Search results for "Osteoarthritis"
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
Clarification
An item in the Feb. 10 issue of ACP Internist Weekly requires clarification. The item, “Inadequate pain relief common among patients with knee osteoarthritis,” should have noted that pharmaceutical sponsorship was involved in the design and conduct of the study under discussion.
https://immattersacp.org/weekly/archives/2015/02/24/10.htm
24 Feb 2015
Arthroplasty associated with increased risk of heart attack in early postoperative period
The immediate postoperative risk of myocardial infarction following total joint arthroplasty may have been previously underappreciated, authors noted.
https://immattersacp.org/weekly/archives/2015/09/01/2.htm
1 Sep 2015
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: 3-month history of left knee pain
A 76-year-old woman is evaluated for a 3-month history of left knee pain of moderate intensity that worsens with ambulation. She reports minimal pain at rest and no nocturnal pain. There are no clicking or locking symptoms. She has tried naproxen and ibuprofen but developed dyspepsia; acetaminophen provides mild to moderate relief. The patient has hypertension, hypercholesterolemia, and chronic stable angina. Medications are lisinopril, metoprolol, simvastatin, low-dose aspirin, and nitroglycerin as needed. Following a physical exam, lab results and radiograph, what is the next best step in management?
https://immattersacp.org/weekly/archives/2014/04/01/3.htm
1 Apr 2014
Arthroscopic surgery may not help degenerative meniscal tears
Arthroscopic surgery may have little or no benefit for degenerative tears of the meniscus, according to a new study.
https://immattersacp.org/weekly/archives/2014/09/09/4.htm
9 Sep 2014
MKSAP Quiz: gradually progressive knee pain
A 52-year-old man is evaluated for a 5-year history of gradually progressive left knee pain. He has 20 minutes of morning stiffness, which returns after prolonged inactivity. He has minimal to no pain at rest. He reports no clicking or locking of the knee. Over the past several months, the pain has limited his ambulation to no more than a few blocks. Following a physical exam and radiograph, what is the most appropriate next diagnostic step?
https://immattersacp.org/weekly/archives/2013/04/23/3.htm
23 Apr 2013
MKSAP Quiz: severe knee pain and swelling
A 78-year-old man with a 15-year history of osteoarthritis is evaluated for severe pain and swelling of the left knee of 4 days' duration. What is the most appropriate treatment for this patient?
https://immattersacp.org/weekly/archives/2011/04/26/3.htm
26 Apr 2011
Arthroscopic surgery may not benefit patients with degenerative knee disease
Arthroscopic surgery for degenerative knee disease yields “small inconsequential benefit” in middle-aged and older adults and is associated with harms, the authors noted.
https://immattersacp.org/weekly/archives/2015/06/23/1.htm
23 Jun 2015
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