Epidural Corticosteroid Injections for Lumbosacral Radicular Pain - Cochrane for ...
Apr 1, 2021 - Epidural corticosteroid injections for the treatment of lumbosacral radicular pain may offer modest short-term (two weeks to three months) benefit compared with placebo injection for radicular leg pain.
American Family Physician : Cochrane for Clinicians
https://www.aafp.org/afp/2021/0401/p405.html
Kinesiology Taping for Knee Osteoarthritis Pain - FPIN's Clinical Inquiries - American ...
Apr 1, 2021 - How effective is kinesiology taping (elastic tape applied to the knee to create patellar tension) for osteoarthritis pain of the knee?
American Family Physician : FPIN's Clinical Inquiries
https://www.aafp.org/afp/2021/0401/p434.html
Musculoskeletal Surgery for Nontraumatic Pain: Not a Great Analgesic - POEMs - American...
Apr 1, 2021 - 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 ...
American Family Physician : POEMs
https://www.aafp.org/afp/2021/0401/p439.html
Hip Pain in Adults: Evaluation and Differential Diagnosis - American Family Physician
Jan 15, 2021 - Adults commonly present to their family physicians with hip pain, and diagnosing the cause is important for prescribing effective therapy. Hip pain is usually located anteriorly, laterally, or posteriorly. Anterior hip pain includes referred pain from intra-abdominal or intrapelvic ...
American Family Physician : Article
https://www.aafp.org/afp/2021/0115/p81.html
Degenerative Cervical Myelopathy: Recognition and Management - American Family Physician
Dec 15, 2020 - Degenerative cervical myelopathy encompasses a collection of pathologic conditions that result in progressive spinal cord dysfunction secondary to cord compression. Patients are typically male (3: 1 male-to-female ratio), and the average age of presentation is 64 years. The exact ...
American Family Physician : Article
https://www.aafp.org/afp/2020/1215/p740.html
Management of Acute Pain from Non–Low Back Musculoskeletal Injuries: Guidelines from ...
Dec 1, 2020 - 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.
American Family Physician : Practice Guidelines
https://www.aafp.org/afp/2020/1201/p697.html
Management of Acute Pain from Musculoskeletal Injuries: Guidance for Family Physicians ...
Dec 1, 2020 - 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, ...
American Family Physician : Editorials
https://www.aafp.org/afp/2020/1201/p649.html
Evidence Against the Routine Use of MRI for Nonoperative Treatment of Chronic ...
Nov 1, 2020 - 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 ...
American Family Physician : Editorials
https://www.aafp.org/afp/2020/1101/p521.html
Chronic Musculoskeletal Pain: Nonpharmacologic, Noninvasive Treatments - American ...
Oct 15, 2020 - Chronic low back pain, neck pain, hip and knee osteoarthritis, and fibromyalgia are the most common types of chronic musculoskeletal pain. Because no individual therapy has consistent benefit, a multimodal treatment approach to chronic musculoskeletal pain is recommended. Many ...
American Family Physician : Article
https://www.aafp.org/afp/2020/1015/p465.html
Acetaminophen for Pain Relief in Osteoarthritis - FPIN's Help Desk Answers - American ...
Jul 15, 2020 - Acetaminophen is no better than placebo for relief of hip or knee pain due to osteoarthritis. Although acetaminophen does provide some pain relief, the effect is small and not clinically significant.
American Family Physician : FPIN's Help Desk Answers
https://www.aafp.org/afp/2020/0715/p113.html
No Short-Term Extra Benefit when Muscle Relaxants Are Added to Ibuprofen for Acute Low ...
Jun 1, 2020 - Adding a muscle relaxant to treatment with ibuprofen does not improve functional outcomes or pain, or lessen the number of people reporting moderate to severe back pain one week after starting treatment.
