Musculoskeletal System

Prevalence of knee osteoarthritis features on magnetic resonance imaging in asymptomatic uninjured adults: a systematic review and meta-analysis

British Journal of Sports Medicine Volume 53, Issue 20 Adam G Culvenor Abstract Background Knee MRI is increasingly used to inform clinical management. Features associated with osteoarthritis are often present in asymptomatic uninjured knees; however, the estimated prevalence varies substantially between studies. We performed a systematic review with meta-analysis to provide summary estimates of the prevalence […]

The Long-term Reoperation Rate Following Surgery for Lumbar Herniated Intervertebral Disc Disease

A Nationwide Sample Cohort Study With a 10-year Follow-up Kim, Chi Heon MD, PhD∗,†; Chung, Chun Kee MD, PhD∗,†,‡; Choi, Yunhee PhD§; Kim, Min-Jung MS§; Yim, Dahae MS§; Yang, Seung Heon MD∗,†; Lee, Chang Hyun MD∗,†; Jung, Jong-Myung MD¶; Hwang, Sung Hwan MD∗,†; Kim, Dong Hwan MD∗,†; Yoon, Joon Ho MD∗,†; Park, Sung Bae MD, […]

Age-related Changes in Cervical Sagittal Alignment

A Radiographic Analysis Tang, Ray BA; Ye, Ivan B. BA; Cheung, Zoe B. MD, MS; Kim, Jun S. MD; Cho, Samuel Kang-Wook MD Spine: October 1, 2019 – Volume 44 – Issue 19 – p E1144-E1150 doi: 10.1097/BRS.0000000000003082 Study Design. Retrospective cohort study. Objective. To identify age-related changes in cervical sagittal parameters using standard radiographs. […]

Comparison of Anterior Cervical Foraminotomy and Posterior Cervical Foraminotomy for Treating Single Level Unilateral Cervical Radiculopathy

Kim, Shin-Jae MD; Seo, Jin-Suk MD; Lee, Sang-Ho MD, PhD; Bae, Junseok MD Spine: October 1, 2019 – Volume 44 – Issue 19 – p 1339-1347 doi: 10.1097/BRS.0000000000003081 Study Design. Retrospective study. Objective. To compare clinical and radiological outcomes after two surgical procedures. Summary of Background Data. Anterior cervical discectomy and fusion is the gold […]

Red Cell Distribution Width Strongly Predicts Hip Fracture

by W. Todd Penberthy, Contributing Writer September 24, 2019 ORLANDO — A simple blood-based biomarker already listed in many patients’ medical records was closely associated with risk of hip fracture, a researcher said here. With data drawn from a large, prospective study of older men, those with relatively high red cell distribution width (RDW) values […]

The powerful placebo effect in osteoarthritis

Clin Exp Rheumatol. 2019 Sep-Oct;37 Suppl 120(5):118-123. Epub 2019 Oct 15. Zhang W Abstract Osteoarthritis (OA) is the most common form of arthritis. Pain and its related function and stiffness are currently the major symptoms and primary outcomes for treatment. However, the treatment in the past has been primarily targeting on the peripheral changes in […]

Evidence of efficacy of acupuncture in the management of low back pain: a systematic review and meta-analysis of randomised placebo-or sham-controlled trials

Acupunct Med. 2019 Sep 16:acupmed2017011445. doi: 10.1136/acupmed-2017-011445. [Epub ahead of print] Xiang Y1, He JY2, Tian HH1, Cao BY3, Li R1. Abstract OBJECTIVES: To assess the evidence for the efficacy of acupuncture for non-specific low back pain (NSLBP), compared with sham or placebo therapies. METHODS: We searched Cochrane CENTRAL to December 2016, and conducted searches […]

Manual therapy interventions in the treatment of plantar fasciitis: A comparison of three approaches.

Health SA. 2019 Sep 25;24:1244. doi: 10.4102/hsag.v24i0.1244. eCollection 2019. Yelverton C1, Rama S1, Zipfel B2. Author information Abstract BACKGROUND: Plantar fasciitis is one of the common causes of heel pain and a common musculoskeletal problem often observed by clinicians. Numerous options are available in treating plantar fasciitis conservatively, but no previous studies have compared combined […]

Burden of Sciatica on US Medicare Recipients

Journal of the American Academy of Orthopaedic Surgeons. SEPTEMBER 09, 2019 DOI: 10.5435/JAAOS-D-19-00174, PMID: 31517882 Publication Date: September 09, 2019 Joseph Maslak Abstract Objective: This study evaluates the disease burden of sciatica on the US Medicare cohort. Background Data: Sciatica is a common disability that has important physical, mental, and economic effects. The Medicare Health […]

Obesity and Fibromyalgia

~ Research reveals overweight FMS patients experience more severe symptoms September 5, 2019 by Julie Maurer Contributing Writer, MedPage Today While patients with fibromyalgia frequently battle pain, fatigue, and depression, some believe that those who are also obese may experience more severe symptoms. This is a topic explored in a study published in the journal Nutrients, by […]

