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For adults with limited baseline walking/exercise who present with an episode of low back pain, introducing a walking program with education about back pain increases the time between back pain episodes and decreases how often they present to a healthcare provider.

Source
Effectiveness and cost-effectiveness of an individualized, progressive walking and education intervention for the prevention of low back pain recurrence in Australia (WalkBack): a randomized controlled trial. Lancet. 2024 Jul 13;404(10448):134-144. doi: 10.1016/S0140-6736(24)00755-4. Epub 2024 Jun 19. PMID: 38908392

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This new review summarizes the current evidence regarding diagnosis and management of mild TBI in children.

Source
Contemporary diagnosis and management of mild TBI (concussions): What you need to know. J Trauma Acute Care Surg. 2024 Jun 1;96(6):865-869. doi: 10.1097/TA.0000000000004297. Epub 2024 May 2. PMID: 38696496.

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In this randomized trial of patients with chronic neck pain, patients who received lidocaine patch treatments had an equivalent pain response to patients who received placebo patches.      

Source
Multicenter, Randomized, Placebo-Controlled Crossover Trial Evaluating Topical Lidocaine for Mechanical Cervical Pain. Anesthesiology. Published online December 11, 2023. doi:10.1097/ALN.0000000000004857.

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While the majority of neck-related health care visits are self-limiting, in the correct context, a focused history and physical exam could unearth an undiagnosed cervical spinal cord compression potentially circumventing permanent disability.

Source
Clinical Examination of the Cervical Spine. N Engl J Med. 2023 Oct 26;389(17):e34. doi: 10.1056/NEJMvcm2204780.

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At least in the initial period, there appears to be no clinically meaningful difference in IQ scores in pediatric patients after a concussion. 

Source
IQ After Pediatric Concussion. Pediatrics. 2023. 152(2);e2022060515. https://doi.org/10.1542/peds.2022-060515.

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Post-concussion return to functional baseline occurs early for symptoms, balance, and mental status along with partial neurocognitive functioning. Visual-memory and reaction-time recovery, however, lag behind the other groups post-concussion.

Source
Time to Recovery as Measured on Clinical Assessments after Sport-Related Concussion. N Engl J Med. 2023 May 4;388(18):1717-1719. doi: 10.1056/NEJMc2301706.

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In a meta-analysis of 1,685 patients with suspected scaphoid fracture after negative plain radiographs, no clinical feature adequately rules out occult fracture.   

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This meta-analysis found Boss-Holzach-Matter/Davos and FARES had the most favorable value for success rates, while both FARES and modified external rotation were more favorable in reduction times. FARES also had the most favorable score for pain during reduction. 

Source
A Systematic Review With Pairwise and Network Meta-analysis of Closed Reduction Methods for Anterior Shoulder Dislocation. Annals of emergency medicine vol. 81,4 (2023): 453-465. doi:10.1016/j.annemergmed.2022.10.020 

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This study supports the notion that an early return to school (RTS), results in faster recovery from concussion symptoms versus prolonged absences.

Source
Association Between Early Return to School Following Acute Concussion and Symptom Burden at 2 Weeks Postinjury. JAMA Netw Open. 2023 Jan 3;6(1):e2251839. doi: 10.1001/jamanetworkopen.2022.51839.

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Intra-articular lidocaine (IAL) is a safe alternative for the reduction of anterior shoulder dislocations and may have similar efficacy to intravenous (IV) sedation, with fewer adverse events and shorter ED length of stay.

Source
Intra-articular lidocaine versus intravenous sedation for closed reduction of acute anterior shoulder dislocation in the emergency department: a systematic review and meta-analysis. CJEM. 2022 Dec;24(8):809-819. doi: 10.1007/s43678-022-00368-z. Epub 2022 Oct 1.