Musculoskeletal System

Acupuncture May Relieve Pain-Specific Disability in Degenerative Lumbar Stenosis

July 11, 2024 Greater improvement seen for acupuncture versus sham acupuncture in mean modified Roland–Morris Disability Questionnaire score TUESDAY, July 9, 2024 (HealthDay News) — For patients with degenerative lumbar spinal stenosis (DLSS) and predominantly neurogenic claudication pain symptoms, acupuncture may relieve pain-specific disability, according to a study published online July 2 in the Annals […]

OA Patients Get Long-Term Benefit From Lifestyle Improvements

— Improvement in pain and function lasted well after formal program ended by John Gever, Contributing Writer, MedPage Today June 14, 2024 VIENNA — Two years after completing a 4-month program to improve eating and exercise habits in a randomized controlled trial, the benefits in pain and function for patients with osteoarthritis (OA) were maintained […]

Effectiveness of Mulligan Mobilization Technique and Core Stabilization Exercises in Female Patients With Knee Osteoarthritis

JMPT Volume 47, Issue 1p33-44 January-June, 2024 Effectiveness of Mulligan Mobilization Technique and Core Stabilization Exercises in Female Patients With Knee Osteoarthritis: A Randomized Controlled Single-Blind Study Meryem Buke, PT Abstract Objectives The aim of this study was to compare the effectiveness of the Mulligan mobilization (MM) technique and Core stabilization (CS) exercises added to […]

A Functional Medicine Approach to Fibromyalgia

Written by Amy Myers, MD It is estimated that fibromyalgia affects nearly 6 million or 1 in 50 people, causing chronic pain, particularly muscle pain, fatigue, sleep disturbances, brain fog, or cognitive impairment, depression, and painful tender points throughout the body. Not surprisingly, conventional medicine focuses only on managing symptoms through pain medications and antidepressants. […]

Topical Diclofenac vs Oral Ibuprofen for Acute Low Back Pain

March 21, 2024 Annals of Emergency Medicine TAKE-HOME MESSAGE This randomized placebo-controlled trial evaluated the use of diclofenac gel versus oral ibuprofen for acute low back pain in the emergency department and found that topical diclofenac gel was significantly less effective in relieving pain and improving function 2 days after prescription compared with oral ibuprofen 400 […]

Spinal Curvatures — Visceral Disturbances in Relation Thereto*

Cal West Med. 1933 Jun; 38(6): 423–428. PMCID: PMC1658652 PMID: 18742538 Neville T. Ussher Full text is available as a scanned copy of the original print version. Get a printable copy (PDF file) of the complete article (1.7M), or click on a page image below to browse page by page. Links to PubMed are also available for Selected […]

Comparing Different Stretching Exercises on Pain, Stiffness, and Physical Function Disability in Older Adults With Knee Osteoarthritis

Archives of Physical Medicine and Rehabilitation VOLUME 105, ISSUE 5, P953-962, MAY 2024 Guan-Cheng Zhu, PhD Published: July 16, 2023 DOI:https://doi.org/10.1016/j.apmr.2023.07.001 Highlights •  Stretching exercise can mitigate knee osteoarthritis-associated pain. •  Proprioceptive neuromuscular facilitation stretching programs are the most effective stretching exercises for pain relief in older adults with knee osteoarthritis. •  Mind-body exercises are […]

Skinny-Leg Runners Face Higher Rates of Knee Arthritis

— Questions about risks from weight-bearing activities may now be settled by John Gever, Contributing Writer, MedPage Today April 30, 2024 Researchers have long wondered whether activities that put weight stress on the knees, such as walking, running, or ball games, raise risks for osteoarthritis (OA) of the knee. Now a lengthy prospective study provides […]

Use of Acid-Suppression Therapy Linked to Migraine, Severe Headache

April 29, 2024 Adjusted odds ratios of 1.70, 1.40, and 1.30 seen for proton pump inhibitors, H2 receptor antagonists, and generic antacids, respectively FRIDAY, April 26, 2024 (HealthDay News) — Use of acid-suppression therapy is associated with higher odds of migraine or severe headache, according to a study published online April 24 in Neurology: Clinical Practice. […]

Knee Osteoarthritis Symptoms Common After ACL Reconstruction

April 25, 2024 Young patients experienced persistent knee OA symptoms in the six to 12 months following surgery TUESDAY, April 23, 2024 (HealthDay News) — Nearly one-quarter of patients show persistent early knee osteoarthritis (OA) symptoms six to 12 months after anterior cruciate ligament reconstruction (ACLR), according to a study recently published in the Journal of […]

Hands-On Treatment May Help in Knee Osteoarthritis

— And patients can administer it themselves by John Gever, Contributing Writer, MedPage Today April 22, 2024 Acupressure performed by patients on their own was at least somewhat effective for relieving symptoms of knee osteoarthritis (OA) in a randomized trial from Hong Kong, researchers said. With 314 patients age 50 and up assigned either to […]

