Pain, insomnia, and depression often drive osteoarthritis patients to seek medical care

(Wiley) Pain was the main driver of seeking medical care in an Arthritis Care&Research study of patients with osteoarthritis. In addition to pain, insomnia and depression increased health care use.
Source: EurekAlert! - Medicine and Health - Category: International Medicine & Public Health Source Type: news

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Anesthesia, Sedation, and Pain Control
Source: Clinics in Perinatology - Category: Perinatology & Neonatology Source Type: research
We present a case of a patient with lateral knee pain and subjective instability sensation after a low-energy trauma secondary to a lateral meniscus tear, with absence of the PCL on MRI examination and thickened meniscofemoral ligaments, with anterior and superior insertion at the femur, in the footprint of PCL. The patient had a menisci repair, without PCL reconstruction. At the 6-month follow-up, the patient did not report any instability symptoms during his daily work and sports activities. There are therapeutic implications in distinguishing a chronic PCL tear from an aplasia, so it is important to detect some signs in...
Source: Skeletal Radiology - Category: Radiology Source Type: research
AbstractObjectiveTo investigate whether pathological changes in elbow epicondylopathy, as assessed by conventional ultrasonography and clinical outcomes, could be modified following tenotomy with platelet-rich plasma (PRP) versus tenotomy with lidocaine.MethodsThis prospective sub-study was part of a patient- and assessor-blinded, superiority-type, randomized, lidocaine-controlled trial that was performed in a tertiary hospital to assess the effectiveness of PRP versus lidocaine as tenotomy adjuvants in patients with epicondylopathy. Patients were followed after two sessions of tenotomy with either PRP or lidocaine adjuvan...
Source: Skeletal Radiology - Category: Radiology Source Type: research
ConclusionHip steroid/anesthetic injection patients are more likely to demonstrate osteoarthritis progression and femoral head collapse than HC and GIPs in the injected joint 3 –12 months after steroid and anesthetic injection. Further evaluation of hip injectates and the injection population is warranted.
Source: Skeletal Radiology - Category: Radiology Source Type: research
AbstractObjectiveOur primary aim was to quantify the posterior tibial tendon (PTT) sheath fluid volume in individuals with the clinical diagnosis of stage 1 posterior tibial tendon dysfunction (PTTD) and no MRI-detectable intra-substance tendon pathology and compare them with patients with other causes of medial ankle pain, also without MRI-detectable intra-substance PTT pathology and with normal controls. We also wanted to determine if there is a fluid measurement that correlates with the clinical diagnosis of PTTD.Materials and MethodsA total of 326 individuals with medial ankle pain and no intra-substance PTT pathology ...
Source: Skeletal Radiology - Category: Radiology Source Type: research
AbstractProgressive pseudorheumatoid dysplasia (PPD) is a rare disorder of postnatal skeletal and cartilage development that often presents with similar clinical findings to juvenile idiopathic arthritis. Patients with PPD display findings of progressive cartilage loss and secondary osteoarthritis over serial imaging studies and have an absence of elevation of inflammatory markers. Awareness of the imaging features of PPD on radiographs and magnetic resonance imaging (MRI) may be important for early diagnosis and surveillance of the disease.
Source: Skeletal Radiology - Category: Radiology Source Type: research
AbstractObjectivesTo evaluate lesion filling and other factors that could affect the clinical outcomes of cementoplasty for pelvic bone metastases.MethodsWe retrospectively reviewed the files of 40 patients treated for 44 pelvic bone metastases, collected the parameters related to patients (pain relief evaluated on a visual analog scale, subsequent fractures, and need for surgery), lesions (size, cortical breach score, fracture, soft-tissue extension), and cementoplasty procedures (number of needles, volume of cement, percentage of lesion filling, cement leaks, residual acetabular roof defect), and performed a statistical ...
Source: Skeletal Radiology - Category: Radiology Source Type: research
ConclusionThis study provides evidence that focal cartilage structural and compositional degeneration precedes COs. No significant aggravation of knee symptoms was reported during the evolution of COs.
Source: Skeletal Radiology - Category: Radiology Source Type: research
AbstractPathology of the fascia lata attachment at the iliac crest (FLAIC) is an under-recognized and often misdiagnosed cause of lateral hip pain. The fascia lata has a broad attachment at the lateral iliac crest with contributions from the tensor fascia lata muscle, the iliotibial band, and the gluteal aponeurosis. The FLAIC is susceptible to overuse injuries, acute traumatic injuries, and degeneration. There is a paucity of literature regarding imaging and image-guided treatment of the FLAIC. We review anatomy and pathology of the FLAIC, presenting novel high-resolution (18 –24 MHz) ultrasound images includin...
Source: Skeletal Radiology - Category: Radiology Source Type: research
Every year tens of thousands of people with osteoarthritis find joint replacement surgery offers them a new lease of life, enabling them to be more independent. But as the growing pressures on NHS resources hit the headlines again this winter, and stories of surgery rationing become increasingly common, are more and more people with arthritis having to wait too long for the treatment they need?Growing numbers of people are getting in touch to tell us about their operations being delayed or restricted. Sometimes this is due to lifestyle factors, such as their weight or whether they smoke, but it can also be because of winte...
Source: Arthritis Research UK - Category: Rheumatology Source Type: news
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