Diagnostics

Interrater and intrarater agreements of magnetic resonance imaging findings in the lumbar spine: significant variability across degenerative conditions.

Spine J. 2014 Oct 1;14(10):2442-8. doi: 10.1016/j.spinee.2014.03.010. Epub 2014 Mar 15. Fu MC1, Buerba RA1, Long WD 3rd1, Blizzard DJ2, Lischuk AW3, Haims AH3, Grauer JN4. Abstract BACKGROUND CONTEXT: Magnetic resonance imaging (MRI) is frequently used in the evaluation of degenerative conditions in the lumbar spine. The relative interrater and intrarater agreements of MRI findings […]

Intergrative Clinical Notes for Crohn’s Disaease

If positive for gliadin sensitivity, a gluten restricted trial diet for 30 to 90 days would be appropriate. The following should also be considered in your clinical management: Rule out Helicobacter Pylori may help treat Crohn’s disease. Researchers recently reported that “after treatment [with antibiotics against H. Pylori], clinical remission of Crohn’s disease was achieved […]

Interrater and intrarater agreements of magnetic resonance imaging findings in the lumbar spine: significant variability across degenerative conditions

The Spine Journal Volume 14, Issue 10, 1 October 2014, Pages 2442–2448 Michael C. Fu, BS Abstract Background context Magnetic resonance imaging (MRI) is frequently used in the evaluation of degenerative conditions in the lumbar spine. The relative interrater and intrarater agreements of MRI findings across different pathologic conditions are underexplored, as most studies are […]

Prevalence of abnormalities on shoulder MRI in symptomatic and asymptomatic older adults

International Journal of Rheumatic Diseases Tiffany K. Gill, E. Michael Shanahan, Dale Allison, Daniel Alcorn, Catherine L. Hill First published: 08 October 2014 https://doi.org/10.1111/1756-185X.12476 Abstract Aim The aim of this study was to determine the prevalence of structural shoulder pathology using magnetic resonance imaging (MRI) in three groups of older people: those with current shoulder […]

Drug-Resistant E coli Linked to Contaminated Endoscopes

Medscape Medical News Diana Phillips October 08, 2014 An outbreak of an unusual form of Carbapenem-resistant enterobacteriaceae (CRE) in an Illinois hospital has been linked to duodenoscopes contaminated with the bacteria despite no apparent lapses in disinfection protocol, according to a study by researchers from the Centers for Disease Control and Prevention (CDC). From January […]

Electromyographic Assessment of Functional Symmetry of Paraspinal Muscles during Static Exercises in Adolescents with Idiopathic Scoliosis

Biomed Res Int. 2014; 2014: 573276. Published online Sep 2, 2014. doi: 10.1155/2014/573276 Abstract Background. The question of how to correct and rehabilitate scoliosis remains one of the most difficult problems of orthopaedics. Controversies continue to arise regarding various types of both symmetric and asymmetric scoliosis-specific therapeutic exercises. Objective. The aim of the present paper […]

McKenzie training in patients with early stages of ankylosing spondylitis:

Eur J Phys Rehabil Med. 2014 Oct 31. [Epub ahead of print] McKenzie training in patients with early stages of ankylosing spondylitis: results of a 24-week controlled study. Rosu OM, Ancuta CM. Abstract BACKGROUND: It is widely accepted that patient education and regular exercises could improve pain, function and maintain posture in Ankylosing Spondylitis (AS). […]

Ultrasound Imaging of the Presence of Intra-articular Gas Bubbles After Chiropractic Manipulation

ULTRASOUND IMAGING OF THE TRAPEZIOMETACARPAL ARTICULAR CAVITY TO INVESTIGATE THE PRESENCE OF INTRAARTICULAR GAS BUBBLES AFTER CHIROPRACTIC MANIPULATION Allan R. Jones, MT Objective: The purpose of this study was to investigate the presence of intraarticular gas bubbles in the trapeziometacarpal joint cavity after chiropractic manipulation with audible cavitation and to assess the state of the […]

MRI – what important findings can it show in children with back pain?

Dev Period Med. 2014;18(2):187-93. MRI – what important findings can it show in children with back pain? Bekiesińska-Figatowska M. Abstract INTRODUCTION: The percentage of school-age children who have already had an episode of back pain can be as high as 51%, and the incidence of the disease increases with age and physical activity. This paper […]

Do imaging studies have value in a patient with acute, nonspecific low back pain?

