Extremities

Clinical Course and Prognostic Factors in Conservatively Managed Carpal Tunnel Syndrome

APM&R May 2016Volume 97, Issue 5, Pages 836–852.e1 Clinical Course and Prognostic Factors in Conservatively Managed Carpal Tunnel Syndrome: A Systematic Review Claire L. Burton, MBChB, MMedSci Abstract Objective To summarize the available evidence regarding the course of symptoms and prognostic factors in patients with diagnosed carpal tunnel syndrome (CTS) who are treated conservatively. Data […]

Efficacy of Different Types of Mobilization Techniques in Patients With Primary Adhesive Capsulitis of the Shoulder

APM&R May 2016Volume 97, Issue 5, Pages 815–825 Efficacy of Different Types of Mobilization Techniques in Patients With Primary Adhesive Capsulitis of the Shoulder: A Systematic Review Suzie Noten, MSc Abstract Objective To systematically review the literature for efficacy of isolated articular mobilization techniques in patients with primary adhesive capsulitis (AC) of the shoulder. Data […]

Prediction of Outcome in Women With Carpal Tunnel Syndrome Who Receive Manual Physical Therapy Interventions: A Validation Study

Journal of Orthopaedic & Sports Physical Therapy, 2016 Volume:0 Issue:0 Pages:1–28 Authors: César Fernández-de-las-Peñas, PT, PhD, DMSc Study Design Prospective cohort study. Background A clinical prediction rule to identify patients with carpal tunnel syndrome (CTS) most likely to respond to manual physical therapy has been published but requires further testing to determine its validity. Objective […]

Effectiveness of non-steroidal anti-inflammatory drugs for the treatment of pain in knee and hip osteoarthritis: A network meta-analysis

The Lancet, 03/25/2016 da Costa BR, et al. Researchers sought to investigate the effectiveness of different preparations and doses of non–steroidal anti–inflammatory drugs (NSAIDs) on osteoarthritis pain in a network meta–analysis. It was determined that diclofenac 150 mg/day is the most effective NSAID for the treatment of pain and function in patients with osteoarthritis. Methods […]

Exercise Prescriptions for Chronic Conditions: A How-to Guide – Full Text Article

Diana Phillips March 22, 2016 Exercise can be an effective component of treatment for many chronic conditions from knee osteoarthritis to type 2 diabetes, but physicians must be aware of the details of evidence-based interventions for the specific condition to properly prescribe it for their patients, according to a multidisciplinary review and how-to guide published […]

Sick of Synthetic Drugs? Turmeric Extract May Be Your Best Bet For Healing Knee Osteoarthritis

March 19, 2016 by Alexa Erickson In our modern world where Western medicine reigns supreme, it’s important to remember that long before there were synthetic medications for treating ailments, our natural resources saved the day. There are millions of people taking non-steroidal anti-inflammatory drugs on a daily basis for inflammatory conditions such as arthritis, but […]

Immediate effects of hip mobilization with movement in patients with hip osteoarthritis: A randomised controlled trial

Manual Therapy April 2016 Volume 22, Pages 80–85 Carlos Beselga Highlights •Immediate effects of hip MWM and placebo were evaluated in patients with hip OA. •MWM decreased pain, improved ROM, and physical function greater than placebo. •These results direct future studies to investigate long-term efficacy. Abstract Background Mobilization with movement (MWM) has been shown to […]

The immediate effect of lumbopelvic manipulation on EMG of vasti and gluteus medius in athletes with patellofemoral pain syndrome

A randomized controlled trial Manual Therapy April 2016Volume 22, Pages 16–21 Alireza Motealleh Highlights •Lubmopelvic manipulation improved the EMG activity of vastus medialis and gluteus medius. •Improvement was observed in step-down test and pain intensity after manipulation. •Lumbopelvic manipulation might be considered in the management of PFPS. Abstract Objective To evaluate the immediate effect of […]

Analgesics Plus Exercise Therapy Feasible for Knee OA

Seventy-eight percent of patients could participate in exercise protocol after analgesic use FRIDAY, March 11, 2016 (HealthDay News) — A combined intervention of optimized analgesic prescription and exercise therapy is feasible and associated with significant reductions in pain and activity limitation in patients with knee osteoarthritis (OA) and severe knee pain, according to a study […]

The Wrist Widget – “A Revolutionary way to treat TCFF tears”

The Wrist Widget – “A Revolutionary way to treat TCFF tears”

