Musculoskeletal Disorders

Clinical Inquiries

When is discectomy indicated for lumbar disc disease?

Author:

Kisha Young, MD

Rhett Brown, MD

Leonora Kaufmann, MSLS

EVIDENCE-BASED ANSWER: EMERGENT DISCECTOMY is indicated in the presence of cauda equina and severe, progressive neuromotor deficits (strength of...

• Read More

Applied Evidence

Did too much Wii cause your patient’s injury?

Author:

Daniel M. Chase, MD

Dorothy A. Sparks, MD

Lisa M. Coughlin, MD

Motion-controlled game consoles like Wii may be used to play virtual sports, but the injuries associated with them are real. Here’s what to watch...

• Read More

Applied Evidence

“Doctor, my thumb hurts”

Author:

Christopher W. Bunt, MD, FAAFP

Justin A. Crop, DO

How should you treat these common causes of nontraumatic thumb pain? Use this evidence-based review as a clinical decision-making guide.

• Read More

Applied Evidence

PPI therapy: When to worry about fracture risk

Author:

Joel J. Heidelbaugh, MD, FAAFP, FACG

High-dose, long-term use of proton pump inhibitors may increase fracture risk, but the evidence is inconclusive. Here’s what to keep in mind.

• Read More

Clinical Inquiries

How effective—and safe—are systemic steroids for acute low back pain?

Author:

Mark Johnson, DO

Jon O. Neher, MD

Leilani St. Anna, MLS, AHIP

EVIDENCE-BASED ANSWER: SHORT COURSES OF SYSTEMIC STEROIDS ARE LIKELY SAFE, but they are ineffective. A single dose of intramuscular (IM) or...

• Read More

Medical Verdicts

Failure to monitor INR leads to severe bleeding, disability ... Rash and hives not taken seriously enough ... More

Author:

Jeffrey L. Susman, MD

• Read More

Commentary

Topical diclofenac for sprains? These doctors say No

• Read More