LASportsAndSpine“Striking the right balance between innovation and regulation is incredibly difficult, but once remedies are in use — even in the face of contrary evidence — they tend to persist.” “For all the truly wondrous developments of modern medicine — imaging technologies that enable precision surgery, routine organ transplants, care that transforms premature infants into … Read moreWhen Evidence Says No, But Doctors Say Yes — ProPublica
The key to resilence might be reassurance that hurt = alarm but not harm. Followed by gradual reactivation to achieve the WHO activity guidelines of 150 m/week moderate activity plus 2x/week resistance training. If you want you’re body to feel better feel you’re body move better. #Healthy_Aging #The_Inactivity_Crisis #Mindfulness https://www.washingtonpost.com/…/27/our-dangerous-fear-pain/ Perspective | Our dangerous fear … Read morePerspective | Our dangerous fear of pain
Most meniscus surgeries have been debunked by scientific evidence When patients choose wisely: empowering patients with evidence to resist low-value care� Anneliese Synnot and David Synnot A few months ago I received a text message from mum that made my heart sink: “Dad’s been diagnosed with a torn knee meniscus. We’re seeing the surgeon about … Read moreWhen patients choose wisely: empowering patients with evidence to resist low-value care – The BMJ
If you’ve been told you are “bone on bone” or have no cartilage or it’s irreversible & knee joint replacement surgery be skeptical. It may be true but it isn’t a fait accompli “37% of the subjects had an improvement (≥1-point decrease) in cartilage defect score in any knee compartment during 2.3 years” “Studies suggest … Read moreIf you’ve been told you are “bone on bone” or have no cartilage or it’s irrevers…
Musculoskeletal healthcare: Have we over‐egged the pudding? Christopher G. Maher Mary O'Keeffe Rachelle Buchbinder I. A. Harris https://onlinelibrary.wiley.com/…/f…/10.1111/1756-185X.13710 Specialization_and_Youth_Sports_Injuries #Excessive_Imaging_for_Musculoskeletal_Problems #Overutilization_of_Surgery #Low_Back_Problems_and_Sciatica #Neck_and_Headache Musculoskeletal healthcare: Have we over‐egged the pudding? Click on the article title to read more. View original post on FB Posted to FB on 2019-11-21 22:35:28
Hip/groin morphology does not correlate well with symptoms #Excessive_Imaging_for_Musculoskeletal_Problems#Overutilization_of_Surgery#Hip_and_Groin View original post on FB Posted to FB on 2019-11-06 16:54:47
“Degenerative disc disease is a commonly used term to diagnose an age-related condition that happens when one or more of the discs between the vertebrae of the spinal column changes shape and size,” says Elaine Lonnemann, president of AAOMPT. “These changes are a normal process of aging and not linked to a disease. The use … Read moreaaompt.org
“physically active older adults had better physical function and frailty profiles than those considered physically inactive, even in the presence of high sedentary time.” “Lower sedentary levels were associated with decreased frailty in physically inactive participants.” “our results highlight the relevance of light-intensity physical activity for inactive older adults” https://bmcgeriatr.biomedcentral.com/…/10…/s12877-019-1284-y #Healthy_Aging #The_Inactivity_Crisis Dose-response association between … Read moreDose-response association between physical activity and sedentary time categories on ageing biomarkers
“..there is no strong evidence ACL surgery works any better than not doing surgery. Many people do fine without an ACL and don’t need surgery at all.” #Kneehttps://www.smh.com.au/national/should-you-repair-a-torn-acl-that-s-a-surprisingly-tricky-question-20191019-p53282.html Should you repair a torn ACL? That’s a surprisingly tricky question Perth Glory’s Dino Djulbic tore the anterior cruciate ligament in his right knee and under five … Read moreShould you repair a torn ACL? That’s a surprisingly tricky question
“corticosteroid shots in the hips and knees may accelerate the progression of osteoarthritis and potentially even hasten the need for joint replacement surgeries in the long run, said lead author Dr. Ali Guermazi, a professor of radiology at the Boston University School of Medicine.” https://www.nbcnews.com/…/common-joint-pain-treatment-may-b… #Healthy_Aging #Excessive_Imaging_for_Musculoskeletal_Problems #Management_of_Tendonopathy_and_Overuse_Injuries #Overutilization_of_Surgery #Hip_and_Groin #Knee This common therapy for … Read moreThis common therapy for joint pain may do more harm than good
