Extremities

Influence of spinal imbalance on knee osteoarthritis in community-living elderly adults

Nagoya J Med Sci. 2015 Aug;77(3):329-37. Tauchi R, Imagama S, Muramoto A, Tsuboi M, Ishiguro N, Hasegawa Y Abstract Previous studies evaluated various risk factors for knee OA; however, no study has examined the association between spinal factors, such as total spinal alignment and spinal range of motion (ROM), with knee OA. The purpose of […]

Video of Hip Adjustment

Video of Hip Adjustment

The AO classification system more reliable than Lauge-Hansen system for ankle injury diagnosis

AO classification system provides more reliable ankle injury diagnosis vs Lauge-Hansen system  Yin M, et al. Orthopedics. 2015;doi:10.3928/01477447-20150701-62. August 13, 2015 The AO classification system was determined to be easier to comprehend for the diagnosis of ankle injuries vs. the Lauge-Hansen classification system, with the AO system demonstrating better reliability and reproducibility, according to study […]

Use of Transcutaneous Electrical Nerve Stimulation Device in Early Osteoarthritis of the Knee

J Knee Surg. 2015 Aug;28(4):321-7. doi: 10.1055/s-0034-1389160. Epub 2014 Aug 27. Jeffrey J Cherian PMID: 25162407 DOI: 10.1055/s-0034-1389160 Abstract Some have proposed the use of transcutaneous electrical nerve stimulation (TENS) as an adjunct to the current standard of care in treatment of osteoarthritis knee pain. The purpose of this study was to evaluate the effects […]

The neuromechanical adaptations to Achilles tendinosis

J Physiol. 2015 Aug 1;593(15):3373-87. doi: 10.1113/JP270220. Epub 2015 Jun 30. Chang YJ1, Kulig K1. Abstract KEY POINTS: Achilles tendinosis is a localized degenerative musculoskeletal disorder that develops over a long period of time and leads to a compliant human Achilles tendon. We demonstrate that the compliant Achilles tendon elicited a series of adaptations from […]

Low-Grade inflammation in symptomatic knee osteoarthritis: Prognostic value of inflammatory plasma lipids and peripheral blood leukocyte biomarkers

Arthritis & Rheumatism 07/21/2015 Attur M, et al. Inflammatory mediators, such as PGE2 and IL–1β, are produced by osteoarthritic joint tissues, where they may contribute to disease pathogenesis. The authors examined whether inflammation, reflected in plasma and peripheral blood leukocytes (PBLs) reflected presence of osteoarthritis (OA), progression or symptoms in patients with symptomatic knee osteoarthritis […]

Which shoulder motions cause subacromial impingement?

Which shoulder motions cause subacromial impingement? Evaluating the vertical displacement and peak strain of the coracoacromial ligament by ultrasound speckle tracking imaging Journal of Shoulder and Elbow Surgery, 07/17/2015 Park I, et al. Forward flexion, horizontal abduction, and IR90 showed higher vertical displacement and peak strain of the coracoacromial ligament, causing subacromial impingement. It is […]

Hand Exercises Help Women With Osteoarthritis

7/14/2015 Hand Exercises Help Women With OA Get a Grip by Nancy Walsh Senior Staff Writer, MedPage Today A simple, home-based program of exercises for women with hand osteoarthritis (OA) was effective for improving function and pain in this potentially disabling condition, a randomized trial found. After 3 months, women who performed the exercises had […]

Manual Physical Therapy Following Immobilization For Stable Ankle Fracture: A Case Series

Authors: Elizabeth E. Painter, PT, DSc1, Gail D. Deyle, PT, DSc1, Christopher Allen, PT, DSc1, Evan J. Petersen, PT, DSc2, Theodore Croy, PT, PhD3, Kenneth P. Rivera, PA-C, DSc4 Study Design Case series. Background Ankle fractures commonly result in persistent pain, stiffness, and functional impairments. There is insufficient evidence for any particular rehabilitation approach after […]

Restorative Effect of Vitamin D Deficiency on Knee Pain and Quadriceps Muscle Strength in Knee Osteoarthritis

Acta Medica Iranica 2015. 53(8):466-470. Behzad Heidari, Yahya Javadian, Mansour Babaei, Behnaz Yousef-Ghahari ABSTRACT Both vitamin D deficiency and quadriceps muscle weakness are associated with knee osteoarthritis (KOA) and pain. The aim of this study was to determine the restorative effect of vitamin D deficiency on pain and quadriceps muscle strength in knee osteoarthritis. Patients […]