Effect of Vitamin D Supplementation on Tibial Cartilage Volume and Knee Pain Among Patients With Symptomatic Knee Osteoarthritis

A Randomized Clinical Trial Xingzhong Jin, MD JAMA March 8, 2016, Vol 315, No. 10 Importance  Observational studies suggest that vitamin D supplementation is associated with benefits for knee osteoarthritis, but current trial evidence is contradictory. Objective  To compare the effects of vitamin D supplementation vs placebo on knee pain and knee cartilage volume in […]

Improvement in Knee Osteoarthritis Pain With Platelet-Rich Plasma Injections Lasts for 6 Months

March 07, 2016 February 21, 2016—Palm Springs, California—The beneficial clinical effects of platelet-rich plasma injections for knee osteoarthritis pain remained stable from the end of treatment through 6 months follow up in most studies of the technique. This outcome of a systematic review encompassing 24 studies was presented at the 32nd Annual Meeting of the […]

Meniscal Tears in OA: Arthroscopy No Help

03.06.2016 Patients with arthroscopy were 30% more likely to have joint replacement by Nancy Walsh Senior Staff Writer, MedPage Today ORLANDO — Among patients who have meniscal damage complicated by knee osteoarthritis (OA), arthroscopy did not decrease or delay the likelihood of eventually having knee replacement, a researcher reported here. In a large cohort of […]

Timing of Injections Affects Trigger Finger Outcome

03.05.2016 Need for surgery high if steroid injections repeated within 6 months by Nancy Walsh Senior Staff Writer, MedPage Today ORLANDO — Patients with the hand ailment stenosing tenosynovitis — “trigger finger” — who need more than one corticosteroid injection within 6 months are likely to need early surgery and to develop the condition in […]

Multi-faceted approach to diagnosing carpal tunnel syndrome recommended

New guidelines do not recommend the routine use of MRI imaging for diagnosis Date: March 2, 2016 Source: American Academy of Orthopaedic Surgeons Summary: New guidelines recommend the collective use of a thorough patient history and specific physical examination maneuvers, in addition to observation and specific diagnostic tests to more definitively diagnose carpal tunnel syndrome, […]

Joint Mobilization Enhances Mechanisms of Conditioned Pain Modulation in Individuals With Osteoarthritis of the Knee

Authors: Carol A. Courtney, PT, PhD Published: Journal of Orthopaedic & Sports Physical Therapy, 2016 Volume:46 Issue:3 Pages:168–176 DOI: 10.2519/jospt.2016.6259 Study Design An experimental laboratory study with a repeated-measures crossover design. Background Treatment effects of joint mobilization may occur in part by decreasing excitability of central nociceptive pathways. Impaired conditioned pain modulation (CPM) has been […]

Management of Carpal Tunnel Syndrome Evidence-Based Clinical Practice Guideline 2016 – Full Text

Adopted by the American Academy of Orthopaedic Surgeons Board of Directors February 29, 2016 AAOS guideline download (Free PDF)

Chronic Plantar Fasciitis: Effect of Platelet-Rich Plasma, Corticosteroid, and Placebo

Pankaj Mahindra, MS; Mohammad Yamin, MS; Harpal S. Selhi, MS; Sonia Singla, MD; Ashwani Soni, MS Orthopedics Posted February 25, 2016 DOI: 10.3928/01477447-20160222-01 Abstract Plantar fasciitis is a common cause of heel pain. It is a disabling disease in its chronic form. It is a degenerative tissue condition of the plantar fascia rather than an […]

Cochrane reviews on chiropractic care related to lower extremity disorders

Click the titles to read the abstracts. Full text is available by subscription. Almeida MO, Silva NGB, Andriolo RB, Atallah AN, Peccin MS. Conservative interventions for treating exercise-related musculotendinous, ligamentous and osseous groin pain. CD009565. Cochrane Database of Systematic Reviews. 2013 (6). Callaghan MJ, Selfe J. Patellar taping for patellofemoral pain syndrome in adults.CD006717. Cochrane […]

Exercise for treating patellofemoral pain syndrome: an abridged version of Cochrane systematic review

European Journal of Physical and Rehabilitation Medicine, 02/18/2016 Van Der Heijden RA, et al. The aim of this study is to assess the effects of exercise therapy in people with PFPS. This review found very low quality but consistent evidence that exercise therapy for PFPS may result in clinically important reduction in pain and improvement […]