André Broussard, D.C.

Radiosteriometric analysis of movement in the sacroiliac joint during a single-leg stance in patients with long-lasting pelvic girdle pain

Clin Biomech (Bristol, Avon). 2014 Apr;29(4):406-11. doi: 10.1016/j.clinbiomech.2014.02.002. Epub 2014 Feb 16. Kibsgård TJ Abstract BACKGROUND: Chamberlain’s projections (anterior-posterior X-ray of the pubic symphysis) have been used to diagnose sacroiliac joint mobility during the single-leg stance test. This study examined the movement in the sacroiliac joint during the single-leg stance test with precise radiostereometric analysis. […]

FDA Panels to Consider NSAID Label Changes

Published: Feb 9, 2014 | Updated: Feb 9, 2014 By Todd Neale, Senior Staff Writer, MedPage Today Full Story Two FDA advisory committees will meet Monday and Tuesday to consider the significance of recent evidence surrounding the cardiovascular risks of nonsteroidal anti-inflammatory drugs (NSAIDs), including studies pointing to lower risks with naproxen. The FDA put […]

Mechanisms of Acupuncture-Electroacupuncture on Persistent Pain

Ruixin Zhang, Ph.D. Anesthesiology. 2014 Feb; 120(2): 482–503. Abstract In the last decade, preclinical investigations of electroacupuncture mechanisms on persistent tissue-injury (inflammatory), nerve-injury (neuropathic), cancer, and visceral pain have increased. These studies show that electroacupuncture activates the nervous system differently in health than in pain conditions, alleviates both sensory and affective inflammatory pain, and inhibits […]

The News About Tamiflu: It Doesn’t Work

David H. Newman, M.D.  Posted: 12/09/13 12:01 PM ET Updated: 02/08/14 05:59 AM ET Forget everything you’ve heard about the benefits of Tamiflu, the Roche corporation’s blockbuster influenza drug. A new analysis that includes previously-unpublished trials offers a fresh, and very unflattering, perspective. Selective publication, in which some trials of a drug are released publicly and others are not, […]

Women Get Their Own Stroke Guideline

Published: Feb 6, 2014 By Todd Neale, Senior Staff Writer, MedPage Today Full Story Full Text Article Action Points New guidance from the American Heart Association/American Stroke Association focuses on stroke prevention specifically in women, who have a risk profile that differs from that of men. Note that two of the noteworthy recommendations are for […]

Vaccines-aluminum-autism: but don’t worry, go back to sleep

by Jon Rappoport February 6, 2014 Full Story Christina England, writing at vactruth.com, has the story: “This Study Reveals Children are Being Vaccinated With Toxic Levels of Aluminum Causing Neurological Damage and Autism.” Here are quotes from her article: “A recent study conducted by Canadian scientists Professor Christopher Shaw and Dr. Lucija Tomljenovic revealed that the more […]

Diabetes, HbA1c, Vitamin B6, Zinc, Stored Phthalates

Are Diabetics Being Cheated? Ronald Grisanti D.C., D.A.B.C.O., D.A.C.B.N., M.S. Full Story A recent patient was concerned that despite watching her diet and taking her diabetes medication her hemoglobin A1C (HbA1c) keeps going up. Remember, HbA1c is a lab test that shows the average level of blood sugar (glucose) over the previous 3 months. It […]

ACIP Releases 2014 Pediatric Vaccine Schedule

Fran Lowry Full Story Full Text Journal Reference The American Academy of Pediatrics (AAP), in collaboration with the Centers for Disease Control and Prevention’s (CDC’s) Advisory Committee on Immunization Practices, the American Academy of Family Practice, and the American College of Obstetricians and Gynecologists, has published a revision of immunization schedules for infants, children, and […]

Effectiveness of the Alfredson Protocol Compared With a Lower Repetition-Volume Protocol for Midportion Achilles Tendinopathy

Marc Stevens, PT, MSc Journal of Orthopaedic & Sports Physical Therapy, February 2014, Volume: 44 Issue: 2 Pages: 59-67 Journal Reference Study Design Randomized clinical trial. Objectives To compare the effectiveness of the Alfredson eccentric heel-drop protocol with a “do-as-tolerated” protocol for nonathletic individuals with midportion Achilles tendinopathy. Background The Alfredson protocol recommends the completion […]

Neck and Arm Pain: Mechanical Traction and Exercises Prove an Effective Treatment (Patient Handout)

Journal of Orthopaedic & Sports Physical Therapy, 2014, Volume: 44 Issue: 2 Pages: 58-58 doi:10.2519/jospt.2014.0501 A condition called cervical radiculopathy develops when a nerve in the neck region becomes irritated. This type of neck problem frequently causes neck pain, pain down the arm, and sometimes a loss of feeling or decreased strength in the arm. […]

