Musculoskeletal System

Are Cataracts Associated With Osteoporosis?

AY Nemet, J Hanhart, I Kaiserman, S Vinker Clin Ophthalmol 2013 Oct 18;2013(7)2079-2084 TAKE-HOME MESSAGE Study results showed an increased prevalence of osteoporosis in a large cohort of patients ≥ 50 years who underwent cataract surgery compared with age- and gender-matched controls. SUMMARY PracticeUpdate Editorial Team Background: Calcium is considered an important factor in the […]

Exercise and Mobilization for Lateral and Medial Epicondylitis

Does effectiveness of exercise therapy and mobilisation techniques offer guidance for the treatment of lateral and medial epicondylitis? A systematic review. Hoogvliet P Br J Sports Med. 2013 Nov;47(17):1112-9. doi: 10.1136/bjsports-2012-091990. Epub 2013 May 24. BACKGROUND: Owing to the change in paradigm of the histological nature of epicondylitis, therapeutic modalities as exercises such as stretching […]

Glycation Product Linked to Hip Fracture Risk

Published: Nov 1, 2013 | Updated: Nov 1, 2013 By Cole Petrochko, Staff Writer, MedPage Today Full Story:  http://www.medpagetoday.com/Geriatrics/GeneralGeriatrics/42648 Action Points A characteristic of biological aging is the non-enzymatic glycation of long-lasting proteins, such as collagen, which weakens collagen’s biomechanical properties and leads to increased bone matrix stiffening and fragility. This study shows that increasing […]

Can Ankle Sprains Teach Us About Managing Whiplash?

By Garreth MacDonald, BSc, DC, CCST Dynamic Chiropractic – November 1, 2013, Vol. 31, Issue 21 There you are, treating a recent motor vehicle collision (MVC) patient, probably from a rear impact, and you are doing a marvelous job of documentation of your findings, treatment and outcomes. Then along comes “The Letter” from the insurance […]

Distraction test of the (PSIS) in the diagnosis of sacroiliac joint arthropathy

Werner CM,et al. BMC Surg. 2013 Oct 31;13(1):52. [Epub ahead of print] Abstract BACKGROUND: The sacroiliac joint (SIJ) is a frequently underestimated cause of lower back (LBP). A simple clinical test of sufficient validity would be desirable. The aim of this study was to evaluate the diagnostic value of a new PSIS distraction test for […]

The Omega Procedure for Migraine Headaches

The Omega Procedure Website:  http://migrainecenters.com/omega-procedure The Omega migraine procedure is an innovative surgical procedure that provides long-lasting relief for people who suffer from chronic, debilitating migraine pain. The procedure is based on neurostimulation, which has been used for more than 40 years to treat chronic pain. Does the Omega migraine procedure work? Hear from doctors, […]

A systematic review of guidelines for the physical management of osteoarthritis

Larmer PJ,et al. Show allJournal Arch Phys Med Rehabil. 2013 Oct 31. pii: S0003-9993(13)01105-2. doi: 10.1016/j.apmr.2013.10.011. [Epub ahead of print] Affiliation Head, School of Rehabilitation and Occupation Studies, Faculty of Health and Environmental Sciences, AUT University, Private Bag 92006, Auckland 1142, New Zealand. Electronic address: peter.larmer@aut.ac.nz. Abstract OBJECTIVE: To undertake a systematic critical appraisal of […]

Injections Help Postpone Knee Replacement

Published: Oct 31, 2013 By Nancy Walsh, Staff Writer, MedPage Today Full Story:  http://www.medpagetoday.com/MeetingCoverage/ACR/42626 Action Points Note that 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. SAN DIEGO — Patients with knee osteoarthritis who were given injections […]

Knee Brace Eases OA Pain

Patients with knee osteoarthritis (OA) who wore a patellofemoral brace for 6 weeks experienced decreases in pain and bone marrow lesions

More Medication Increases Hip Fracture Risk

The Study: Polypharmacy correlates with increased risk for hip fracture in the elderly: a population-based study. The Facts: a. Hip fracture is an important public health issue. b. The authors looked at the insurance claims of 2328 elderly patients in Taiwan who had previously suffered a hip fracture. c. They sought to see if hip […]

Role of cytokines in intervertebral disc degeneration: pain and disc content

Role of cytokines in intervertebral disc degeneration: pain and disc content Risbud MV,et al. Show allJournal Nat Rev Rheumatol. 2013 Oct 29. doi: 10.1038/nrrheum.2013.160. [Epub ahead of print] Affiliation Department of Orthopaedic Surgery, Jefferson Medical College, 1025 Walnut Street, 511 College Building, Philadelphia, PA 19107, USA. Abstract Degeneration of the intervertebral discs (IVDs) is a […]

Few Physicians Follow Current Pain, Exercise Recommendations

Fewer than one third of physicians are following current recommendations and giving exercise advice to patients with osteoarthritis or sciatica….

