Primary Care and Rehab

Continuity of care

Part 2: When a knee replacement specialist needs his own new knee

A noted surgeon gains insight into managing postop pain—his own. In part 1 of his account of his knee replacement surgery, knee replacement specialist Ira H. Kirschenbaum MD, chairman of the Department of Orthopedics at … READ MORE

Pre-referral MRIs not often necessary

An MRI isn’t always the best first-choice for diagnosis when patients present with knee pain. While MRI is highly sensitive and it can detect intra-articular pathology, these changes might be associated with degenerative joint … READ MORE

Safely managing acute osteoarthritis in the emergency department

An Evidence-Based Review. Osteoarthritis (OA) is a common problem, the incidence of which is increasing every day. By 2030, as much as 25% of the adult population is expected to have self-reported or physician-diagnosed arthritis. … READ MORE

It’s pretty beautiful: Wheelchair whiz kid learning to walk

‘It’s been really neat to watch because we never thought we would see it.’ Evelyn Moore, an Edmonton toddler who suffered paralysis after a tumour developed on her spine, is now standing on her own two feet with the … READ MORE

VERA: Virtual physical therapy in the comfort of your own home

VERA is an all-in-one device that utilizes a tele-rehab platform to help patients perform prescribed in-home exercise programs while monitoring their compliance and reporting results back to their physical therapists. The goal is to … READ MORE

Caring for special-needs children at home brings high cost

Study finds that home care is beneficial for the children, but it comes at great cost to family members or guardians. U.S. families provide nearly $36 billion [USD] annually in uncompensated medical care at home to children who have … READ MORE

Engineers customize Christmas toys for disabled children

Because of her cerebral palsy, 4-year-old Scarlett Wilgis has trouble opening her hands and can’t get around without help. Her parents have scoured store shelves and websites for toys for her but have mostly been disappointed. … READ MORE

Stem cell ‘living bandage’ for knee injuries in human trial

A ‘living bandage’ made from stem cells, which could revolutionise the treatment and prognosis of a common sporting knee injury, has been trialled in humans for the first time by scientists at the Universities of Liverpool and … READ MORE

Stimulator bypasses spine injury, helps patients move hands

Experimental treatment improves grip, finger motion up to 300 percent in quadriplegics. Stimulator Bypasses Spine Injury, Helps Patients Move Hands. An experimental procedure involving an implanted spinal stimulator is showing early … READ MORE

Edmonton toddler a whiz in homemade wheelchair

Just like other children learn how to crawl, Evelyn slowly figured out how to wheel. Evelyn Moore at Treehouse, an indoor playground in northeast Edmonton that she often visits with her mom. With no wheelchairs small enough for baby … READ MORE

For articular cartilage injury, a holistic approach is best

A Surgeon’s Holistic Approach. After years of treating knee injuries, I’ve come to a realization about articular cartilage: You’ve got to understand the whole knee. It’s not enough to master arthroscopy. You … READ MORE

Knee OA workout thresholds for rehab referral

Researchers at the University of Delaware have determined the minimum workout thresholds for patients with knee osteoarthritis that would determine whether a patient should be referred to physical rehabilitation, according to a … READ MORE

Embedded 3D videos enhance visualization in Journal of X-Ray Science and Technology

The current issue of the Journal of X-Ray Science and Technology now features 3D imaging embedded within its articles for the first time. Use of this digital and multimedia technique enhances the value of five papers, which focus on … READ MORE

Comparing physical therapy and knee surgery

Predictors of crossover to surgery in patients with meniscal tears and OA. Can “prehab” improve outcomes after acl surgery? Dr. David Geier Susan London, Internal Medicine News May 13, 2015 SEATTLE – Certain clinical factors … READ MORE

Alberta auditor general sharply criticizes aid program for severely handicapped

The bureaucratic mess will make you mad. The human harm could make you weep. Don Braid, Calgary Herald. Alberta’s auditor general says the government is failing the severely disabled through its income supports program. … READ MORE

