Extremities

An Algorithmic Approach to Mechanical Hip Pain

Lazaros A. Poultsides, MD, MSc, PhD HSS J. 2012 October; 8(3): 213–224. Published online 2012 September 21. doi:  10.1007/s11420-012-9304-x Full Text Article:  http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3470663/ Abstract Background As our understanding of hip pathology evolves, the focus is shifting toward earlier identification of hip pathology. Therefore, it is vitally important to elucidate intra-articular versus extra-articular pathology of hip pain in every step […]

Clinical Assessment of the Shoulder – FULL TEXT ARTICLE

Thomas D Donnelly Open Orthop J. 2013; 7: 310–315. Published online 2013 September 6. doi: 10.2174/1874325001307010310 PMCID: PMC3785041 Suppl 3 Abstract The shoulder joint is complex in structure and functionality. It is often difficult to assess clinically due to the great variety of associated pathology. This article presents an overview of the anatomy of the […]

One-week time course of the effects of Mulligan’s Mobilisation with Movement and taping in painful shoulders

Pamela Teys Previous research suggests that Mulligan’s Mobilisation-with-Movement (MWM) technique for the shoulder produces an immediate improvement in movement and pain. The aims of this study were to investigate the time course of the effects of a single MWM technique and to ascertain the effects of adding tape following MWM in people with shoulder pain. […]

Piriformis syndrome: etiology, diagnosis, and management

Brief review: Piriformis syndrome: etiology, diagnosis, and management Jankovic D, et al. Can J Anaesth. 2013 Oct;60(10):1003-1012. Epub 2013 Jul 27. Abstract PURPOSE: In this narrative review, we aim to provide the pathophysiology and diagnostic criteria of the piriformis syndrome (PS), an underdiagnosed cause of buttock and leg pain that can be difficult to treat. […]

Efficacy of a static progressive stretch device as an adjunct to physical therapy in treating adhesive capsulitis of the shoulder

Efficacy of a static progressive stretch device as an adjunct to physical therapy in treating adhesive capsulitis of the shoulder: a prospective, randomised study. Ibrahim M, et al. Physiotherapy. 2013 Oct 3. pii: S0031-9406(13)00085-0. doi: 10.1016/j.physio.2013.08.006. [Epub ahead of print] Abstract BACKGROUND: Stress relaxation and static progressive stretch are techniques used for non-surgical restoration of […]

Arthritis Knee Pain: Exercise and Diet Tops Diet Alone

Janis C. Kelly Sep 26, 2013 Knee pain decreased and function increased significantly in overweight or obese adults with knee osteoarthritis (OA) who lost at least 10% of their baseline body weight, and those who combined diet and exercise had better outcomes than those who used diet or exercise alone in a large randomized trial. The final […]

Association Between Foot Type And Lower Extremity Injuries

Systematic Literature Review With Meta-Analysis Authors: Jasper W.K. Tong, MSc Study Design Systematic literature review with meta-analysis. Objectives To investigate the association between nonneutral foot types (high arch and flatfoot) and lower extremity and low back injuries, and to identify the most appropriate methods to use for foot classification. Methods A search of 5 electronic […]

Manual therapy, exercise therapy, or both, in addition to usual care, for osteoarthritis of the hip or knee

In this study, exercise therapy and manual therapy were more cost effective than usual care…

Leg length discrepancy and osteoarthritic knee pain in the elderly

Leg length discrepancy and osteoarthritic knee pain in the elderly: an observational study. Noll DR. J Am Osteopath Assoc. 2013. Citation J Am Osteopath Assoc. 2013 Sep;113(9):670-8. doi: 10.7556/jaoa.2013.033. Abstract CONTEXT: Osteoarthritic knee pain is very common, as are leg length discrepancies (LLDs). The relationship between LLDs and osteoarthritic knee pain is not well understood. OBJECTIVE: To […]

Most In-Toeing Cases Need No Referral

Published: Oct 28, 2013 By Charles Bankhead, Staff Writer, MedPage Today Full Story:  http://www.medpagetoday.com/MeetingCoverage/AAP/42518 Action Points This study was published as an abstract and presented at a conference. These data and conclusions should be considered to be preliminary until published in a peer-reviewed journal. ORLANDO — Primary care physicians can manage almost all cases of […]

