Articles

1477 Temporomandibular Joint Disorders

JENNIFER J. BUESCHER, MD, MSPH

Temporomandibular joint disorders are common and often self-limited in the adult population. Only 5 percent of patients require treatment and few develop chronic or debilitating symptoms. Noninvasive therapies should be attempted before pursuing invasive treatments that have the potential to cause irreparable harm.

Patient information: "Temporomandibular Joint (TMJ) Pain," p. 1483

1489 Metastatic Carcinoma of the Long Bones

ANTHONY I. RICCIO, LCDR, MC, USN; FELASFA M. WODAJO, MD; and MARTIN MALAWER, MD

Breast, prostate, renal, thyroid, and lung carcinomas commonly metastasize to bone. If plain-film radiography is not sufficient for diagnosis, a bone scan may detect occult lesions. Patients who are not at risk for impending fracture can be treated with a combination of radiotherapy and adjuvant drug therapy.

1497 Nonspecific Low Back Pain and Return to Work

TRANG H. NGUYEN, MD, and DAVID C. RANDOLPH, MD, MPH

As long as no "red flags" exist, patients with low back pain should be encouraged to remain as active as possible, minimize bed rest, use ice or heat compresses, take anti-inflammatory or analgesic medications if desired, participate in home exercises, and return to work as soon as possible.

Patient information: "Low Back Pain and Your Job: What You Can Do to Get Back to Work," p. 1504

1509 Acute Pericarditis

LESLIE E. TINGLE, MD; DANIEL MOLINA, MD; and CHARLES W. CALVERT, DO

Diagnosing pericarditis is often a process of exclusion, taking into account changes on electrocardiography, a history of abrupt-onset chest pain, and the presence of a pericardial friction rub. Echocardiography is recommended for most patients to confirm the diagnosis and exclude tamponade.

1518 Mind-Body Therapies for Headache

VICTOR SIERPINA, MD; JOHN ASTIN, PhD; and JAMES GIORDANO, PhD

Mind-body therapies such as biofeedback, cognitive behavior therapy, hypnosis, meditation, and relaxation training have been shown to be effective treatments for various types of headache.

Patient information: "Headaches and Mind-Body Therapy: What You Should Know," p. 1523

Departments

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Keeping Up to Date

1537 STEPS

• Retapamulin (Altabax) 1% Topical Ointment for the Treatment of Impetigo

1542 Tips from Other Journals

1558 Practice Guidelines

• ACIP Releases 2007-08 Adult Immunization Schedule

• AHA Releases Recommendations on Preparticipation Screening in Student Athletes

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Answering Clinical Questions

1447 CME Quiz

1527 Point-of-Care Guides

• Predicting Delirium in Hospitalized Older Patients

1533 Photo Quiz

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Commentary

1434 Inside AFP

1454 Letters to the Editor

• Identifying Patients at Risk of Chronic Kidney Disease

1456 Editorials

• The CDC and USPSTF Recommendations for HIV Testing

• It's Time to Normalize Testing for HIV

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Medicine and Society

1439 Newsletter

1442 Close-ups

1472 Graham Center One-Pager

• Behavioral Change Counseling in the Medical Home

Patient Information

1483 TMJ Pain

1504 Low Back Pain and Your Job

1523 Headaches and Mind-Body Therapy

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Reader Services

1435 Strength-of-Recommendation Taxonomy in AFP

1455 Evidence-Based Medicine Glossary

1464 CME Center

• Search Available CME Courses

1517 Change-of-Address Form

1570 Classified Information

This article is included as part of this issue's continuing medical education (CME) activity. See CME Quiz, p. 1447.

This article is one in a series of reviews on complementary and alternative medicine.

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