Musculoskeletal Care

Sep 01, 2021 Issue
Chronic Musculoskeletal Pain, NAFLD, Peripheral Neuropathy, Myocardial Infarction [AFP Clinical Answers]

Key clinical questions and their evidence-based answers directly from the journal’s content, written by and for family physicians.

Jul 01, 2021 Issue
Single-Dose Opioid Analgesics Offer No Benefit over Nonopioid Analgesia for Musculoskeletal Pain [POEMs]

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.

Apr 1, 2021 Issue
Musculoskeletal Surgery for Nontraumatic Pain: Not a Great Analgesic [POEMs]

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.

Mar 15, 2021 Issue
Common Fractures of the Radius and Ulna [Article]

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.

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.

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