ITEMS IN AFP WITH KEYWORD:
Because no individual therapy for chronic musculoskeletal pain has consistent benefit, a multimodal treatment approach is recommended. Many nonpharmacologic, noninvasive treatment approaches yield small to moderate improvement in pain and function. This article summarizes the evidence for these therapies, which can be used with pharmacologic or more invasive modalities.
The American Physical Therapy Association released guidelines for the diagnosis and management of patellofemoral pain.
This meta-analysis found no evidence that the monoclonal antibody denosumab reduces the risk of fracture more than bisphosphonates.
A teenaged baseball player presented with left knee pain, bruising, and swelling, as well as subjective quadriceps weakness 10 days after sustaining a leg injury while sliding into home plate.
In this study, platelet-rich plasma injections were no better than saline injections in improving pain or activity in patients with patellar tendinopathy. It did not matter whether the plasma was leukocyte rich or leukocyte poor.
The review found no evidence that supports any additional benefit of platelet-rich plasma injections compared with various control interventions, including saline placebo, in the non-operative treatment of rotator cuff disease in adults.
Tendons have a complex biology that provides strength, flexibility, and elasticity but also predisposes them to injury. Conservative treatment consists of activity modification, relative rest, pain control, protection, and rehabilitative exercises. Nonsteroidal anti-inflammatory drugs and corticosteroids also have a role despite the lack of histologic evidence of inflammation.
Which noninvasive nonpharmacologic treatments for chronic neck pain improve function or pain for at least one month?
Key clinical questions and their evidence-based answers directly from the journal’s content, written by and for family physicians.
Apophysitis and osteochondrosis are common causes of pain in growing bones. Apophysitis is responsible for a large percentage of visits by school-aged children to a health care professional each year for a sports injury. Osteochondrosis diseases are less common. Most apophysitis disorders are self-resolving with conservative management, and many osteochondrosis disorders may resolve with a period of relative rest and close monitoring.