Effectiveness of Epidural Steroid Injections for Low Back Pain
Am Fam Physician. 2022 Jul;106(1):89-90.NO ABSTRACTPMID:35839356 (Source: Pain Physician)
Source: Pain Physician - July 15, 2022 Category: Anesthesiology Authors: Socorro Shelton Andrew Yochum Ethan Walker Nicole Waters Source Type: research

Top 20 Research Studies of 2021 for Primary Care Physicians
This article summarizes the top 20 research studies of 2021 identified as POEMs (patient-oriented evidence that matters) that did not address the COVID-19 pandemic. Sodium-glucose cotransporter-2 inhibitors and glucagon-like peptide-1 receptor agonists prevent adverse cardiovascular and renal outcomes in patients with type 2 diabetes mellitus and also reduce all-cause and cardiovascular mortality. Most older adults (mean age, 75 years) with prediabetes do not progress to diabetes. Among patients in this age group with type 2 diabetes treated with medication, an A1C level of less than 7% is associated with increased risk of...
Source: Pain Physician - July 15, 2022 Category: Anesthesiology Authors: Mark H Ebell Roland Grad Source Type: research

Care of the Active Female
Am Fam Physician. 2022 Jul;106(1):52-60.ABSTRACTPhysical activity has many health-related benefits, including prevention and management of chronic disease, weight management, and improved mental health. Active girls and women of all ages and abilities are at risk of relative energy deficiency in sport, a syndrome encompassing low energy availability, menstrual irregularities, and disordered bone metabolism. Presence of amenorrhea or oligomenorrhea may suggest reduced energy availability. Active females are at risk of overuse injuries, including patellofemoral pain syndrome, iliotibial band syndrome, and stress fractures; t...
Source: Pain Physician - July 15, 2022 Category: Anesthesiology Authors: Katherine Wojnowich Rachel Dhani Source Type: research

Acute Pancreatitis: Rapid Evidence Review
Am Fam Physician. 2022 Jul;106(1):44-50.ABSTRACTAcute pancreatitis is the most common gastrointestinal-related reason for hospitalization in the United States. It is diagnosed based on the revised Atlanta classification, with the presence of at least two of three criteria (upper abdominal pain, serum amylase or lipase level greater than three times the upper limit of normal, or characteristic findings on imaging studies). Although computed tomography and other imaging studies can be useful to assess severity or if the diagnosis is uncertain, imaging is not required to diagnose acute pancreatitis. Based on limited studies, ...
Source: Pain Physician - July 15, 2022 Category: Anesthesiology Authors: Kathryn E Oppenlander Christina Chadwick Kayla Carman Source Type: research

Celiac Disease: Common Questions and Answers
Am Fam Physician. 2022 Jul;106(1):36-43.ABSTRACTCeliac disease is an immune-mediated, multisystem disorder that affects genetically susceptible individuals who are exposed to gluten-containing grains such as wheat, barley, and rye. The condition can develop at any age. Celiac disease presents with a variety of manifestations such as diarrhea, weight loss, abdominal pain, bloating, malabsorption, and failure to thrive. Most adult patients will present with nonclassic symptoms, including less specific gastrointestinal symptoms or extraintestinal manifestations such as anemia, osteoporosis, transaminitis, and recurrent miscar...
Source: Pain Physician - July 15, 2022 Category: Anesthesiology Authors: Pamela M Williams Lisa M Harris Michael R Odom Source Type: research

Impact of Fatigue on Health-Related Quality of Life and Work Productivity in Psoriatic Arthritis: Findings From a Real-World Survey
CONCLUSION: Prevalence of patient-reported fatigue was high among PsA patients and under-recognized by physicians. Fatigue severity was associated with altered physical functioning, work productivity, and HRQoL.PMID:35840154 | DOI:10.3899/jrheum.211288 (Source: Pain Physician)
Source: Pain Physician - July 15, 2022 Category: Anesthesiology Authors: Laure Gossec Jessica A Walsh Kaleb Michaud Elizabeth Holdsworth Steve Peterson Sophie Meakin Feifei Yang Nicola Booth Soumya D Chakravarty James Piercy Natalie Dennis Alexis Ogdie Source Type: research

ST-T segment changes in prehospital emergency physicians in the field: a prospective observational trial
CONCLUSION: ECG changes are frequent and occur in most healthy prehospital emergency physicians. Even when occurring for less than 30 s, such changes are important signs for high levels of stress. The long-term impact of these changes needs further investigation. Trial registration The trial was registered at ClinicalTrials.gov (NCT04003883) on 1.7.2019: https://clinicaltrials.gov/ct2/show/NCT04003883?term=emergency+physician&rank=2.PMID:35841049 | DOI:10.1186/s13049-022-01033-1 (Source: Pain Physician)
Source: Pain Physician - July 15, 2022 Category: Anesthesiology Authors: Mathias Maleczek Karl Schebesta Thomas Hamp Achim Leo Burger Thomas Pezawas Mario Krammel Bernhard Roessler Source Type: research

Effectiveness of Epidural Steroid Injections for Low Back Pain
Am Fam Physician. 2022 Jul;106(1):89-90.NO ABSTRACTPMID:35839356 (Source: Pain Physician)
Source: Pain Physician - July 15, 2022 Category: Anesthesiology Authors: Socorro Shelton Andrew Yochum Ethan Walker Nicole Waters Source Type: research