Anthropometric foot changes during pregnancy

A pilot study AuthorsGijon-Nogueron GA, et al. Show all Journal J Am Podiatr Med Assoc. 2013 Jul-Aug;103(4):314-21. Affiliation Department of Nursing and Podiatry, Faculty of Health Science, University of Málaga, Málaga, Spain. gagijon@uma.es Abstract BACKGROUND: Women’s feet change during pregnancy owing to hormonal and anatomical changes, thus having a strong influence on the decrease in […]

Why Runners Don’t Get Knee Arthritis

By GRETCHEN REYNOLDS SEPTEMBER 25, 2013, 12:01 AM Link to article:  http://well.blogs.nytimes.com/2013/09/25/why-runners-dont-get-knee-arthritis/?_r=0 One of the most entrenched beliefs about running, at least among nonrunners, is that it causes arthritis and ruins knees. But a nifty new study finds that this idea is a myth and distance running is unlikely to contribute to the development of […]

Efficacy of Paraffin Bath Therapy in Hand Osteoarthritis

A Single-Blinded Randomized Controlled Trial Banu Dilek, MD Archives of Physical Medicine and Rehabilitation Volume 94, Issue 4 , Pages 642-649, April 2013 Abstract Objective To evaluate the efficacy of paraffin bath therapy on pain, function, and muscle strength in patients with hand osteoarthritis. Design Prospective single-blinded randomized controlled trial. Setting Department of physical medicine […]

The use of joint mobilization to improve clinical outcomes in hand therapy

A systematic review of the literature Heiser R, et al. Show all Journal J Hand Ther. 2013 Sep 14. pii: S0894-1130(13)00102-6. doi: 10.1016/j.jht.2013.07.004. [Epub ahead of print] Affiliation CoxHealth, 3545 S. National Ave., Springfield, MO 65807, USA. Electronic address: doogieot@hotmail.com. Abstract STUDY DESIGN: Systematic review. INTRODUCTION: Joint mobilizations are used as an intervention for improving range of motion, decreasing […]

Diet, Exercise Combo Best for Knee Arthritis in Heavy Patients

Published: Sep 24, 2013 By Crystal Phend, Senior Staff Writer, MedPage Today Full Story:  http://www.medpagetoday.com/Orthopedics/Orthopedics/41832 Action Points Note that this randomized trial demonstrated that subjective knee osteoarthritis measures improved more among subjects in the diet and exercise arm than in the diet alone or exercise alone arm. Be aware that objective measures of loading and […]

Foot posture, foot function and low back pain

AuthorsMenz HB, et al. Rheumatology (Oxford). 2013 Sep 17. [Epub ahead of print] Affiliation Lower Extremity and Gait Studies Program, Faculty of Health Sciences, La Trobe University, Bundoora, Victoria, Australia, Institute for Aging Research, Hebrew Senior Life, Harvard Medical School, Department of Medicine, Boston, MA and Leon Root, M.D. Motion Analysis Laboratory, Hospital for Special […]

Meta-analysis: FDA-approved intra-articular HA injections effective for knee OA

Website article:  http://www.healio.com/orthopedics/biologics/news/online/%7B332374cf-3579-4cfc-8bac-29960bca3060%7D/meta-analysis-fda-approved-intra-articular-ha-injections-effective-for-knee-oa Researchers of a recently published meta-analysis have concluded that intra-articular injections of hyaluronic acid for the treatment of knee osteoarthritis significantly improve pain and function compared to placebo. “The findings of the meta-analysis are important but not unexpected. The safety data in the meta-analysis comes from studies that only used FDA-approved [hyaluronic […]

A user’s guide to performance of the best shoulder physical examination tests

A description of clinical shoulder tests is provided with explanations on exact testing procedures and complimentary photographs.

Sugary Drinks Linked to Gout — Again

Consumption of sucrose sweetened beverages significantly increased the risk of gout, a study found.

Self-managed loaded exercise versus usual physiotherapy treatment for rotator cuff tendinopathy

Self-managed loaded exercise versus usual physiotherapy treatment for rotator cuff tendinopathy Rotator Cuff Tendinopathy (RCT) is a common source of shoulder pain characterised by persistent and/or recurrent problems for a proportion of sufferers.  The aim of this study was to pilot the methods proposed to conduct a substantive study to evaluate the effectiveness of a self-managed loaded exercise programme versus usual physiotherapy […]