Musculoskeletal System

Gout-Diabetes Link Confirmed

Published: Oct 2, 2014 By Nancy Walsh, Senior Staff Writer, Story Source: MedPage Today Action Points Note that this U.K. population-based study documented an independent association between gout and subsequent development of diabetes. Be aware that several important potential confounders, such as family history and diet, were not able to be included in the analysis. […]

Occupant and crash characteristics in thoracic and lumbar spine injuries resulting from motor vehicle collisions

The Spine Journal Raj D. Rao, MD October 1, 2014 Volume 14, Issue 10, Pages 2355–2365 Abstract Background context Motor vehicle collisions (MVC) are a leading cause of thoracic and lumbar (T and L) spine injuries. Mechanisms of injury in vehicular crashes that result in thoracic and lumbar fractures and the spectrum of injury in these occupants […]

Acupuncture for Chronic Knee Pain: A Randomized Clinical Trial

Acupuncture for Chronic Knee Pain A Randomized Clinical Trial Rana S. Hinman, PhD Importance There is debate about benefits of acupuncture for knee pain. Objective To determine the efficacy of laser and needle acupuncture for chronic knee pain. Design, Setting, and Participants Zelen-design clinical trial (randomization occurred before informed consent), in Victoria, Australia (February 2010-December […]

The bidirectional relationship between pain intensity and sleep disturbance/quality in patients with low back pain

Clin J Pain. 2014 Sep;30(9):755-65. doi: 10.1097/AJP.0000000000000055. Saad M Alsaadi Abstract Objectives: This study investigated the bidirectional relationship between the intensity of low back pain (LBP) and sleep disturbance. Further, the study aimed to determine whether any relationship is dependent on pain duration, symptoms of depression and anxiety, and the method of sleep assessment (subjective vs. […]

Testing the validity of preventing chronic regional pain syndrome with vitamin C after distal radius fracture

The Journal of Hand Surgery, 09/30/2014  Evidence Based Medicine Clinical Article Malay S, et al. – The number of causal/association criteria met was adequate to support the scientific premise of the effect of vitamin C in preventing CRPS after DRF. Furthermore, vitamin C administration is of relatively low cost and has few complications unless administered […]

Simplifying Fibromyalgia Assessment

The VASFIQ Brief Symptom Scale Chad S. Boomershine, MD, PhD, Birol Emir, PhD, Yi Wang, MS, Gergana Zlateva PhD Ther Adv Musculoskel Dis. 2011;3(5):215-226. Abstract and Introduction Abstract Objectives: We tested the ability of the VASFIQ, a seven-item scale composed of Fibromyalgia Impact Questionnaire (FIQ) visual analog scales (VASs), to quantify fibromyalgia global disease severity […]

Prognosis Of Physical Function Following Ankle Fracture

Prognosis Of Physical Function Following Ankle Fracture: A Systematic Review With Meta-Analysis Authors: Paula R. Beckenkamp, PT Study Design Systematic review and meta-analysis of longitudinal studies. Objectives To quantify the prognosis of physical function following ankle fracture. Background Information about the course of recovery of physical function after ankle fracture is essential for patient care […]

Comparison Of The Short-Term Outcomes Between Trigger Point Dry Needling And Trigger Point Manual Therapy For The Management Of Chronic Mechanical Neck Pain

Comparison Of The Short-Term Outcomes Between Trigger Point Dry Needling And Trigger Point Manual Therapy For The Management Of Chronic Mechanical Neck Pain: A Randomized Clinical Trial Authors: Rocio Llamas-Ramos, PT Study Design Randomized clinical study. Objectives To compare the effects of trigger point (TrP) dry needling (DN) and TrP manual therapy (MT) on pain, […]

American Academy of Neurology Warns Against Opioids in Chronic Noncancer Pain

By Kristina Fiore, Staff Writer, MedPage Today Published: Sep 29, 2014 Download Full Text Article Action Points A position paper from the American Academy of Neurology suggests that the risks for chronic opioid therapy for some chronic conditions such as headache, fibromyalgia, and chronic low back pain likely outweigh the benefits. It also suggests that […]

For Back Pain or Headache, Painkillers Do More Harm than Good

Alice Park @aliceparkny Sept. 29, 2014 Story Source;  TIME For the first time, a major medical organization takes a stand on rampant overuse of opioids for treating back pain, headaches and migraines Powerful painkillers do little to improve patients’ daily functioning, finds the American Academy of Neurology in a new position statement on opioid painkillers […]

Short-term effects of acupuncture and stretching on myofascial trigger point pain of the neck

