Extremities

Gout Linked to Increased Vascular Disease Risk

Laurie Barclay, MD August 29, 2014 Patients with gout, particularly women, have increased risk for vascular disease, according to findings of a study published online August 27 in the Annals of Rheumatic Diseases. “Hyperuricaemia, the biochemical precursor to gout, has been linked with an increased incidence of, and mortality from, both [coronary heart disease (CHD)] and stroke,” write Lorna E. Clarson, MBChB, […]

Knee Surgery: No Benefit for Those With Mild Osteoarthritis

Medscape Medical News Knee Surgery: No Benefit for Those With Mild Osteoarthritis Jennifer Garcia August 27, 2014 Arthroscopic surgery for middle-aged patients with degenerative meniscal tears and mild or no osteoarthritis provided no benefit when compared with nonoperative management, according to a new systematic review and meta-analysis. These results were published online August 25 inCMAJ. The review […]

Physical therapies for improving balance and reducing falls risk in osteoarthritis of the knee

Physical therapies for improving balance and reducing falls risk in osteoarthritis of the knee: A systematic review Age and Aging, 08/26/2014  Review Article  Clinical Trial Below Mat S, et al. – This systematic review evaluated the effectiveness of physical therapies in improving balance and reducing falls risk among patients with knee osteoarthritis (OA). Strength training, […]

Plantar fasciitis – important new research by Michael Rathleff

by Tom Goom on August 22, 2014 Plantar fasciitis can be a nuisance to treat and, to date, we’ve had little high quality evidence to guide us. Today’s blog represents an exciting new direction in treating this stubborn condition. For some time we’ve noted the similarities between plantar fascial problems and tendinopathy. Back in 2006 […]

Plantar fasciitis – important new research

Story Source by Tom Goom on August 22, 2014 in Foot and ankle, Guest Bloggers, Running Injuries Plantar fasciitis can be a nuisance to treat and, to date, we’ve had little high quality evidence to guide us. Today’s blog represents an exciting new direction in treating this stubborn condition. For some time we’ve noted the […]

Operative, nonoperative treatment of ACL injury yield similar outcomes

Grindem H. J Bone Joint Surg Am. 2014. doi:10.2106/JBJS.M.01054. August 19, 2014 Story Source Minimal differences in outcomes and re-injury risks were seen between patients with ACL ruptures treated with or without surgery, according to recently published data. Researchers conducted a prospective cohort study of 143 patients from the Norwegian Sports Medicine Clinic who sustained […]

Physical activity fails to show link with chronic musculoskeletal pain

By Lucy Piper, Senior medwireNews Reporter 18 August 2014 J Epidemiol 2014; Advance online publication Story Source medwireNews: Neither little nor excessive physical activity contributes to chronic musculoskeletal pain (CMP) in people who are middle-aged or older, Japanese study findings suggest. “[O]ur cross-sectional investigation did not detect any significant linear or quadratic associations of PA […]

High BMI, intensive physical activity increased risk of knee replacement

OrthopedicsToday August 18, 2014 Patients with osteoarthritis who had high body mass index and performed intensive physical activity at work experienced a higher risk of having a knee replacement, according to study results. Researchers prospectively followed 315,495 patients who underwent knee replacement and identified through the Norwegian Arthroplasty Register. Cox proportional hazard regression was used […]

Combined Glucosamine and Chondroitin Sulfate Analgesia for Knee Osteoarthritis

August 14, 2014 Clinical Rheumatology TAKE-HOME MESSAGE This study examined the efficacy and safety of chondroitin sulfate (CS) capsules administered with glucosamine sulfate (GS) capsules or sachet preparations of glucosamine hydrochloride (GH) for patients with knee osteoarthritis. In total, 1120 patients were randomized 1:1:1 to receive GS and CS capsules three times daily, GH/CS sachet […]

No single test accurately diagnoses rotator cuff disease

Healio.com Somerville LE. Am J Sports Med. 2014. doi:10.1177/0363546514538390. August 13, 2014 Study data have shown no one test can accurately diagnose rotator cuff tears or tendinosis. Researchers reviewed 139 consecutive patients being examined at two orthopedic clinics for possible rotator cuff lesions. If a diagnosis was uncertain after taking patients’ medical history, a clinician […]

Best Treatment for Shoulder Pain?