Placing the global burden of low back pain in context

Best Pract Res Clin Rheumatol. 2013 Oct;27(5):575-89. doi: 10.1016/j.berh.2013.10.007. Epub 2013 Oct 12. Buchbinder R1, Blyth FM, March LM, Brooks P, Woolf AD, Hoy DG. Abstract The latest Global Burden of Disease Study, published at the end of 2012, has highlighted the enormous global burden of low back pain. In contrast to the previous study, […]

Spinal fusions serve as case study for debate over when certain surgeries are necessary

By Peter Whoriskey and Dan Keating October 27, 2013 By some measures, Federico C. Vinas was a star surgeon. He performed three or four surgeries on a typical weekday at the Daytona Beach, Fla., hospital that employed him, and a review showed him to be nearly five times as busy as other neurosurgeons. The hospital […]

Steroid injections for plantar fasciitis should be cautiously administered because of the higher risk for plantar fascia rupture

Foot Ankle Int. 2014 Mar;35(3):258-63. doi: 10.1177/1071100713514564. Epub 2013 Nov 25. Risk factors affecting chronic rupture of the plantar fascia. Lee HS, Choi YR, Kim SW, Lee JY, Seo JH, Jeong JJ. Abstract BACKGROUND: Prior to 1994, plantar fascia ruptures were considered as an acute injury that occurred primarily in athletes. However, plantar fascia ruptures […]

Sensory findings after stimulation of the thoracolumbar fascia with hypertonic saline suggest its contribution to low back pain

Schilder A, et al. Pain. 2013 Sep 26. pii: S0304-3959(13)00522-8. doi: 10.1016/j.pain.2013.09.025. [Epub ahead of print] Abstract Injection of hypertonic saline into deep tissues of the back (subcutis, muscle, or the surrounding fascia) can induce acute low back pain (LBP). So far, no study has analyzed differences in temporal, qualitative, and spatial pain characteristics originating […]

Drop in BMD in Hands Signals Worsening RA

Published: Oct 22, 2013 | Updated: Oct 22, 2013 By Nancy Walsh, Staff Writer, MedPage Today Full Story:  http://www.medpagetoday.com/Rheumatology/Arthritis/42424 Action Points In patients with DMARD-naive early RA receiving therapy, hand BMD loss at 6 months was associated with erosion scores at 12 months. Note that baseline erosion scores correlated with erosion severity/progression. Early decline in […]

Muscle Energy Technique Versus Corticosteroid Injection for Management of Chronic Lateral Epicondylitis

Randomized Controlled Trial With 1-Year Follow-up Sami Küçükşen, MD Archives of Physical Medicine and Rehabilitation Volume 94, Issue 11 , Pages 2068-2074, November 2013 Abstract Objective To determine the short- and long-term effectiveness of the muscle energy technique (MET) compared with corticosteroid injections (CSIs) for chronic lateral epicondylitis (LE). Design Randomized controlled trial with 1 […]

Foot posture, foot function and low back pain

The Framingham Foot Study Hylton B. Menz Abstract Objective. Abnormal foot posture and function have been proposed as possible risk factors for low back pain, but this has not been examined in detail. The objective of this study was to explore the associations of foot posture and foot function with low back pain in 1930 […]

Effects of thoracic kyphosis and forward head posture on cervical range of motion in older adults

June Quek Manual Therapy Volume 18, Issue 1 , Pages 65-71, February 2013 Abstract It is unclear how age-related postural changes such as thoracic spine kyphosis influence cervical range-of-motion (ROM) in patients with cervical spine dysfunction. The purpose of this study was to explore the mediating effects of forward head posture (FHP) on the relationship […]