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Musculoskeletal Care - American Family Physician

Aug 1, 2019 - This collection features AFP content on musculoskeletal care and related issues, including fracture management, joint aspiration, joint injections, pain in various parts of the body (foot and ankle; neck and back; hip; knee; arm and shoulder; and wrist and hand). This collection ...

American Family Physician : AFP By Topic

https://www.aafp.org/afp/topicModules/viewTopicModule.htm?topicModuleId=17

Management of Chronic Tendon Injuries - American Family Physician

Aug 1, 2019 - Chronic tendon injuries are common athletic and occupational injuries that account for many physician visits. Tendons have a complex biology that provides a unique combination of strength, flexibility, and elasticity but also predisposes them to injury. The term tendinopathy is ...

American Family Physician : Article

https://www.aafp.org/afp/2019/0801/p147.html

Decompression Surgery No More Effective Than Exercise for Shoulder Impingement Syndrome...

Feb 1, 2019 - Despite being one of the most common orthopedic surgeries performed, subacromial decompression is not significantly better than physical therapy to treat patients with pain and limited function caused by shoulder impingement.

American Family Physician : POEMs

https://www.aafp.org/afp/2019/0201/p190.html

Knee Pain in Adults and Adolescents: The Initial Evaluation - American Family Physician

Nov 1, 2018 - Knee pain affects approximately 25% of adults, and its prevalence has increased almost 65% over the past 20 years, accounting for nearly 4 million primary care visits annually. Initial evaluation should emphasize excluding urgent causes while considering the need for referral. Key ...

American Family Physician : Article

https://www.aafp.org/afp/2018/1101/p576.html

Common Running Injuries: Evaluation and Management - American Family Physician

Apr 15, 2018 - Running is a common form of exercise but predisposes athletes to several running-related injuries. Most running injuries are due to overuse and respond to conservative treatment. Tendinopathies in the patellar, Achilles, and hamstring tendons are common, and are primarily treated with ...

American Family Physician : Article

https://www.aafp.org/afp/2018/0415/p510.html

Effectiveness of ACL Injury Prevention Programs - FPIN's Help Desk Answers - American ...

Feb 1, 2018 - ACL injury prevention programs reduce the incidence of ACL injuries by at least 50% in a variety of sports, and should be used for all athletes. There is no evidence that any particular prevention program or component is superior.

American Family Physician : FPIN's Help Desk Answers

https://www.aafp.org/afp/2018/0201/od2.html

Preventing Sports Injury and Illness: Key Resources for Family Physicians - Editorials ...

Apr 15, 2017 - Given the limited attention paid to the role and importance of physical activity in medical schools and the limited exposure to sports medicine and musculoskeletal problems during residency, many physicians would likely benefit from additional knowledge to improve their ability to ...

American Family Physician : Editorials

https://www.aafp.org/afp/2017/0415/p479.html

Stretching for Prevention of Exercise-Related Injury - FPIN's Help Desk Answers - ...

Oct 1, 2016 - Stretching before exercise does not reduce the risk of injury. However, it may slightly reduce postexercise muscle soreness.

American Family Physician : FPIN's Help Desk Answers

https://www.aafp.org/afp/2016/1001/p547.html

Knee Surgery Does Not Reduce Knee Catching or Locking in Patients with Meniscal Tear - ...

Aug 15, 2016 - Removing the torn bits of meniscus in middle-aged patients who have intermittent knee catches or locking does not decrease their likelihood of experiencing symptoms in the following year compared with diagnostic arthroscopy (i.e., looking but not touching). In general, meniscectomy does...

American Family Physician : POEMs

https://www.aafp.org/afp/2016/0815/p317a.html

Acute Shoulder Injuries in Adults - American Family Physician

Jul 15, 2016 - Acute shoulder injuries in adults are often initially managed by family physicians. Common acute shoulder injuries include acromioclavicular joint injuries, clavicle fractures, glenohumeral dislocations, proximal humerus fractures, and rotator cuff tears. Acromioclavicular joint ...

