapy. This book reflects the many years of expertise in ergonomics and injury prevention that Greene and Goggins bring to this topic. Their book is thorough and well organized with a detailed glossary, bibliography and index, and provides many clear pictures, tables, and figures that summarize and illustrate the authors’ points. I appreciated the helpful grey boxes that appear throughout the text which succinctly summarize important ideas. Save Your Hands! Could save a career and I highly recommend it to chiropractors.