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FPIN's Clinical Inquiries - Aug 15, 2012 - American Family Physician

Aug 15, 2012 - The evaluation of hip pain in patients 65 years and older should include a history and physical examination, followed by pertinent imaging studies.

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2012/0815/od1.html

Groin Injuries in Athletes - American Family Physician

Oct 15, 2001 - Groin injuries comprise 2 to 5 percent of all sports injuries. Early diagnosis and proper treatment are important to prevent these injuries from becoming chronic and potentially career-limiting. Adductor strains and osteitis pubis are the most common musculoskeletal causes of groin pain...

American Family Physician : Article

https://www.aafp.org/afp/2001/1015/p1405.html

The Charcot Foot in Diabetes: Six Key Points - American Family Physician

Jun 1, 1998 - The Charcot foot commonly goes unrecognized, particularly in the acute phase, until severe complications occur. Early recognition and diagnosis, immediate immobilization and a lifelong program of preventive care can minimize the morbidity associated with this potentially devastating ...

American Family Physician : Article

https://www.aafp.org/afp/1998/0601/p2705.html

The Painful Shoulder: Part II. Acute and Chronic Disorders - American Family Physician

Jun 1, 2000 - Fractures of the humerus, scapula and clavicle usually result from a direct blow or a fall onto an outstretched hand. Most can be treated by immobilization. Dislocation of the humerus, strain or sprain of the acromioclavicular and sternoclavicular joints, and rotator cuff injury often ...

American Family Physician : Article

https://www.aafp.org/afp/2000/0601/p3291.html

Reassessing the Role of MRI in the Evaluation of Knee Pain - Editorials - American ...

Feb 1, 2012 - When used for the appropriate indications, MRI is a valuable tool in the evaluation and management of knee pain. However, it may provide clinically irrelevant information by identifying pathology that is not related to a patient's symptoms, which may ultimately lead to unnecessary ...

American Family Physician : Editorials

https://www.aafp.org/afp/2012/0201/p221.html

Percutaneous Vertebroplasty: New Treatment for Vertebral Compression Fractures - ...

Aug 15, 2002 - Interventional radiologists have been performing image-guided spinal procedures for many years. Percutaneous vertebroplasty is a newer technique in which a medical grade cement is injected though a needle into a painful fractured vertebral body. This stabilizes the fracture, allowing ...

American Family Physician : Article

https://www.aafp.org/afp/2002/0815/p611.html

Is Spinal Manipulation an Effective Treatment for Low Back Pain? Yes: Evidence Shows ...

Apr 15, 2012 - Yes: Evidence Shows Benefit in Most Patients. The goal of manipulation is to restore maximal, pain-free movement of the musculoskeletal system in postural balance. In the past decade, there has been a significant growth in evidence supporting the benefits of manipulation.

American Family Physician : Editorials: Controversies in Family Medicine

https://www.aafp.org/afp/2012/0415/p756.html

Is Spinal Manipulation an Effective Treatment for Low Back Pain? Yes: Spinal ...

Apr 15, 2012 - Yes: Spinal Manipulation Is a Useful Adjunct Therapy. Spinal manipulation is one of many potential treatment options that have been used by many different types of clinicians for more than a century. Only in the past 50 years have research studies evaluated the benefits of spinal ...

American Family Physician : Editorials: Controversies in Family Medicine

https://www.aafp.org/afp/2012/0415/p760.html

Is Spinal Manipulation an Effective Treatment for Low Back Pain? No: Evidence Shows No ...

Apr 15, 2012 - No: Evidence Shows No Clinically Significant Benefit Over Watchful Waiting. The pain often improves greatly within one month, with more than 90 percent of patients no longer needing medical care within three months.

American Family Physician : Editorials: Controversies in Family Medicine

https://www.aafp.org/afp/2012/0415/p763.html

Managing Intoeing in Children - FPIN's Clinical Inquiries - American Family Physician

Oct 15, 2011 - Intoeing can be accurately diagnosed using a history, physical examination, and torsional profile.

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2011/1015/p937.html

Prolotherapy for Chronic Musculoskeletal Pain - Editorials - American Family Physician

Dec 1, 2011 - Prolotherapy is an injection-based complementary therapy for common chronic musculoskeletal conditions including tendinopathy, knee osteoarthritis, and low back pain. It involves the injection of irritant solutions into tender ligamentous and tendinous attachments and adjacent joint ...

American Family Physician : Editorials

https://www.aafp.org/afp/2011/1201/p1208.html

Adolescent Idiopathic Scoliosis: Review and Current Concepts - American Family Physician

Jul 1, 2001 - Adolescent idiopathic scoliosis is present in 2 to 4 percent of children between 10 and 16 years of age. It is defined as a lateral curvature of the spine greater than 10 degrees accompanied by vertebral rotation. It is thought to be a multigene dominant condition with variable ...