American Family Physician : POEMs
https://www.aafp.org/afp/2020/0601/p695.html
Cerebral Palsy: An Overview - American Family Physician
Feb 15, 2020 - Cerebral palsy, which occurs in two to three out of 1,000 live births, has multiple etiologies resulting in brain injury that affects movement, posture, and balance. The movement disorders associated with cerebral palsy are categorized as spasticity, dyskinesia, ataxia, or mixed/other. ...
American Family Physician : Article
https://www.aafp.org/afp/2020/0215/p213.html
Muscle Weakness in Adults: Evaluation and Differential Diagnosis - American Family ...
Jan 15, 2020 - Although the prevalence of muscle weakness in the general population is uncertain, it occurs in about 5% of U.S. adults 60 years and older. Determining the cause of muscle weakness can be challenging. True muscle weakness must first be differentiated from subjective fatigue or ...
American Family Physician : Article
https://www.aafp.org/afp/2020/0115/p95.html
Nonspecific Low Back Pain and Return To Work - American Family Physician
Dec 1, 2019 - Nonspecific low back pain refers to a condition without a distinct etiology to explain its associated symptoms. This pain may become chronic and is a major cause of work loss around the world. Without a specific explanation for a patient’s symptoms, the family physician is charged with ...
American Family Physician : Article
https://www.aafp.org/afp/2019/1201/p697.html
Platelet-Rich Plasma Injection Not Beneficial for Nonoperative Treatment of Rotator ...
Nov 15, 2019 - 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.
American Family Physician : POEMs
https://www.aafp.org/afp/2019/1115/p647.html
Gabapentin for Treatment of Radicular Low Back Pain - FPIN's Clinical Inquiries - ...
Sep 1, 2019 - Gabapentin is not effective for the treatment of radicular low back pain and is associated with adverse effects.
American Family Physician : FPIN's Clinical Inquiries
https://www.aafp.org/afp/2019/0901/p309.html
Chronic Neck Pain: Nonpharmacologic Treatment - Implementing AHRQ Effective Health Care...
Aug 1, 2019 - Which noninvasive nonpharmacologic treatments for chronic neck pain improve function or pain for at least one month?
American Family Physician : Implementing AHRQ Effective Health Care Reviews
https://www.aafp.org/afp/2019/0801/p180.html
Gabapentin and Pregabalin Not Effective for Low Back Pain with or Without Radiculopathy...
Mar 15, 2019 - The use of anticonvulsants like gabapentin (Neurontin) for painful conditions has increased greatly in recent years. This review finds good evidence that these drugs are not an effective treatment for low back pain with or without radiculopathy, and are associated with an increased risk...
American Family Physician : POEMs
https://www.aafp.org/afp/2019/0315/od2.html
Adhesive Capsulitis: Diagnosis and Management - American Family Physician
Mar 1, 2019 - Adhesive capsulitis, also known as frozen shoulder, is a common shoulder condition characterized by pain and decreased range of motion, especially in external rotation. Adhesive capsulitis is predominantly an idiopathic condition and has an increased prevalence in patients with diabetes...
American Family Physician : Article
https://www.aafp.org/afp/2019/0301/p297.html
Knee Pain in Adults and Adolescents: The Initial Evaluation - American Family Physician
Nov 1, 2018 - Knee pain affects approximately 25% of adults, and its prevalence has increased almost 65% over the past 20 years, accounting for nearly 4 million primary care visits annually. Initial evaluation should emphasize excluding urgent causes while considering the need for referral. Key ...
American Family Physician : Article
https://www.aafp.org/afp/2018/1101/p576.html
Mechanical Low Back Pain - American Family Physician
Oct 1, 2018 - Low back pain is usually nonspecific or mechanical. Mechanical low back pain arises intrinsically from the spine, intervertebral disks, or surrounding soft tissues. Clinical clues, or red flags, may help identify cases of nonmechanical low back pain and prompt further evaluation or ...
American Family Physician : Article
https://www.aafp.org/afp/2018/1001/p421.html
Nonopioids Equivalent to Opioids for Severe Chronic Back, Hip, or Knee Pain with Fewer ...