Top 20 Research Studies of 2021 for Primary Care Physicians
This article summarizes the top 20 research studies of 2021 identified as POEMs (patient-oriented evidence that matters) that did not address the COVID-19 pandemic. Sodium-glucose cotransporter-2 inhibitors and glucagon-like peptide-1 receptor agonists prevent adverse cardiovascular and renal outcomes in patients with type 2 diabetes mellitus and also reduce all-cause and cardiovascular mortality. Most older adults (mean age, 75 years) with prediabetes do not progress to diabetes. Among patients in this age group with type 2 diabetes treated with medication, an A1C level of less than 7% is associated with increased risk of...
Source: Pain Physician - July 15, 2022 Category: Anesthesiology Authors: Mark H Ebell Roland Grad Source Type: research

Care of the Active Female
Am Fam Physician. 2022 Jul;106(1):52-60.ABSTRACTPhysical activity has many health-related benefits, including prevention and management of chronic disease, weight management, and improved mental health. Active girls and women of all ages and abilities are at risk of relative energy deficiency in sport, a syndrome encompassing low energy availability, menstrual irregularities, and disordered bone metabolism. Presence of amenorrhea or oligomenorrhea may suggest reduced energy availability. Active females are at risk of overuse injuries, including patellofemoral pain syndrome, iliotibial band syndrome, and stress fractures; t...
Source: Pain Physician - July 15, 2022 Category: Anesthesiology Authors: Katherine Wojnowich Rachel Dhani Source Type: research

Acute Pancreatitis: Rapid Evidence Review
Am Fam Physician. 2022 Jul;106(1):44-50.ABSTRACTAcute pancreatitis is the most common gastrointestinal-related reason for hospitalization in the United States. It is diagnosed based on the revised Atlanta classification, with the presence of at least two of three criteria (upper abdominal pain, serum amylase or lipase level greater than three times the upper limit of normal, or characteristic findings on imaging studies). Although computed tomography and other imaging studies can be useful to assess severity or if the diagnosis is uncertain, imaging is not required to diagnose acute pancreatitis. Based on limited studies, ...
Source: Pain Physician - July 15, 2022 Category: Anesthesiology Authors: Kathryn E Oppenlander Christina Chadwick Kayla Carman Source Type: research

Celiac Disease: Common Questions and Answers
Am Fam Physician. 2022 Jul;106(1):36-43.ABSTRACTCeliac disease is an immune-mediated, multisystem disorder that affects genetically susceptible individuals who are exposed to gluten-containing grains such as wheat, barley, and rye. The condition can develop at any age. Celiac disease presents with a variety of manifestations such as diarrhea, weight loss, abdominal pain, bloating, malabsorption, and failure to thrive. Most adult patients will present with nonclassic symptoms, including less specific gastrointestinal symptoms or extraintestinal manifestations such as anemia, osteoporosis, transaminitis, and recurrent miscar...
Source: Pain Physician - July 15, 2022 Category: Anesthesiology Authors: Pamela M Williams Lisa M Harris Michael R Odom Source Type: research

Impact of Fatigue on Health-Related Quality of Life and Work Productivity in Psoriatic Arthritis: Findings From a Real-World Survey
CONCLUSION: Prevalence of patient-reported fatigue was high among PsA patients and under-recognized by physicians. Fatigue severity was associated with altered physical functioning, work productivity, and HRQoL.PMID:35840154 | DOI:10.3899/jrheum.211288 (Source: Pain Physician)
Source: Pain Physician - July 15, 2022 Category: Anesthesiology Authors: Laure Gossec Jessica A Walsh Kaleb Michaud Elizabeth Holdsworth Steve Peterson Sophie Meakin Feifei Yang Nicola Booth Soumya D Chakravarty James Piercy Natalie Dennis Alexis Ogdie Source Type: research

ST-T segment changes in prehospital emergency physicians in the field: a prospective observational trial
CONCLUSION: ECG changes are frequent and occur in most healthy prehospital emergency physicians. Even when occurring for less than 30 s, such changes are important signs for high levels of stress. The long-term impact of these changes needs further investigation. Trial registration The trial was registered at ClinicalTrials.gov (NCT04003883) on 1.7.2019: https://clinicaltrials.gov/ct2/show/NCT04003883?term=emergency+physician&rank=2.PMID:35841049 | DOI:10.1186/s13049-022-01033-1 (Source: Pain Physician)
Source: Pain Physician - July 15, 2022 Category: Anesthesiology Authors: Mathias Maleczek Karl Schebesta Thomas Hamp Achim Leo Burger Thomas Pezawas Mario Krammel Bernhard Roessler Source Type: research

Erythema multiforme in children
Can Fam Physician. 2022 Jul;68(7):507-508. doi: 10.46747/cfp.6807507.ABSTRACTQUESTION: Children who present with rashes with "target" lesions are frequently diagnosed with erythema multiforme (EM). This is a self-limiting condition in most children; how should primary care providers differentiate between this and urticaria or Stevens-Johnson syndrome, and what is the recommended course of treatment?ANSWER: While EM is common in children, urticaria is also very common and tends to be more "waxing and waning" compared with EM's fixed lesions. Stevens-Johnson syndrome and toxic epidermal necrolysis are more severe and distinc...
Source: Pain Physician - July 13, 2022 Category: Anesthesiology Authors: Ran D Goldman Source Type: research