Articles
Acute Migraine Headache: Treatment Strategies
Migraine treatment should begin with preventive measures that include trigger avoidance, lifestyle modification, and pharmacologic interventions. Many medications have good evidence to support their use for acute migraine treatment; therefore, cost, contraindications, and…
Common Questions About Buprenorphine Treatment for Opioid Use Disorder
Patients with moderate or severe opioid use disorder should be offered buprenorphine treatment. Buprenorphine is highly effective and safer than full opioid agonists such as methadone and should be continued as long as it is beneficial to the patient.
Groin Pain and Injuries: Evaluation and Management
Complex anatomy contributes to the difficulty in reaching an exact diagnosis for groin pain. This article focuses on the differential diagnosis of musculoskeletal causes of groin pain, including relevant evaluations and treatments.
Premenstrual Syndrome and Premenstrual Dysphoric Disorder: Common Questions and Answers
Premenstrual syndrome and premenstrual dysphoric disorder manifest in a spectrum of physical and psychological symptoms. Selective serotonin reuptake inhibitors are first-line treatment for these disorders, and continuous vs intermittent dosing may be more effective.
Options for Unintended Pregnancies
Physicians should provide unbiased, medically accurate information and resources regarding options for patients with unintended pregnancies. Options include continuing the pregnancy and parenting, pursuing adoption, or having a medication or procedural abortion.
Inside AFP
Honoring Dr. Jay Siwek and 75 Years of American Family Physician
Dr. Siwek embodies the spirit of family medicine with his compassion and commitment to patients through the education of future family physicians.
Editorials
Pain Management for IUD Insertion in Primary Care
The US Selected Practice Recommendations for Contraceptive Use is the first guideline to recommend that all patients be counseled and provided with a person-centered plan for pain management.
Prioritizing Patients With the Greatest Care Needs: Time for Family Physicians to Lead
With practice guidelines that are impossible to follow, it's time for family physicians to lead the prioritization of how we spend our time.
Graham Center Policy One-Pager
Artificial Intelligence Scribes Shape Health Care Delivery
Although most physicians are interested in the use of augmented or artificial intelligence (AI) in health care, only 38% are using AI in their practices. Initial results from AI integrated organizations show that AI scribe programs significantly decrease electronic health…
AFP Clinical Answers
Chest Pain, Multivitamin Supplements, Knee Osteoarthritis, Alzheimer Dementia, Asthma
Key clinical questions and their evidence-based answers directly from the journal’s content, written by and for family physicians.
Medicine by the Numbers
Testosterone Replacement in Men With Sexual Dysfunction in the Absence of Hypogonadism
In men with symptoms of sexual dysfunction but no known testosterone deficiency, testosterone replacement therapy does not appear to be different from placebo in the short term. In the long term, it is uncertain whether testosterone replacement therapy is helpful because data…
Cochrane for Clinicians
Cognitive Behavior Therapy for Anxiety and Related Disorders in Older People
Compared with minimal management (ie, no formal treatment), 10 to 15 sessions of cognitive behavior therapy reduce posttreatment anxiety severity for 2 to 8 weeks in persons older than 55 years. This reduction is not sustained 3 to 6 months posttreatment. Symptoms of worry and…
Liver Fibrosis Stage Based on the Fibrosis-4 Score or Forns Index in Adults With Chronic Hepatitis C Virus Infection
Using low cutoffs with the Fibrosis-4 score (ie, 1.45 or greater for detecting at least severe fibrosis [F3 or higher]) or Forns index (ie, 4.2 or greater for detecting at least significant fibrosis [F2 or higher]) yields relatively accurate results for predicting fibrosis with…
FPIN's Help Desk Answers
Cold Water Immersion for Muscle Soreness
Cold water immersion immediately after exercise can improve perceived recovery and delay onset of muscle soreness in the 24 hours after high-intensity and resistance exercise. Short immersion times (ie, less than 10 to 15 minutes) at temperatures below 59°F (15°C) have the most…
FPIN's Clinical Inquiries
Physical Therapy for Osteoarthritis Knee Pain
Exercise therapy with strength, aerobic, or aquatic physical therapy (PT) may decrease pain due to knee osteoarthritis in the short term (6-18 weeks). Improvements may persist for 1 year but typically are diminished by 18 months. PT results in greater pain relief for 1 year…
Photo Quiz
Nodule on the Chin
A 64-year-old man presented with a solitary nodule on his chin that had gradually increased in size over several months.
Interdigital Macerated Plaques
A 41-year-old man presented with a pruritic rash between his toes that had been present for at least 2 months.
Diary of a Family Physician
Diary of a Family Physician
First-person accounts from the front lines of family medicine.
POEMs
Practice Guidelines
Labor Management: Guidelines From the American College of Obstetricians and Gynecologists
The American College of Obstetricians and Gynecologists released guidelines on managing the first and second phases of labor.
Letters to the Editor
Family Medicine Is Key in Cultivating Mental Health Among Farmers
Letter
CBT and Mindfulness Effective for Diabetic Peripheral Neuropathy
Reply: Sean Haley, Sarah Tucker Marrison, Scott Bragg
Case Report: An Unusual Cause of Headache in a Returning Traveler
Letter