Articles related to Neuromusculoskeletal Medicine & OMM
Hyaluronic Acid Injections for Knee Arthritis Ineffective, Surgery for Meniscal Tears Noninferior to PT, Studies Find
The knee arthritis meta-analysis reviewed 169 trials involving 21,163 patients, with the evidence demonstrating viscosupplementation is associated with a clinically irrelevant reduction in pain intensity and with an increased risk of serious adverse events compared with placebo. For the meniscus study, the commentary may sum it up best: “Multiple studies, including several with sham surgeries as a control have shown repeatedly over the previous 2 decades that surgery is not superior to physical therapy, yet the issue and use of surgery persist.”
Family Medicine/General Practice July 19th 2022
MMA Fighting Linked to Increased White Matter Hyperintensity Volume in Brain
MRI data were evaluated on 92 active professional mixed martial arts fighters to understand the effects of sparring on white matter and regional brain volumes. The researchers found a “very strong significant association between the amount of sparring per week and white matter hyperintensity volume and bilateral caudate size.” According to one of the authors of the study, Aaron I. Esagoff, BS, a medical student at Johns Hopkins University School of Medicine and intern with the FDA: “The white matter hyperintensities might indicate some damage that comes with sparring. But the larger bilateral caudate compared to individuals who spar less might indicate a protective effect.”
Neurology June 7th 2022
How Common are Neuromuscular Disorders Following COVID-19 Vaccination?
The studies described in Acta Neurologica Belgica assess eight patients who developed a new-onset neuromuscular disorder following COVID-19 vaccination. “These various presentations strengthen the association between COVID-19 vaccination and particular GBS phenotypes,” the researchers noted.
Neurology June 6th 2022
Mortality and Morbidity in Mild Primary Hyperparathyroidism: Results From a 10-Year Prospective Randomized Controlled Trial of Parathyroidectomy Versus Observation
Primary hyperparathyroidism (PHPT) is associated with increased risk for fractures, cardiovascular disease, kidney disease, and cancer, along with increased mortality. In mild PHPT with modest hypercalcemia and without known morbidities, parathyroidectomy is debated because no long-term randomized trials have been performed related to it.
Cardiology April 27th 2022
Risk for Shoulder Conditions After Vaccination: A Population-Based Study Using Real-World Data
Given the high burden of shoulder conditions, clinicians should pay attention to any factors that may further increase risks. This study found a low incidence of shoulder issues following vaccination in the deltoid muscle but does delineate population at higher risk for developing these issues.
Family Medicine/General Practice March 29th 2022
CDC Proposes to Roll Back Restrictions Previously Recommended for Prescribing Opioids
The CDC has released updated guidelines for prescribing opioids. The newest guidelines focus on patient-centered decisions and reduce some limitations on prescribing that were put in place back in 2016. The updated guidance recognizes the ongoing increase in opioid-related deaths, but seeks to give physicians and patients more direction in managing individual therapy.
Anesthesiology February 15th 2022