American Family Physician : Article

https://www.aafp.org/afp/2016/0715/p119.html

Nonsurgical Management of Knee Pain in Adults - American Family Physician

Nov 15, 2015 - The role of the family physician in managing knee pain is expanding as recent literature supports nonsurgical management for many patients. Effective treatment depends on the etiology of knee pain. Oral analgesics—most commonly nonsteroidal anti-inflammatory drugs and acetaminophen—are ...

American Family Physician : Article

https://www.aafp.org/afp/2015/1115/p875.html

Corticosteroid Injections for Common Musculoskeletal Conditions - American Family ...

Oct 15, 2015 - Family physicians considering corticosteroid injections as part of a comprehensive treatment plan for musculoskeletal diagnoses will find few high-quality studies to assist with evidence-based decision making. Most studies of corticosteroid injections for the treatment of ...

American Family Physician : Article

https://www.aafp.org/afp/2015/1015/p694.html

Focused Extracorporeal Shock Wave Therapy Better Than Placebo to Relieve Pain in ...

Oct 1, 2015 - In this study, unlike others, patients with chronic plantar fasciitis treated with extra-corporeal shock wave therapy had greater pain relief than those treated with placebo.

American Family Physician : POEMs

https://www.aafp.org/afp/2015/1001/p635.html

Management of ACL Injuries: Clinical Practice Guideline from the AAOS - Practice ...

Aug 1, 2015 - Anterior cruciate ligament (ACL) injuries, which are usually related to sports, have an incidence of approximately 252,000 yearly. The American Academy of Orthopaedic Surgeons (AAOS) has provided guidance in determining the best options for treating an ACL injury.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2015/0801/p232.html

Management of Acute Achilles Tendon Rupture - FPIN's Clinical Inquiries - American ...

Jun 1, 2015 - There are no clear evidence-based criteria to decide which patients should undergo operative vs. nonoperative management of acute Achilles tendon rupture.

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2015/0601/p794.html

Obesity and Joint Injuries in Children - FPIN's Clinical Inquiries - American Family ...

Mar 1, 2015 - Lower extremity injuries are 18% more likely in overweight children, 24% more likely in obese children, and 34% more likely in extremely obese children when compared with normal weight peers. The risk of lower extremity fractures is also increased by 17% in overweight children, 23% in ...

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2015/0301/p320.html

Injection Equals Physical Therapy for Shoulder Impingement - POEMs - American Family ...

Feb 15, 2015 - Both physical therapy and corticosteroid injection decrease pain and disability by about 50% within one month of beginning treatment. However, average scores will not improve beyond that over the course of the year, and the average person will have pain, disability, and an altered ...

American Family Physician : POEMs

https://www.aafp.org/afp/2015/0215/p260a.html

Common Conditions in the Overhead Athlete - American Family Physician

Apr 1, 2014 - The overhead athlete is at unique risk for injury because of the mechanics associated with rapid shoulder elevation, abduction, and external rotation. Angulation of the humeral head against the posterosuperior glenoid can cause rotator cuff tendon and labral impingement. The throwing or...

American Family Physician : Article

https://www.aafp.org/afp/2014/0401/p537.html

Management of Chronic Tendon Injuries - American Family Physician

Apr 1, 2013 - Chronic tendon injuries present unique management challenges. The assumption that these injuries result from ongoing inflammation has caused physicians to rely on treatments demonstrated to be ineffective in the long term. Nonsteroidal anti-inflammatory drugs should be limited in the ...

American Family Physician : Article

https://www.aafp.org/afp/2013/0401/p486.html

Update on Acute Ankle Sprains - American Family Physician

Jun 15, 2012 - Ankle sprains are a common problem seen by primary care physicians, especially among teenagers and young adults. Most ankle sprains are inversion injuries to the lateral ankle ligaments, although high sprains representing damage to the tibiofibular syndesmosis are becoming increasingly ...

