Extremities

Lung cancer and shoulder pain: What’s the connection?

Tue 14 March 2017 By Zawn Villines Reviewed by Christina Chun, MPH Most people experience shoulder pain, usually due to inflammation or muscle injuries. Much less frequently, shoulder pain can be a sign of lung cancer. Although shoulder pain is not a hallmark of lung cancer, any persistent unexplained pain warrants a visit to a […]

Very High Prevalence of Frozen Shoulder in Patients with Type 1 Diabetes of More than 45 Years’ Duration. The Dialong Shoulder Study

Niels Gunnar Juel, MD Archives of Physical Medicine and Rehabilitation Highlights •59% of patients with type 1 diabetes over 45 years had frozen shoulder, 73% bilaterally. •Patients with painful frozen shoulder had highest disability and least shoulder mobility. •High glycemic index was associated severe disability and restricted shoulder mobility. Abstract Objective To compare the prevalence […]

The symptomatic and functional effects of manual physical therapy on plantar heel pain: a systematic review.

J Man Manip Ther. 2017 Feb;25(1):3-10. doi: 10.1080/10669817.2015.1106818. Epub 2016 Apr 26. Mischke JJ1, Jayaseelan DJ2, Sault JD3, Emerson Kavchak AJ3. Author information Abstract OBJECTIVES: Plantar heel pain is common and can be severely disabling. Unfortunately, a gap in the literature exists regarding the optimal intervention for this painful condition. Consequently, a systematic review of the current literature regarding […]

Weak Thigh Muscles Increase Knee OA Risk in Women

Growing evidence of relationship, but only for females by Wayne Kuznar, Contributing Writer February 19, 2017 Women with thigh muscle weakness have an increased risk of radiographic knee osteoarthritis (RKOA), but this relationship was no longer significant when adjusting for body mass index (BMI). In men, in contrast, thigh muscle strength was similar between knees with RKOA and […]

The Side Effects of Orthopedic Knee Surgery: Doubling Down at the Great Orthopedic Surgery Casino

What are the side effects of orthopedic surgery? One of the more disturbing things we see in interventional orthopedics is patients who have undergone multiple aggressive types of orthopedic surgery. The behavior is a bit like a gambler at a casino. If you don’t hit it big the first time, keep doubling down until you […]

Hip and Lumbar Spine Physical Examination Findings in People Presenting With Low Back Pain, With or Without Lower Extremity Pain

Authors: Heidi Prather, DO, Abby Cheng, MD, Karen Steger-May, MA, Vaibhav Maheshwari, DO, Linda Van Dillen, PT, PhD Study Design Prospective cohort study, cross-sectional design. Background The hip-spine syndrome is described in patients with known arthritis of the hip. This study describes the hip examination findings of people presenting with low back pain (LBP). Objectives […]

The Effectiveness of Manual Therapy versus Surgery on Self-Reported Function, Cervical Range of Motion and Pinch Grip Force in Carpal Tunnel Syndrome: A Randomized Clinical Trial

Authors: César Fernández-de-las-Peñas, PT, PhD, DMSc Published: Journal of Orthopaedic & Sports Physical Therapy, 2017 Volume:0 Issue:0 Pages:1–43 DOI: 10.2519/jospt.2017.7090 Study Design Randomized parallel-group trial. Background Carpal tunnel syndrome (CTS) is a common pain condition that can be managed surgically or conservatively. Objective To compare the effectiveness of manual therapy versus surgery for improving self-reported […]

The weather’s not to blame for your aches and pains

JANUARY 24, 2017 George Institute for Global Health News New research from The George Institute for Global Health has revealed the weather plays no part in the symptoms associated with either back pain or osteoarthritis. It’s long been thought episodes of both back pain and arthritis can be triggered by changes in the weather, including […]

Effectiveness of Nerve Gliding Exercises on Carpal Tunnel Syndrome: A Systematic Review.

Nerve gliding may be a worthwhile add-on in the conservative management of carpal tunnel syndrome.  Here are a couple of videos showing how to do nerve gliding for CTS. Carpal Tunnel Tendon Stretch and Nerve Gliding – Video – Fitzmaurice Hand Institute Carpal Tunnel Nerve Gliding – Video – Leo Rozmaryn MD, Orthopedic Surgeon J Manipulative Physiol Ther. 2017 […]

Increased risk for knee replacement surgery after arthroscopic surgery for degenerative meniscal tears: a multi-center longitudinal observational study using data from the osteoarthritis initiative.

