Extremities

Arthroscopic Surgery or Physical Therapy for Patients With Femoroacetabular Impingement Syndrome: A Randomized Controlled Trial With 2-Year Follow-up

Nancy S. Mansell, DPT The American Journal of Sports Medicine Article first published online: February 14, 2018 https://doi.org/10.1177/0363546517751912 Abstract Background: Arthroscopic hip surgery has risen 18-fold in the past decade; however, there is a dearth of clinical trials comparing surgery with nonoperative management. Purpose: To determine the comparative effectiveness of surgery and physical therapy for […]

What happens to patients when we do not repair their cuff tears?

Five-year rotator cuff quality-of-life index outcomes following nonoperative treatment of patients with full-thickness rotator cuff tears Journal of Shoulder and Elbow Surgery — | February 12, 2018 Boorman RS, et al. – The experts sought to evaluate the 5-year outcomes in a prospective cohort of patients with chronic, full-thickness rotator cuff tears who were previously […]

Vastus Lateralis Motor Unit Firing Rate Is Higher in Women With Patellofemoral Pain

May 2018 Volume 99, Issue 5, Pages 907–913 Published online:February 09, 2018 Alessio Gallina, MSc, Michael A. Hunt, PhD, Paul W. Hodges, PhD, S. Jayne Garland, PhD Abstract Objective To compare neural drive, determined from motor unit firing rate, in the vastus medialis and lateralis in women with and without patellofemoral pain. Design Cross-sectional study. […]

Arthroscopic subacromial decompression for subacromial shoulder pain – Full Text Article

The Lancet VOLUME 391, ISSUE 10118, P329-338, JANUARY 27, 2018 Prof David J Beard, DPhil Published:November 20, 2017DOI:https://doi.org/10.1016/S0140-6736(17)32457-1 Summary Background Arthroscopic sub-acromial decompression (decompressing the sub-acromial space by removing bone spurs and soft tissue arthroscopically) is a common surgery for subacromial shoulder pain, but its effectiveness is uncertain. We did a study to assess its […]

Omega-6: omega-3 PUFA ratio, pain, functioning, and distress in adults with knee pain

The Clinical Journal of Pain — | January 23, 2018 Sibille KT, et al. – On the basis of recommended and typical ranges of the omega-6 (n-6):omega-3 (n-3) ratio, researchers investigated if in adults with knee pain, those with a high n-6:n-3 ratio would have greater pain/functional limitations, experimental pain sensitivity, and psychosocial distress compared […]

The Influence of Exercise Dosing on Outcomes in Patients With Knee Disorders: A Systematic Review

Published: Journal of Orthopaedic & Sports Physical Therapy, 2018 Volume:0 Issue:0 Pages:1–47 DOI:10.2519/jospt.2018.7637 Study Design Systematic review. Background Therapeutic exercise is commonly used to treat individuals with knee disorders, but dosing parameters for optimal outcomes are unclear. Large variations exist in exercise prescription, and research related to specific dosing variables for knee osteoarthritis, patellar tendinopathy and patellofemoral pain syndrome is […]

Drew Stanton Reportedly Played with Fully Torn ACL This Season

ADAM WELLSJ JANUARY 1, 2018 Arizona Cardinals quarterback Drew Stanton reportedly played the 2017 season with a torn ACL in his knee. Per NFL Network’s Ian Rapoport, Stanton had been playing with “a thread” of an ACL before it finally gave out. Rapoport added Stanton is not planning to have surgery because he’s learned how to manage the situation. […]

Risk Factors for Shoulder Stiffness: Current Concepts – Full Text

Joints. 2017 Dec; 5(4): 217–223. Published online 2017 Dec 11. doi: 10.1055/s-0037-1608951 PMCID: PMC5738468 Davide Cucchi Abstract Shoulder stiffness is a condition of painful restriction of the glenohumeral range of motion. Numerous risk factors for primary and postoperative shoulder stiffness have been described. This article summarizes the known aspects of the pathophysiology of shoulder stiffness, […]

Effect of Soft Braces on Pain and Physical Function in Patients With Knee Osteoarthritis: Systematic Review With Meta-Analyses

Archives of Physical  Medicine and Rehabilitation January 2018 Volume 99, Issue 1, Pages 153–163 Tomasz Cudejko, MSc Abstract Objectives To systematically review and synthesize the effects of soft braces on pain and on self-reported and performance-based physical function in patients with knee osteoarthritis. Data Sources The following electronic databases were searched from inception to April […]

Utilization of Manipulative Treatment for Spine and Shoulder Conditions Between Different Medical Providers in a Large Military Hospital – Full Text Article