American Family Physician : Article

https://www.aafp.org/afp/2012/0615/p1170.html

Evaluating Acutely Injured Patients for Internal Derangement of the Knee - American ...

Feb 1, 2012 - Although historical findings have some value in diagnosing internal derangement of the knee, a thorough physical examination can often rule out fracture and ligamentous and meniscal injuries. The Ottawa Knee Rule can help physicians determine which patients require radiography. Positive...

American Family Physician : Article

https://www.aafp.org/afp/2012/0201/p247.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

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

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

Stress Fractures: Diagnosis, Treatment, and Prevention - American Family Physician

Jan 1, 2011 - Stress fractures are common injuries in athletes and military recruits. These injuries occur more commonly in lower extremities than in upper extremities. Stress fractures should be considered in patients who present with tenderness or edema after a recent increase in activity or ...

American Family Physician : Article

https://www.aafp.org/afp/2011/0101/p39.html

Anterior Cruciate Ligament Injury: Diagnosis, Management, and Prevention - American ...

Oct 15, 2010 - There are an estimated 80,000 to 100,000 anterior cruciate ligament (ACL) repairs in the United States each year. Most ACL tears occur from noncontact injuries. Women experience ACL tears up to nine times more often than men. Evaluation of the ACL should be performed immediately after ...

American Family Physician : Article

https://www.aafp.org/afp/2010/1015/p917.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

Tendinopathies of the Foot and Ankle - American Family Physician

Nov 15, 2009 - Because our understanding of tendinopathy has evolved in recent years, the condition is now considered a degenerative process; this affects the approach to treatment. Initial therapy should always involve relative rest and modification of physical activity, use of rehabilitative ...

American Family Physician : Article

https://www.aafp.org/afp/2009/1115/p1107.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

Health-Related Concerns of the Female Athlete: A Lifespan Approach - American Family ...

Mar 15, 2009 - Exercise is beneficial for women of all ages and is associated with long-term health benefits and enhanced well-being. Nevertheless, active women and girls are at risk for conditions resulting from sports and exercise participation. Because of their unique physiology, children are more ...

American Family Physician : Article

https://www.aafp.org/afp/2009/0315/p489.html

The Physical Therapy Prescription - American Family Physician

Dec 1, 2007 - Numerous guidelines recommend physical therapy for the management of musculoskeletal conditions. However, specific recommendations are lacking concerning which exercises and adjunct modalities to use. Physical therapists use various techniques to reduce pain and improve mobility and ...

American Family Physician : Article

https://www.aafp.org/afp/2007/1201/p1661.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

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

Treatment of Lateral Epicondylitis - American Family Physician

Sep 15, 2007 - Lateral epicondylitis is a common overuse syndrome of the extensor tendons of the forearm. It is sometimes called tennis elbow, although it can occur with many activities. The condition affects men and women equally and is more common in persons 40 years or older. Despite the prevalence...

American Family Physician : Article

https://www.aafp.org/afp/2007/0915/p843.html

Common Problems in Endurance Athletes - American Family Physician

Jul 15, 2007 - Endurance athletes alternate periods of intensive physical training with periods of rest and recovery to improve performance. An imbalance caused by overly intensive training and inadequate recovery leads to a breakdown in tissue reparative mechanisms and eventually to overuse injuries....

American Family Physician : Article

https://www.aafp.org/afp/2007/0715/p237.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

Braces and Splints for Musculoskeletal Conditions - American Family Physician

Feb 1, 2007 - Braces and splints can be useful for acute injuries, chronic conditions, and the prevention of injury. There is good evidence to support the use of some braces and splints; others are used because of subjective reports from patients, relatively low cost, and few adverse effects, despite...

American Family Physician : Article

https://www.aafp.org/afp/2007/0201/p342.html

Acute Ankle Sprain: An Update - American Family Physician

Nov 15, 2006 - Acute ankle injury, a common musculoskeletal injury, can cause ankle sprains. Some evidence suggests that previous injuries or limited joint flexibility may contribute to ankle sprains. The initial assessment of an acute ankle injury should include questions about the timing and ...

