As per a recently published systematic review and meta-analysis in the Journal, Rheumatology International, out of the five major classes of drugs; oral NSAIDs, topical NSAIDs, COX-2 inhibitors, opioids and acetaminophen; topical NSAIDs exhibited higher efficiency in the management of osteoarthritis-associated pain.
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According to a current observational cohort study published in the Journal Headache, 3.16% of patients who underwent catheter‐based cerebral angiography were experiencing the episodes of a migraine headache. Cerebral angiography, an x-ray examination method is the most reliable mode to inspect the blood vessels of the brain by inserting a catheter through a small cut in the skin of leg or arm.
7min read
The diabetic peripheral neuropathy could be managed with non-pharmacological interventions like alpha-lipoic acid and spinal cord stimulation; said the scientists of Hopkin Hospital, Baltimore, USA.
Some diabetic neuropathy patients may not be adequately relieved with conventional therapies or may face adverse effects. Thus, the scientists focused on evaluating the efficacy and safety of some non-pharmacological treatments by conducting a systematic analytical review.
7min read
A detailed systematic review and meta-analysis discovered the remarkable results after spinal cord stimulation in attenuating specific chronic pain syndromes and helped patients on returning to work. Due to the considerable adverse effect of chronic pain on work-related outcomes, the efficiency of interventions to reduce the disease burden gets underscore.
7min read
According to the Department of Neurological Surgery, Oregon Health & Science University, the sectioning of nervus intermedius to treat Nervus intermedius neuralgia (NIN) displayed no severe complications. NIN is a rare type of craniofacial neuralgia which includes lancinating, sharp pain deep in the ear and alongside the trigeminal neuralgia (TN).
8min read
Key Take-Away:
The radial head is an important secondary stabiliser of the elbow against valgus loading, and the fractures of radial head are common. This retrospective case series showed that the patients recovered a median flexion arch of 113°; hence most of them are classed as satisfactory outcomes which can be expected midterm when using pyrocarbon prostheses.
Introduction:
This study aimed to elucidate the mid-term radiological findings in patients with a pyrocarbon radial head prosthesis and to correspond them to patient symptoms.
7min read
Intravenous Acetaminophen Improves Outcomes After Transapical Transcatheter Aortic Valve Replacement
Key Take-Away:
The Transapical approach (TA) is an established access substitute for the transfemoral method in patients undergoing transcatheter aortic valve replacement (TAVR) for the symptomatic aortic valve stenosis treatment. This retrospective study pointed out that the patients who received intravenous acetaminophen used significantly fewer morphine equivalents on and had a shorter median length of stay.
Introduction:
Complications with opioid-based postoperative pain management have led to guideline recommendations for a multimodal analgesia strategy incorporating nonopioid agents. The opioid-sparing effect of intravenous acetaminophen in patients undergoing transapical transcatheter aortic valve replacement was evaluated.
7min read
Key Take-Away:
As per the American College of Rheumatology, in patients with OA and meniscal tear, the presence or persistence of effusion-synovitis can be connected with the progression of cartilage damage. This study portrayed that persistently extensive effusion-synovitis had a statistically significant increased risk of cartilage damage depth progression than those with persistently minimal effusion-synovitis.
Introduction:
Synovitis is a characteristic of knee osteoarthritis (OA) and meniscal tear. It has been concerned with articular cartilage damage. This study investigated the associations between baseline and changes in effusion-synovitis and cartilage damage in a cohort with OA and meniscal tear.
7min read
Key Take-Away:
Gastrocnemius recession surgery lengthens the calf muscle and takes the pressure off of this area. The results from this randomised clinical trial showed that the proximal medial gastrocnemius recession with a stretching program significantly improved ankle dorsiflexion, average forefoot plantar pressure and chronic plantar pain.
Introduction:
Plantar heel pain is a common condition causing substantial pain and disability. Gastrocnemius recession has been reported as a useful treatment option, but there is a lack of prospective clinical and biomechanical outcome data. This study aimed to examine the clinical and biomechanical outcomes of gastrocnemius recession and stretching as compared to a stretching exercise protocol for the patients with plantar heel pain which lasted for more than 12 months.
8min read
Key Take-Away:
The knee is one of the crucial affected weight-bearing joints by osteoarthritis along with ankle instability. As per this study, the Modified Broström procedure combined with arthroscopic debridement found to be an effective operative option for medial gutter osteoarthritis secondary to chronic ankle instability. Moreover, it was also confirmed to reduce pain and eliminate instability.
Introduction
Due to the availability of limited data regarding the results of operative therapy used to treat ankle instability with coincident arthritic changes in the medial gutter, this investigation was carried out to assess the intermediate-term radiological and clinical results after a modified Broström operation and arthroscopic debridement among middle-aged patients suffering from chronic ankle instability and medial gutter osteoarthritis.
7min read
Education
Presentations
Arthritis encompasses more than 100 different arthritic conditions which are a chronic, painful, and debilitating group of diseases.
15 min read
Education
Presentations
Rheumatoid arthritis (RA) is a chronic inflammatory disorder with an estimated prevalence of 0.5-1% of the population worldwide; it is also reported that women are more affected than men are. [1].
15 min read
Education
Presentations
Vitamins are organic compounds essential for normal physiological functions.
15 min read
Education
Presentations
The World Health Organization (WHO) describes the rational use of medicines as, “patients receive medications appropriate to their clinical needs, in doses that meet their own individual requiremen
5 min read
Education
Smart Guidelines
The guidelines for clinical practice are focused on the preferred approaches to medical problems exhibited by scientifically valid research.
15 min read
February 16, 2019
As per a recently published systematic review and meta-analysis in the Journal, Rheumatology International, out of the five major classes of drugs; oral NSAIDs, topical NSAIDs, COX-2 inhibitors, opioids and acetaminophen; topical NSAIDs exhibited higher efficiency in the management of osteoarthritis-associated pain.
Key Take-Away:
The radial head is an important secondary stabiliser of the elbow against valgus loading, and the fractures of radial head are common. This retrospective case series showed that the patients recovered a median flexion arch of 113°; hence most of them are classed as satisfactory outcomes which can be expected midterm when using pyrocarbon prostheses.
Introduction:
This study aimed to elucidate the mid-term radiological findings in patients with a pyrocarbon radial head prosthesis and to correspond them to patient symptoms.
7min read
Education
Presentations
Arthritis encompasses more than 100 different arthritic conditions which are a chronic, painful, and debilitating group of diseases.
15 min read