Mar 09 2022
Are Muscle Relaxants Useful for Back Pain?
Spoon Feed
Skeletal muscle relaxants (SMRs) + nonsteroidal anti-inflammatory drug (NSAIDs) do not improve outcomes any more than placebo + NSAIDs in the treatment of low back pain (LBP). Even when stratified by age, sex, history of LBP, and initial severity, SMRs still did not win against placebo.
May 18 2021
ORCCA – SARS-CoV-2 Cardiac Involvement in Competitive Athletes
Spoon Feed
In this large registry study, SARS-CoV-2 infection in young competitive athletes carries a low prevalence of cardiac involvement (0.5-3%) and low risk of clinical events in short-term follow-up.
Apr 15 2021
Return Rates After Opioids for Back Pain in the Emergency Department
Spoon Feed
Patients who received opioids in the ED for low back pain were significantly more likely to return to the ED within 30 days for the same complaint when compared to those who received only NSAIDs, acetaminophen, or a combination of the two.
Mar 15 2021
COVID-19 Silent Myocarditis – COMPETE CMR
Spoon Feed
The prevalence of silent myocarditis among collegiate athletes, detected only on cardiac magnetic resonance imaging was 3%.
Nov 24 2020
Does PT for Sciatica Make a Difference?
Spoon Feed
In outpatients with acute sciatica, physical therapy had a statistically but not clinically significant effect on patient disability compared with usual care.
Oct 02 2020
MSK Ultrasound for Shoulder Dislocation
Spoon Feed
This posterior ultrasound (US) approach to identify shoulder dislocation had 100% sensitivity and specificity for shoulder dislocation and was faster than x-ray by 43 minutes. However, the 92% sensitivity (with a lower 95% CI of 60%) for identifying non-Hill-Sachs/Bankart fracture makes me cautious about completely adopting POCUS until larger studies are done.
Sep 07 2020
NSAIDs for Low Back Pain – Brass Tacks Concise Review
Spoon Feed
NSAIDs are an effective treatment for low back pain, though the absolute reduction in pain and disability is small.
Sep 01 2020
Musculoskeletal Pain – New ACP | AAFP Guidelines
Spoon Feed
Topical NSAIDS (with or without menthol), followed by oral NSAIDs or acetaminophen, should be used to treat non-low back musculoskeletal pain in adults. Opioids, including tramadol, are not recommended.
Jul 22 2020
Scaphoid Fractures – Spoon-Feed Version
Spoon Feed
Scaphoid fractures are the most common carpal bone injury, yet they are still commonly missed. Maintain a high clinical suspicion for scaphoid injury even with negative radiographs.
Jul 08 2020
Do NSAID, COX-2, or Opioid Rxs Increase Non-Union Risk?
Spoon Feed
Selective COX-2 inhibitors appear to increase risk for fracture non-union. Regular NSAIDs do not. Opioids may also increase non-union risk, although this association may have been confounded.