American Family Physician : Article

https://www.aafp.org/afp/2006/1115/p1714.html

Management of Head and Neck Injuries by the Sideline Physician - American Family Physician

Oct 15, 2006 - Injuries to the head and neck are common in sports. Sideline physicians must be attentive and prepared with an organized approach to detect and manage these injuries. Because head and neck injuries often occur simultaneously, the sideline physician can combine the head and neck ...

American Family Physician : Article

https://www.aafp.org/afp/2006/1015/p1357.html

Childhood and Adolescent Sports-Related Overuse Injuries - American Family Physician

Mar 15, 2006 - Youth sports participation carries an inherent risk of injury, including overuse injuries. Little leaguer's shoulder, a stress fracture of the proximal humerus that presents as lateral shoulder pain, usually is self-limited. Little leaguer's elbow is a medial stress injury; treatment ...

American Family Physician : Article

https://www.aafp.org/afp/2006/0315/p1014.html

ACSM Recommendations for Endurance Athletes - Practice Guidelines - American Family ...

Feb 1, 2006 - The American College of Sports Medicine (ACSM) has released evidence-based recommendations for athletes to prevent hyponatremia and dehydration during sporting events.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2006/0201/p547.html

Improving Physical Therapy Referrals - Editorials - American Family Physician

Oct 1, 2005 - Advertisement << Previous article Next article >> Oct 1, 2005 Issue Editorials Improving Physical Therapy Referrals JENNIFER JOYCE, M.D., and JANICE KUPERSTEIN, M.S.ED., University of Kentucky College of Medicine, Lexington, Kentucky Am Fam Physician. 2005 Oct 1;72(7):1183-1184....

American Family Physician : Editorials

https://www.aafp.org/afp/2005/1001/p1183.html

Common Overuse Tendon Problems: A Review and Recommendations for Treatment - American ...

Sep 1, 2005 - There is a common misconception that symptomatic tendon injuries are inflammatory; because of this, these injuries often are mislabeled as tendonitis. Acute inflammatory tendinopathies exist, but most patients seen in primary care will have chronic symptoms suggesting a degenerative ...

American Family Physician : Article

https://www.aafp.org/afp/2005/0901/p811.html

Iliotibial Band Syndrome: A Common Source of Knee Pain - American Family Physician

Apr 15, 2005 - Iliotibial band syndrome is a common knee injury. The most common symptom is lateral knee pain caused by inflammation of the distal portion of the iliotibial band. The iliotibial band is a thick band of fascia that crosses the hip joint and extends distally to insert on the patella, ...

American Family Physician : Article

https://www.aafp.org/afp/2005/0415/p1545.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

Management of Ankle Sprains - American Family Physician

Jan 1, 2001 - Without adequate care, acute ankle trauma can result in chronic joint instability. Use of a standardized protocol enhances the management of ankle sprains. In patients with grades I or II sprains, emphasis should be placed on accurate diagnosis, early use of RICE (rest, ice, compression...

American Family Physician : Article

https://www.aafp.org/afp/2001/0101/p93.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

The Painful Shoulder: Part I. Clinical Evaluation. - American Family Physician

May 15, 2000 - Family physicians need to understand diagnostic and treatment strategies for common causes of shoulder pain. We review key elements of the history and physical examination and describe maneuvers that can be used to reach an appropriate diagnosis. Examination of the shoulder should ...

American Family Physician : Article

https://www.aafp.org/afp/2000/0515/p3079.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

Acute Knee Effusions: A Systematic Approach to Diagnosis - American Family Physician

Apr 15, 2000 - Knee effusions may be the result of trauma, overuse or systemic disease. An understanding of knee pathoanatomy is an invaluable part of making the correct diagnosis and formulating a treatment plan. Taking a thorough medical history is the key component of the evaluation. The most ...

American Family Physician : Article

https://www.aafp.org/afp/2000/0415/p2391.html

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