Musculoskeletal System

Joint Mobilization Enhances Mechanisms of Conditioned Pain Modulation in Individuals With Osteoarthritis of the Knee

Authors: Carol A. Courtney, PT, PhD Published: Journal of Orthopaedic & Sports Physical Therapy, 2016 Volume:46 Issue:3 Pages:168–176 DOI:10.2519/jospt.2016.6259 Study Design An experimental laboratory study with a repeated-measures crossover design. Background Treatment effects of joint mobilization may occur in part by decreasing excitability of central nociceptive pathways. Impaired conditioned pain modulation (CPM) has been found […]

Tendon neuroplastic training: changing the way we think about tendon rehabilitation

Tendon neuroplastic training: changing the way we think about tendon rehabilitation: a narrative review Open Access Ebonie Rio Abstract Tendinopathy can be resistant to treatment and often recurs, implying that current treatment approaches are suboptimal. Rehabilitation programmes that have been successful in terms of pain reduction and return to sport outcomes usually include strength training. […]

PPI Use Ups Risk of Osteoporosis, Osteopenia in Femur

June 10, 2016 PPI users have reduced mean femoral T-scores, increased frequency of osteoporosis, osteopenia WEDNESDAY, June 8, 2016 (HealthDay News) — Proton pump inhibitor (PPI) use is associated with increased risk of developing osteoporosis and osteopenia in femur bones, according to a study published online May 31 in the International Journal of Rheumatic Diseases. […]

Inequality in leg length is important for the understanding of the pathophysiology of lumbar disc herniation

J Craniovertebr Junction Spine. 2016 Apr-Jun; 7(2): 87–90. doi:  10.4103/0974-8237.181829 PMCID: PMC4872568 Mehmet Sabri Balik, Ayhan Kanat,1 Adem Erkut, Bulent Ozdemir,1 and Osman Ersagun Batcik1 Author information ► Copyright and License information ► Abstract Objective: Inequality in leg length may lead to to abnormal transmission of load across the endplates and degeneration lumbar spine and […]

Kinesio Taping Does Not Provide Additional Benefits in Patients With Chronic Low Back Pain Who Receive Exercise and Manual Therapy

Kinesio Taping Does Not Provide Additional Benefits in Patients With Chronic Low Back Pain Who Receive Exercise and Manual Therapy: A Randomized Controlled Trial Authors: Marco Aurélio Nemitalla Study Design Randomized controlled trial. Background Many clinical practice guidelines endorse both manual therapy and exercise as effective treatment options for patients with low back pain. To […]

Effects of opioid analgesics for low back pain

JAMA Internal Medicine, 05/27/2016 Shaheed CA, et al. In this research, the researchers aimed tp assess efficacy and tolerability of opioids in the management of back pain; and investigate the effect of opioid dose and use of an enrichment study design on treatment effect. For people with chronic low back pain who tolerate the medicine, […]

Surgeon says this exercise cures 99% of shoulder pain – Videos

Thursday, May 26, 2016 If you train in combat sports, at some point, your shoulders hurt. It drives some people from the gym entirely. However, an orthopedic surgeon, John M. Kirsch, M.D., has an exercise protocol that he says eliminates 99% of shoulder pain. It’s not just non surgical, it’s free. The theory is, we […]

Should you prescribe Vitamin D to your patient to prevent fractures? If so, how much?

Researchers Aim to Clarify Vitamin D Supplementation May 05, 2016 By Laird Harrison Should you prescribe Vitamin D to your patient to prevent fractures? If so, how much? Such questions are becoming increasingly confusing for many clinicians as studies with conflicting results pop up in the literature. “The data in terms of fracture reduction has […]

Controlled Trial Comparing the McKenzie Method to Motor Control Exercises in People With Chronic Low Back Pain and a Directional Preference

A Randomized Controlled Trial Comparing the McKenzie Method to Motor Control Exercises in People With Chronic Low Back Pain and a Directional Preference Authors: Mark H. Halliday, PT Study Design Randomized clinical trial. Background Motor control exercises are believed to improve co-ordination of the trunk muscles. It is unclear if increases in trunk muscle thickness […]

Tai Chi May Be as Good as PT for Knee Arthritis Pain

Janis C. Kelly May 18, 2016 The first randomized head-to-head comparison of tai chi and conventional physical therapy (PT) in patients with knee osteoarthritis (OA) shows equally good pain relief with either intervention, researchers report in an article published onlineMay 17 in the Annals of Internal Medicine. The researchers also show that tai chi was […]

