Facebook Twitter Instagram Youtube
CONTACT
LEARNING PORTAL
LEARNING PORTAL

LASportsAndSpine

The catastrophization effects of an MRI report on the patient and surgeon and the benefits of ‘clinical reporting’: results from an RCT and blinded trials – PubMed

MRI is not risk free “Inappropriate use of MRI leads to increasing interventions and surgeries for low back pain (LBP).” Those receiving it w/ a standard report describing often False + findings as the single cause of symptoms “had a more negative perception of their spinal condition, increased catastrophization, decreased pain improvement, and poorer functional … Read moreThe catastrophization effects of an MRI report on the patient and surgeon and the benefits of ‘clinical reporting’: results from an RCT and blinded trials – PubMed

Benefits and Harms of Interventions With Surgery Compared to Interventions Without Surgery for Musculoskeletal Conditions: A Systematic Review With Meta-analysis | Journal of Orthopaedic & Sports Physical Therapy

“Musculoskeletal (MSK) conditions affect around 1.5 billion people worldwide, with low back pain, neck pain, and osteoarthritis (OA) being some of the most common contributors to disability.” “MSK conditions are the second most common indication for surgery worldwide.” “In only 14% of trials of common MSK conditions comparing surgery to placebo surgery, nonsurgical intervention, or … Read moreBenefits and Harms of Interventions With Surgery Compared to Interventions Without Surgery for Musculoskeletal Conditions: A Systematic Review With Meta-analysis | Journal of Orthopaedic & Sports Physical Therapy

Gabapentin and Pregabalin for Pain — Is Increased Prescribing a Cause for Concern? | NEJM

Warning – inappropriate use of Gabapentin is following in the wake of the opiate crisis. “Postmortem toxicology tests detected gabapentin in almost 1 in 10 US overdose deaths between 2019 and 2020.” “The Food and Drug Administration (FDA) has approved gabapentinoids for the treatment of postherpetic neuralgia (gabapentin and pregabalin), fibromyalgia (pregabalin), and neuropathic pain … Read moreGabapentin and Pregabalin for Pain — Is Increased Prescribing a Cause for Concern? | NEJM

One of the most powerful papers ever written in our field IMO…

One of the most powerful papers ever written in our field IMO #Excessive_Imaging_for_Musculoskeletal_Problems #Overutilization_of_Surgery #Low_Back_Problems_and_Sciatica “We performed MRI examinations on 98 asymptomatic people. The scans were read independently by two neuroradiologists who did not know the clinical status of the subjects. To reduce the possibility of bias in interpreting the studies, abnormal MRI scans from … Read moreOne of the most powerful papers ever written in our field IMO…

The rise and (sort of) fall of glucosamine – Rheuma

“The American College of Rheumatology…in its 2019 guideline: “Glucosamine is strongly recommended against in patients with knee, hip, and/or hand OA.” Studies that showed an effect were often sponsored by industry, it said, and those with least bias didn’t show any advantage over a placebo.” “The Australian Rheumatology Association and Arthritis Australia have both said … Read moreThe rise and (sort of) fall of glucosamine – Rheuma

Tremendously valuable resource that should guide, reassure, reactivate, & em…

Tremendously valuable resource that should guide, reassure, reactivate, & empower people who suffer bothersome neck issues. Most importantly is the self-management advice. #Neck_and_Headache The Guide to Neck Pain In 2021 I took about a nine month deep dive into the topic of neck pain. Here are my major takeaways based on the current totality of … Read moreTremendously valuable resource that should guide, reassure, reactivate, & em…

Objective…

Objective To determine how much evaluation components explain shoulder function. (1) evaluation components from physical exam (2) psychological factors (eg catastrophizing) (3) magnetic resonance imaging (MRI) Results ✅ Pain catastrophizing was the best variable in the model explaining at least 10% of the Disabilities of the Arm, Shoulder, and Hand (DASH) disability questionnaire variance ✅ … Read moreObjective…

From Chiropractic educator Paul McCambridge…

From Chiropractic educator Paul McCambridge “”Dr Google” for back pain information ???‍⚕️ Is it any good? ? This study completed Google searches in ways almost identical ? to a search done by a lay individual looking ? for information about back pain on google. ?? The aim was to see if the website back pain … Read moreFrom Chiropractic educator Paul McCambridge…

Shoulder MRI Findings in People with NO Shoulder Pain: Are Some Tears “Normal” – Howard J. Luks, MD

”Many patients who hear the word “tear”, think (understandably) that must mean that it is abnormal and often choose to have the tear fixed when their physician recommends it. It sounds logical.. no? Unfortunately, many of your parts in your body wear out. They fray, they tear and those findings frequently mean nothing. Most of … Read moreShoulder MRI Findings in People with NO Shoulder Pain: Are Some Tears “Normal” – Howard J. Luks, MD

Best and worst labels for low back pain • The Medical Republic

“We have to be super careful about the way we label people with back pain because it can have an enduring influence on their health trajectory,” Professor O’Sullivan said. “For the right patients, non-threatening labels can facilitate a much more evidence-based, less invasive approach to care.” “This may suggest that what may be a benign … Read moreBest and worst labels for low back pain • The Medical Republic

© 2022 First Principles of Movement