Physical Fitness and Sports Month: Commonly Asked Questions About Sports Injuries with Dr. Packer
Dr. Jonathan Packer is an orthopaedic surgeon with the University of Maryland Department of Orthopaedics and an Assistant Professor of Orthopaedics at the University of Maryland School of Medicine. Dr. Packer specializes in sports medicine and is a Team Physician with the University of Maryland Terrapins. Below he answers common questions about sports injuries.
What are the most common sports-related injuries you see in your clinic?
The most common sports related injuries are ankle sprains and contusions. The most common knee injuries that I see are meniscus tears and knee ligament injuries, such as the MCL (meniscus...
Source: Life in a Medical Center - May 16, 2017 Category: Universities & Medical Training Authors: UMMC Tags: Doctors Employees & Staff Health Tips Orthopaedics Source Type: blogs
Over-the-counter pain relievers and your heart
Ibuprofen and other nonsteroidal anti-inflammatory drugs (NSAIDs) like naproxen are and have been the go-to “benign” pain medication for doctors and patients alike. Why? They aren’t addictive, and it’s not easy to overdose. Serious side effects like gastrointestinal ulcers and bleeding seemed to be limited to high doses taken for longer periods or time, or to people with significant medical problems.
Even before the era of the opioid epidemic, it was raining NSAIDs, across the country.
In 2004, the manufacturer of the NSAID Vioxx pulled it from the market because the drug was associated with serious cardiovascular ...
Source: Harvard Health Blog - May 15, 2017 Category: Consumer Health News Authors: Monique Tello, MD, MPH Tags: Back Pain Drugs and Supplements Headache Health Heart Health Injuries Pain Management Source Type: blogs
H. pylori, a true stomach “bug”: Who should doctors test and treat?
In 1982, two Australian scientists discovered that a certain bacterium, Helicobacter pylori, was a common cause of persistent stomach inflammation and stomach ulcers. This realization revolutionized ulcer treatment.
While fairly common, this infection usually causes no symptoms, but it can sometimes lead to ulcers in the stomach or the very first part of the small intestine (duodenum), and to certain types of stomach cancer. There is also evidence linking H. pylori infection to other conditions like iron-deficiency anemia and vitamin B12 deficiency. The bacteria are thought to spread through contaminated water, vomit, or f...
Source: Harvard Health Blog - April 5, 2017 Category: Consumer Health News Authors: Wynne Armand, MD Tags: Digestive Disorders Health Infectious diseases Tests and procedures Source Type: blogs
If you have low back pain try these steps first
Low back pain, the scourge of mankind: it is the second leading cause of disability here in the United States, and the fourth worldwide. It’s also one of the top five medical problems for which people see doctors. Almost every day that I see patients, I see someone with back pain. It’s one of the top reasons for lost wages due to missed work, as well as for healthcare dollars spent, hence, a very expensive problem.
Looking at two kinds of back pain
Let’s talk about the most common forms of back pain: acute (which lasts less than four weeks) and subacute (which lasts four to 12 weeks). Most of these cases (approximate...
Source: Harvard Health Blog - April 3, 2017 Category: Consumer Health News Authors: Monique Tello, MD, MPH Tags: Back Pain Managing your health care Pain Management Source Type: blogs
Research and Reviews in the Fastlane 175
LITFL: Life in the Fast Lane Medical Blog
LITFL: Life in the Fast Lane Medical Blog - Emergency medicine and critical care medical education blog
Welcome to the 175th edition of Research and Reviews in the Fastlane. R&R in the Fastlane is a free resource that harnesses the power of social media to allow some of the best and brightest emergency medicine and critical care clinicians from all over the world tell us what they think is worth reading from the published literature.
This edition contains 4 recommended reads. The R&R Editorial Team includes Jeremy Fried, Nudrat Rashid, Justin Morgenstern and, of cour...
Source: Life in the Fast Lane - March 8, 2017 Category: Emergency Medicine Authors: Justin Morgenstern Tags: Education Emergency Medicine Obstetrics / Gynecology R&R in the FASTLANE EBM literature recommendations research and reviews Source Type: blogs
Some medications don ’ t help back pain as much as we thought
This study found that NSAIDs don’t work as well for back pain as many people think. However, it is not true (as stated by some headlines about this study) that NSAIDs were not effective at all. Some people did improve with these medications. The trick is figuring out in advance who is most likely to get better with NSAID therapy. We can’t yet do that very well.
Here’s my suggestion: if you take an NSAID for spinal pain (or just about any other pain), keep track of how you’re feeling. A “pain diary” is one way to do this. If you aren’t clearly better in a week or two, talk to your doctor about adjusting the do...
Source: Harvard Health Blog - March 2, 2017 Category: Consumer Health News Authors: Robert H. Shmerling, MD Tags: Back Pain Drugs and Supplements Pain Management Source Type: blogs
Research and Reviews in the Fastlane 172
Welcome to the 172nd edition of Research and Reviews in the Fastlane. R&R in the Fastlane is a free resource that harnesses the power of social media to allow some of the best and brightest emergency medicine and critical care clinicians from all over the world tell us what they think is worth reading from the published literature.
This edition contains 5 recommended reads. The R&R Editorial Team includes Jeremy Fried, Nudrat Rashid, Justin Morgenstern and, of course, Chris Nickson. Find more R&R in the Fastlane reviews in the R&R Archive, read more about the R&R project or check out the full ...
