Primary Care and Rehab

Continuity of care

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

Got knee pain? The best tool for evaluating knee pain among middle-aged patients is an x-ray

Knee pain is common among Americans age 40 and up. Nearly 1 in 17 people visit doctors’ offices each year for knee pain or injuries from osteoarthritis—a progressive “wear and tear” disease of the joints. Those odds increase … READ MORE

Is the complex primary total knee arthroplasty glass half full or half empty?

Total knee arthroplasty as we know it today, for the vast majority of patients, is really a resurfacing of the knee. Approximately a centimeter of bone is shaved off all of the surfaces of each bone and replaced with metal and/or … READ MORE

Electronic health records ‘inflict enormous pain’ on doctors

Electronic health records slow doctors down and distract them from meaningful face time caring for patients. Hidden treasure. View from behind a cataloging desk, Army Medical Library, Washington, DC, ca. 1955. National Library of … READ MORE

Themes patients focus on when selecting treatment for OA

Investigators of this study identified key themes, such as the characteristics of a treatment and the time and money investment required, which guide patients with hip or knee osteoarthritis when they decide on a treatment option. … READ MORE

You’ll know when you’re ready: When the time is right for joint replacement surgery

Pool Exercises for Joint Pain, Arthritis Foundation. Background. While some studies have identified patient readiness as a key component in their decision whether to have total joint replacement surgery (TJR), none have examined how … READ MORE

Activity limitations and pain in patients scheduled for total knee arthroplasty

This paper reports the functional and activity limitations among persons scheduled for TKA, stratified by preoperative pain level. About one-fifth of subjects in the cohort reported Low WOMAC Pain scores (0–25) prior to surgery. … READ MORE

Knee OA brace experts revisit persistent issues

By using the brace, people can reduce their pain and increase their function. Absolutely, these should be tried before going through any kind of surgical technique. It’s a noninvasive therapy that is relatively low-cost. Eric … READ MORE

New approaches to orthotic management in children with cerebral palsy

Practitioners look to novel ways of using familiar lower limb orthotic alternatives to complement new technology. No single treatment is appropriate for every child, but it is generally agreed that the sooner intervention is started … READ MORE

All in the hips – professional golfers more likely to have different shaped hip joints

Lack of success on the fairway may not be due to your swing – it could be your hips that are to blame. New research from the University of Warwick has found that professional golfers are more likely to have different shaped … READ MORE

OpenNotes reaches 10 million

The OpenNotes movement is excited to share a milestone — 10 million Americans can now read their medical notes securely online. Overwhelmingly, patients agree that reading their notes helps them feel more in control of their health … READ MORE

Patellofemoral pain in adolescence: much more prevalent than appreciated

Patellofemoral pain is common among adolescents. Musculoskeletal conditions are not unique to the adult population. From the age of 5–9 years to the age of 10–14 years there is an almost fourfold increase in the years lived … READ MORE

Minorities less likely to have knee replacement surgery, more likely to have complications

Minority populations have lower rates of total knee replacement (TKR) utilization but higher rates of adverse health outcomes associated with the procedure, according to a new study appearing in today’s issue of the Journal of … READ MORE

To brace or not to brace? Bracing for neuromuscular conditions

There is no doubt about it: braces are a pain. Sometimes they are a literal pain, causing pain for your child. And sometimes they are a more figurative pain in the rear end—difficult to deal with, difficult to get on and off, … READ MORE

9 things no one ever tells you about getting a knee replacement

After 20 years of pain and icing her knee nightly, Sue Minutaglio of Westchester NY, knew she couldn’t put off a knee replacement any longer. What she didn’t know was what a long, grueling road was ahead of her. “After 2 … READ MORE

Exercise as effective as surgery for middle aged patients with knee damage

Study raises questions over widespread practice without supporting evidence. Exercise therapy is as effective as surgery for middle aged patients with a common type of knee injury known as meniscal tear (damage to the rubbery discs … READ MORE

CP studies assess advantages of flexible AFOs for children

The flexibility of an ankle foot orthosis (AFO) does not necessarily affect walking economy in children with cerebral palsy (CP), but more flexible AFOs may be particularly beneficial for sports activities in higher-performing … READ MORE

Walk this way: New metric could help kids with cerebral palsy

For more than 20 years, clinicians working with children with cerebral palsy have been gathering “a deluge of data” to understand and treat their patients’ walking difficulties. But they still weren’t sure which children with … READ MORE

Bad news for creaky knees: We can’t regrow cartilage as adults

The fallout from nuclear bomb testing decades ago is now helping researchers better understand knee joints. By tracking radioactive carbon absorbed in knees, a team of Danish researchers has found that the structure of cartilage is … READ MORE

The horse is the therapist

With hippotherapy, the horse provides the therapy. Three-year-old Jack Foster sat on his mother’s lap as she wrapped a towel carefully around his neck. “Jack has cerebral palsy and low muscle tone,” said his mother, Emily … READ MORE

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