American Family Physician : Article

https://www.aafp.org/afp/2001/0701/p111.html

Low Back Pain (Chronic) - Clinical Evidence Handbook - American Family Physician

Aug 15, 2011 - What are the effects of oral drug treatments, injection therapy, and nondrug treatments for persons with chronic low back pain? What are the effects of nonsurgical and surgical treatments?

American Family Physician : Clinical Evidence Handbook

https://www.aafp.org/afp/2011/0815/p437.html

Appropriate Use of MRI for Evaluating Common Musculoskeletal Conditions - Editorials - ...

Apr 15, 2011 - In recent years, however, MRI often has been used solely to establish a diagnosis, in many cases before any conservative treatment has been instituted. This practice raises the following questions: Is MRI overused in patients with musculoskeletal conditions? What are the indications for...

American Family Physician : Editorials

https://www.aafp.org/afp/2011/0415/p883.html

Disability Certifications in Adult Workers: A Practical Approach - American Family ...

Nov 1, 2001 - Family physicians are frequently asked to complete disability certification forms for workers. The certification process can be contentious because of the number of stakeholders, the varying definitions of disability and the nature of the administrative systems. Insufficient training on...

American Family Physician : Article

https://www.aafp.org/afp/2001/1101/p1579.html

The Injured Ankle - American Family Physician

Feb 1, 1998 - Ankle injuries are common presenting complaints in both emergency departments and family physicians' offices. Approximately 1 million ankle injuries occur annually in the United States; most of them are sprains resulting from inversion injuries. Treatment options differ according to the...

American Family Physician : Article

https://www.aafp.org/afp/1998/0201/p474.html

Over-the-Counter Foot Remedies - American Family Physician

Sep 1, 2001 - Several effective and inexpensive over-the-counter treatments are available for minor but troubling foot problems. In most cases, one week of therapy with topical terbinafine is effective for interdigital tinea pedis. Treatment of plantar warts with 17 percent salicylic acid with lactic...

American Family Physician : Article

https://www.aafp.org/afp/2001/0901/p791.html

Shoulder Pain - Clinical Evidence Handbook - American Family Physician

Jan 15, 2011 - What are the effects of oral and topical drug treatment in persons with shoulder pain?What are the effects of local injections, nondrug and surgical treatments in persons with shoulder pain?

American Family Physician : Clinical Evidence Handbook

https://www.aafp.org/afp/2011/0115/p137.html

Clinical Significance of Meniscal Damage on Knee MRI - AFP Journal Club - American ...

May 15, 2011 - Can you make the assumption that, in a patient with knee pain, meniscal damage found on MRI is responsible for his or her symptoms? Meniscal findings on knee MRI do not correlate well with pain.

American Family Physician : AFP Journal Club

https://www.aafp.org/afp/2011/0515/p1160.html

Hip Pain in Athletes - American Family Physician

Apr 1, 2000 - Hip pain in athletes involves a wide differential diagnosis. Adolescents and young adults are at particular risk for various apophyseal and epiphyseal injuries due to lack of ossification of these cartilaginous growth plates. Older athletes are more likely to present with tendinitis in ...

American Family Physician : Article

https://www.aafp.org/afp/2000/0401/p2109.html

Treating Fibromyalgia - American Family Physician

Oct 1, 2000 - Fibromyalgia is an extremely common chronic condition that can be challenging to manage. Although the etiology remains unclear, characteristic alterations in the pattern of sleep and changes in neuroendocrine transmitters such as serotonin, substance P, growth hormone and cortisol ...

American Family Physician : Article

https://www.aafp.org/afp/2000/1001/p1575.html

Osteochondritis Dissecans: A Diagnosis Not to Miss - American Family Physician

Jan 1, 2000 - Osteochondritis dissecans is the most common cause of a loose body in the joint space in adolescent patients. Because clinical findings are often subtle, diagnosis requires a high index of suspicion. Limited range of motion may be the only notable clinical sign. The diagnosis is made by...

American Family Physician : Article

https://www.aafp.org/afp/2000/0101/p151.html

The Preparticipation Athletic Evaluation - American Family Physician

May 1, 2000 - A comprehensive medical history that includes questions about a personal and family history of cardiovascular disease is the most important initial component of the preparticipation athletic evaluation. Additional questions should focus on any history of neurologic or musculoskeletal ...

American Family Physician : Article

https://www.aafp.org/afp/2000/0501/p2683.html

Reducing ACL Injuries in Female Athletes - FPIN's Clinical Inquiries - American Family ...

Jan 15, 2011 - Neuromuscular training programs that include plyometric and strengthening exercises significantly reduce noncontact ACL injuries in female soccer and handball players older than 14 years.

