Epidural steroid injections turned deadly raise pointed controversy over poor oversight of compounding pharmacies. But tainted or not, are the injections a valid therapy for back pain at all? Here, one expert’s opinion.
There is some evidence for counseling patients with chronic pain about their intake of specific types of foods. Polyunsaturated fatty acids, polyamines, and foods rich in flavonoids are discussed here.
When is it time to refer your patient with low back pain to a specialist for possible spine surgery? How long should you give conservative measures a try? What symptoms signal the need for urgent care? In this video, an expert addresses these and other pressing questions.
The Alliance for Rational Use of NSAIDs has been launched to inform health care professionals, patients, and the public about using NSAID therapy safely and appropriately and balancing the benefits and risks.
Reliable predictors of pain were identified by surveying hospital patients throughout their stays about the severity of their pain and their levels of satisfaction with how their pain was managed by hospital staff.
Patients often worry that low back pain indicates serious injury or disease that may rapidly progress. However, most acute back pain improves significantly within a month of onset and requires little treatment apart from OTC analgesics and sometimes heat.
ABSTRACT: Osteoarthritis (OA) was considered a disease of articular
cartilage but now is thought to involve the entire joint. Research findings
have helped improve the understanding of disease progression
and the strategies used to alter the disease course. There is no laboratory
or pathological... More »
Opioid analgesics provide effective treatment for noncancer
pain, but many physicians have concerns about adverse effects,
tolerance, and addiction. Misuse of these drugs is prominent
in patients with chronic pain. Recognition and early prevention of
misuse helps physicians identify the causes... More »
ABSTRACT: Physicians treating patients with fibromyalgia syndrome
(FMS) should rule out coexisting disorders and establish possible inducing
factors. They can work with patients to address their symptoms
by providing patient education, instilling a sense of self-worth,
advising avoidance of... More »
Low back pain (LBP) is a major public health problem and a common reason for patient visits to a primary care physician. A pathoanatomically precise diagnosis cannot be made in most patients, and the primary care physician typically has only limited time to conduct a complete examination. A... More »
Shin pain is a common complaint in runners and other
active patients. Making a diagnosis can be difficult because the differential
is broad and symptoms may overlap. Palpation is an important
part of the physical examination. The primary presenting
symptom in medial tibial stress syndrome, or... More »
New formulations of several opioids were introduced during the past year. This month's column reviews current recommendations for the use of these medications and how they compare with previously available opioids. More »
Highlights from the International Headache Congress are presented by Stephen D. Silberstein, MD, professor of neurology at Jefferson Medical College and director of the headache center at Thomas Jefferson University, Philadelphia, as well as chair of the congress organizing committee.
Purpose: Mechanical low back pain is common in the pediatric population; recent studies have shown that undiagnosed mechanical low back pain (UMLBP) is the most common cause of low back pain presenting in adolescents, accounting for up
Background: There are contradictory reports on the overall prevalence of back pain in the adolescent population compared with adolescent idiopathic scoliosis (AIS) patients. Most reports do not investigate pain in patients with AIS but tr
Objectives: To assess the magnitude of management delay of pediatric malignant spinal cord compression (MSCC). Methods: Twenty-four patients with MSCC were recruited from 3 Egyptian pediatric oncology centers and assessed for MSCC clinical present
Background: The aim of this study was to investigate if an association existed between the reflected head of rectus femoris avulsion injuries and labral tears in pediatric patients referred for magnetic resonance arthrography (MRA) or ma
Additional components of societal burden omitted from our study include intangibles from pain and suffering, resources from care provided by nonpaid caregivers, and the burden associated with undiagnosed diabetes.
Commentary on: JenningsPA, Cameron P, Bernard S, et al.. Morphine and ketamine is superior to morphine alone for out-of-hospital trauma analgesia: a randomized controlled trial. Ann Emerg Med2012;59:497–503.
Although the relationship between psychosocial workplace conditions and musculoskeletal problems has been extensively studied, the causal impact of psychosocial workplace factors in the development of musculoskeletal problems remains unclear. The purpose of the present study was to conduct a systematic review of baseline-adjusted prospective longitudinal studies estimating the lagged effect of psychosocial risk factors on musculoskeletal problems in industrialized work settings. A literature review was conducted by searching the MEDLINE, EMBASE, and PsychINFO databases dated until August 2009. The authors classified studies into categories of psychological work stressors and musculoskeletal problems. Available effect sizes were converted to odds ratios (OR). ORs were then pooled for each stressor-problem relationship using a random-effects model. Additionally, the possibility of publication bias was assessed with the Duval and Tweedie nonparametric "trim and fill" procedure. In total,
To update the 2005 Cancer Care Ontario practice guidelines for the diagnosis and treatment of adult patients with a suspected or confirmed diagnosis of extradural malignant spinal cord compression (MESCC).|A review and analysis of data published from January 2004 to May 2011. The systematic literature review included published randomized control trials (RCTs), systematic reviews, meta-analyses, and prospective/retrospective studies.|An RCT of radiation therapy (RT) with or without decompressive surgery showed improvements in pain, ambulatory ability, urinary continence, duration of continence, functional status, and overall survival. Two RCTs of RT (30 Gy in eight fractions vs. 16 Gy in two fractions; 16 Gy in two fractions vs. 8 Gy in one fraction) in patients with a poor prognosis showed no difference in ambulation, duration of ambulation, bladder function, pain response, in-field failure, and overall survival. Retrospective multicenter studies reported that protracted RT schedules
Five Steps to Improving Patient Access Judy Capko, May 21, 2013 Patient access is getting increased attention through reform initiatives. Here are five steps you can take to make sure patients get appropriate access to care in your office.