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According to a study published in 'International Journal of Rheumatic Diseases', the Health Assessment Questionnaire Disability Index (HAQ‐DI) has a strong connection with the Timed Up and Go (TUG) parameter in both rheumatoid arthritis (RA) and osteoarthritis (OA).

HAQ‐DI is a widely used Patient‐reported outcome measure for subjectively investigating the disability in arthritis patients; but, its ability to objectively measure physical function has not been exhibited.

7min read    

The weekly massage found to be an efficacious and safe short-term treatment option for knee osteoarthritis (OA), explains the results of a multisite Randomized Clinical Trial published in the 'Journal of General Internal Medicine'.

Presently, the treatment options for knee osteoarthritis have limited effectiveness and possible adverse effects. This study was carried out to assess the impact of whole-body massage on knee OA, compared to the active control (light-touch) and usual care.

8min read    

A propensity score matching study by Wouters RM et al. published in the 'Archives of Physical Medicine and Rehabilitation' portraying that the non-surgical treatment of patients with first carpometacarpal joint (CMC-1) osteoarthritis (OA) should incorporate exercises, as there is a relatively large treatment effect compared to using orthosis alone.

This prospective cohort study highlighted the effect of exercises plus orthotics as compared to orthotics alone on the pain and hand function in patients with CMC-1 OA and to predict the outcomes on the pain and hand function of exercises and orthotics in these patients.

8min read    

According to a recently published study in 'The Journal of Rheumatology', the Color Doppler ultrasound (CDUS) depicted adequate diagnostic properties for detection of sacroiliitis and is also a useful tool in patients with inflammatory back pain (IBP).

The investigators examined the diagnostic value of Color Doppler ultrasound (CDUS) for the detection of sacroiliitis in patients with IBP. 

7min read    

OnabotulinumtoxinA not only reduces anxiety, fatigue and depression but also reduces headache frequency and improve symptoms of poor sleep quality, as per the information gained by a recent open-label, prospective, multicentre analysis of the Journal of Neurology, Neurosurgery, and Psychiatry.

7min read    
Key Take-Away:

A 24-year-old white male was presented to the hospital with complaints of 2 weeks of progressively worsening pain and inflammation of his right wrist and left ankle joints. He had no medical history and did not report any fevers, chills, night sweats, weight loss or rash.  He also denied smoking cigarettes, alcoholism or any recreational drugs. He has a family history of hypertension in father and ovarian cancer in the mother. The physical examination has reported significant swelling of multiple joints, including right wrist, right elbow and left ankle. The joints were tender and erythematous. He had a limited range of mobility due to severe pain in joints.

 

What will most likely explain the pathogenesis of polyarthralgia in this case?

  • Rheumatological conditions such as Rheumatoid arthritis, Lupus, Lyme, Septic arthritis, Gonorrheal joint arthritis, or Gout
  • Hyperlipasemia, a rare paraneoplastic manifestation of pancreatic acinar cell carcinoma.
24min read    
Key Take-Away:

According to many studies, small changes to a person's lifestyle

3min read    
Key Take-Away:

Diabetic Neuropathy: Understanding its condition and causes:

3min read    
Key Take-Away:

A healthy 21-year-old white female college student with a visual aura consisting of scintillating scotoma followed by headache onset was presented for treatment. A headache was reported to be severe and throbbing in nature with nausea and mild confusion. She was advised to take NSAIDs during this time. There was no improvement in her symptoms, and a neurologist was consulted, and she was diagnosed with an acute migraine headache. Various nonspecific hyperintensities in the pericortical frontal lobe on T2-weighted images were revealed after an MRI scan with the exclusion of possibilities of stroke, multiple sclerosis, or other neurologic disorders.

 

What will be the most effective treatment for a migraine headache in this case?

  • Ganglioside analog such as Famciclovir
  • Combination of Cyclooxygenase-2 inhibitors (Celecoxib) and Ganglioside analog (Famciclovir)
19min read    
Key Take-Away:

As the pharmacological treatments for neuropathic pain are limited, with less patients obtaining partial relief of their pain. Hence, the recent research suggests that exercise can be effective in reducing neuropathic pain.

2min read    
Education
Smart Guidelines

Hand osteoarthritis (OA) is a common musculoskeletal disease, associated with hand pain, stiffness, functional limitation, decreased grip strength and reduced quality of life.

2min read    
Education
Smart Guidelines

Pain is the leading cause of suffering, disability and medical care worldwide.

10 min 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    
June 20, 2019

According to a study published in 'International Journal of Rheumatic Diseases', the Health Assessment Questionnaire Disability Index (HAQ‐DI) has a strong connection with the Timed Up and Go (TUG) parameter in both rheumatoid arthritis (RA) and osteoarthritis (OA).

HAQ‐DI is a widely used Patient‐reported outcome measure for subjectively investigating the disability in arthritis patients; but, its ability to objectively measure physical function has not been exhibited.

A 24-year-old white male was presented to the hospital with complaints of 2 weeks of progressively worsening pain and inflammation of his right wrist and left ankle joints. He had no medical history and did not report any fevers, chills, night sweats, weight loss or rash.  He also denied smoking cigarettes, alcoholism or any recreational drugs. He has a family history of hypertension in father and ovarian cancer in the mother. The physical examination has reported significant swelling of multiple joints, including right wrist, right elbow and left ankle. The joints were tender and erythematous. He had a limited range of mobility due to severe pain in joints.

 

What will most likely explain the pathogenesis of polyarthralgia in this case?

  • Rheumatological conditions such as Rheumatoid arthritis, Lupus, Lyme, Septic arthritis, Gonorrheal joint arthritis, or Gout
  • Hyperlipasemia, a rare paraneoplastic manifestation of pancreatic acinar cell carcinoma.
24min read    
Education
Smart Guidelines

Hand osteoarthritis (OA) is a common musculoskeletal disease, associated with hand pain, stiffness, functional limitation, decreased grip strength and reduced quality of life. Its incidence increases with increasing age.

2min read