Cleveland Clinic Journal of Medicine. 2014 August;81(8):462-463 Author(s): Cynthia D. Smith, MD, FACP Patrick C. Alguire, MD, FACP A 38-year-old man is evaluated in an urgent care center for back pain. He is a high school mathematics teacher who reports the insidious onset of low back pain 3 weeks ago. Over the last week the pain has […]

Oswestry Disability Index is a better indicator of lumbar motion than the Visual Analogue Scale

Ferrin K. Ruiz, BA The Spine Journal Volume 14, Issue 9, 1 September 2014, Pages 1860–1865 Abstract Background context Lumbar pathology is often associated with axial pain or neurologic complaints. It is often presumed that such pain is associated with decreased lumbar motion; however, this correlation is not well established. The utility of various outcome […]

The MRI Enigma in Spine Injury Clearance

MedPageToday.com Published: Aug 19, 2014 By Rory Spiegel MD Story Source Action Points This editorial suggests that the high-sensitivity of MRI may lead to clinically irrelevant diagnoses when the modality is used to evaluate cervical tenderness after trauma. The study under discussion examined outcomes in patients who had received imaging for neck trauma, but was […]

MRI: conventional vs. standing radiographs — 5 findings on effectiveness

Written by Laura Dyrda | August 15, 2014 An article recently published in The Spine Journal examines conventional supine magnetic resonance imaging as well as standing lateral and flexion-extension radiographs. Researchers examined 103 patients with an average age of 66 years old. The patients were tested for lumbar degenerative spondylolisthesis. The researchers found: •    Lumbar degenerative spondylolisthesis occurred in […]

No single test accurately diagnoses rotator cuff disease

Healio.com Somerville LE. Am J Sports Med. 2014. doi:10.1177/0363546514538390. August 13, 2014 Study data have shown no one test can accurately diagnose rotator cuff tears or tendinosis. Researchers reviewed 139 consecutive patients being examined at two orthopedic clinics for possible rotator cuff lesions. If a diagnosis was uncertain after taking patients’ medical history, a clinician […]

Correlation between Degree of Radiologic Signs of Osteoarthritis and Functional Status in Patients with Chronic Mechanical Low Back Pain

Correlation between Degree of Radiologic Signs of Osteoarthritis and Functional Status in Patients with Chronic Mechanical Low Back Pain. Ashraf A Malays J Med Sci. 2014 Mar;21(2):28-33. Abstract BACKGROUND: Osteoarthritis is the most intervening factors in producing mechanical low back pain (LBP). We aimed to evaluate the correlation between radiologic signs of osteoarthritis and functional […]

DNA Test For Colorectal Cancer Wins FDA, CMS Approval at Same Time

DNA Test Wins FDA, CMS Approval at Same Time Published: Aug 12, 2014 By Charles Bankhead, Staff Writer, MedPage Today WASHINGTON — The first-ever DNA-based screening test for colorectal cancer has received FDA approval and preliminary approval for Medicare coverage of the test. The Cologuard test detects hemoglobin and mutant DNA in cells sloughed into […]

Ultrasound Imaging of the Trapeziometacarpal Articular Cavity to Investigate the Presence of Intraarticular Gas Bubbles After Chiropractic Manipulation

J Manipulative Physiol Ther. 2014 Aug 8. pii: S0161-4754(14)00113-4. doi: 10.1016/j.jmpt.2014.06.002. [Epub ahead of print] Ultrasound Imaging of the Trapeziometacarpal Articular Cavity to Investigate the Presence of Intraarticular Gas Bubbles After Chiropractic Manipulation. Jones AR. Abstract OBJECTIVE: The purpose of this study was to investigate the presence of intraarticular gas bubbles in the trapeziometacarpal joint […]

Determination of the Functional Movement Screen to Predict Musculoskeletal Injury in Intercollegiate Athletics

Brian William Wiese, MS, ATC, LAT; Jonathan Keith Boone, MS, ATC, FMSC; Carl Gino Mattacola, PhD, ATC; Patrick Owen McKeon, PhD, ATC, CSCS; Timothy Lee Uhl, PhD, ATC, PT Athletic Training and Sports Health Care July/August 2014 – Volume 6 · Issue 4: 161-169 DOI: 10.3928/19425864-20140717-01 Functional movement insufficiencies may place an individual at increased […]

Does magnetic resonance imaging predict future low back pain?

Does magnetic resonance imaging predict future low back pain? A systematic review. Review article Steffens D, et al. Eur J Pain. 2014. Citation Eur J Pain. 2014 Jul;18(6):755-65. doi: 10.1002/j.1532-2149.2013.00427.x. Epub 2013 Nov 26. Abstract BACKGROUND AND OBJECTIVE: Magnetic resonance imaging (MRI) has the potential to identify pathology responsible for low back pain (LBP). However, the […]

Reduced HPA Axis Activity in Chronic Musculoskeletal Pain

Reduced hypothalamic-pituitary-adrenal axis activity in chronic multi-site musculoskeletal pain: partly masked by depressive and anxiety disorders – Full Text BMC Musculoskeletal Disorders, 07/15/2014  Evidence Based Medicine Clinical Article Generaal E, et al. – Studies on hypothalamic–pituitary–adrenal axis (HPA–axis) function amongst patients with chronic pain show equivocal results and well–controlled cohort studies are rare in this […]