Spinal manipulative therapy, Graston technique® and placebo for non-specific thoracic spine pain

Spinal manipulative therapy, Graston technique® and placebo for non-specific thoracic spine pain: a randomised controlled trial Amy L. Crothers, Simon D. French, Jeff J. Hebert and Bruce F. WalkerEmail author Chiropractic & Manual Therapies201624:16 Abstract Background Few controlled trials have assessed the efficacy of spinal manipulative therapy (SMT) for thoracic spine pain. No high quality […]

Tai Chi Deemed Beneficial for Knee Osteoarthritis

— Similar benefits for Tai Chi, physical therapy; benefits of Tai Chi consistent across instructors TUESDAY, May 17, 2016 (HealthDay News) — For knee osteoarthritis, similar benefits are seen for Tai Chi and standard physical therapy, according to a study published online May 17 in the Annals of Internal Medicine. Chenchen Wang, M.D., from the […]

Patients with sciatica still experience pain and disability 5 years after surgery: A systematic review with meta-analysis of cohort studies

European Journal of Pain Volume 20, Issue 10 November 2016 Pages 1700–1709 G.C. Machad First published: 12 May 2016 Abstract Background and objective The clinical course of patients with sciatica is believed to be favourable, but there is conflicting evidence on the postoperative course of this condition. We aimed to investigate the clinical course of […]

Opioids Not Cost-Effective in OA

05.05.2016 by Wayne Kuznar Contributing Writer Incorporating opioids into the treatment of knee osteoarthritis (OA) was not cost-effective as the drugs had a negative impact on the long-term outcome in patients destined for total knee arthroplasty (TKA), researchers reported. Tramadol with or without oxycodone increased cost and decreased quality-adjusted life-years (QALYs) compared with an opioid-sparing […]

Variations in Patterns of Utilization and Charges for the Care of Neck Pain in North Carolina

JMPT May 2016Volume 39, Issue 4, Pages 240–251 Variations in Patterns of Utilization and Charges for the Care of Neck Pain in North Carolina, 2000 to 2009: A Statewide Claims’ Data Analysis Eric L. Hurwitz, DC, PhD Abstract Objectives The purpose of the study was to compare utilization and charges generated by medical doctors (MD), […]

Acupuncture for neck disorders – Cochrane Database of Systematic Reviews

Cochrane Database of Systematic Reviews Kien Trinh Version published: 04 May 2016 Version history https://doi.org/10.1002/14651858.CD004870.pub4 Abstract Background Neck pain is one of the three most frequently reported complaints of the musculoskeletal system. Treatments for neck pain are varied, as are perceptions of benefit. Acupuncture has been used as an alternative to more conventional treatment for […]

Are Acupuncture Therapies Effective for the Management of Musculoskeletal Disorders of the Extremities?

Are Acupuncture Therapies Effective for the Management of Musculoskeletal Disorders of the Extremities? A Systematic Review by the Ontario Protocol for Traffic Injury Management (OPTIMa) Collaboration Authors: Jocelyn Cox, DC Study Design Systematic review. Background Acupuncture is a commonly used treatment for musculoskeletal disorders (MSDs); however, little is known about the effectiveness of acupuncture therapies […]

Biomechanics of Degenerative Spinal Disorders

Asian Spine J. 2016 Apr; 10(2): 377–384. Published online 2016 Apr 15. doi:  10.4184/asj.2016.10.2.377 PMCID: PMC4843079 Justin A. Iorio,1 Andre M. Jakoi,2 and Anuj Singla3 Author information ► Article notes ► Copyright and License information ► Go to: Abstract The spine has several important functions including load transmission, permission of limited motion, and protection of […]

Chronic Versus Episodic Migraine – VIDEO

04.27.2016 Opinion Makers: Chronic Versus Episodic Migraine Richard Lipton, MD, distinguishes the two and discusses risk factors for progression Opinion Makers is an exclusive MedPage Today video series, presenting leaders from all areas of medicine, offering their views on current topics in clinical care, research, and policy. In this video, Richard Lipton, MD, of Montefiore […]

Clinical Course and Prognostic Factors in Conservatively Managed Carpal Tunnel Syndrome

APM&R May 2016Volume 97, Issue 5, Pages 836–852.e1 Clinical Course and Prognostic Factors in Conservatively Managed Carpal Tunnel Syndrome: A Systematic Review Claire L. Burton, MBChB, MMedSci Abstract Objective To summarize the available evidence regarding the course of symptoms and prognostic factors in patients with diagnosed carpal tunnel syndrome (CTS) who are treated conservatively. Data […]