Dynamic Balance Deficits 6 Months Following First-Time Acute Lateral Ankle Sprain: A Laboratory Analysis

Authors: Cailbhe Doherty, BSc Journal of Orthopaedic & Sports Physical Therapy, Ahead of Print Pages: 1-29 doi:10.2519/jospt.2015.5653 Study Design Controlled laboratory study. Objective To utilize kinematic and stabilometric measures to compare dynamic balance during performance of the Star Excursion Balance Test (SEBT) between persons 6-months post first-time lateral ankle sprain (LAS) and a non-injured control […]

Arthroscopic Knee Surgery: Harms Outweigh Benefits

NEJM Journal Watch June 17, 2015 By Christine Sadlowski Edited by David G. Fairchild, MD, MPH, and Lorenzo Di Francesco, MD, FACP, FHM Arthroscopic surgery for knee pain in middle-aged and older patients is not more beneficial than standard care beyond 6 months and is associated with harms, a BMJ meta-analysis shows. In nine studies, […]

Predictors of Long-Term Mortality in Older People With Hip Fracture

Patrocinio Ariza-Vega, PhD July 2015Volume 96, Issue 7, Pages 1215–1221 Abstract Objectives To determine 1-year mortality and predisposing factors in older people who had surgery after a hip fracture. Design Prospective cohort study. Setting Public acute hospital, trauma service. Participants Patients (N=281) aged ≥65 years who were admitted to the hospital with a hip fracture […]

Gender should be considered in diagnosis and treatment of musculoskeletal diseases

June 18, 2015 When caring for orthopedic patients, physicians must consider the role of hormones, differential anatomy, joint stability and bone quality, as well as differences in recovery after injury and surgery among men and women, according to researchers. In a recently published literature review, the researchers found women had a significantly higher incidence of […]

Association between knee pain and low back pain

J Pak Med Assoc. 2015 Jun;65(6):626-31. Rahbar M Abstract OBJECTIVE: To evaluate the association between knee pain and lumbar disorders. METHODS: The case-control study was conducted at Physical Medicine and Rehabilitation Department, Tabriz University of Medical Sciences, Iran, from December 2009 to March 2011, and comprised patients with primary complaint of knee pain. A separate […]

Nutritional Approach for Carpal Tunnel Syndrome

For over 30 years it has been known that many conditions treated by surgery could be totally cured with pennies worth of nutrients. But there’s no money in pennies of nutrients. Surgeon Dr. John Ellis wrote extensively about how vitamin B6 cleared the majority of carpal tunnel syndromes, and other clinicians confirmed this. The normal […]

Study links smoking with worse subjective treatment outcomes for rotator cuff tears

June 8, 2015 LYON, France — Results from a prospective study of patients with symptomatic, full-thickness rotator cuff tears highlighted smoking as an independent predictor of poorer patient-reported outcomes. “We have found that smoking is an independent predictor of outcome for patients with rotator cuff tears,” Bruce S. Miller, MD, said during his presentation at […]

Knee and ankle valgus stress elevated in patients with pediatric flexible flatfoot

May 29, 2015 PRAGUE — According to research presented at the 16th EFORT Congress, elevated valgus stress was found in the knees and ankles of patients with pediatric flexible flatfoot. Tamás Terebessy, MD, and colleagues compared data from 23 patients with pediatric flexible flatfeet against 14 healthy controls. A 3-D gait analysis was performed using […]

Acupuncture Causes Brain Changes in Patients With Hand Pain

Laird Harrison May 28, 2015 PALM SPRINGS, California — Acupuncture appears to thicken the cortex of patients with idiopathic hand pain while alleviating their pain, a new study suggests. The finding provides new evidence for a condition resembling carpal tunnel syndrome but with a different cause, said first author, Norman Kettner, DC, chair of radiology […]

Do Injections Work For Knee Pain? Don’t Waste Your Money

FORBES.COM MAY 18, 2015 Steven Salzberg CONTRIBUTOR As spring turns into summer, we spend more time outdoors, exercising, gardening, or just walking around. And for many people, more exercise means knee pain. Count me among the afflicted. Several people, including my orthopedic specialist, have suggested that I try injections of hyaluronic acid to treat my […]