Articles
Nonoperative Management of Cervical Radiculopathy
Cervical radiculopathy most often stems from degenerative disease in the cervical spine. It can be diagnosed with the patient history and physical examination alone. The Spurling test, shoulder abduction test, and upper limb tension test can be used to confirm the diagnosis…
Top 20 Research Studies of 2015 for Primary Care Physicians
The top 20 research studies of 2015 were selected based on their validity, relevance, and potential to change practice. Known as POEMs (patient-oriented evidence that matters), these original research studies and systematic reviews cover a range of topics, including respiratory…
Primary Care of the Prostate Cancer Survivor
Prostate cancer has a high survival rate, but many patients face physical and psychosocial issues after surgical, hormonal, or radiation treatment. This article summarizes the American Cancer Society Prostate Cancer Survivorship Care Guidelines, which recommend management…
AFP News Now - AFP Edition
AAFP News: AFP Edition
HHS Releases Final Version of National Pain Strategy | Study Finds Retail Clinics Contribute to Higher Health Care Costs | FDA Seeks Comments on Draft Guidance for Abuse-Deterrent Opioids | Study Cites Debt Load as Influence on Residents' Career Choice
Editorials
Introducing a One-Page Adult Preventive Health Care Schedule: USPSTF Recommendations at a Glance
The Adult Preventive Health Care Schedule provides a concise and informative visual representation of USPSTF recommendations.
Cochrane for Clinicians
Antiviral Therapy for Bell Palsy
The combination of antiviral agents and corticosteroids is more effective than corticosteroids alone for the complete recovery of patients with Bell palsy (number needed to treat [NNT] = 15) and for the resolution of motor synkinesis and excessive tear production (NNT = 12…
Fluoride Varnish for Preventing Dental Caries in Children and Adolescents
Topically applied fluoride varnishes are safe and effective in preventing dental caries in children and adolescents. There is little information about adverse effects or treatment acceptability. Family physicians should consider incorporating fluoride varnish into childhood…
U.S. Preventive Services Task Force
Screening for Autism Spectrum Disorder in Young Children: Recommendation Statement
The USPSTF concludes that the current evidence is insufficient to assess the balance of benefits and harms of screening for autism spectrum disorder (ASD) in young children for whom no concerns of ASD have been raised by their parents or a clinician.
Photo Quiz
Persistent Lower-Limb Ulcers in a Patient with Diabetes
A woman presented with enlarging ulcers on her leg and foot. Large ulcerations exposed muscles and tendons, with sharp margins, an undermined and violaceous border, and granulation tissue over the ulcer beds.
FPIN's Help Desk Answers
Alpha-Lipoic Acid for Treatment of Diabetic Peripheral Neuropathy
Intravenous (IV) ALA can improve neuropathy symptoms when administered for three weeks, but symptom improvement with oral ALA is not clinically significant. There is no evidence evaluating long-term treatment.
POEMs
Gluten Is Not the Culprit in Many Patients' Symptoms
Tamsulosin Effective as Expulsion Therapy for 5- to 10-mm Distal Ureteric Stones
Delayed Prescription for Respiratory Infections Produces Similar Results and Satisfaction as Immediate Treatment
In almost 400 Spanish primary care patients with mild to moderate symptoms of respiratory infection of less than one week's duration, both a “take-and-hold” prescription and a “come back and pick up, if necessary” prescription produced a similar clinical response—and similar…
Long-Acting Nitrates No Good for Heart Failure with Preserved Ejection Fraction
Patients who have heart failure with preserved ejection fraction had decreased levels of activity and more adverse events when they were receiving isosorbide mononitrate than when they were taking a placebo. Moreover, activity levels decreased with increases in the dose of the…
Practice Guidelines
AHA Updates Guidelines for CPR and Emergency Cardiovascular Care
This summary practice guideline from the American Heart Association focuses on adult and child basic life support and CPR quality, as well as alternative CPR techniques.
Medicine by the Numbers
Ibuprofen for Treatment of Episodic Tension-Type Headaches
Studies show that 1 in 14 patients were parin-free at two hours and none experienced adverse events. Find out more.
Letters to the Editor
Expanding on Risk Factors and Response to Therapy for Osteoporosis
Information from Your Family Doctor
Cervical Radiculopathy: A Common Cause of Neck Pain
Cervical radiculopathy is caused by a pinched nerve in your neck. It can cause symptoms in your shoulder, arm, or hand. Sometimes the symptoms happen in both arms.
What to Expect in the Years After Prostate Cancer Treatment
Prostate cancer may be treated in many ways. Treatments include surgery, radiation therapy, and hormone therapy. After you have been treated for prostate cancer, there are several things you can do to stay healthy.
