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Bisphosphonate therapy for spinal aneurysmal bone cysts

ConclusionsBisphosphonate therapy can be used as the definitive treatment of spinal ABCs, except in patients with instability or progressive neurology, where surgical intervention is required. Clinicians should expect a patients symptoms to rapidly improve, their bone oedema to resolve by 3  months and their lesion to partially or completely ossify by 6–12 months.
Source: European Spine Journal - Category: Orthopaedics Source Type: research

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CANCER symptoms vary depending on which part of the body is affected by the tumour. Back pain and weight loss could be a sign of the bladder disease.
Source: Daily Express - Health - Category: Consumer Health News Source Type: news
As we age we are inevitably bereaved more often, and it is at a time of our life when we are more vulnerable. Research shows that the generation that are in their 60’s and older are the least likely to access or receive appropriate support when someone dies, and this is particularly true of men. Through my work as a bereavement psychotherapist for the last 25 years, I have learned from my clients what can help them at such a difficult time, and I have developed the concept of “pillars of strength” — these are active things we can do to help us manage the pain of loss, and build an internal structure...
Source: World of Psychology - Category: Psychiatry & Psychology Authors: Tags: Books Family General Grief and Loss Personal Psychotherapy Relationships Self-Esteem Self-Help Source Type: blogs
AbstractPurpose of ReviewThe purpose of this study is to summarize published literature on health-care quality, and value-based principles in musculoskeletal (MSK) medicine as it relates to physical medicine&rehabilitation (PM&R) practitioners. This review specifically focuses on spine care as a case example. Related policy and practice issues and future research needs will also be discussed.Recent FindingsResults of a recent study on the effects of required PM&R consultation prior to surgical evaluation for low back pain management contradicted the conclusions of a previous landmark study on a similar topic.SummaryPhy...
Source: Current Physical Medicine and Rehabilitation Reports - Category: Rehabilitation Source Type: research
ConclusionsThis is the first evidence of a relationship between an “acute-phase” systemic inflammatory response and recovery at 6 months. High inflammation (CRP/IL-6) was associated with good recovery, but specific elevation of TNF, along with depressive symptoms, was associated with bad recovery. Depression and TNF may have a two-way relationship.Graphical abstractThese slides can be retrieved under Electronic Supplementary Material.
Source: European Spine Journal - Category: Orthopaedics Source Type: research
ConclusionGuidelines developed for high-income settings were adapted to inform a care pathway and model of care for medically underserved areas and low- and middle-income countries by considering factors such as costs and feasibility, in addition to benefits, harms, and the quality of underlying evidence. The selection of recommended conservative treatments must be finalized through discussion with the involved community and based on a biopsychosocial approach. Decision determinants for selecting recommended treatments include costs, availability of interventions, and cultural and patient preferences.Graphical abstractThes...
Source: European Spine Journal - Category: Orthopaedics Source Type: research
This study compared different indices of “success” in patients undergoing surgery for degenerative disorders of the lumbar spine, hip, or knee, using a validated, multidimensional, and joint-specific PROM.MethodsPreoperatively and 12  months postoperatively, 4594 patients (3937 lumbar spine, 368 hip, 269 knee) undergoing first-time surgery completed a PROM that included the Core Outcome Measures Index (COMI) for the affected joint. The latter comprises a set of single items on pain, function, symptom-specific well-being, qualit y of life, and disability—all in relation to the specified joint problem....
Source: European Spine Journal - Category: Orthopaedics Source Type: research
ConclusionGDF6 injection may change the pathological status of degenerative discs and attenuate degenerated IVD-induced pain.Graphical Abstract
Source: European Spine Journal - Category: Orthopaedics Source Type: research
I could write about a BPS (biopsychosocial) model in every single post, but it’s time for me to explore other things happening in the pain management world, so this is my last post in this series for a while. But it’s a doozy! And thanks to Eric Bowman for sharing an incredibly relevant paper just in time for this post… One of the problems in pain management is that there are so many assessments carried out by the professionals seeing a person – but very little discussed about pulling this information together to create an overall picture of the person we’re seeing. And it’s this aspect...
Source: HealthSkills Weblog - Category: Anesthesiology Authors: Tags: Assessment Back pain Clinical reasoning Low back pain Pain conditions Professional topics Research Science in practice biopsychosocial disability function Health healthcare pain management rehabilitation Therapeutic approache Source Type: blogs
This study aims to evaluate the efficacy of two different spinal immobilization techniques on cervical spine movement in a simulated prehospital ground transport setting. METHODS: A counterbalanced crossover design was used to evaluate two different spinal immobilization techniques in a standardized environment. Twenty healthy male volunteers (age = 20.9 ± 2.2 yr) underwent ambulance transport from a simulated scene to a simulated emergency department setting in two separate conditions: utilizing traditional spinal immobilization (TSI) and spinal motion restriction (SMR). During both transport scenarios, pa...
Source: Prehospital Emergency Care - Category: Endocrinology Tags: Prehosp Emerg Care Source Type: research
Conclusions This study is relevant to everyday practice for spinal surgical team members and advances our understanding of how surgical teams qualitatively view the current process of patient positioning for spinal surgery. Providers recommended best practices for using the Jackson Table, which can be achieved through standardized practice for transfer of patients, educational tools, and checklists for equipment before patient transfer and positioning. This research has identified several important practice opportunities for improving provider and patient safety in spine surgery.
Source: Journal of Patient Safety - Category: Health Management Tags: Original Articles Source Type: research
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