Medication recommendations for treatment of lumbosacral radiculopathy: A systematic review of clinical practice guidelines

Physical Medicine & Rehabilitation Morgan R. Price DC, Kaelyn E. Mead DC, Diana M. Cowell PharmD, BCPS, Alyssa M. Troutner DC, MS, Tyler E. Barton DC, Sheryl A. Walters MLS, Clinton J. Daniels DC, MS First published: 17 April 2024 https://doi.org/10.1002/pmrj.13142 Abstract Objective The purpose of this systematic review was to ascertain guideline-recommended pharmaceutical approaches […]

Here’s a Good Exercise Option for Hip OA

— Program emphasizing balance and stability equals strength-directed training by John Gever, Contributing Writer, MedPage Today April 8, 2024 Neuromuscular exercise was as effective as progressive resistance training (PRT) for helping people with osteoarthritis (OA) of the hip improve functional ability and reduce pain, a cluster-randomized trial showed. Patients assigned to neuromuscular exercise, which emphasizes […]

Percutaneous tendon dry needling and thrust manipulation as an adjunct to multimodal physical therapy in patients with lateral elbow tendinopathy: A multicenter randomized clinical trial

Clin Rehabil. 2024 Apr 26:2692155241249968. doi: 10.1177/02692155241249968. James Dunning PMID: 38676324 DOI: 10.1177/02692155241249968 Abstract Objective: The purpose of this study was to assess the effects of adding electrical dry needling and thrust manipulation into a multimodal program of exercise, mobilization, and ultrasound in patients with lateral elbow tendinopathy. Design: Randomized, single-blinded, multicenter, parallel-group trial. Setting: […]

Gardening/yardwork in people with knee osteoarthritis is not associated with symptom or structural progression over 48 months: data from the Osteoarthritis Initiative

Published: 01 April 2024 Clinical Rheumatology Volume 43, pages 1755–1762, (2024) Grace H. Lo Abstract Objective To evaluate the relationship of gardening/yardwork with symptomatic and structural progression in those with pre-existing radiographic knee osteoarthritis (OA) in the Osteoarthritis Initiative (OAI), an observational study designed to evaluate potential and known biomarkers and risk factors of knee […]

Percutaneous tendon dry needling and thrust manipulation as an adjunct to multimodal physical therapy in patients with lateral elbow tendinopathy: A multicenter randomized clinical trial

Clin Rehabil. 2024 Apr 26:2692155241249968. doi: 10.1177/02692155241249968. James Dunning PMID: 38676324 DOI: 10.1177/02692155241249968 Abstract Objective: The purpose of this study was to assess the effects of adding electrical dry needling and thrust manipulation into a multimodal program of exercise, mobilization, and ultrasound in patients with lateral elbow tendinopathy. Design: Randomized, single-blinded, multicenter, parallel-group trial. Setting: […]

Acupuncture versus tricyclic antidepressants in the prophylactic treatment of tension-type headaches: an indirect treatment comparison meta-analysis

J Headache Pain. 2024 Apr 29;25(1):67. doi: 10.1186/s10194-024-01776-5. Qing-Feng Tao PMID: 38679721 PMCID: PMC11057108 DOI: 10.1186/s10194-024-01776-5 Abstract Background: Acupuncture showed better improvement than sham acupuncture in reducing attack frequency of tension-type headache (TTH), but its effectiveness relative to first-line drugs for TTH is unknown, which impedes the recommendation of acupuncture for patients who are intolerant […]

High-Dosage Omega-3 Fatty Acids Outperform Existing Pharmacological Options for Migraine Prophylaxis

April 04, 2024 Advances in Nutrition TAKE-HOME MESSAGE This network meta-analysis compared the efficacy and acceptability of various dosages of EPA/DHA with those of guideline-recommended or FDA-approved prophylactic pharmacologic interventions for migraine. Compared with other treatments, high-dosage EPA/DHA supplementation was associated with the highest reduction in migraine frequency as well as severity and showed the […]

Effectiveness of Long-Term Opioid Therapy for Chronic Low Back Pain

April 02, 2024 Journal of the American Board of Family Medicine: JABFM TAKE-HOME MESSAGE This propensity score–matched retrospective cohort study evaluated the effectiveness of long-term opioid therapy (LTOT) for up to 12 months in treating individuals with chronic low back pain. No difference was observed between the LTOT and control groups with regard to mean […]

Dosage of joint mobilization for the management of patients with rotator cuff-related shoulder pain: A scoping review

Musculoskeletal Science and Practice Volume 70, April 2024, 102903 Sizhong Wang Highlights • Passive joint mobilization dosage tested by previous studies was heterogeneous. • Mobilization with movement dosage tested by previous studies was homogeneous. • The rationale for selecting dosage of joint mobilization in previous studies were unclear. Abstract Background Evidence supporting type and dosage […]