Musculoskeletal Care

Feb 1, 2021 Issue
Telemedicine Management of Musculoskeletal Issues [Article]

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.

Dec 1, 2020 Issue
Management of Acute Pain from Non–Low Back Musculoskeletal Injuries: Guidelines from AAFP and ACP [Practice Guidelines]

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.

Dec 1, 2020 Issue
Management of Acute Pain from Musculoskeletal Injuries: Guidance for Family Physicians [Editorials]

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 ...

Nov 1, 2020 Issue
Evidence Against the Routine Use of MRI for Nonoperative Treatment of Chronic Orthopedic Conditions [Editorials]

Physicians should consider the ramifications before ordering an MRI in the setting of chronic pain. An MRI that is not indicated can lead to a procedure that is not necessary as both patient and physician focus on the abnormal study finding. Most patients improve with conservative management that requires active involvement.

Oct 15, 2020 Issue
Chronic Musculoskeletal Pain: Nonpharmacologic, Noninvasive Treatments [Article]

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.

Oct 1, 2020 Issue
Patellofemoral Pain: Guidelines from the American Physical Therapy Association [Practice Guidelines]

The American Physical Therapy Association released guidelines for the diagnosis and management of patellofemoral pain.

Sep 15, 2020 Issue
ACR Guideline for Managing Patients with Degenerative Joint Disease of the Hand, Knee, and Hip [POEMs]

This meta-analysis found no evidence that the monoclonal antibody denosumab reduces the risk of fracture more than bisphosphonates.

Jul 1, 2020 Issue
Knee Bruising and Swelling in a Teenager [Photo Quiz]

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.

Dec 15, 2019 Issue
Platelet-Rich Plasma is Equal to Saline for Patients with Patellar Tendinopathy [POEMs]

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.

Nov 15, 2019 Issue
Platelet-Rich Plasma Injection Not Beneficial for Nonoperative Treatment of Rotator Cuff Disease [POEMs]

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.

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