Orthopedics
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Researchers Dig Deeper Into Multimorbidity Surgical Risks
Knowing more about specific conditions that might raise risk could help clinicians better classify which older patients are good candidates for surgery.
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Do Spinal Cord Stimulators Really Help for Chronic Pain?
The results of a comprehensive analysis of a large clinical database regarding treatment of patients with chronic low back pain did not support the benefit of spinal cord stimulators compared to conventional medical management for chronic pain.
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Multidisciplinary Program Accelerates Care, Boosting Outcomes for Hip Fracture Patients
Returning Seniors to Orthopedic Excellence focuses on prioritizing early pain management and shortening the time to surgery for patients with confirmed hip fractures. Since implementation in early 2021, lengths of stay are shorter, time to surgery has declined, and attendance rates at follow-up appointments are higher.
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Selected Orthopedic Emergencies
Musculoskeletal complaints are among the most seen conditions presenting to the emergency department (ED), accounting for nearly 20% of all ED visits. The majority of these diagnoses involve significant patient discomfort but are not typically associated with significant morbidity. However, there are a few diagnoses that are considered true orthopedic emergencies. The emergency physician should be familiar with the evaluation and management of these critical diagnoses.
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Do Anti-Inflammatory Drugs Cause More Chronic Pain?
Acute inflammation may protect against the development of chronic pain through neutrophil activation. Using nonsteroidal anti-inflammatory drugs may blunt that response and contribute to chronic pain.
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AMA Asks to Remove Prescription Status from Naloxone
The request was made in the wake of a study that revealed expanded access to the opioid reversal agent is needed in almost every U.S. state.
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Orthopedic Surgeons Say ‘Open-Label’ Placebos Are Ethical, Yet Few Use Them
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Surgical Approaches to Decompression in Degenerative Lumbar Spondylolisthesis
For patients with symptomatic lumbar stenosis and single-level spondylolisthesis who were refractory to conservative treatment, there was no significant difference between outcomes in those who underwent decompression surgery with instrumented fusion vs. decompression surgery without fusion.
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‘Empowered Relief’ Approach Could Help Patients with Limited Time, Resources
Researchers offer one brief, blended skills-building session for low back pain management that might be cheaper and easier to access than other multisession options.
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Early Physical Rehabilitation in Acutely Hospitalized Heart Failure Patients
A tailored, progressive physical rehabilitation program started in the hospital and continued for three months in older, relatively frail acute heart failure admissions resulted in significantly improved physical function vs. usual care but did not reduce six-month readmission rates.