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2011/0115/p210.html

AAN Recommendations on Symptomatic Treatment for Muscle Cramps - Practice Guidelines - ...

Sep 1, 2010 - Muscle cramps occur when the motor system is stressed by neuromuscular disease, a medical condition, or a physiologic process, such as dehydration or excessive exercise. Cramps are also common during the last trimester of pregnancy. The American Academy of Neurology (AAN) recommends ...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2010/0901/p540.html

Milnacipran (Savella) for Fibromyalgia - STEPS - American Family Physician

Oct 15, 2010 - Milnacipran can decrease the overall pain scores and improve symptoms of fibromyalgia. Safety in patients with severe comorbid medical and psychiatric conditions is unknown because these groups of patients were excluded from the study.

American Family Physician : STEPS

https://www.aafp.org/afp/2010/1015/p901.html

Acute Knee Injuries: Use of Decision Rules for Selective Radiograph Ordering - American...

Dec 1, 1999 - Family physicians often encounter patients with acute knee trauma. Radiographs of injured knees are commonly ordered, even though fractures are found in only 6 percent of such patients and emergency department physicians can usually discriminate clinically between fracture and ...

American Family Physician : Article

https://www.aafp.org/afp/1999/1201/p2599.html

Slipped Capital Femoral Epiphysis - American Family Physician

May 1, 1998 - Slipped capital femoral epiphysis occurs during the adolescent growth spurt and is most frequent in obese children. Up to 40 percent of cases are bilateral. Recent classification methods emphasize epiphyseal stability rather than symptom duration. Most cases of slipped capital femoral ...

American Family Physician : Article

https://www.aafp.org/afp/1998/0501/p2135.html

Snowboarding Injuries - American Family Physician

Jan 1, 1999 - Snowboarding is a popular winter sport that involves riding a single board down a ski slope or on a half-pipe snow ramp. Compared with injuries resulting from traditional alpine skiing, snowboarding injuries occur more frequently in the upper extremities and ankles and less frequently ...

American Family Physician : Article

https://www.aafp.org/afp/1999/0101/p131.html

Diagnosing Lumbar Spinal Stenosis - Point-of-Care Guides - American Family Physician

Nov 15, 2009 - Lumbar spinal stenosis is an important cause of pain and disability, and surgery is beneficial for appropriately selected patients. Therefore, it is important for primary care physicians to distinguish patients with spinal stenosis from those with musculoskeletal low back pain, ...

American Family Physician : Point-of-Care Guides

https://www.aafp.org/afp/2009/1115/p1145.html

Corticosteroid Injections for Trigger Finger - Cochrane for Clinicians - American ...

Sep 1, 2009 - Based on limited evidence, corticosteroid injection combined with lidocaine (Xylocaine) was more effective than lidocaine alone for the treatment of trigger finger in adults. Compared with those who received lidocaine alone, 38 percent more of the patients who received corticosteroid ...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2009/0901/p454.html

Hip Pain in Preschool-Age Children - FPIN's Clinical Inquiries - American Family Physician

Aug 15, 2009 - Evidence is lacking on the most common causes of hip pain in children because most data come from cohort studies and include referred patients. Based on these studies, transient synovitis is the most common cause of hip pain in preschool-age children, accounting for more than 80 percent...

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2009/0815/p385.html

Predicting Benefit of Spinal Manipulation for Low Back Pain - Point-of-Care Guides - ...

Feb 15, 2009 - Two systematic reviews found that spinal manipulation is superior to sham therapy or placebo in patients with acute low back pain, and has effectiveness similar to analgesics, physical therapy, or usual care by a primary care physician.

American Family Physician : Point-of-Care Guides

https://www.aafp.org/afp/2009/0215/p318.html

ACP Guidelines for the Diagnosis and Treatment of Low Back Pain - Practice Guidelines -...

Jun 1, 2008 - To address the issue of the evaluation and management of low back pain, the American College of Physicians (ACP) created a guideline consisting of seven key recommendations for diagnosing and treating low back pain in the primary care setting.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2008/0601/p1607.html

NSAIDs vs. Acetaminophen for the Treatment of Ankle Sprains - AFP Journal Club - ...

Dec 1, 2007 - Are NSAIDs better than acetaminophen for ankle sprains? Extended-release acetaminophen provides equivalent analgesia and return to activity as an NSAID in patients with mild to moderate ankle sprains. All NSAIDs have equivalent analgesic effect.

American Family Physician : AFP Journal Club

https://www.aafp.org/afp/2007/1201/p1605.html

Antidepressants to Treat Nonspecific Low Back Pain - Cochrane for Clinicians - American...

