ITEMS IN AFP WITH KEYWORD:

Musculoskeletal Care

Feb 1, 2014 Issue
Adolescent Idiopathic Scoliosis: Diagnosis and Management [Article]

Adolescent idiopathic scoliosis is the most common form of scoliosis, affecting approximately 2% to 4% of adolescents. The incidence of scoliosis is about the same in males and females; however, females have up to a 10-fold greater risk of curve progression. Although most youths with scoliosis will ...


Oct 15, 2013 Issue
Surgery Plus PT Similar to PT Alone for Adults with Meniscal Tear and Osteoarthritis [POEMs]

For middle-aged or older adults with osteoarthritis and a meniscal tear, there seem to be no significant differences between arthroscopic surgery plus PT and PT alone. A subset of patients who do not respond well to PT alone will eventually have surgery, but if they cross over to surgery within six ...


Apr 15, 2013 Issue
Evaluation and Diagnosis of Wrist Pain: A Case-Based Approach [Article]

Patients with wrist pain commonly present with an acute injury or spontaneous onset of pain without a definite traumatic event. A fall onto an outstretched hand can lead to a scaphoid fracture, which is the most commonly fractured carpal bone. Conventional radiography alone can miss up to 30 perce...


Apr 1, 2013 Issue
ACR Issues Recommendations on Therapies for Osteoarthritis of the Hand, Hip, and Knee [Practice Guidelines]

The American College of Rheumatology (ACR) has released updated recommendations for the treatment of osteoarthritis of the hip and knee, and has developed new recommendations for the treatment of osteoarthritis of the hand. These recommendations are categorized as strong or conditional.


Apr 1, 2013 Issue
Management of Chronic Tendon Injuries [Article]

Chronic tendon injuries present unique management challenges. The assumption that these injuries result from ongoing inflammation has caused physicians to rely on treatments demonstrated to be ineffective in the long term. Nonsteroidal anti-inflammatory drugs should be limited in the treatment of ...


Aug 15, 2012 Issue
Nocturnal Leg Cramps [Article]

Up to 60 percent of adults report that they have had nocturnal leg cramps. The recurrent, painful tightening usually occurs in the calf muscles and can cause severe insomnia. The exact mechanism is unknown, but the cramps are probably caused by muscle fatigue and nerve dysfunction rather than electr...


Jun 15, 2012 Issue
Update on Acute Ankle Sprains [Article]

Ankle sprains are a common problem seen by primary care physicians, especially among teenagers and young adults. Most ankle sprains are inversion injuries to the lateral ankle ligaments, although high sprains representing damage to the tibiofibular syndesmosis are becoming increasingly recognized. P...


Apr 15, 2012 Issue
Common Finger Fractures and Dislocations [Article]

Finger fractures and dislocations are common injuries that are often managed by family physicians. A systematic physical examination is imperative to avoid complications and poor outcomes following these injuries. Radiography (commonly anteroposterior, true lateral, and oblique views) is required in...


Feb 1, 2012 Issue
Evaluating Acutely Injured Patients for Internal Derangement of the Knee [Article]

Although historical findings have some value in diagnosing internal derangement of the knee, a thorough physical examination can often rule out fracture and ligamentous and meniscal injuries. The Ottawa Knee Rule can help physicians determine which patients require radiography. Positive physical exa...


Dec 1, 2011 Issue
Prolotherapy for Chronic Musculoskeletal Pain [Editorials]

Prolotherapy is an injection-based complementary therapy for common chronic musculoskeletal conditions including tendinopathy, knee osteoarthritis, and low back pain. It involves the injection of irritant solutions into tender ligamentous and tendinous attachments and adjacent joint spaces.


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