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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

Evaluation of the Patient with Hip Pain - American Family Physician

Jan 1, 2014 - Hip pain is a common and disabling condition that affects patients of all ages. The differential diagnosis of hip pain is broad, presenting a diagnostic challenge. Patients often express that their hip pain is localized to one of three anatomic regions: the anterior hip and groin, the ...

American Family Physician : Article

https://www.aafp.org/afp/2014/0101/p27.html

Nonoperative Management of Cervical Radiculopathy - American Family Physician

May 1, 2016 - Cervical radiculopathy describes pain in one or both of the upper extremities, often in the setting of neck pain, secondary to compression or irritation of nerve roots in the cervical spine. It can be accompanied by motor, sensory, or reflex deficits and is most prevalent in persons 50 ...

American Family Physician : Article

https://www.aafp.org/afp/2016/0501/p746.html

Heel Pain: Diagnosis and Management - American Family Physician

Jan 15, 2018 - The differential diagnosis of heel pain is extensive, but a mechanical etiology is the most common. The specific anatomic location of the pain can help guide diagnosis. The most common diagnosis is plantar fasciitis, which leads to medial plantar heel pain, especially with the first ...

American Family Physician : Article

https://www.aafp.org/afp/2018/0115/p86.html

Evaluation and Diagnosis of Wrist Pain: A Case-Based Approach - American Family Physician

Apr 15, 2013 - Patients with wrist pain commonly present with an acute injury or spontaneous onset of pain without a definite traumatic event. A fall onto an outstretched hand can lead to a scaphoid fracture, which is the most commonly fractured carpal bone. Conventional radiography alone can miss up ...

American Family Physician : Article

https://www.aafp.org/afp/2013/0415/p568.html

Diagnosis of Heel Pain - American Family Physician

Oct 15, 2011 - Heel pain is a common presenting symptom in ambulatory clinics. There are many causes, but a mechanical etiology is most common. Location of pain can be a guide to the proper diagnosis. The most common diagnosis is plantar fasciitis, a condition that leads to medial plantar heel pain, ...

American Family Physician : Article

https://www.aafp.org/afp/2011/1015/p909.html

A Systematic Approach to the Evaluation of a Limping Child - American Family Physician

Nov 15, 2015 - A limp is defined as a deviation from a normal age-appropriate gait pattern resulting in an uneven, jerky, or laborious gait. It can be caused by pain, weakness, or deformity as a result of a variety of conditions. Transient synovitis is the most common diagnosis. Other causes of acute ...

American Family Physician : Article

https://www.aafp.org/afp/2015/1115/p908.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

Osteochondrosis: Common Causes of Pain in Growing Bones - American Family Physician

Feb 1, 2011 - Osteochondrosis is a term used to describe a group of disorders that affect the growing skeleton. These disorders result from abnormal growth, injury, or overuse of the developing growth plate and surrounding ossification centers. The exact etiology of these disorders is unknown, but ...

American Family Physician : Article

https://www.aafp.org/afp/2011/0201/p285.html

A Clinical Approach to Diagnosing Wrist Pain - American Family Physician

Nov 1, 2005 - A detailed history alone may lead to a specific diagnosis in approximately 70 percent of patients who have wrist pain. Patients who present with spontaneous onset of wrist pain, who have a vague or distant history of trauma, or whose activities consist of repetitive loading could be ...

American Family Physician : Article

https://www.aafp.org/afp/2005/1101/p1753.html

Chronic Low Back Pain: Evaluation and Management - American Family Physician

Jun 15, 2009 - Chronic low back pain is a common problem in primary care. A history and physical examination should place patients into one of several categories: (1) nonspecific low back pain; (2) back pain associated with radiculopathy or spinal stenosis; (3) back pain referred from a nonspinal ...