Jul 1, 2008 - Although antidepressants have been shown to be superior to placebo in some forms of chronic pain, they do not reduce pain or improve functional status or depression in patients with nonspecific low back pain.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2008/0701/p51.html

Osteoarthritis of the Knee - Clinical Evidence Handbook - American Family Physician

Apr 15, 2008 - What are the effects of nonsurgical and surgical treatments for osteoarthritis of the knee?

American Family Physician : Clinical Evidence Handbook

https://www.aafp.org/afp/2008/0415/p1149.html

Evaluating the Patient with a Knee Injury - Point-of-Care Guides - American Family ...

Mar 15, 2005 - Traditionally, physical examination maneuvers, such as the Lachman test, the pivot shift, the anterior drawer, and the McMurray test, have been recommended for patients with acute or subacute knee injury.

American Family Physician : Point-of-Care Guides

https://www.aafp.org/afp/2005/0315/p1169.html

AAP Releases Recommendations on Overuse Injuries and Overtraining in Child Athletes - ...

Dec 1, 2007 - The American Academy of Pediatrics (AAP) recently released guidelines to assist in identifying and counseling children at risk of overuse injuries and overtraining syndrome.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2007/1201/p1725.html

Tennis Elbow - Clinical Evidence Handbook - American Family Physician

Mar 1, 2007 - What are the effects of treatments for tennis elbow?

American Family Physician : Clinical Evidence Handbook

https://www.aafp.org/afp/2007/0301/p701.html

Carpal Tunnel Syndrome - Clinical Evidence Handbook - American Family Physician

Feb 1, 2007 - What are the effects of drug, nondrug, and surgical treatment? What are the effects of postoperative treatment?

American Family Physician : Clinical Evidence Handbook

https://www.aafp.org/afp/2007/0201/p381.html

Acute Low Back Pain - Clinical Evidence Handbook - American Family Physician

Sep 1, 2006 - What are the effects of oral drug and nondrug treatments? What are the effects of local injections?

American Family Physician : Clinical Evidence Handbook

https://www.aafp.org/afp/2006/0901/p803.html

Chronic Low Back Pain - Clinical Evidence Handbook - American Family Physician

Nov 1, 2006 - What are the effects of nondrug and oral drug treatments and injection therapy?

American Family Physician : Clinical Evidence Handbook

https://www.aafp.org/afp/2006/1101/p1577.html

Exercises for Mechanical Neck Disorders - Cochrane for Clinicians - American Family ...

Oct 1, 2006 - There is some evidence that a variety of exercises help patients with mechanical neck pain. Evidence is strongest for a multimodal approach that includes exercise and mobilization or manipulation of the cervical spine, although this research has been criticized for having an imperfect ...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2006/1001/p1126.html

Diagnosing Rotator Cuff Tears - Point-of-Care Guides - American Family Physician

Apr 15, 2005 - As with many conditions, single physical examination maneuvers rarely are sensitive enough to rule out disease when absent or specific enough to rule in disease when present. By themselves, these maneuvers increase or decrease the likelihood of disease slightly, and it remains up to the...

American Family Physician : Point-of-Care Guides

https://www.aafp.org/afp/2005/0415/p1587.html

Glucosamine Treatment for Osteoarthritis - Cochrane for Clinicians - American Family ...

Apr 1, 2006 - This review shows that, compared with placebo, glucosamine sulfate produces a moderate, clinically significant reduction in pain and improvement in function for patients with osteoarthritis. However, study results were not consistent. Most studies in the review used preparations of ...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2006/0401/p1189.html

Screening for Developmental Dysplasia of the Hip: Recommendation Statement - U.S. ...

Jun 1, 2006 - This statement summarizes the U.S. Preventive Services Task Force (USPSTF) recommendations on screening for developmental dysplasia of the hip (DDH) and the supporting scientific evidence.

American Family Physician : U.S. Preventive Services Task Force

https://www.aafp.org/afp/2006/0601/p1992.html

AAP Guidelines on Health Supervision of Patients with Achondroplasia - Practice ...

Mar 15, 2006 - The Committee on Genetics of the American Academy of Pediatrics (AAP) has released a clinical report that includes guidelines to help physicians oversee the health of patients with achondroplasia.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2006/0315/p1112.html

Radiography After Cervical Spine Injury - Point-of-Care Guides - American Family Physician

May 15, 2006 - Neck pain caused by blunt trauma from a motor vehicle collision, fall, or other injury is a common occurrence. Many patients who decline ambulance transport after an injury will present to their primary care physician rather than the emergency department. Two clinical rules have been ...

American Family Physician : Point-of-Care Guides

https://www.aafp.org/afp/2006/0515/p1787.html

Glucosamine and Chondroitin for Osteoarthritis - FPIN's Clinical Inquiries - American ...

Apr 1, 2006 - Glucosamine reduces pain and improves function in patients with knee or hip osteoarthritis.

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2006/0401/p1245.html

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