Search results for "Osteoarthritis"
MKSAP Quiz: Perioperative evaluation for hip arthroplasty
A 52-year-old woman undergoes perioperative evaluation. She has osteoarthritis of the right hip since sustaining injuries in a motor vehicle accident 15 years ago and is scheduled for elective hip arthroplasty in the next few months. Following a physical exam and lab studies, what is the most appropriate test to perform next?
https://immattersacp.org/weekly/archives/2020/02/11/3.htm
11 Feb 2020
MKSAP Quiz: 18-month history of knee pain
A 55-year-old woman is evaluated for an 18-month history of increasingly severe knee pain with the inability to arise when seated on the floor. She does not have pain at rest or nocturnal pain. Following a physical exam and radiography, what is the most appropriate management?
https://immattersacp.org/weekly/archives/2019/06/11/3.htm
11 Jun 2019
MKSAP Quiz: Evaluation for stiffness and pain
A 43-year-old man is evaluated for knee, hip, shoulder, and arm stiffness, worsening over the past year. He also has pain in the arms, legs, neck, and torso, both on and between the joints. He states that his discomfort is continuous. After a physical exam and lab studies, what is the most likely diagnosis?
https://immattersacp.org/weekly/archives/2020/06/16/3.htm
16 Jun 2020
Therapist-led rehab had similar outcomes to home regimen after knee replacement
High-risk patients had similar knee function and pain at one year whether they received weekly sessions with a physiotherapist or were assigned to a home exercise program, according to a U.K. trial.
https://immattersacp.org/weekly/archives/2020/10/20/4.htm
20 Oct 2020
Patellofemoral grind associated with subsequent cartilage loss and need for knee replacement
A simple clinical exam may provide physicians with an inexpensive way to identify patients at higher risk for accelerated cartilage volume loss and total knee replacement who should be targeted for surveillance and management, study authors said.
https://immattersacp.org/weekly/archives/2019/05/07/4.htm
7 May 2019
ACP's Performance Measurement Committee review has led to changes in quality measures
Of 30 quality measures that the committee found invalid in an assessment of the 2017 Merit-Based Incentive Payment System (MIPS), 12 are either already removed or scheduled for removal.
https://immattersacp.org/weekly/archives/2020/10/27/5.htm
27 Oct 2020
Tai chi as effective as physical therapy while opioids often not cost-effective for knee pain
A randomized trial found similar improvements in knee osteoarthritis outcomes with tai chi and physical therapy at 24 and 52 weeks. In another study, opioids did not appear to be cost-effective in knee osteoarthritis patients without comorbidities.
https://immattersacp.org/weekly/archives/2016/05/17/2.htm
17 May 2016
Nondrug treatments assessed for chronic pain relief
Most effects were small and long-term evidence was sparse, and while there was no evidence suggesting serious harms from any of the interventions studied, data on harms were limited.
https://immattersacp.org/weekly/archives/2018/06/19/4.htm
19 Jun 2018
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
MKSAP Quiz: a 5-day history of knee pain and swelling
A 69-year-old woman is evaluated for a 5-day history of pain and swelling in the right knee that developed after a prolonged period of gardening in her backyard. This week's MKSAP question asks readers to determine the most likely diagnosis.
https://immattersacp.org/weekly/archives/2011/06/28/3.htm
28 Jun 2011