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Chronic Low Back Pain: Evaluation and Management - American Family Physician

Jun 15, 2009 - Chronic low back pain is a common problem in primary care. A history and physical examination should place patients into one of several categories: (1) nonspecific low back pain; (2) back pain associated with radiculopathy or spinal stenosis; (3) back pain referred from a nonspinal ...

American Family Physician : Article

https://www.aafp.org/afp/2009/0615/p1067.html

Common Acute Hand Infections - American Family Physician

Dec 1, 2003 - Hand infections can result in significant morbidity if not appropriately diagnosed and treated. Host factors, location, and circumstances of the infection are important guides to initial treatment strategies. Many hand infections improve with early splinting, elevation, appropriate ...

American Family Physician : Article

https://www.aafp.org/afp/2003/1201/p2167.html

Clavicle Fractures - American Family Physician

Jan 1, 2008 - Clavicle fractures are most common in children and young adults, typically occurring in persons younger than 25 years. Its superficial location, its thin midshaft, and the forces transmitted across it make the clavicle a common site for injury. The most common mechanism of injury is a ...

American Family Physician : Article

https://www.aafp.org/afp/2008/0101/p65.html

The Painful Shoulder: Part I. Clinical Evaluation. - American Family Physician

May 15, 2000 - Family physicians need to understand diagnostic and treatment strategies for common causes of shoulder pain. We review key elements of the history and physical examination and describe maneuvers that can be used to reach an appropriate diagnosis. Examination of the shoulder should ...

American Family Physician : Article

https://www.aafp.org/afp/2000/0515/p3079.html

Radiologic Evaluation of Chronic Neck Pain - American Family Physician

Oct 15, 2010 - For many years, there were no guidelines for evaluating patients with chronic neck pain. However, in the past 15 years, considerable research has led to recommendations regarding whiplash-associated disorders. This article summarizes the American College of Radiology Appropriateness ...

American Family Physician : Article

https://www.aafp.org/afp/2010/1015/p959.html

Evaluation and Management of Toe Fractures - American Family Physician

Dec 15, 2003 - Fractures of the toe are one of the most common lower extremity fractures diagnosed by family physicians. Toe fractures most frequently are caused by a crushing injury or axial force such as stubbing a toe. Joint hyperextension and stress fractures are less common. Most patients have ...

American Family Physician : Article

https://www.aafp.org/afp/2003/1215/p2413.html

Diagnostic Approach to Polyarticular Joint Pain - American Family Physician

Sep 15, 2003 - Identifying the cause of polyarticular joint pain can be difficult because of the extensive differential diagnosis. A thorough history and a complete physical examination are essential. Six clinical factors are helpful in narrowing the possible causes: disease chronology, inflammation, ...

American Family Physician : Article

https://www.aafp.org/afp/2003/0915/p1151.html

Gout: An Update - American Family Physician

Sep 15, 2007 - Arthritis caused by gout (i.e., gouty arthritis) accounts for millions of outpatient visits annually, and the prevalence is increasing. Gout is caused by monosodium urate crystal deposition in tissues leading to arthritis, soft tissue masses (i.e., tophi), nephrolithiasis, and urate ...

American Family Physician : Article

https://www.aafp.org/afp/2007/0915/p801.html

Evaluation of Back Pain in Children and Adolescents - American Family Physician

Dec 1, 2007 - Back pain is fairly prevalent in healthy children and adolescents. When children or adolescents seek medical care for back pain, it is highly likely that underlying pathology will be identified. Common causes of back pain include nonspecific pain or muscle strain, herniated disk, ...

American Family Physician : Article

https://www.aafp.org/afp/2007/1201/p1669.html

Treatment of Plantar Fasciitis - American Family Physician

Feb 1, 2001 - Plantar fasciitis is a common cause of heel pain in adults. The disorder classically presents with pain that is particularly severe with the first few steps taken in the morning. In general, plantar fasciitis is a self-limited condition. However, symptoms usually resolve more quickly ...

American Family Physician : Article

https://www.aafp.org/afp/2001/0201/p467.html

Cerebral Palsy: An Overview - American Family Physician

Jan 1, 2006 - The presentation of cerebral palsy can be global mental and physical dysfunction or isolated disturbances in gait, cognition, growth, or sensation. It is the most common childhood physical disability and affects 2 to 2.5 children per 1,000 born in the United States. The differential ...

American Family Physician : Article

https://www.aafp.org/afp/2006/0101/p91.html

Management of Acute Nasal Fractures - American Family Physician

Oct 1, 2004 - In cases of facial trauma, nasal fractures account for approximately 40 percent of bone injuries. Treatment in the primary care setting begins with evaluating the injury, taking an accurate history of the situation in which the injury occurred, and ascertaining how the face and nose ...

American Family Physician : Article

https://www.aafp.org/afp/2004/1001/p1315.html

Acute Lumbar Disk Pain: Navigating Evaluation and Treatment Choices - American Family ...

Oct 1, 2008 - Acute lumbar disk herniations are the most common cause of sciatica. After excluding emergent causes, such as cauda equina syndrome, epidural abscess, fracture, or malignancy, a six-week trial of conservative management is indicated. Patients should be advised to stay active. If ...

