The Journal of Musculoskeletal Medicine Vol 27 No 10

Fibromyalgia update: Emerging pharmacological treatments

October 19, 2010

The numerous symptom domains of fibromyalgia syndrome (FMS) include pain, fatigue, sleep disturbance, mood disturbance, and cognitive dysfunction, as well as close association with other “central sensory augmentation” conditions, such as irritable bowel syndrome and various forms of headache.

Addressing behavioral abnormalities in fibromyalgia

October 19, 2010

Varying practitioner beliefs about what makes patients who have fibromyalgia syndrome (FMS) “behave” differently from the general population are complicated by a paucity of studies, heterogeneity of the patient population, and other factors.

Managing osteoarthritis: A multidisciplinary approach

October 13, 2010

With the rising incidence of obesity and an increasing older population, the burden of osteoarthritis (OA) is expected to grow. Understanding of the disease is limited, and there are indications that many patients are receiving suboptimal care.

Improving Treatment Adherence in Patients With Rheumatologic Disease

October 12, 2010

Further evaluation of reasons for treatment nonadherence in patients with rheumatologic disease is key in the development of successful interventions. Patient education efforts alone are not sufficient to improve adherence; complex interventions are most effective.

Managing hip pain in athletes

October 10, 2010

Hip injuries are common in dancers, runners, and soccer players. Knowledge of the mechanism of injury and the sport can help uncover the diagnosis. Muscular strength testing should be performed on the cardinal movements of the hip joint.

Martial arts fall training may prevent hip fractures in osteoporosis

October 08, 2010

Martial arts fall training may reduce the risk of hip fractures in persons with osteoporosis. Training is safe if they wear hip protectors that could attenuate the maximum hip impact force by at least 65%, perform the fall exercises on a thick mattress, and avoidforward fall exercises from a standing position.

Clinical parameters help identify chronic gout

October 07, 2010

The presence of 4 or more of 8 clinical findings-multiple attacks of acute arthritis, rapid pain and swelling, monarthritis or oligoarthritis or both, podagra, erythema, tophi, unilateral attacks, and hyperuricemia-is highly suggestive of a diagnosis of gout when monosodium urate (MSU) crystals in synovial fluid or tophi cannot be demonstrated.

Brain connectivity linked with pain intensity in fibromyalgia

October 06, 2010

Instrinsic connectivity is disrupted within multiple brain networks in patients with fibromyalgia syndrome (FMS). Elevated intrinsic brain connectivity is linked with spontaneous pain intensity in these patients.

Symptom burden scores help systemic sclerosis management

October 05, 2010

Use of the patient-focused measurements derived from the Symptom Burden Index (SBI) instrument may help physicians providing care to patients with systemic sclerosis (SSc) resolve the problems that most directly affect their quality of life.

Targeting health factors in men may reduce mortality

October 04, 2010

The risk of all-cause mortality in US men is inversely associated with the number of their positive health factors. Targeting more of the modifiable health factors in middle-aged men may provide them with substantial health benefits.