Treatment Strategy for Frozen Shoulder.
Treatment Strategy for Frozen Shoulder. Clin Orthop Surg. 2019 Sep;11(3):249-257 Authors: Cho CH, Bae KC, Kim DH Abstract Frozen shoulder (FS) is a common shoulder disorder characterized by a gradual increase of pain of spontaneous onset and limitation in range of motion of the glenohumeral joint. The pathophysiology of FS is relatively well understood as a pathological process of synovial inflammation followed by capsular fibrosis, but the cause of FS is still unknown. Treatment modalities for FS include medication, local steroid injection, physiotherapy, hydrodistension, manipulation under anesthesia, arthroscopic capsular release, and open capsular release. Conservative management leads to improvement in most cases. Failure to obtain symptomatic improvement and continued functional disability after 3 to 6 months of conservative treatment are general indications for surgical management. However, there is no consensus as to the most efficacious treatments for this condition. In this review article, we provide an overview of current treatment methods for FS. PMID: 31475043 [PubMed - in process]
Publication date: Available online 25 January 2020Source: Best Practice &Research Clinical RheumatologyAuthor(s): Ayşe A. KüçükdeveciAbstractThe goals in the management of established rheumatoid arthritis (RA) are to control pain and disease activity, prevent further joint damage, and enhance functioning and quality of life. Despite the fact that aggressive and the early use of biological and nonbiological disease-modifying antirheumatic drugs have been associated with substantial gains in clinical, radiological, and disability outcomes, a considerable proportion of patients still report significant p...
Depression is common in hospice and palliative care populations, with prevalence's ranging from 17% in the palliative care population and upwards of 40% in hospice patients. Depressive disorders such as major depression frequently go unrecognized and undertreated. Consequences of depressive illness include worsening of quality of life, creation of disability and added symptom burden. Limitations of currently available antidepressant therapies include delayed onset of efficacy and low remission rates after multiple courses of pharmacotherapy.
Recent years have seen increasing acceptance of physician assisted death (PAD) in the United States with there now being eight states and the District of Columbia that have some form of legal PAD. This growing acceptance, however, continues to be met with resistance from a number of groups based in part on differing views on religion, morality, authority, and concerns regarding disability rights. What are the sources of conflict around PAD? Much of the disagreement is grounded in true differences of opinion, but at least some of the conflict arises from misunderstandings and lack of agreement regarding definitions of terms.
Frailty is a commonly used term in healthcare to describe a subset of the elderly patient population but there remains debate on how to identify and treat this syndrome. Advanced care planning is a key factor in treating the frail patient with hopes of slowing the progression of debilitation, including functional decline, polypharmacy, increased disability, and vulnerability. In addition, collaboration across healthcare disciplines remains a vital aspect in caring for and enabling positive outcomes for the frail individual and promotion of quality of life.
Stroke remains a leading cause of long-term disability and burdened quality of life not only for stroke survivors with remaining disability (SSRDs) but also for the informal caregivers (ICGs) who care for them. Approximately 50% of SSRDs will require ICG hands-on support, precluding them from leaving home. With current technology, social media might be the only way for ICG to gain training/access support. What resources are available out there for ICGs of SSRDs?
Amyotrophic Lateral Sclerosis (ALS) is a progressive neurodegenerative disorder that causes muscle weakness, disability, and eventually death, with a median survival of 3-5 years and affecting all populations with a rise among Hispanics. ALS patients are mostly cared for by family caregivers (FCGs). FCGs often experience burden, high depression rates, psychological distress and impaired quality-of-life. Also, FCGs may not be able to leave their homes to access resources. Social media might be a way to accessing support, but little is known about quality and quantity of ALS FCGs ’ resources.
Authors: Eftekharsadat B, Aghamohammadi D, Dolatkhah N, Hashemian M, Salami H Abstract Background: We aimed to determine dietary intake and serum concentration of α-tocopherol and lycopene in subjects with knee osteoarthritis (KOA) in relation to pain intensity and functional status and comparing them with healthy controls. Methods: This case-control study was conducted among 35 patients with primary KOA and 35 matched healthy subjects selected using convenience sampling method. Dietary intakes of alpha-tocopherol and lycopene were estimated from 24-hour dietary records. Visual Analogue Scale (VAS) and Weste...
Discussion: Since a true short esophagus diagnosis depends on transurgical findings, pediatric surgeons should notice this entity when practicing any antireflux procedure. Laparoscopic Collis-Nissen approach is safe and efficient in these patients. PMID: 31967614 [PubMed - in process]
By GRACE CORDOVANO PhD, BCPA Being a patient or a carepartner can be a lonely, powerless place. There’s no high powered legal or lobbying team to help support you in your or your loved one’s health care journey. There’s no PR team at your beck and call. There’s no advisory board, no executive committee, no assistants, no chatbots or AI-powered technology coming to the rescue. There’s no funding or a company sponsoring your efforts. There’s no course in how to be a professional patient or carepartner. There’s no one there in the stillness and dark of the night, when you ...
ConclusionThe results of this study showed that besides physical factors such as pain radiation and disability level, which influenced the decision of patients to take the surgical option, patients who were unemployed were also more likely to choose surgery. This indicates that patients were worried about the possible impact of surgery on their employment, or on their ability to continue to work. It is important that patients be given a clear picture of the expected outcomes of their surgery, and that the information needs of patients regarding the surgery be explored and addressed.