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Am Fam Physician. 2026;113(4):312

Does cold water immersion after exercise reduce muscle soreness?

According to a systematic review, cold water immersion immediately after exercise can improve perceived recovery and delay onset of muscle soreness in the 24 hours after high-intensity and resistance exercise. Short immersion times (ie, less than 10–15 minutes) at temperatures below 59°F (15°C) have the most consistent benefits.

Read more: Cold Water Immersion for Muscle Soreness [FPIN's Help Desk Answers]; April 2025

Is high-flow nasal cannula treatment beneficial in infants with bronchiolitis?

According to a Cochrane review, in infants younger than 24 months, use of high-flow nasal cannula treatment (heated, humidified oxygen at greater than 4 L/min) compared to low-flow oxygen (less than 4 L/min delivered via a range of devices, including nasal prongs, face mask, and head box) results in a modest reduction in length of hospital stay (ie, by 0.65 days) and need for treatment escalation, with no significant difference in adverse events.

Read more: High-Flow Nasal Cannula Therapy for Infants With Bronchiolitis [Cochrane for Clinicians]; March 2025

What is the first-line pharmacotherapy for trigeminal neuralgia?

Carbamazepine is the initial drug of choice for trigeminal neuralgia.

How often should postmenopausal women without risk factors undergo HIV screening?

All women younger than 65 years should be tested for HIV infection at least once.

How long should buprenorphine be prescribed for patients with OUD?

Buprenorphine should be continued for at least 1 year for patients with opioid use disorder (OUD) and may be prescribed indefinitely as long as it is beneficial.

Should beta2 agonists (eg, albuterol) be prescribed for acute bronchitis?

Use beta2 agonists for acute bronchitis only when asthma, chronic obstructive pulmonary disease, or signs of airflow obstruction (eg, wheezing, bronchial hyperresponsiveness, or reduced FEV1) are present.

How many attempts can be made to safely remove a nasal foreign body?

Positive pressure techniques (eg, occlusion of the opposite naris and forced exhalation through nose or “parent's kiss” method) for nasal foreign body removal are safe and effective and may be attempted multiple times. Instrument removal of nasal foreign bodies should be attempted no more than twice before referral to an otolaryngologist.

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