New guidelines for aches, pains, and strains
We’ve all been there before. A minor injury leads to a sore ankle, achy shoulder, or sore neck. You could do nothing, try to ignore it, and see if it gets better. Or you may be tempted to take something, especially if significant discomfort prevents you from doing your usual activities or keeps you up at night. So, what’s the best initial treatment? For minor injuries, your options are many, including: Home remedies. Common approaches are the “RICE” treatments — Rest, Ice, Compression, and Elevation: applying cold to the sore area, wearing an elastic wrap to compress the sore area, rest, and elevation (such as propping up your sore ankle on pillows). Nondrug approaches. For instance, massage or acupuncture. Pain medicines. Examples are acetaminophen, anti-inflammatory drugs like ibuprofen, or other pain relievers. New guidelines have been developed Recently, the American College of Physicians and American Academy of Family Physicians gathered experts to develop new recommendations for just this sort of situation. Officially, these guidelines are for “acute pain from non-low back, musculoskeletal injuries in adults” — that is, for people whose pain started less than four weeks ago and does not include low back pain (for which separate guidelines have been developed). To come up with these recommendations, experts reviewed more than 200 randomized controlled trials, which are considered the highest quality and most powerful type...
CONCLUSION: OUD-hospitalizations increased in all 5 musculoskeletal diseases studied, but the rate of increase differed. Awareness of these OUD-hospitalization trends in 5 musculoskeletal diseases among providers, policy-makers and patients is important. Development and implementation of interventions, policies and practices to potentially reduce OUD-associated impact in people with rheumatic diseases is needed. PMID: 33004531 [PubMed - as supplied by publisher]
We examined 16 review articles and 11 randomized controlled trials published in the last 5 years on the clinical efficacy of acupuncture in adults with CMP conditions. The available evidence suggests that acupuncture does have short-term pain relief benefits for patients with symptomatic knee osteoarthritis and chronic low back pain and is a safe and reasonable referral option. Acupunct ure may also have a beneficial role for fibromyalgia. However, the available evidence does not support the use of acupuncture for treating hip osteoarthritis and rheumatoid arthritis.SummaryThe majority of studies concluded the superi...
Although numerous studies have demonstrated that concomitant low back pain (LBP) is associated with worse functional outcomes in patients undergoing total hip and knee arthroplasty, no study has analysed its impact on patients undergoing total ankle arthroplasty (TAA). The aim of this study was to determine the prevalence of LBP in people undergoing TAA and analyse its impact on patient reported functional outcome measures (PROMs).A retrospective review was performed on data from the Vancouver End Stage Ankle Arthritis Database.
Authors: Zhang H, Wang P, Zhang X, Zhao W, Ren H, Hu Z Abstract Symptomatic degenerative disc disease (DDD) is considered the leading cause of chronic lower back pain (LBP). As one of the main features of intervertebral disc degeneration (IDD), vascular ingrowth plays a crucial role in the progression of LBP. Stromal cell‑derived factor 1 (SDF1) and its receptor C‑X‑C receptor 4 (CXCR4) were reported to be overexpressed in the degenerated intervertebral discs, suggesting that they may be involved in the pathogenesis of IDD. Moreover, SDF1 has been identified to induce neovascularization in rheumatoid art...
Conclusions Noninflammatory complaints can be observed in about 50% of RA patients on remission. These complaints were more common in elderly patients with old-age disease onset. Therefore, while evaluating and treating this patient population, noninflammatory complaints and disease-specific parameters should be considered carefully in order to fully improve the clinical outcomes.
Axial spondyloarthritis (axSpA) is an important cause of chronic low back pain and affects approximately 1% of the US population. The back pain associated with axSpA has a characteristic pattern referred to as inflammatory back pain (IBP). Features of IBP include insidious onset before age 45 years, association with morning stiffness, improvement with exercise but not rest, alternating buttock pain, and good response to treatment with nonsteroidal anti-inflammatory drugs. In patients with IBP, it is essential to look for other features associated with spondyloarthritis (SpA), such as enthesitis, dactylitis, peripheral arth...
AbstractA 40 ‐year‐old man had numbness and weakness in both lower limbs and lower back pain for one year. Abdominal computed tomography (CT) at another institution demonstrated bone destruction of the second lumbar vertebra (L2) involving the adjacent spinal canal and spinal conus. The patient underwent pos terior lamina decompression from L1 to L2, spinal canal enlargement, posterolateral bone fusion.
ConclusionSurgeons performing a TKR should take these factors into consideration prior to deciding whether a patient is suitable for a TKR. Secondarily, a detailed explanation of these factors should form part of the process of informed consent to achieve better patient satisfaction following TKR. There is a great need for a unified approach to assessing satisfaction following a TKR and also the time at which satisfaction is assessed.
ConclusionAntibodies to 3 UH ‐axSpA peptides could provide a novel tool for the diagnosis of a subset of axSpA patients.
Rheumatoid arthritis (RA) can affect the spine; however, the epidemiology of lumbar lesions and/or low back pain (LBP) in RA patients has not been well-studied.
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