Short-term effects of acupuncture and stretching on myofascial trigger point pain of the neck: a blinded, placebo-controlled RCT Complementary Therapies in Medicine, 09/29/2014 Clinical Article Wilke J, et al. – This trial aimed to evaluate the short–term effectiveness of acupuncture plus stretching to reduce pain and improve range of motion in patients afflicted by cervical […]

Women’s experiences of low back pain during pregnancy

J Back Musculoskelet Rehabil. 2014 Sep 29. [Epub ahead of print] Women’s experiences of low back pain during pregnancy. Mota M Abstract OBJECTIVES: This study investigated the self-reported prevalence and impact of low back pain (LBP) during pregnancy in primiparous and multiparous women, and their treatment-seeking rationales and experiences, including their use of physiotherapy. METHODS: […]

The effect of a mandibular advancement appliance on cervical lordosis in patients with TMD and cervical pain

Cranio. 2014 Oct;32(4):275-82. doi: 10.1179/0886963414Z.00000000038. Epub 2014 Apr 14. The effect of a mandibular advancement appliance on cervical lordosis in patients with TMD and cervical pain. Santander H, Zúñiga C, Miralles R, Valenzuela S, Santander MC, Gutiérrez MF, Córdova R. Abstract AIMS: A preliminary study to compare cervical lordosis by means of cervical cephalometric analysis, […]

Dupuytren Contractures and Psoriasis

Story Source: PracticeUpdate.com RESEARCH · September 05, 2014 TAKE-HOME MESSAGE In this prospective study, prevalence of Dupuytren contractures was increased in patients with psoriasis (19.6%) compared with the non-psoriasis population (3.6%). Even greater prevalence rates were seen in those with palmoplantar involvement or intertriginous psoriasis. Assessment for Dupuytren contractures in patients with psoriasis may allow […]

Effect of Vitamin D on Musculoskeletal Pain and Headache

RESEARCH · September 25, 2014 TAKE-HOME MESSAGE In this double-blind trial, patients were either given vitamin D3 supplementation or placebo for 16 weeks to determine whether the vitamin D3 affected musculoskeletal pain or headache. Of the 251 initial participants, 215 completed the follow-up visit. A total of 63% of patients reported headache within the last […]

SSRIs, Hypnotics Increase Fracture Risk

Medscape Medical News from: The American Society for Bone and Mineral Research (ASBMR) 2014 Story Source September 22, 2014 HOUSTON, Texas — Use of hypnotic medications for insomnia and use of selective serotonin reuptake inhibitors (SSRIs) are each associated with an increased risk for osteoporotic and hip fractures in older women and men, independent of other risk factors on […]

Determinants of evolution of endplate and disc degeneration in the lumbar spine: a multifactorial perspective

Eur Spine J. 2014 Sep;23(9):1863-8. doi: 10.1007/s00586-014-3382-z. Epub 2014 Jun 5. Farshad-Amacker NA1, Hughes AP, Aichmair A, Herzog RJ, Farshad M. Abstract PURPOSE: Evolution and progression of disc and endplate bone marrow degeneration of the lumbar spine are thought to be multifactorial, yet, their influence and interactions are not understood. The aim of this study […]

Short-Term Effect of Spinal Manipulation on Pain Perception, Spinal Mobility, and Full Height Recovery in Male Subjects With Degenerative Disk Disease – Full Text

Archives of Physical Medicine and Rehabilitation Volume 95, Issue 9, Pages 1613–1619, September 2014 Felipe Vieira-Pellenz, PT, PhD Abstract Objective To evaluate the short-term effect on spinal mobility, pain perception, neural mechanosensitivity, and full height recovery after high-velocity, low-amplitude (HVLA) spinal manipulation (SM) in the lumbosacral joint (L5-S1). Design Randomized, double-blind, controlled clinical trial with […]

Fibromyalgia: Patients Hypersensitive to Nonpain Sensations

Beth Skwarecki September 17, 2014 Story Source Brain scans of patients with fibromyalgia showed that they processed nonpainful stimuli, such as sound and touch, differently than the brains of people without the disorder. This may explain why patients often complain of hypersensitivity to sensations in everyday life, author Marina López-Solà, PhD, from the Department of Psychology and Neuroscience at […]

Treating Back-Related Leg Pain With Spinal Manipulation and Home Exercise

Ann Intern Med. 2014;161(6):I-15. doi:10.7326/P14-9031 What is the problem and what is known about it so far? Back-related leg pain (BRLP), such as sciatica, is often disabling and causes more work loss, medication use, and health-related costs than uncomplicated low back pain. Nonpharmacologic interventions, including spinal manipulation, exercise, and education promoting self-management, are increasingly recommended as […]