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Shoulder Osteoarthritis: Diagnosis and Management - American Family Physician

Sep 1, 2008 - Osteoarthritis of the shoulder is a gradual wearing of the articular cartilage that leads to pain and stiffness. As the joint surface degenerates, the subchondral bone remodels, losing its sphericity and congruity. The joint capsule also becomes thickened, leading to further loss of ...

American Family Physician : Article

Choosing a Skeletal Muscle Relaxant - American Family Physician

Aug 1, 2008 - Skeletal muscle relaxants are widely used in treating musculoskeletal conditions. However, evidence of their effectiveness consists mainly of studies with poor methodologic design. In addition, these drugs have not been proven to be superior to acetaminophen or nonsteroidal ...

American Family Physician : Article

Arthroscopic Surgery for Knee Osteoarthritis - Cochrane for Clinicians - American ...

Aug 1, 2008 - Compared with other modalities of treatment such as sham surgery, joint lavage, and joint washout, arthroscopic debridement does not improve outcomes for patients with osteoarthritis of the knee.

American Family Physician : Cochrane for Clinicians

Antidepressants to Treat Nonspecific Low Back Pain - Cochrane for Clinicians - American...

Jul 1, 2008 - Although antidepressants have been shown to be superior to placebo in some forms of chronic pain, they do not reduce pain or improve functional status or depression in patients with nonspecific low back pain.

American Family Physician : Cochrane for Clinicians

ACP Guidelines for the Diagnosis and Treatment of Low Back Pain - Practice Guidelines -...

Jun 1, 2008 - To address the issue of the evaluation and management of low back pain, the American College of Physicians (ACP) created a guideline consisting of seven key recommendations for diagnosing and treating low back pain in the primary care setting.

American Family Physician : Practice Guidelines

Osteoarthritis of the Knee - Clinical Evidence Handbook - American Family Physician

Apr 15, 2008 - What are the effects of nonsurgical and surgical treatments for osteoarthritis of the knee?

American Family Physician : Clinical Evidence Handbook

Chronic Shouler Pain Part I: Evaluation and Diagnosis - American Family Physician

Feb 15, 2008 - Shoulder pain is defined as chronic when it has been present for longer than six months. Common conditions that can result in chronic shoulder pain include rotator cuff disorders, adhesive capsulitis, shoulder instability, and shoulder arthritis. Rotator cuff disorders include ...

American Family Physician : Article

Chronic Shoulder Pain: Part II. Treatment - American Family Physician

Feb 15, 2008 - Chronic shoulder pain is a common problem in the primary care physician's office. Effective treatment depends on an accurate diagnosis of the more common etiologies: rotator cuff disorders, adhesive capsulitis, acromioclavicular osteoarthritis, glenohumeral osteoarthritis, and ...

American Family Physician : Article

Long-term PPI Therapy and the Risk of Hip Fracture - AFP Journal Club - American Family...

Feb 1, 2008 - Does the long-term use of PPIs increase the risk of hip fracture? The physician must balance the risks and benefits of PPIs, especially in certain patients.

American Family Physician : AFP Journal Club

Dietary Supplements for Osteoarthritis - American Family Physician

Jan 15, 2008 - A large number of dietary supplements are promoted to patients with osteoarthritis and as many as one third of those patients have used a supplement to treat their condition. Glucosamine-containing supplements are among the most commonly used products for osteoarthritis. Although the ...

American Family Physician : Article

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

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

The Physical Therapy Prescription - American Family Physician

Dec 1, 2007 - Numerous guidelines recommend physical therapy for the management of musculoskeletal conditions. However, specific recommendations are lacking concerning which exercises and adjunct modalities to use. Physical therapists use various techniques to reduce pain and improve mobility and ...

American Family Physician : Article

NSAIDs vs. Acetaminophen for the Treatment of Ankle Sprains - AFP Journal Club - ...

Dec 1, 2007 - Are NSAIDs better than acetaminophen for ankle sprains? Extended-release acetaminophen provides equivalent analgesia and return to activity as an NSAID in patients with mild to moderate ankle sprains. All NSAIDs have equivalent analgesic effect.

American Family Physician : AFP Journal Club

AAP Releases Recommendations on Overuse Injuries and Overtraining in Child Athletes - ...

Dec 1, 2007 - The American Academy of Pediatrics (AAP) recently released guidelines to assist in identifying and counseling children at risk of overuse injuries and overtraining syndrome.

American Family Physician : Practice Guidelines

Temporomandibular Joint Disorders - American Family Physician

Nov 15, 2007 - Temporomandibular joint disorders are common in adults; as many as one third of adults report having one or more symptoms, which include jaw or neck pain, headache, and clicking or grating within the joint. Most symptoms improve without treatment, but various noninvasive therapies may ...

American Family Physician : Article

Nonspecific Low Back Pain and Return to Work - American Family Physician

Nov 15, 2007 - As many as 90 percent of persons with occupational nonspecific low back pain are able to return to work in a relatively short period of time. As long as no

American Family Physician : Article

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

Diagnosis and Management of Metatarsal Fractures - American Family Physician

Sep 15, 2007 - Patients with metatarsal fractures often present to primary care settings. Initial evaluation should focus on identifying any conditions that require emergent referral, such as neurovascular compromise and open fractures. The fracture should then be characterized and treatment ...

American Family Physician : Article

Treatment of Lateral Epicondylitis - American Family Physician

Sep 15, 2007 - Lateral epicondylitis is a common overuse syndrome of the extensor tendons of the forearm. It is sometimes called tennis elbow, although it can occur with many activities. The condition affects men and women equally and is more common in persons 40 years or older. Despite the prevalence...

American Family Physician : Article

Current Understanding of Tendinopathies and Treatment Options - Editorials - American ...

Sep 15, 2007 - Advertisement << Previous article Next article >> Sep 15, 2007 Issue Editorials Current Understanding of Tendinopathies and Treatment Options CARRIE A. JAWORSKI, MD, Resurrection Medical Center, Chicago, Illinois Am Fam Physician. 2007 Sep 15;76(6):773-774. Related Article Overuse...

American Family Physician : Editorials

Common Problems in Endurance Athletes - American Family Physician

Jul 15, 2007 - Endurance athletes alternate periods of intensive physical training with periods of rest and recovery to improve performance. An imbalance caused by overly intensive training and inadequate recovery leads to a breakdown in tissue reparative mechanisms and eventually to overuse injuries....

American Family Physician : Article

Predicting Hip Fracture Risk in Older Women - Point-of-Care Guides - American Family ...

Jul 15, 2007 - Approximately one in six women will have a hip fracture during her lifetime, and approximately one in 35 of all women will die of complications from hip fracture.

American Family Physician : Point-of-Care Guides

Dupuytren's Disease: Diagnosis and Treatment - American Family Physician

Jul 1, 2007 - Dupuytren's disease is a progressive condition that causes the fibrous tissue of the palmar fascia to shorten and thicken. The disease is common in men older than 40 years; in persons of Northern European descent; and in persons who smoke, use alcohol, or have diabetes. Patients present...

American Family Physician : Article

Evaluation and Treatment of Acute Low Back Pain - American Family Physician

Apr 15, 2007 - Acute low back pain with or without sciatica usually is self-limited and has no serious underlying pathology. For most patients, reassurance, pain medications, and advice to stay active are sufficient. A more thorough evaluation is required in selected patients with

American Family Physician : Article

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