Pauline Anderson August 06, 2014 Both manual physical therapy (MPT) and corticosteroid injections (CSI) significantly improve symptoms in patients with shoulder impingement syndrome (SIS), but physical therapy may be less costly to the healthcare system, according to a new study. Physicians might consider physical therapy for patients with SIS — a sort of “catch all” […]

OTC Enzyme Supplements: What a Clinician Needs to Know

REVIEW · August 04, 2014 TAKE-HOME MESSAGE Sales of over-the-counter (OTC) enzymes marketed for inflammatory disorders, multiple sclerosis, pancreatic insufficiency, allergies, burns, infections, and cancer have increased in recent years. This article reviews the evidence of the risks and benefits of OTC enzymes. Descriptions for the use, dosage, and adverse effects are given for common […]

Changes in length of the plantar aponeurosis during the stance phase of gait

Ann Anat. 2014 Jul 29. pii: S0940-9602(14)00149-6. doi: 10.1016/j.aanat.2014.07.003. [Epub ahead of print] Changes in length of the plantar aponeurosis during the stance phase of gait – An in vivo dynamic fluoroscopic study. Fessel G1, Jacob HA2, Wyss C3, Mittlmeier T4, Müller-Gerbl M5, Büttner A6. Author information Abstract In locomotion, ligaments and muscles have been […]

High Urate? Get Moving, Study Finds

Regular exercise significantly lessened the excess mortality risk associated with elevated serum uric acid, a large Taiwanese study found. by Nancy Walsh, Senior Staff Writer, MedPage Today July 25, 2014 Action Points Regular exercise significantly lessened the excess mortality risk associated with elevated serum uric acid, a large Taiwanese study found. Among individuals whose serum […]

Is Extracorporeal Shock Wave Therapy Clinical Efficacy for Relief of Chronic, Recalcitrant Plantar Fasciitis?

Is Extracorporeal Shock Wave Therapy Clinical Efficacy for Relief of Chronic, Recalcitrant Plantar Fasciitis? A Systematic Review and Meta-Analysis of Randomized Placebo or Active-Treatment Controlled Trials Meng-Chen Yin, MD, Archives of Physical Medicine and Rehabilitation Volume 95, Issue 8, Pages 1585–1593, August 2014 Abstract Objective To assess the efficacy of extracorporeal shockwave therapy (ESWT) and […]

Effects of joint mobilization on chronic ankle instability

Effects of joint mobilization on chronic ankle instability: a randomized controlled trial. Cruz-Díaz D, et al. Disabil Rehabil. 2014 Jul 3:1-10. [Epub ahead of print] Abstract Abstract Purpose: To evaluate the effects of joint mobilization, in which movement is applied to the ankle’s dorsiflexion range of motion, on dynamic postural control and on the self-reported […]

Impact of spinal alignment and back muscle strength on shoulder range of motion in middle-aged and elderly people in a prospective cohort study

Eur Spine J. 2014 Jul;23(7):1414-9. doi: 10.1007/s00586-014-3251-9. Epub 2014 Mar 1. Imagama S, Hasegawa Y, Wakao N, Hirano K, Muramoto A, Ishiguro N. Abstract PURPOSE: The relationship between spine and shoulder motion has not been well evaluated. The purpose of this study was to clarify the relationships among thoracic kyphosis and lumbar lordosis, spinal range […]

Foot disorders associated with overpronated and oversupinated foot function: the Johnston County osteoarthritis project

Foot Ankle Int. 2014 Nov;35(11):1159-65. doi: 10.1177/1071100714543907. Epub 2014 Jul 18. Yvonne M Golightly Abstract Background: The occurrence of musculoskeletal foot disorders differs by race and obesity, and these disorders may be related to pronated (low arch) or supinated (high arch) foot structure. This cross-sectional analysis examined relationships of foot disorders and foot function by race […]

Hamstring Tightness and Patellofemoral Pain

Go to: Abstract J Phys Ther Sci. 2014 Jul; 26(7): 961–964. Published online 2014 Jul 30. doi:  10.1589/jpts.26.961 PMCID: PMC4135215 Correlation between Intrinsic Patellofemoral Pain Syndrome in Young Adults and Lower Extremity Biomechanics Ohjeoung Kwon, PT, Msc,1 Mijung Yun, PT, Msc,1 and Wanhee Lee, PT, PhD1,* Author information ► Article notes ► Copyright and License information ► Abstract [Purpose] The purpose of this study was to […]

Chuanhu anti-gout mixture versus colchicine for acute gouty arthritis

Chuanhu anti-gout mixture versus colchicine for acute gouty arthritis: A randomized, double-blind, double-dummy, non-inferiority trial – Full Text International Journal of Medical Sciences , 07/14/2014  Evidence Based Medicine Clinical Article Wang YG, et al. – The Chuanhu anti–gout mixture has been used for many years in the treatment of gout in Chinese Traditional Medicine, and […]