Search results for "Osteoarthritis"
Intra-articular steroid injections not warranted for knee osteoarthritis, study suggests
Cartilage volume loss was significantly greater in the triamcinolone group than in the placebo group, and there was no significant difference in pain between groups.
https://immattersacp.org/weekly/archives/2017/05/23/4.htm
23 May 2017
MKSAP Quiz: 8-year history of joint pain
A 50-year-old man is evaluated for an 8-year history of joint pain, particularly in the hands, and progressively worsening fatigue. Medical history is otherwise unremarkable. He takes ibuprofen as needed. There are swelling and tenderness of the second and third metacarpophalangeal (MCP) joints bilaterally, and tenderness but no swelling of the fourth and fifth MCP joints bilaterally. There is bony hypertrophy of the first MCP joints and knees bilaterally. The proximal interphalangeal joints and wrists are normal. Following a physical exam, lab studies, and a radiograph, what is the most appropriate diagnostic test to perform next?
https://immattersacp.org/archives/2017/05/mksap.htm
1 May 2017
New gout guidelines and 'treat to target'
Guidelines by ACP and by rheumatology societies disagree on the treat-to-target approach to therapy.
https://immattersacp.org/archives/2017/04/gout.htm
1 Apr 2017
MKSAP quiz: 3-month history of right hip pain
A 79-year-old man is evaluated for a 3-month history of right hip pain. He points to the center of his right buttock when asked to identify the location of the pain. He has no radicular symptoms. He reports no focal trauma but believes his symptoms began after he stepped off a curb that was higher than anticipated. Medical history is otherwise unremarkable. His only medication is as-needed acetaminophen for pain. Following a physical exam, what is the most likely diagnosis?
https://immattersacp.org/weekly/archives/2017/03/14/3.htm
14 Mar 2017
Telemedicine program associated with improvement in chronic knee pain
An accompanying editorial noted limitations in the study but called results encouraging and said they show that “‘telemedicine’ is clearly ready for prime time.”
https://immattersacp.org/weekly/archives/2017/02/28/1.htm
28 Feb 2017
MKSAP Quiz: evaluation for progressive left knee pain
A 34-year-old man is evaluated for progressive left knee pain. The pain causes difficulty with his work as a mail carrier, particularly when walking. His occupation does not require repetitive bending. He played football in college and experienced left knee trauma during sports participation; he underwent left meniscectomy and stopped playing sports. His mother has osteoarthritis of the hands that developed at age 65 years. Following a physical exam and radiographs, what is the most likely cause of this patient's left knee osteoarthritis?
https://immattersacp.org/weekly/archives/2016/10/04/3.htm
4 Oct 2016
Exercise appears as effective as surgery for middle-aged patients with meniscal tear
At 3 months, muscle strength had improved more in the exercise group than in the surgery group, and there was no clinically relevant difference in knee pain, other symptoms, function in sport and recreation, and knee-related quality of life, researchers found.
https://immattersacp.org/weekly/archives/2016/07/26/1.htm
26 Jul 2016
Specialized footwear associated with no additional benefit versus conventional footwear for knee osteoarthritis pain
At 6 months, change in pain and function did not differ between those assigned to specialized footwear or those assigned to conventional walking shoes. Global improvements in pain were seen in 54% of participants, and global improvements in function were seen in 44% to 48%.
https://immattersacp.org/weekly/archives/2016/07/12/1.htm
12 Jul 2016
4 steps to managing osteoarthritis pain in the elderly
Weight loss and nutritional counseling should be the first step, while opioids are always and only a last resort.
https://immattersacp.org/archives/2016/07/osteoarthritis.htm
1 Jul 2016
Internal Medicine Meeting 2016 goes to Washington
This issue covers topics such as the proper way to do a neurological workup, recently approved forms of insulin, and how to address nonalcoholic fatty liver disease.
https://immattersacp.org/archives/2016/07/editors.htm
1 Jul 2016