American Family Physician : Article

https://www.aafp.org/afp/2008/1001/p835.html

Evaluation of Patients Presenting with Knee Pain: Part II. Differential Diagnosis - ...

Sep 1, 2003 - Knee pain is a common presenting complaint with many possible causes. An awareness of certain patterns can help the family physician identify the underlying cause more efficiently. Teenage girls and young women are more likely to have patellar tracking problems such as patellar ...

American Family Physician : Article

https://www.aafp.org/afp/2003/0901/p917.html

Knee Joint Aspiration and Injection - American Family Physician

Oct 15, 2002 - Knee joint aspiration and injection are performed to aid in diagnosis and treatment of knee joint diseases. The knee joint is the most common and the easiest joint for the physician to aspirate. One approach involves insertion of a needle 1 cm above and 1 cm lateral to the superior ...

American Family Physician : Article

https://www.aafp.org/afp/2002/1015/p1497.html

Trigger Points: Diagnosis and Management - American Family Physician

Feb 15, 2002 - Trigger points are discrete, focal, hyperirritable spots located in a taut band of skeletal muscle. They produce pain locally and in a referred pattern and often accompany chronic musculoskeletal disorders. Acute trauma or repetitive microtrauma may lead to the development of stress on ...

American Family Physician : Article

https://www.aafp.org/afp/2002/0215/p653.html

Acute Ankle Sprain: An Update - American Family Physician

Nov 15, 2006 - Acute ankle injury, a common musculoskeletal injury, can cause ankle sprains. Some evidence suggests that previous injuries or limited joint flexibility may contribute to ankle sprains. The initial assessment of an acute ankle injury should include questions about the timing and ...

American Family Physician : Article

https://www.aafp.org/afp/2006/1115/p1714.html

Radiologic Evaluation of Chronic Foot Pain - American Family Physician

Oct 1, 2007 - Chronic foot pain is a common and often disabling clinical complaint that can interfere with a patient's routine activities. Despite careful and detailed clinical history and physical examination, providing an accurate diagnosis is often difficult because chronic foot pain has a broad ...

American Family Physician : Article

https://www.aafp.org/afp/2007/1001/p975.html

Fibromyalgia - American Family Physician

Jul 15, 2007 - Fibromyalgia is an idiopathic, chronic, nonarticular pain syndrome with generalized tender points. It is a multisystem disease characterized by sleep disturbance, fatigue, headache, morning stiffness, paresthesias, and anxiety. Nearly 2 percent of the general population in the United ...

American Family Physician : Article

https://www.aafp.org/afp/2007/0715/p247.html

Acute Knee Effusions: A Systematic Approach to Diagnosis - American Family Physician

Apr 15, 2000 - Knee effusions may be the result of trauma, overuse or systemic disease. An understanding of knee pathoanatomy is an invaluable part of making the correct diagnosis and formulating a treatment plan. Taking a thorough medical history is the key component of the evaluation. The most ...

American Family Physician : Article

https://www.aafp.org/afp/2000/0415/p2391.html

Diagnosis and Management of Scaphoid Fractures - American Family Physician

Sep 1, 2004 - Scaphoid fracture is a common injury encountered in family medicine. To avoid missing this diagnosis, a high index of suspicion and a thorough history and physical examination are necessary, because early imaging often is unrevealing. Anatomic snuffbox tenderness is a highly sensitive ...

American Family Physician : Article

https://www.aafp.org/afp/2004/0901/p879.html

Diagnostic and Therapeutic Injection of the Shoulder Region - American Family Physician

Mar 15, 2003 - The shoulder is the site of multiple injuries and inflammatory conditions that lend themselves to diagnostic and therapeutic injection. Joint injection should be considered after other therapeutic interventions such as nonsteroidal anti-inflammatory drugs, physical therapy, and ...

American Family Physician : Article

https://www.aafp.org/afp/2003/0315/p1271.html

The Abdominal Wall: An Overlooked Source of Pain - American Family Physician

Aug 1, 2001 - When abdominal pain is chronic and unremitting, with minimal or no relationship to eating or bowel function but often a relationship to posture (i.e., lying, sitting, standing), the abdominal wall should be suspected as the source of pain. Frequently, a localized, tender trigger point ...

American Family Physician : Article

https://www.aafp.org/afp/2001/0801/p431.html

Health-Related Concerns of the Female Athlete: A Lifespan Approach - American Family ...

Mar 15, 2009 - Exercise is beneficial for women of all ages and is associated with long-term health benefits and enhanced well-being. Nevertheless, active women and girls are at risk for conditions resulting from sports and exercise participation. Because of their unique physiology, children are more ...

American Family Physician : Article

https://www.aafp.org/afp/2009/0315/p489.html

Developmental Dysplasia of the Hip - American Family Physician

Oct 15, 2006 - Developmental dysplasia of the hip refers to a continuum of abnormalities in the immature hip that can range from subtle dysplasia to dislocation. The identification of risk factors, including breech presentation and family history, should heighten a physician's suspicion of ...

American Family Physician : Article

https://www.aafp.org/afp/2006/1015/p1310.html

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