Exercise Only, Exercise With Mechanical Traction, or Exercise With Over-Door Traction for Patients With Cervical Radiculopathy, With or Without Consideration of Status on a Previously Described Subgrouping Rule

A Randomized Clinical Trial Julie M. Fritz, PT, PhD, ATC Journal of Orthopaedic & Sports Physical Therapy, February 2014, Volume: 44 Issue: 2 Pages: 45-57 doi:10.2519/jospt.2014.5065 Study Design Randomized clinical trial. Objectives To examine the effectiveness of cervical traction in addition to exercise for specific subgroups of patients with neck pain. Background Cervical traction is […]

The global burden of neck pain: estimates from the Global Burden of Disease 2010 study

Hoy D, et al. Ann Rheum Dis. 2014 Jan 30. doi: 10.1136/annrheumdis-2013-204431. [Epub ahead of print] Abstract OBJECTIVE: To estimate the global burden of neck pain. METHODS: Neck pain was defined as pain in the neck with or without pain referred into one or both upper limbs that lasts for at least 1 day. Systematic […]

Do Manual Therapies Help Low Back Pain?: A Comparative Effectiveness Meta-Analysis

Menke JM. Spine (Phila Pa 1976). 2014 Jan 29. [Epub ahead of print] Abstract Study Design. Meta-analysis methodology was extended to derive comparative effectiveness information on spinal manipulation for low back pain. Objective. Determine relative effectiveness of spinal manipulation therapies (SMT), medical management, physical therapies, and exercise for acute and chronic non-surgical low back pain. Summary […]

Influence of Catastrophizing on Treatment Outcome in Patients With Nonspecific Low Back Pain

A Systematic Review Wertli, Maria M. MD Spine: 01 February 2014 – Volume 39 – Issue 3 – p 263–273 Abstract Study Design. Systematic review. Objective. The aim of this study was to assess the effect of catastrophizing on treatment efficacy and outcome in patients treated for low back pain. Summary of Background Data. Psychological […]

Inflammatory Bowel Disease and Increased Risk of Melanoma

PracticeUpdate Research · February 01, 2014 Full Story Journal Reference TAKE-HOME MESSAGE This systematic review and meta-analysis found the risk of melanoma in patients with inflammatory bowel disease (IBD) to be 37% higher than that in the general population. This increased risk was independent of either immunomodulator or anti–TNF-α treatment. Given the known risk for […]

Gastrointestinal symptoms in NSAID users in an ‘average risk population’

Results of a large population-based study in randomly selected Dutch inhabitants Tielemans MM, et al. Int J Clin Pract. 2014 Feb 6. doi: 10.1111/ijcp.12346. [Epub ahead of print] Affiliation Abstract AIM: Non-steroidal anti-inflammatory drug (NSAID) use is widespread and associated with gastrointestinal symptoms and complications. The aims of this study were to assess (i) gastrointestinal […]

Transient low back pain development during standing predicts future clinical low back pain in previously asymptomatic individuals

Spine (Phila Pa 1976). 2014 Mar 15;39(6):E379-83. doi: 10.1097/BRS.0000000000000191. Nelson-Wong E, Callaghan JP. Abstract STUDY DESIGN: Longitudinal, observational. OBJECTIVE: To determine if development of transient low back pain (LBP) during prolonged standing in individuals without prior history of LBP predicts future clinical LBP development at higher rates than in individuals who do not develop LBP […]

Repositioning Dislocated Temporomandibular Joints

Daniel F. Zweifel, M.D., D.M.D., Giorgio Pietramaggiori, M.D., and Martin Broome, M.D., D.M.D. N Engl J Med 2014; 370:e9February 6, 2014DOI: 10.1056/NEJMvcm1301200 SOURCE INFORMATION From the Department of Maxillofacial Surgery, Lausanne University Hospital, Lausanne, Switzerland. http://www.youtube.com/watch?v=xsBw0uRRuKU The following text summarizes information provided in the video. Overview The temporomandibular joints are anterior to the ear. They […]

Case Report: Osteomalacia in an orthodox Muslim woman

Vishnu V. Reddy Munagala, M.D., and Vaishali Tomar, M.D. N Engl J Med 2014; 370:e10 February 6, 2014DOI: 10.1056/NEJMicm1308433 Journal Reference                   A 45-year-old woman presented with a 3-month history of generalized body pains that were nonresponsive to analgesic agents. Along with low back pain, she had progressive […]

Associations between red meat intake and biomarkers of inflammation and glucose metabolism in women

Am J Clin Nutr. 2014 Feb;99(2):352-60. doi: 10.3945/ajcn.113.075663. Epub 2013 Nov 27. Ley SH, Sun Q, Willett WC, Eliassen AH, Wu K, Pan A, Grodstein F, Hu FB. Abstract BACKGROUND: Greater red meat intake is associated with an increased type 2 diabetes and cardiovascular disease risk. However, the relation of red meat intake to biomarkers […]