Duloxetine Does Not Alleviate Pain in Chronic Osteoarthritis
No differences seen in WOMAC pain at 3 or 12 months with duloxetine added to usual care, or in subgroup with symptoms of centralized pain.
Pain
Opioid-Sparing Effects Comparable Between Oral and IV Acetaminophen After Pediatric Tonsillectomy, Adenoidectomy
Researchers compared opioid-sparing effects between intravenous acetaminophen and oral acetaminophen in pediatric patients undergoing tonsillectomy and adenoidectomy.
PRP Injections No Better Than Placebo for Knee Osteoarthritis
Platelet-rich plasma injections did not significantly improve knee osteoarthritis pain symptoms or joint structure compared with placebo injections in a randomized controlled trial.
OrthoDx: Shoulder Injury
A 75-year-old woman presents to the emergency department with severe right shoulder pain after a fall earlier in the day. Anteroposterior radiograph of the right shoulder shows a comminuted fracture of the proximal humerus. What is the best treatment course?
Pilates, McKenzie Therapy, and Functional Restoration More Effective Than Others in Reducing Chronic Low Back Pain
Study authors conducted a systematic review and meta-analysis to determine the effect of different exercise treatments on pain intensity in adults with chronic low back pain.
FDA Approves Virtual Reality System to Treat Chronic Back Pain
The FDA reports that EaseVRx uses the principles of cognitive behavioral therapy (CBT) and other behavioral therapy techniques to reduce pain and pain interferences.
OrthoDx: Painful Stiff Knee
A 65-year-old man presents with right knee pain and fullness behind the knee that has been present for the past 3 months. What is the next best step in treatment?
Top October 2021 FDA Approvals
The October approvals include treatments for acute pain, opioid overdose, dry eye disease, and COVID-19 vaccine for children 5 to 11 years of age.
OrthoDx: Finger Injury in 17-Year-Old Patient
A 17-year-old adolescent presents with pain in the right middle finger after falling 2 days earlier. He was running and fell backward landing directly on the extended middle finger. What is the best treatment course for this injury?
OrthoDx: Deep Hip Pain
A 57-year-old woman presents with an 8-month history of posterior right buttock pain with no precipitating cause. The pain has been treated with corticosteroid injection with no relief. What is the most likely cause of her hip pain?
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