Osteoarthritis Cartilage. 2017 Jan;25(1):23-29. doi: 10.1016/j.joca.2016.09.013. Epub 2016 Oct 3. Rongen JJ, Rovers MM, van Tienen TG, Buma P, Hannink G. Abstract OBJECTIVE: The primary objective was to assess whether patients with knee osteoarthritis and whom undergo arthroscopic meniscectomy have an increased risk for future knee replacement surgery. DESIGN: Data used were obtained from the […]

Interventions to increase adherence to therapeutic exercise in older adults with low back pain and/or hip/knee osteoarthritis: a systematic review and meta-analysis.

Br J Sports Med. 2017 Jan 13. pii: bjsports-2016-096458. doi: 10.1136/bjsports-2016-096458. [Epub ahead of print] Nicolson PJ1, Bennell KL1, Dobson FL1, Van Ginckel A1, Holden MA2, Hinman RS1. Abstract OBJECTIVE: To evaluate whether interventions aimed at increasing adherence to therapeutic exercise increase adherence greater than a contextually equivalent control among older adults with chronic low […]

A systematic review of thrust manipulation for non-surgical shoulder conditions

Amy L. Minkalis Chiropractic & Manual Therapies 2017 25:1 https://doi.org/10.1186/s12998-016-0133-8 ©  The Author(s). 2017 Received: 20 July 2016 Accepted: 7 December 2016 Published: 4 January 2017 Abstract Purpose Although many conservative management options are available for patients with non-surgical shoulder conditions, there is little evidence of their effectiveness. This review investigated one manual therapy approach, thrust manipulation, as a treatment option. Methods A systematic search was conducted of the […]

Dry needling does not offer benefits in addition to personalized, evidencebased physical therapy treatment for patients with nonspecific shoulder pain

Published: Journal of Orthopaedic & Sports Physical Therapy, 2016 Volume:47 Issue:1 Pages:11–20 DOI:10.2519/jospt.2017.6698 Study Design Multicenter, parallel randomized clinical trial. Background Myofascial trigger points (MTrPs) are implicated in shoulder pain and functional limitations. An intervention intended to treat MTrPs is dry needling. Objectives To investigate the effectiveness of dry needling in addition to evidence-based personalized […]

Shoulder pain linked to increased heart disease risk

Date: December 27, 2016 Source: University of Utah Health Sciences Summary: After all the lifting, hauling and wrapping, worn out gift givers may blame the season’s physical strain for any shoulder soreness they are feeling. It turns out there could be another reason. A new study finds that individuals with symptoms that put them at […]

Glucosamine and Chondroitin for Osteoarthritis – National Institute of Health

What’s the Bottom Line? How much do we know about glucosamine and chondroitin supplements? We have some information about the safety and usefulness of glucosamine and chondroitin from large, high-quality studies in people. What do we know about the effectiveness of glucosamine and chondroitin supplements? Research results suggest that chondroitin isn’t helpful for pain from osteoarthritis of the knee […]

Cervical Contribution To Functional Shoulder Impingement: Two Case Reports

Int J Sports Phys Ther. 2016 Dec;11(6):980-991. Pheasant S. Abstract BACKGROUND: Subacromial impingement is a common condition among overhead athletes. The cause of subacromial impingement can be multifactorial and often involves impaired rotator cuff function. CASE DESCRIPTION: The following cases outline the presentation, examination and intervention of two overhead athletes, a high school football quarterback […]

Dietary intake of fiber in relation to knee pain trajectories

Arthritis Care & Research , 12/05/2016Dai Z, et al. In this study, researchers surveyed whether fiber consumption was connected with knee pain development patterns. These discoveries propose that high dietary total or grain fiber, especially in the prescribed everyday fiber average consumption of 25g per day, was connected with lower risks of belonging to moderate […]

What Home Remedies for Carpal Tunnel Syndrome Are There?

Written by Hannah Nichols Reviewed by Beth Holloway RN, M.Ed. Last reviewed: Tue 20 December 2016 Carpal tunnel syndrome is a common condition that causes numbness, tingling, and sometimes pain in the fingers and the hand. Carpal tunnel syndrome (CTS) ranges from mild to severe. Proper treatment can often restore the functioning of the hand […]

Study: Running actually lowers inflammation in knee joints

Brigham Young University Health News, 12/12/2016 Running may also slow the process that leads to osteoarthritis. New research from BYU exercise science professors finds that pro–inflammatory molecules actually go down in the knee joint after running. In other words, it appears running can reduce joint inflammation. “It flies in the face of intuition,” said study […]

Managing knee osteoarthritis with yoga or aerobic/strengthening exercise programs in older adults

Rheumatol Int. 2016 Dec 2. [Epub ahead of print] Managing knee osteoarthritis with yoga or aerobic/strengthening exercise programs in older adults: a pilot randomized controlled trial. Cheung C1, Wyman JF2, Bronas U3, McCarthy T2, Rudser K2, Mathiason MA2. Author information Abstract Although exercise is often recommended for managing osteoarthritis (OA), limited evidence-based exercise options are […]