Musculoskeletal System

Acupuncture Treatment of Phantom Limb Pain and Phantom Limb Sensation in a Primary Care Setting

Arwel Davies Acupunct Med. 2013;31(1):101-104. Abstract A 45-year-old man presented with phantom limb pain and phantom limb sensation 12 weeks after an above-elbow amputation of his right arm. He underwent seven sessions of acupuncture at weekly intervals carried out by his general practitioner on his intact left arm, with complete relief of the phantom limb […]

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.

Detecting relevant changes and responsiveness of Neck Pain and Disability Scale and Neck Disability Index

To investigate relevant change minimal detectable change (MDC) and minimal important change (MIC)…

Spine Treatments Little Help in Fibromyalgia

Published: Sep 16, 2013 | Updated: Sep 16, 2013 By Nancy Walsh, Staff Writer, MedPage Today Full Story:  http://www.medpagetoday.com/PainManagement/Fibromyalgia/41626 Action Points Individuals seeking care for back pain whose symptom pattern was typical of fibromyalgia derived little benefit from minimally invasive spine therapies such as epidural steroid injections. Note that on univariate analysis, patients who met […]

Pulmonary function of patients with chronic neck pain

Pulmonary function of patients with chronic neck pain: a spirometry study. AuthorsZacharias D, et al. Show all Journal Respir Care. 2013 Sep 11. [Epub ahead of print] Affiliation Physiotherapy Department, TEI of Lamia, Lamia, Greece. Abstract BACKGROUND: Chronic neck pain is one of the most common musculoskeletal pain conditions experienced by many people during their […]

Effect of High-Heeled Shoes on the Parameters of Body Posture

Effect of High-Heeled Shoes on the Parameters of Body Posture Study Design. The study group consisted of 90 young, healthy females, aged 20 to 25 years. Three types of measurements were conducted for each female: without shoes, with 4-cm heels, and with 10-cm heels. Objective. The aim of this study was to assess the impact […]

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 […]

Management of acute whiplash: a randomized controlled trial of multidisciplinary stratified treatments

Jull G, Kenardy J, Hendrikz J, Cohen M, Sterling M. Pain. 2013 Sep;154(9):1798-806. Abstract Acute whiplash is a heterogeneous disorder that becomes persistent in 40% to 60% of cases. Estimates of recovery have not changed in recent decades. This randomized, single-blind, controlled trial tested whether multidisciplinary individualized treatments for patients with acute whiplash (<4 weeks […]

Movement of the lumbar spine is critical for maintenance of postural recovery following support surface perturbation

Exp Brain Res. 2013 Nov;231(3):305-13. doi: 10.1007/s00221-013-3692-0. Epub 2013 Sep 14. Mok NW, Hodges PW. Abstract Repeated measures design. This study examined recovery of postural equilibrium (centre of pressure (COP) excursion, time to recover balance, and the number of postural adjustments) following unexpected support surface perturbation in healthy participants with and without a rigid lumbar […]

Preoperative Vitamin D Status of Adults Undergoing Surgical Spinal Fusion

Preoperative Vitamin D Status of Adults Undergoing Surgical Spinal Fusion Stoker, Geoffrey E. BS Abstract Study Design. Retrospective investigation of cross-sectional data. Objective. To define the prevalence and determinants of preoperative vitamin D deficiency among adults undergoing spinal fusion. Summary of Background Data. Vitamin D plays a critical role in establishing optimal bone health, which, […]

Redefining Global Spinal Balance: Normative Values of Cranial Center of Mass From a Prospective Cohort of Asymptomatic Individuals

Redefining Global Spinal Balance Normative Values of Cranial Center of Mass From a Prospective Cohort of Asymptomatic Individuals Sugrue, Patrick A. MD Spine: 15 March 2013 – Volume 38 – Issue 6 – p 484–489 Abstract Study Design. Prospective radiographical analysis of cranial center of mass (CCOM), C2, and C7 plumb lines in young and […]

Obesity Linked Even to Infrequent Episodic Migraine

Obesity raises the risk not only of chronic migraine but also of episodic migraine (EM), even relatively infrequent ones, new research suggests.

AAOS announces list of unnecessary orthopedic medical tests, procedures

September 11, 2013 The American Academy of Orthopaedic Surgeons has released a list of commonly ordered tests or procedures that may not always be necessary in orthopedics as part of ABIM Foundation’s Choose Wisely campaign. “More than one in four Americans require medical attention due to a musculoskeletal condition and that number continues to grow,” Joshua […]

Acupuncture Does Help for Chronic Pain

In this meta-analysis, investigators found a statistically significant benefit of acupuncture for relief of chronic pain due to a variety of causes when compared with both sham controls and usual-care controls.
Pain relief was much greater when acupuncture was compared with usual care than when compared with the sham procedure suggesting a role for a placebo effect.

National Guideline Clearinghouse: Chiropractic Management of Whiplash Associated Disorders

National Guideline Clearinghouse: Chiropractic Management of Whiplash Associated Disorders Guideline Objective(s) To provide a structure for the assessment and treatment of people with whiplash-associated disorders (WAD) during the first 12 weeks following injury and additional care in chronic cases http://www.guideline.gov/content.aspx?id=15113

An evidence-based diagnostic classification system for low back pain – Full Text

J Can Chiropr Assoc. 2013 Sep; 57(3): 189–204. PMCID: PMC3743645 PMID: 23997245 Language: English | French Robert Vining, DC Abstract Introduction: While clinicians generally accept that musculoskeletal low back pain (LBP) can arise from specific tissues, it remains difficult to confirm specific sources. Methods: Based on evidence supported by diagnostic utility studies, doctors of chiropractic […]

Barefoot Running and Patellofemoral Joint Stress

Barefoot Running and Patellofemoral Joint Stress Br J Sports Med doi:10.1136/bjsports-2013-092160 Take your shoes off to reduce patellofemoral joint stress during running Jason Bonacci Patellofemoral joint (PFJ) stress is the most common source of knee pain in runners. There is significant interest in determining the influence ofrunning shoes on factors that contribute to PFJ stress. […]

Repetitive and extensive/prolonged wrist bend/twisting and forearm movements were associated with incident cases of lateral and medial epicondylitis

Self-reported physical exposure association with medial and lateral epicondylitis incidence in a large longitudinal study Descatha A,et al. Show all Journal Occup Environ Med. 2013 Sep;70(9):670-3. doi: 10.1136/oemed-2012-101341. Epub 2013 Jul 3. Affiliation Division of General Medical Sciences, Washington University School of Medicine, St Louis, Missouri, USA. Abstract INTRODUCTION: Although previous studies have related occupational exposure and […]