Clinical Practice Guidelines – Patellofemoral Pain – Full Text

Published: Journal of Orthopaedic & Sports Physical Therapy, 2019 Volume:49 Issue:9 Pages:CPG1–CPG95DOI: 10.2519/jospt.2019.0302 Patellofemoral pain (PFP) is a common musculoskeletal-related condition that is characterized by insidious onset of poorly defined pain, localized to the anterior retropatellar and/or peripatellar region of the knee. The onset of symptoms can be slow or acutely develop with a worsening of pain accompanying lower-limb loading […]

Frequency of primary neck pain in mild traumatic brain injury/concussion patients

Archives of Physical Medicine and Rehabilitation Available online 4 September 2019 Jeffrey A.King DC, MS Abstract Objectives To determine (1) the frequency of neck pain overall and relative to other symptoms in patients presenting to a level I trauma center emergency department (ED) with mild traumatic brain injury (mTBI) and (2) the predictors of primary […]

Understanding sciatica: illness and treatment beliefs in a lumbar radicular pain population. A qualitative interview study – Full Text

Robert Goldsmith, Nefyn Howard Williams and Fiona Wood BJGP Open 6 August 2019; bjgpopen19X101654. DOI: https://doi.org/10.3399/bjgpopen19X101654 Abstract Background Several pathological processes contribute to lumbar radicular pain (LRP), commonly known as sciatica. It is not known how patients rationalise the experience of sciatica or understand the diagnosis. Providing clinicians with a better understanding of how patients […]

The effect of mechanical traction on low back pain in patients with herniated intervertebral disks: a systemic review and meta-analysis

Clinical Rehabilitation First Published August 28, 2019 Yu-Hsuan Cheng Abstract Objective: To evaluate the effectiveness of traction in improving low back pain, functional outcome, and disk morphology in patients with herniated intervertebral disks. Data Source: PubMed, Scopus, Embase, and the Cochrane Library were searched from the earliest record to July 2019. Review methods: We included […]

The efficacy of muscle energy techniques in symptomatic and asymptomatic subjects: a systematic review – Full Text

Ewan Thomas, Antonio Rosario Cavallaro, Diba Mani, Antonino Bianco & Antonio Palma Chiropractic & Manual Therapies volume 27, Article number: 35 (2019) Background Muscle energy techniques are applied to reduce pain and increase range of motion. These are applied to a variety of pathological conditions and on asymptomatic subjects. There is however limited knowledge on […]

A Randomized Controlled Trial on the Effects of Low-Dose Extracorporeal Shockwave Therapy in Patients With Knee Osteoarthritis

Archives of Physical Medicine and Rehabilitation September 2019 Volume 100, Issue 9, Pages 1695–1702 Abstract Objective To test the efficacy of low-dose extracorporeal shockwave therapy (ESWT) on osteoarthritis knee pain, lower limb function, and cartilage alteration for patients with knee osteoarthritis. Design Randomized controlled trial with placebo control. Setting Outpatient physical therapy clinics within a […]

Paracetamol is ineffective for acute low back pain even for patients who comply with treatment

PAIN: August 23, 2019 – Volume Articles in Press – Issue – p doi: 10.1097/j.pain.0000000000001685 Abstract In 2014, the Paracetamol for Acute Low Back Pain (PACE) trial demonstrated that paracetamol had no effect compared with placebo in acute low back pain (LBP). However, noncompliance was a potential limitation of this trial. The aim of this study was to investigate the efficacy of paracetamol in acute […]

Battlefield Acupuncture and Physical Therapy Versus Physical Therapy Alone After Shoulder Surgery

Medical Acupuncture Vol. 31, No. 4 Keith M. Collinsworth and Donald L. Goss Published Online:19 Aug 2019https://doi.org/10.1089/acu.2019.1372 Abstract Objective: Opioid pain medications are commonly prescribed postsurgically for pain. Few studies have investigated the effects of Battlefield Acupuncture (BFA) on postsurgical pain and pain-medication use. To date, no studies have investigated BFA’s effectiveness for reducing postoperative […]

Asymmetric atrophy of cervical multifidus muscles in patients with chronic unilateral cervical radiculopathy – Full Text

Medicine: August 2019 – Volume 98 – Issue 32 – p e16041 doi: 10.1097/MD.0000000000016041 Yun, Yeocheon MD he purpose of this study was to assess whether the asymmetry of cervical multifidus muscles occurred in radiculopathy patients, and if it did, whether it was related to the chronicity of unilateral cervical radiculopathy by assessing the cross-sectional […]

Physical activity and chronic back conditions: A population-based pooled study of 60,134 adults

J Sport Health Sci. 2019 Jul;8(4):386-393. doi: 10.1016/j.jshs.2019.01.003. Epub 2019 Jan 11. Alzahrani H Abstract BACKGROUND: Little is known about the association between different types of physical activity (PA) and chronic back conditions (CBCs) at the population level. We investigated the association between levels of total and type-specific PA participation and CBCs. METHODS: The sample […]