Complementary health approaches to pain gain traction

A recent review of clinical evidence published in Mayo Clinic Proceedings by National Institutes of Health (NIH) researchers suggests that complementary health techniques have a legitimate place in a physician’s pain relief … READ MORE

Evaluating new health care models

Why aren’t new health care models studied more? A new study focuses on a hospital funding approach gaining popularity that would institute new incentives for hospitals to decrease wait times and increase efficiency. CBC Wendy … READ MORE

Topol on physician and patient attitudes toward new technology

Two years ago Medscape did a survey of physicians, healthcare providers, and consumers to gauge relative acceptance of new technologies and attitudes toward medical information sharing. We also published that survey in a peer-reviewed … READ MORE

Osteoporosis screening clinics in your neighbourhood pharmacy

Are you at risk for osteoporosis? As individuals continue to focus on their health, one area that people may not consider is the health of their bones. Attend an Osteoporosis Screening Clinic at London Drugs and our pharmacists will … READ MORE

Complementary medicine helps reduce pre-op anxiety

A combination of complementary medicine and standard care shows potential to reduce preoperative anxiety levels and improve the outcome of the operation, state authors of a new report. Integrative Medicine: Healing Focused on Your … READ MORE

Ontario’s ambitious Patients First legislation met with hope and skepticism

Carole Ann Alloway’s husband, Bill, had seven ankle surgeries due to recurring infections that were eventually found to be caused by bacteria on the hardware that had been inserted 30 years ago. Elderly’s family caregivers need … READ MORE

Fixing electronic health records is good

Adding scribes is even better. Scribe Warren Lam (right) works on notes, as attending physician Dr. Laura Burke (center) and Dr. Daniel Willner discuss a patient case, at Beth Israel Deaconess Medical Center Emergency Department on … READ MORE

Positive effects of exercise therapy on pain and function in osteoarthritis

Evoke 3D printed custom knee brace. Osskin Despite the high prevalence and burden on health care systems, currently there is no cure for osteoarthritis (OA), whilst the number of individuals affected with symptomatic OA is expected to … READ MORE

Keeping nursing home patients out of hospital

A significant number of hospitalizations among nursing home patients are potentially avoidable, several studies in recent years have shown. What’s more, skilled care patients do better overall when they don’t have to be moved … READ MORE

Physiotherapists as primary care practitioners for patients with musculoskeletal disorders

Musculoskeletal (MSK) disorders, such as osteoarthritis, rheumatoid arthritis, osteoporosis and low back pain, represent an important burden in terms of direct and indirect health care costs in western countries. In Canada, pressure … READ MORE

Self-care and exercise effective in managing knee conditions

Self-care is a concept widely applied across healthcare and can be broadly defined as “what people do for themselves to establish and maintain physical and emotional health and prevent or deal with minor illness, injury, or chronic … READ MORE

Part 1: When a knee replacement specialist needs his own new knee

Ira H. Kirschenbaum MD, chairman of the Department of Orthopedics at Bronx-Lebanon Hospital Center, Bronx, New York, has performed over 3500 total knee replacements. When Dr Kirschenbaum needed a new knee himself, he kept a diary from … READ MORE

Aging caregivers of children with disabilities pushed to the breaking point

Carlo is in a wheelchair thanks to a condition called myositis. Now that he’s nearing 50 and “almost non-mobile,” he receives home care and lives with his parents who help take care of him. But that’s becoming more difficult: … READ MORE

Brain-sensing technology allows typing at 12 words per minute

Stanford University researchers have managed to use an implanted multi-electrode array to read the brain signals of monkeys thinking of typing letters on a screen and to convert those signals into the target letters at a rate of 12 … READ MORE

Most people’s medical records are fragmented

Full ‘Medical Records’ for Trump and Clinton? That’s Fiction. Casey Quinlan is a patient advocate who has a tattoo of a QR code — a type of bar code to store and track data — for her medical records. Credit Chet Strange for … READ MORE

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