Phorest and Trees May 2021

 

Phorest & Trees “Most people rust out due to lack of challenge. Few people rust out due to overuse” – Unknown “I got something to say, it’s better to burn out than fade away!” – Def Leppard

On ReachMD, DOXIMITY & MedPage

Large multicenter study of COVID-19 in Patients with Rheumatic Disease: Finally, a Denominator JAMA on early intervention for CP Can Kessler and other acute rehabs convince insurance companies to pay for an extra hour? It’s not just dr. google anymore.  Most YouTube Videos About Carpal Tunnel Syndrome Have the Potential to Reinforce misconceptions. This is going to tick off a bunch of my friends. Systematic review and meta analysis Clinical Relevance of Epidural Steroid Injections on Lumbosacral Radicular-Syndrome Related Complaints Uncontrolled non-randomized Prospective cohort suggesting Subacromial PRP gets people 100% better in sports context. Same thing can be said about eccentric strengthening. Surprise: Your Car Insurance Plan May Not Cover High Medical Bills After A Crash : Shots - Health News : NPR Op-Ed: COVID-19 Has Unleashed Vile Antisemitism

Exercises do work for neck pain, knee OA, and safe in pregnancy

I know some of you still doubt it but a lower trap HEP (see attached) significantly improved pain, improved head/neck angle/posture, and increased ultrasound measurement of muscle thickness. No needles needed for neck pain?   A formal neuromuscular, weight management, self management training program of therapists led to improved implementation in Australia. This led to better patient adherence and quality of life in patients with knee OA. 74% of those who desired surgery no longer desired it 12 months later.   mild and moderate intensity exercise increases angiogenesis, but does not increase placental oxidative or endoplasmic reticulum stress in healthy pregnancies, bolstering support for routine exercise as a part of standard care in pregnant women.

Intramuscular steroids as good as intra-articular? And other oarsi stuff

Attached is an interesting 24 week multicenter RCT comparing IM to IA corticosteroid injection in knee OA. Thoughts? BMI correlates with DJD symptoms but weight cycling (BMI variability) may be worse. Central obesity leads to earlier symptoms of OA Hand OA prevalence in gen pop. Intra-articular saline just as good as everything else we inject into the hip? (see attached) Knee joint distraction results in MRI cartilage thickness increase up to ten years after treatment sounded like a great idea until I read the methods…they used an ex-fix!

EDx

Asymptomatic lateral elbow abnormalities on ultrasound are common in the context of CTS

Trees

Molecular geeks will appreciate this review of the roles of inflammasome in disk degeneration (maybe just me and Levy) For years we’ve been watching exoskeleton videos. In the video you can see Buddy, an extraordinary Veteran who has dedicated the last five years to regaining his ability to ambulate using this 30 pound version. A very good read about informed consent from my malpractice insurer. VA's implant tests could help paralyzed veterans to walk again | Fox News 'Light Therapy' Could Help Brain-Injured Veterans Struggling With PTSD | Health News | US News Doctors Harness the Power of Human Connections - The New York Times (nytimes.com) India's COVID-19 Variant: What We Know So Far | MedPage Today Op-Ed: Want a Public Option? Not So Fast, Say Health Insurers | MedPage Today: Very important to understand if you support a public option. Physicians want partners, not bosses (advisory.com) Fauci to Internists: A Lot of 'Oops' in Early Days of Pandemic | MedPage Today This Ohio Surgeon wrote his own obituary and it’s priceless. Acetabular labral reconstruction with medial meniscal allograft: preliminary results of a new surgical technique - PubMed (nih.gov) Imaging of trigger points…god please why