Source: Life in the Fast Lane - February 9, 2017 Category: Emergency Medicine Authors: Jeremy Fried Tags: Airway Emergency Medicine Intensive Care R&R in the FASTLANE EBM Education recommendations research and reviews Source Type: blogs
LITFL Review 263
Welcome to the 263rd LITFL Review! Your regular and reliable source for the highest highlights, sneakiest sneak peeks and loudest shout-outs from the webbed world of emergency medicine and critical care. Each week the LITFL team casts the spotlight on the blogosphere’s best and brightest and deliver a bite-sized chunk of FOAM.
The Most Fair Dinkum Ripper Beauts of the Week
A well-written NY Times essay on how social isolation is killing us made the Internet rounds over the holidays, penned by a medical resident.
The Best of #FOAMed Emergency Medicine
A very interesting and thought provoking post by Josh Fa...
Source: Life in the Fast Lane - January 1, 2017 Category: Emergency Medicine Authors: Marjorie Lazoff, MD Tags: Education LITFL review Source Type: blogs
Writing in a Fishbowl v3 – Day Seven
11:57 PM: Sunday night was a bust. My daughters needed me, and it took up time. By the end of the day, my intestines demanded that I sit down and stop working, so I took some Naproxen and rented a movie. I then went to bed early. My poor ox lowed forlornly to the night sky while stuck in that pit all night, but I was too deeply asleep to hear it.I slept for nearly eight hours, which is very unusual for me.Today was filled with errands and last minute phone calls. I started an article for ADDitude magazine while my daughter was seeing a therapist, then made dinner and watched The BFG with my girl, as promised. Today was not...
Source: The Splintered Mind by Douglas Cootey - December 13, 2016 Category: Psychiatry Tags: Family Journaling Writing Source Type: blogs
Anti-inflammatory medications and the risk for cardiovascular disease: A new study, a new perspective
This study only included people with rheumatoid arthritis or osteoarthritis. The results might be different if people with other conditions had been included.
Other medical problems. The risks and benefits of celecoxib in people with other medical problems (such as significant kidney disease) are uncertain because this study excluded them.
Other medical treatments. All patients in this study took a medication to protect the stomach; outside of studies, that’s not always the case.
While these issues are valid, I think this study does provide a significant measure of reassurance regarding the cardiovascular risks of celec...
Source: Harvard Health Blog - November 23, 2016 Category: Consumer Health News Authors: Robert H. Shmerling, MD Tags: Arthritis Drugs and Supplements Health Heart Health Pain Management Source Type: blogs
Trying My Best
In thinking back to that first Vraylar dosage, I do not think I considered everything that happened after I took it.I remember *perhaps* feeling quite relaxed after I took it, but I had a nagging headache, a different kind of headache than one of my thousand types of " regular " headaches I get daily it seems. I was actually so relaxed and a bit sleepy that I had laid in bed.I am not exactly sure how long that lasted, but I do remember thinking I would feel better if that headache went away. I had tried everything, as I usually do. The regulars - Advil, Naproxen and Excedrin Migraine and had waited. Not...
Source: bipolar.and.me - November 20, 2016 Category: Psychiatry Source Type: blogs
MKSAP: 30-year-old woman is evaluated for difficult-to-treat migraine
Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians.
A 30-year-old woman is evaluated for difficult-to-treat migraine. She has had severe headaches, usually on the first day of menses, since menarche. The pain is hemicranial, pulsatile, and associated with severe nausea and vomiting but no aura. She frequently awakens with the attack already in progress. Ibuprofen was helpful in controlling migraine pain during her teenage years and early 20s but was replaced 5 years ago by oral eletriptan after the pain was no longer controlled; this drug now also is ineffective ...
Source: Kevin, M.D. - Medical Weblog - November 5, 2016 Category: Journals (General) Authors: < a href="http://www.kevinmd.com/blog/post-author/mksap" rel="tag" > mksap < /a > Tags: Conditions Neurology Source Type: blogs
The Future of Work Part I
Have you ever taken some time to think about what work will look like 5, 10 or even 20 years from now? If you haven’t, it is probably worth the effort because a changing work environment may have dramatic implications for how you are employed in the future. In these two posts, I want to talk about some of the trends I’m seeing and how they may play out in the coming years.
Outsourcing
Companies are getting better and better at spinning off specific business functions and letting them be handled by others. For example, many businesses can’t justify running payroll in-house. It is cheaper to hire a company...
Source: Productivity501 - September 20, 2016 Category: Psychiatry & Psychology Authors: Mark Shead Tags: Misc Source Type: blogs
Bayer Unveils Aleve Direct Therapy TENS Back Pain Relief System
Bayer is releasing a new consumer TENS (Transcutaneous Electrical Nerve Stimulation) system marketed using a familiar name, Aleve Direct Therapy. Designed specifically to help treat back pain, it sticks to the skin using double-sided gel pads and is operated via an accompanying wireless remote control.
Once activated, the system begins delivering electric pulses to the back, going through a series of three stages that are intended to optimize the blocking of nerve signals moving up the spine and to motivate the release of endorphins. There’s a plus and minus buttons on the remote to control the overall level of the...
Source: Medgadget - July 18, 2016 Category: Medical Equipment Authors: Editors Tags: Neurology Neurosurgery Orthopedic Surgery Pain Source Type: blogs