Sep 1, 2018 - Nonopioid medications were at least as effective as opioid medications for improving pain-related function over 12 months in adults with severe chronic back pain or knee or hip osteoarthritis pain. The evidence that opioids are not superior to nonopioid medications for chronic and acute...
American Family Physician : POEMs
https://www.aafp.org/afp/2018/0901/p316.html
Physical Therapy for Low Back Pain - FPIN's Clinical Inquiries - American Family Physician
Jul 15, 2018 - There is some evidence that early physical therapy may decrease posttreatment health care utilization for low back pain.
American Family Physician : FPIN's Clinical Inquiries
https://www.aafp.org/afp/2018/0715/p115.html
Surgery Equal to No Surgery for Patients with Subacromial Shoulder Pain - POEMs - ...
Jul 1, 2018 - In patients with subacromial shoulder pain of at least three months' duration who receive physical therapy, surgical decompression is no better than arthroscopy without decompression in improving pain or function, and neither is much better than no invasive intervention at all.
American Family Physician : POEMs
https://www.aafp.org/afp/2018/0701/p54.html
Charcot Foot: Clinical Clues, Diagnostic Strategies, and Treatment Principles - ...
May 1, 2018 - Acute Charcot neuroarthropathy of the foot and ankle is often difficult to diagnose because of limited findings in the patient history, physical examination, imaging, and laboratory studies. Delay in treatment results in the development of rigid foot and ankle deformities, increasing ...
American Family Physician : Article
https://www.aafp.org/afp/2018/0501/p594.html
Pregabalin (Lyrica) for Acute Fibromyalgia Pain - Medicine by the Numbers - American ...
May 1, 2018 - Pregabalin (Lyrica) provides good pain relief to some patients with acute fibromyalgia pain but does not work for most persons. Learn more.
American Family Physician : Medicine by the Numbers
https://www.aafp.org/afp/2018/0501/od1.html
Lumbar Fusion of Variable Value Based on Treating Diagnosis, with Significant ...
May 1, 2018 - Lumbar fusion for degenerative spinal disease appears to be most beneficial for patients undergoing the procedure for spondylolisthesis, but it is of little clear benefit for patients with other indications, such as spinal stenosis or chronic back pain.
American Family Physician : POEMs
https://www.aafp.org/afp/2018/0501/p605a.html
Early PT for Acute Low Back Pain Is Cost-Effective, but Gain in Quality of Life Is ...
Apr 1, 2018 - At $30,000 per quality-adjusted life year (QALY) gained, early PT for acute low back pain in primary care is cost-effective by the usual criteria of $50,000 to $100,000 per QALY. However, the magnitude of improvement in quality of life is small and is probably not clinically meaningful.
American Family Physician : POEMs
https://www.aafp.org/afp/2018/0401/p475.html
Injected Corticosteroids for Plantar Heel Pain - Cochrane for Clinicians - American ...
Feb 1, 2018 - There is low-quality evidence that corticosteroid injections slightly reduce heel pain at one month, but they make no significant difference beyond that time. Patients treated with corticosteroid injections were less likely to experience treatment failure—a designation that was defined ...
American Family Physician : Cochrane for Clinicians
https://www.aafp.org/afp/2018/0201/p169.html
Gabapentinoids for Chronic Low Back Pain: Limited Evidence, More Harm Than Benefit - ...
Dec 15, 2017 - The existing data on gabapentinoids for chronic low back pain are limited in number and quality. The amount of pain reduction is low to moderate, and the rate of adverse effects is high. The few studies that assessed function found no improvement.
American Family Physician : POEMs
https://www.aafp.org/afp/2017/1215/od3.html
History and Physical Examination for Identifying Rotator Cuff Tears - FPIN's Help Desk ...
Nov 1, 2017 - There are no historical features that reliably identify full-thickness rotator cuff tears. The physical examination maneuvers that best identify the presence of a full-thickness rotator cuff tear are the internal rotation lag test, the external rotation lag test, and a positive ...
