ITEMS IN AFP WITH KEYWORD:
Tendinopathies of the foot and ankle, including posterior tibial, peroneal, and tibialis anterior, are commonly overlooked by primary care physicians. The posterior tibial tendon is the main dynamic stabilizing muscle of the medial longitudinal arch. Patients who have posterior tibial tendinopathy p...
Kinesiology taping for adults with rotator cuff disease has little to no benefit compared with sham taping or conservative (i.e., nonsurgical) therapy.
Sacroiliac (SI) joint dysfunction is a common cause of low back pain and accurate diagnosis can be challenging. A complete history and physical examination are critical in differentiating other diagnoses that may have similar signs and symptoms. Positive responses to at least three physical provocat...
Key clinical questions and their evidence-based answers directly from the journal’s content, written by and for family physicians.
A single dose of opioid analgesics provides similar acute pain relief compared with a single dose of a combination of acetaminophen and ibuprofen in patients with acute musculoskeletal pain in the emergency department.
Musculoskeletal surgery is invaluable for unintentional injury. But for conditions associated with chronic pain (e.g., knee, shoulder, wrist, neck, back pain), even patients with objective changes on imaging that need intervention will not have better long-term pain relief with surgery compared with no surgery.
Fractures of the radius and ulna are the most common fractures of the upper extremity. Patients with radius and ulna fractures often present with reduced range of movement in the joint adjacent to the fracture. Radiography or ultrasonography can confirm the diagnosis, but repeat imaging may be needed if initially negative. Although nondisplaced or minimally displaced fractures can be managed with immobilization, it is important to identify fractures that require referral to an orthopedist.
Telemedicine has become a valuable tool during the coronavirus disease 2019 pandemic. Musculoskeletal issues are a common reason for primary care visits and can often be managed using telemedicine, especially if a standardized approach is used. This article discusses telemedicine methods and techniques, including visit preparation, virtual history collection and physical examination, and initial treatment options.
The American Academy of Family Physicians and the American College of Physicians have published guidelines based on a systematic review and network meta-analysis of 207 studies involving 32,959 patients that evaluated treatments for acute musculoskeletal pain other than low back pain.
Primary care plays a large role in the management of acute pain; therefore, the American College of Physicians and the American Academy of Family Physicians developed a clinical practice guideline for the nonpharmacologic and pharmacologic management of acute pain from non–low back, musculoskeletal ...