Search results for "Low back pain"
Latest updates on ACP's priorities, initiatives
ACP Spotlight offers readers a look at ACP's current top priorities and initiatives, as well as highlights from our e-newsletter, ACP Internist Weekly.
https://immattersacp.org/archives/2020/10/latest-updates-on-acps-priorities-initiatives.htm
1 Oct 2020
For back pain, early MRI didn't help, early physical therapy did, studies find
A retrospective study found worse outcomes in patients who received an MRI within six weeks of a visit for back pain, while a randomized trial found that early physical therapy for sciatica resulted in better outcomes than a wait-and-see approach.
https://immattersacp.org/weekly/archives/2020/10/06/5.htm
6 Oct 2020
ACP launches new pain management learning hub
The series consists of seven core evidence-based and patient-centered modules and two sets of case studies. Up to 23 hours of CME/MOC credit are available, free to ACP members.
https://immattersacp.org/weekly/archives/2021/04/13/4.htm
13 Apr 2021
Little evidence exists to support antispasmodics for low back pain
According to a new systematic review, the effects of nonbenzodiazepine antispasmodics on low back pain are likely not great enough to be clinically important, and the drugs could increase the risk of an adverse event.
https://immattersacp.org/weekly/archives/2021/07/13/4.htm
13 Jul 2021
MKSAP Quiz: 4-week history of lower extremity weakness
A 52-year-old man is evaluated for 4-week history of left lower extremity weakness that began with tripping on the left foot. He now must lift his knee to clear his foot off the ground. He reports no pain but has mild tingling on the lateral border of his left foot. Following a physical exam, lab test, and electromyogram, what is the most appropriate next step in management?
https://immattersacp.org/weekly/archives/2022/01/18/3.htm
18 Jan 2022
Adding psychological interventions to physical therapy for low back pain may boost effectiveness
The authors of a new systematic review urge clinicians to consider strategies that promote both structured exercise and psychological interventions, such as pain education, for patients with chronic, nonspecific low back pain.
https://immattersacp.org/weekly/archives/2022/04/05/4.htm
5 Apr 2022
MKSAP Quiz: Evaluation for low back pain
A 47-year-old man is evaluated for low back pain. The pain began 5 days ago while he was playing basketball. It is localized to the lumbar back and does not radiate. The patient is unable to sit or stand for long periods, but the pain improves when lying down. After a physical exam, what is the most appropriate next step in management?
https://immattersacp.org/weekly/archives/2022/05/17/4.htm
17 May 2022
MKSAP Quiz: Hospitalization for shortness of breath
A 43-year-old man is hospitalized for shortness of breath, tingling in the extremities, and weakness. Three weeks ago, he had watery diarrhea that lasted 5 days. He reports no travel and no sexual contact in the past year. Following a physical and neurological exam, what is the most likely cause of this patient's neurologic syndrome?
https://immattersacp.org/weekly/archives/2022/06/07/3.htm
7 Jun 2022
No easy ‘off switch’ for low back pain
There's no easy way to cure low back pain, but recommending a mix of therapies along with a dose of reassurance can often provide patients a measure of relief.
https://immattersacp.org/archives/2022/11/no-easy-off-switch-for-low-back-pain.htm
1 Nov 2022
Mixing and matching can work for back pain
This issue details management of back pain, a forum on monkeypox, and pearls about diagnosing delirium.
https://immattersacp.org/archives/2022/11/mixing-and-matching-can-work-for-back-pain.htm
1 Nov 2022