Musculoskeletal Care

Jul 1, 2016 Issue
Topical NSAIDs for Acute Musculoskeletal Pain in Adults [Medicine by the Numbers]

Studies show that patients had improved pain control with diclofenac gel, ketoprofen gel, and ibuprofen gel with no increase in local or systemic adverse events. See why.

Jul 1, 2016 Issue
Diagnosis and Management of Vertebral Compression Fractures [Article]

Vertebral compression fractures can lead to chronic pain, disfigurement, height loss, impaired activities of daily living, increased risk of pressure sores, pneumonia, and psychological distress. Find out which patients are most likely to benefit from conservative therapy, and when to consider surgery.

Mar 1, 2016 Issue
No Difference Between Oxycodone/Acetaminophen and Hydrocodone/Acetaminophen for Acute Extremity Pain [POEMs]

This study found no significant difference in the management of acute musculoskeletal extremity pain, including fractures, with oxycodone/acetaminophen vs. hydrocodone/acetaminophen. Adverse events, including nausea and dizziness, occurred significantly more often with oxycodone/acetaminophen.

Feb 15, 2016 Issue
Epidural Steroid Not Better Than Placebo Injection for Sciatica and Spinal Stenosis Pain and Function [POEMs]

It is hard to figure out what to do with these results. On the one hand, steroid injection did not provide a significant benefit compared with placebo injection in patients with radicular pain or spinal stenosis. However, part of the reason for this may be the significant and sustained improvement of pain scores seen with the placebo injection.

Feb 1, 2016 Issue
Quinine for Leg Cramps [Cochrane for Clinicians]

Quinine is moderately effective in decreasing the frequency and intensity of muscle cramps, but it is also associated with an increase in minor adverse effects. In addition, there is a risk of rare but serious adverse effects.

Feb 1, 2016 Issue
Diagnosis and Management of Common Foot Fractures [Article]

Find out which types of fractures can be treated conservatively and which ones require orthopedic referral, as well as typical healing times for the most common types of foot fractures seen in primary care: metatarsal shaft fractures, proximal fifth metatarsal fractures, and toe fractures.

Nov 15, 2015 Issue
Nonsurgical Management of Knee Pain in Adults [Article]

Get the latest information on nonsurgical treatments for common causes of knee pain: osteoarthritis; patellofemoral pain syndrome; and ligament, tendon, and meniscal injuries. Find out which types of exercise are best for improving function and decreasing pain, and whether glucosamine/chondroitin supplementation is effective for osteoarthritis.

Oct 15, 2015 Issue
Corticosteroid Injections for Common Musculoskeletal Conditions [Article]

Get the latest evidence on the effectiveness of corticosteroid injections in patients with adhesive capsulitis; subacromial impingement syndrome; lateral and medial epicondylitis; carpal tunnel syndrome; de Quervain tenosynovitis; trigger finger; hand, wrist, hip, and knee osteoarthritis; greater trochanteric bursitis; and Morton neuroma.

Sep 15, 2015 Issue
Spinal Stenosis: Physical Therapy Before Surgery [POEMs]

Assigning patients to six weeks of physical therapy is as effective as initially sending them for decompression surgery, with fewer complications, even in patients who have a strong preference for surgery. A trial of six weeks of physical therapy makes sense for many patients with confirmed spinal stenosis before getting out the scalpel.

Aug 1, 2015 Issue
Management of ACL Injuries: Clinical Practice Guideline from the AAOS [Practice Guidelines]

Anterior cruciate ligament (ACL) injuries, which are usually related to sports, have an incidence of approximately 252,000 yearly. The American Academy of Orthopaedic Surgeons (AAOS) has provided guidance in determining the best options for treating an ACL injury.

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