American Family Physician : Article

https://www.aafp.org/afp/2009/0615/p1067.html

Evaluation of Back Pain in Children and Adolescents - American Family Physician

Dec 1, 2007 - Back pain is fairly prevalent in healthy children and adolescents. When children or adolescents seek medical care for back pain, it is highly likely that underlying pathology will be identified. Common causes of back pain include nonspecific pain or muscle strain, herniated disk, ...

American Family Physician : Article

https://www.aafp.org/afp/2007/1201/p1669.html

Radiologic Evaluation of Chronic Neck Pain - American Family Physician

Oct 15, 2010 - For many years, there were no guidelines for evaluating patients with chronic neck pain. However, in the past 15 years, considerable research has led to recommendations regarding whiplash-associated disorders. This article summarizes the American College of Radiology Appropriateness ...

American Family Physician : Article

https://www.aafp.org/afp/2010/1015/p959.html

Evaluation of Patients Presenting with Knee Pain: Part II. Differential Diagnosis - ...

Sep 1, 2003 - Knee pain is a common presenting complaint with many possible causes. An awareness of certain patterns can help the family physician identify the underlying cause more efficiently. Teenage girls and young women are more likely to have patellar tracking problems such as patellar ...

American Family Physician : Article

https://www.aafp.org/afp/2003/0901/p917.html

Evaluation of Patients Presenting with Knee Pain: Part I. History, Physical ...

Sep 1, 2003 - Family physicians frequently encounter patients with knee pain. Accurate diagnosis requires a knowledge of knee anatomy, common pain patterns in knee injuries, and features of frequently encountered causes of knee pain, as well as specific physical examination skills. The history should...

American Family Physician : Article

https://www.aafp.org/afp/2003/0901/p907.html

Anterior Hip Pain - American Family Physician

Oct 15, 1999 - Anterior hip pain is a common complaint with many possible causes. Apophyseal avulsion and slipped capital femoral epiphysis should not be overlooked in adolescents. Muscle and tendon strains are common in adults. Subsequent to accurate diagnosis, strains should improve with rest and ...

American Family Physician : Article

https://www.aafp.org/afp/1999/1015/p1687.html

Quinine for Leg Cramps - Cochrane for Clinicians - American Family Physician

Feb 1, 2016 - Quinine is moderately effective in decreasing the frequency and intensity of muscle cramps, but it is also associated with an increase in minor adverse effects. In addition, there is a risk of rare but serious adverse effects.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2016/0201/p177.html

Neuroimaging in Low Back Pain - American Family Physician

Jun 1, 2002 - Patients commonly present to family physicians with low back pain. Because the majority of patients fully or partially recover within six weeks, imaging studies are generally not recommended in the first month of acute low back pain. Exceptions include patients with suspected cauda ...

American Family Physician : Article

https://www.aafp.org/afp/2002/0601/p2299.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

Evaluation of the Acutely Limping Child - American Family Physician

Feb 15, 2000 - A limp may be defined as any asymmetric deviation from a normal gait pattern. The differential diagnosis of a limp includes trauma, infection, neoplasia and inflammatory, congenital, neuromuscular or developmental disorders. Initially, a broad differential diagnosis should be considered...

American Family Physician : Article

https://www.aafp.org/afp/2000/0215/p1011.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

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

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

Neck Pain - Clinical Evidence Handbook - American Family Physician

Jan 1, 2005 - What are the effects of treatments for uncomplicated neck pain without severe neurologic deficit? What are the effects of treatments for acute and chronic whiplash injury? What are the effects of treatments for neck pain with radiculopathy?

American Family Physician : Clinical Evidence Handbook

https://www.aafp.org/afp/2005/0101/p117.html

Do NSAIDs Help in Acute or Chronic Low Back Pain? - Cochrane for Clinicians - American ...

Apr 1, 2002 - Patients can expect a modest improvement in global function with NSAID therapy, such as ibuprofen. There is no evidence that any particular NSAID or combination of medicines has superior efficacy in the treatment of low back pain.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2002/0401/p1319.html

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