HI all,
Hope everyone
is doing well. If you are on Spotify, enjoy some music from my
band. Otherwise, here’s what I’ve been reading. Hope you enjoy.
-gautam
Journal of Bone and Joint Surgery Summaries
4 paragraph Summaries
with references to get a quick sense of the current knowledgebase
- Rehab strategies in THA.
Is formal PT needed? Does prehabilitation work?
- Adhesive capsulitis Is
stretching enough>? Which stretches? Injection?
- CMC OA etc
Injections
- Attached is an editorial
critically addressing the role of intra-articular placebo and limitations
of existing guidelines in answering the question of whether to inject or
not to inject.
- Nothing has
really changed in terms of practice based on 20% response rate from 3400
ASSM surveyed: It appears that triamcinolone and methylprednisolone
are the most commonly‐used corticosteroids for sports medicine physicians;
most physicians use 21‐40mg of corticosteroid for all injections, and
lidocaine is the most‐often used local anesthetic; very few use
ropivacaine. Over a third of respondents used high‐dose (>40mg
triamcinolone or methylprednisolone) for at least one joint or bursa.
- Trigger point injections are safe…aren’t
they?
- Degenerated meniscus? Stick some fat in it. Thoughts?
- Did you ever notice that some
of these veterans with bone on bone OA have no pain? Well
it aint just veterans… residents will benefit from reading the lit
review in the background section to understand the long-standing (no pun
intended) issues with imaging in OA
Hematoma Risk after Needle EMG with NOAC
Attached
is a study looking at risk of Hematoma after newer oral anticoagulant use
AANEM STUFF
You guys specifically asked for more AANEM
updates. So here they are.
- The 2020 annual
meeting is full of interesting stuff, is virtual, and is super
affordable this year. Our residents should be able to attend for free. Here
are the details of the schedule.
- There
is a new ultrasound
certification through the AANEM
- I
will follow up with things learned at the conference
Evaluation of persons with suspected lumbosacral and
cervical radiculopathy part II
- Attached is part 2 of the Dillingham et
al Monograph
- See prior emails for part 1
ADA
Issues New Guidelines for Pharmaceutical Management of Type 2 Diabetes
This is a quick read and very high yield. Being diabetic
myself, I was interested to know what has now become the standard. Us old guys
didn’t learn in medical school about SGLT2 inhibitors, GLP-1 Ras, and DPP-4
inhibitors. But these medications have changed the face of diabetes.
To some extent this is what we are taught — to compartmentalize
and dissociate in order to stay focused on the delivery of care — but is it
doing us any favors?
Fellowship is popular
among physiatrists: The
results of this survey
demonstrate that majority of graduating residents are matriculating into
fellowship training with pain, spine, and/or sports medicine being among the
top choices.
Opening for Chief of SCI
Position Memphis TN VA: For
any further information, please contact Anita R. Patel via email @ Anita.Patel1@va.gov or via phone @
901-577-7346.
Please send CV/Resumes of interested candidates to
L’Keyla.Walker@va.gov.
Gautam Malhotra MD
Physical Medicine &
Rehabilitation Service - VANJ Health Care System
Director of Strategic Development
Director of VANJ Polytrauma
NJ Liaison to VA Amputee
System of Care
Clinical Associate
Professor, Rutgers New Jersey Medical
School
Diplomate, American Board of
Physical Medicine & Rehabilitation
Certified by American Board of
Electrodiagnostic Medicine
Certified in Subspecialty of
Neuromuscular Medicine
Certified in Subspecialty of
Brain Injury Medicine