American Family Physician : FPIN's Help Desk Answers
https://www.aafp.org/afp/2017/1101/od2.html
Treatments for Nocturnal Leg Cramps - FPIN's Help Desk Answers - American Family Physician
Oct 1, 2017 - Calcium channel blockers or B vitamins may lead to short-term improvement in nocturnal leg cramps. Stretching has mixed results. Quinine is effective but is no longer recommended, and it is not approved for treatment of leg cramps because of potential toxicity.
American Family Physician : FPIN's Help Desk Answers
https://www.aafp.org/afp/2017/1001/od3.html
Noninvasive Treatments for Low Back Pain - Implementing AHRQ Effective Health Care ...
Sep 1, 2017 - What are the benefits and harms of noninvasive treatments for acute, subacute, and chronic low back pain?
American Family Physician : Implementing AHRQ Effective Health Care Reviews
https://www.aafp.org/afp/2017/0901/p324.html
Pregabalin Does Not Decrease the Pain of Sciatica - POEMs - American Family Physician
Aug 15, 2017 - Pregabalin does not relieve pain in patients with sciatica.
American Family Physician : POEMs
https://www.aafp.org/afp/2017/0815/p260.html
Antipsychotics for Fibromyalgia in Adults - Medicine by the Numbers - American Family ...
Aug 1, 2017 - Quetiapine may be considered for a limited period (less than 12 weeks) to improve pain, sleep, and depression in fibromyalgia, while considering the potential for weight gain.
American Family Physician : Medicine by the Numbers
https://www.aafp.org/afp/2017/0801/od1.html
Arthroscopic Meniscal Surgery Is Equivalent to Nonoperative Management - POEMs - ...
Jul 1, 2017 - The existing research base, with biases that typically make interventions look better, is unable to demonstrate that arthroscopy for meniscal injuries is any better than nonoperative approaches. Because this is a costly intervention and is being used more often, perhaps insurance ...
American Family Physician : POEMs
https://www.aafp.org/afp/2017/0701/p55.html
Placebo Plus Message of Benefit Decreases Chronic Low Back Pain - POEMs - American ...
Apr 1, 2017 - These investigators gave twice daily placebo to patients with chronic back pain and told them it was placebo. They also told them that placebos can have a pronounced effect (which is true). The addition of placebo to usual care improved patients' pain and disability scores over the ...
American Family Physician : POEMs
https://www.aafp.org/afp/2017/0401/p456.html
Carpal Tunnel Syndrome: Diagnosis and Management - American Family Physician
Dec 15, 2016 - Carpal tunnel syndrome, the most common entrapment neuropathy of the upper extremity, is caused by compression of the median nerve as it travels through the carpal tunnel. Classically, patients with the condition experience pain and paresthesias in the distribution of the median nerve, ...
American Family Physician : Article
https://www.aafp.org/afp/2016/1215/p993.html
Rotator Cuff Disease: Diagnostic Tests - FPIN's Help Desk Answers - American Family ...
Dec 1, 2016 - A positive lag sign with external rotation is the best test for full-thickness tears of the infraspinatus and supraspinatus (positive likelihood ratio = 7.2). A positive lag sign with internal rotation is best for assessing full-thickness tears of the subscapularis (positive likelihood ...
American Family Physician : FPIN's Help Desk Answers
https://www.aafp.org/afp/2016/1201/p925.html
Lumbar Fusion No Better Than Exercise and Therapy in the Long Term - POEMs - American ...
Dec 1, 2016 - This trial is a good example of how to do just about everything wrong to get the results you want. The authors did not conceal allocation, did not mask anyone in the study, used an unvalidated and subjective primary outcome, and downplayed the intention-to-treat analysis. Funding for ...
American Family Physician : POEMs
https://www.aafp.org/afp/2016/1201/p937.html
Knee Surgery Does Not Reduce Knee Catching or Locking in Patients with Meniscal Tear - ...