Archives of Physical Medicine & Rehabilitation January 2018 Volume 99, Issue 1, Pages 72–81 Daniel Rhon, DSc’ Abstract Objective To describe the use of manipulative treatment for shoulder and spine conditions among various provider types. Design Retrospective observational cohort. Setting Single military hospital. Participants Consecutive sample of patients (N=7566) seeking care for an initial spine or shoulder […]

Abnormal Pain Response After a Compensable Shoulder Injury – Full Text Article

Posted on December 24, 2017 by Scott Buxton on Physiospot.com The role of psychosocial factors has been established in patients with shoulder abnormalities. However, the prevalence of exaggerated pain behaviors and their association with the characteristics of injured workers have not been well studied. The aim of the study was to examine the prevalence of abnormal pain responses (APRs) […]

Ganglion cyst of the wrist treated with electroacupuncture: a case report – Full Text

J Can Chiropr Assoc. 2017 Dec;61(3):269-276. Kissel JA1, Wong C2. Abstract OBJECTIVE: To illustrate the clinical management of a ganglion cyst presenting on the right dorsal wrist. CLINICAL FEATURES: A 38-year-old female complaining of a symptomatic right dorsal wrist ganglion of four years duration. INTERVENTION AND OUTCOME: The patient was treated with high-frequency electroacupuncture in […]

Low back pain and disability in individuals with plantar heel pain – Full Text Article

The Foot Volume 34, March 2018, Pages 18-22 Shane McClinton Highlights •  Low back pain is prevalent in individuals with plantar heel pain. •  The odds of having low back pain was 5 times higher in those with plantar heel pain. •  Higher low back disability was associated with lower foot/ankle function. •  Low back […]

The Effectiveness of Manual Therapy for Relieving Pain, Stiffness, and Dysfunction in Knee Osteoarthritis

The Effectiveness of Manual Therapy for Relieving Pain, Stiffness, and Dysfunction in Knee Osteoarthritis: A Systematic Review and Meta-Analysis Qinguang Xu, MD Pain Physician 2017; 20:229-243 • ISSN 1533-3159 Background: Knee osteoarthritis (KOA) is the most common form of arthritis, leading to pain disability in seniors and increased health care utilization. Manual therapy is one […]

Non-Surgical Treatment Best for Hip Osteoarthritis

– NSAIDs, steroid injections, physical therapy favored by Nancy Walsh, Senior Staff Writer, MedPage Today December 13, 2017 The American Academy of Orthopaedic Surgeons (AAOS) has established new Appropriate Use Criteria (AUC) for the management of hip osteoarthritis (OA), strongly recommending nonsurgical treatments to alleviate pain and increase mobility. These AUCs are intended to help clinicians best manage the condition, […]

Managing The Frozen Shoulder – E-book

A self-care guide for those suffering from frozen shoulder William E. Morgan, DC Sarah Potthoff, DC Download Ebook

Can Exercise Prevent Knee Osteoarthritis?

Jennifer Abbasi JAMA. Published online November 22, 2017. doi:10.1001/jama.2017.16144 A study of human skeletons housed in the vaults of US museums is providing a unique historical perspective on the prevailing wisdom that knee osteoarthritis (OA) is primarily a disease of aging and overweight, factors that are difficult if not impossible to prevent at the population level. In the […]

High Ankle Sprain – Illinois Chiropractic Society

Wednesday, November 29, 2017 (0 Comments) Posted by: Tim Bertelsman, DC, DACO & Brandon Steele, DC DACO High Ankle Sprain  Fall and winter collision sports like football, hockey, and even soccer, pose unique threats to the bodies of its participants. The foot and ankle are common sites of injury. This article will focus on the […]

New and Accurate Predictive Model for the Efficacy of Extracorporeal Shock Wave Therapy in Managing Patients With Chronic Plantar Fasciitis

Archives of Physical Medicine and Rehabilitation December 2017 Volume 98, Issue 12, Pages 2371–2377 Mengchen Yin, MD Abstract Objective To identify factors for the outcome of a minimum clinically successful therapy and to establish a predictive model of extracorporeal shock wave therapy (ESWT) in managing patients with chronic plantar fasciitis. Design Randomized, controlled, prospective study. […]

No benefit of arthroscopy in subacromial shoulder pain – Full Text Article

Berend W SchreursEmail the author Berend W Schreurs, Stephanie L van der Pas Published: 20 November 2017 Scoping the shoulder (arthroscopy) for an impingement  syndrome is responsible for up to 70% of all shoulder problems. A study in the past showed that the scientific clinical evidence in favor of this type of shoulder surgery is […]