Articles related to ORTHOPEDIC MEDICINE
Nonopioids Effective for Acute Low Back Pain, Review Finds
In this extensive meta-analysis, myorelaxants, NSAIDS, and NSAIDs plus acetaminophen were all effective at one week in improving comfort and activity in sufferers of acute low back pain. NSAIDs plus acetaminophen were more effective than either drug class alone.
Family Medicine/General Practice March 8th 2023
High- vs. Low-Dose Exercise Therapy for Knee Osteoarthritis
A 12-month controlled trial randomized 189 individuals to spend 70–90 minutes performing 11 exercises or 20–30 minutes performing 5 exercises for 3 months. Outcomes were measured biweekly for the intervention period and again at 6 and 12 months. The two approaches were similar, except for one outcome. In the Knee Injury and Osteoarthritis Outcome Score for function in sports and recreation, high-dose therapy was superior.
Family Medicine/General Practice February 8th 2023
The New England Journal of Medicine
Aspirin or Low-Molecular-Weight Heparin for Thromboprophylaxis After a Fracture
In this study, more than 12,000 patients 18 years and older with hospitalization for extremity fracture were randomized to LWMH or aspirin. Rates of DVT were 1.7% and 2.5%, respectively. PE, bleeding complications, and other SAEs were similar across groups. Death occurred in 0.73% and 0.78% respectively for LWMH and aspirin.
Hematology January 25th 2023
3 Physical Exam Pearls for Patients with Pain
Use of Carnett sign, greater trochanter palpation, and a simple extension to typical joint examination can reduce imaging and orthopedic referrals by primary care physicians and bring faster effective treatment to the patient.
Family Medicine/General Practice January 19th 2023
Effect of Diet and Exercise on Knee Pain in Patients with Osteoarthritis and Overweight or Obesity
In a study of more than 800 rural-living men and women with knee osteoarthritis, an 18-month program of diet and exercise versus attention control yielded an average 14-pound greater weight loss in the test group – but not much difference in pain magnitude.
Family Medicine/General Practice January 5th 2023
Perioperative Gabapentin Use and In-Hospital Adverse Clinical Events Among Older Adults After Major Surgery
Gabapentin has been increasingly used as part of a multimodal analgesia regimen to reduce opioid use in perioperative pain management. In this cohort study of 237,872 adults aged 65 years or older, perioperative gabapentin users had significantly increased risk of delirium, new antipsychotic use, and pneumonia compared with nonusers after major surgery.
Anesthesiology October 3rd 2022