Aug 15, 2016 - Removing the torn bits of meniscus in middle-aged patients who have intermittent knee catches or locking does not decrease their likelihood of experiencing symptoms in the following year compared with diagnostic arthroscopy (i.e., looking but not touching). In general, meniscectomy does...
American Family Physician : POEMs
https://www.aafp.org/afp/2016/0815/p317a.html
Acute Shoulder Injuries in Adults - American Family Physician
Jul 15, 2016 - Acute shoulder injuries in adults are often initially managed by family physicians. Common acute shoulder injuries include acromioclavicular joint injuries, clavicle fractures, glenohumeral dislocations, proximal humerus fractures, and rotator cuff tears. Acromioclavicular joint ...
American Family Physician : Article
https://www.aafp.org/afp/2016/0715/p119.html
Topical NSAIDs for Acute Musculoskeletal Pain in Adults - Medicine by the Numbers - ...
Jul 1, 2016 - 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.
American Family Physician : Medicine by the Numbers
https://www.aafp.org/afp/2016/0701/od1.html
Common Occupational Disorders: Asthma, COPD, Dermatitis, and Musculoskeletal Disorders ...
Jun 15, 2016 - An occupational illness is an event or exposure that occurs in the workplace that causes or contributes to a condition or worsens a preexisting condition. If an occupational disorder is suspected, a directed history should be taken with particular attention to establishing a temporal ...
American Family Physician : Article
https://www.aafp.org/afp/2016/0615/p1000.html
Chondroitin/Glucosamine Equal to Celecoxib for Knee Osteoarthritis - POEMs - American ...
Jun 15, 2016 - or patients with painful knee osteoarthritis, a high-dose combination of glucosamine hydrochloride (1,500 mg) and chondroitin (1,200 mg) was as effective in lessening pain and stiffness and improving function as celecoxib (200 mg). Other studies have not found benefit.
American Family Physician : POEMs
https://www.aafp.org/afp/2016/0615/p1032.html
Nonoperative Management of Cervical Radiculopathy - American Family Physician
May 1, 2016 - Cervical radiculopathy describes pain in one or both of the upper extremities, often in the setting of neck pain, secondary to compression or irritation of nerve roots in the cervical spine. It can be accompanied by motor, sensory, or reflex deficits and is most prevalent in persons 50 ...
American Family Physician : Article
https://www.aafp.org/afp/2016/0501/p746.html
Hyaluronic Acid Equivalent to Sham Injections in Patients with Knee DJD - POEMs - ...
Apr 15, 2016 - The highest quality studies, which are now fairly plentiful, show that hyaluronic acid injections are only minimally better than sham injections in improving pain and function in patients with knee DJD.
American Family Physician : POEMs
https://www.aafp.org/afp/2016/0415/p704.html
Pilates for the Treatment of Low Back Pain - Cochrane for Clinicians - American Family ...
Apr 1, 2016 - There is low- to moderate-quality evidence that Pilates exercises taught by certified instructors improve pain and reduce disability in patients with chronic low back pain. It is unclear whether a Pilates regimen is superior to other exercise plans for the treatment of low back pain. ...
American Family Physician : Cochrane for Clinicians
https://www.aafp.org/afp/2016/0401/p556.html
Naproxen Alone May Be Best for Acute Low Back Pain - POEMs - American Family Physician
Feb 15, 2016 - Naproxen alone is as effective as naproxen plus oxycodone/acetaminophen or naproxen plus cyclobenzaprine (Flexeril) in reducing pain and improving function in adults with acute musculoskeletal LBP without radicular symptoms. Adverse events were significantly more common in patients ...
American Family Physician : POEMs
https://www.aafp.org/afp/2016/0215/p316.html
Epidural Steroid Not Better Than Placebo Injection for Sciatica and Spinal Stenosis ...
Feb 15, 2016 - 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 ...
American Family Physician : POEMs
https://www.aafp.org/afp/2016/0215/p315a.html
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