Medscape Orthopaedics Headlines

Pain in the Cognitively Impaired Elderly: Guidance for Clinicians

Thu, 15 May 2008 16:02:00 EDT

What do you do when your patients can't tell you they are in pain? Can you rely on self-report of pain in patients with dementia? Learn how to ask about pain, behaviors to watch for, and other tips.
Topics in Advanced Practice Nursing eJournal

Back Pain in a 39-Year-Old Man from Guatemala

Wed, 14 May 2008 12:00:00 EDT

A 39-year-old Guatemalan man presents to the ED with severe and debilitating back pain. He has been previously evaluated for his back pain twice in the past few weeks. The pain is throbbing and diffuse throughout the lower back, with radiation to his left buttock and upper back, and it has been progressively worsening. Mild tenderness to palpation is noted in the midline lower back. A lumbar radiograph and a magnetic resonance imaging scan of the spine are obtained. What is the diagnosis?
eMedicine Case Presentations

Low Back Pain Guidelines Expanded to Include Interventional Procedures

Wed, 14 May 2008 11:38:00 EDT

The American Pain Society presented draft revised guidelines on the management of chronic low back pain to include interventional procedures, underlining the lack of evidence for many of these commonly used approaches.
Medscape Medical News

Nurses Journal Scan, April 2008

Wed, 14 May 2008 14:25:05 EDT

This month's topics include conscientious objection by nurses, migraine prevention, comparing sports drinks with water, fatigue in HIV patients, and coaching patients with type 2 diabetes.
Medscape Nurses

How Can We Prevent Functional Deterioration in the Hospitalized Elderly?

Tue, 13 May 2008 18:06:56 EDT

I work in a long-term care setting and we often find that after a resident is hospitalized, they suffer setbacks in mobility and functional status. Can anything be done to prevent this?
Medscape Nurses

Exercise in Chronic Disease: Physiological Research Needed

Wed, 14 May 2008 10:15:25 EDT

Regular exercise is promoted to prevent disease, but can it benefit people with chronic disease? How can new research help justify physical activity counseling as a routine part of clinical practice?
Exercise and Sport Sciences Reviews

Patterns of Objectively Measured Physical Activity in the United States

Thu, 15 May 2008 10:22:48 EDT

The patterns in which weekly physical activity is accumulated vary by individual. What are the different patterns of exercise in the US and are any patterns related to improved health outcomes?
Medicine and Science in Sports and Exercise

The Effect of Muscle Relaxant on the Paraspinal Muscle Blood Flow: A Randomized Controlled Trial in Patients With Chronic Low Back Pain

Mon, 12 May 2008 17:45:16 EDT

Could paraspinal muscle blood flow play a role in low back pain (LBP) from decreased oxygenated hemoglobin at the trunk muscle? Might muscle relaxant affect muscular blood flow in chronic LBP patients
Spine

Repeat Vertebroplasty for Unrelieved Pain at Previously Treated Vertebral Levels With Osteoporotic Vertebral Compression Fractures

Thu, 15 May 2008 18:36:08 EDT

Percutaneous vertebroplasty (PV) relieves pain for many patients with osteoporotic vertebral compression fractures, but some have no improvement. Could repeat PV at the same vertebrae alleviate pain?
Spine

Clinician's Corner: The Metabolic Syndrome: A Lifestyle Medicine Foe Worthy of a Seek and Destroy Mission

Tue, 13 May 2008 16:35:26 EDT

The definition and importance of the metabolic syndrome, how to screen for it, and how to manage it using lifestyle management principles are discussed.
American Journal of Lifestyle Medicine

Skin Infections in Athletes

Wed, 14 May 2008 15:37:55 EDT

Athletes are at particular risk for infection - bacterial, fungal, viral, and parasitic.
Dermatology Nursing