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The Journal of Musculoskeletal Medicine Vol 28 No 2

Issues in Pharmacological Management of Osteoarthritis

January 31, 2011

Many persons with osteoarthritis (OA) have only mild disease that can be managed successfully with reassurance, acetaminophen, and education in joint protection. However, patients with more severely symptomatic OA may be helped by a comprehensive program of pharmacological and nonpharmacological measures.

Conducting the “nonshoulder” shoulder examination

January 30, 2011

Optimal shoulder function is achieved with the kinetic chain. Alterations in this sequenced activation of body segments often are associated with shoulder injury. A screening examination of areas proximal to the shoulder where these alterations often are found can help physicians make the diagnosis.

New diabetes management guidelines feature exercise

January 28, 2011

Regular physical activity may help persons prevent or manage type 2 diabetes mellitus (T2DM), improve a person’s overall health, and boost his or her quality of life, according to new guidelines issued jointly by the American College of Sports Medicine (ACSM) and the American Diabetes Association.

Imaging for Dupuytren contracture

January 28, 2011

In Dupuytren contracture, hyperplasia of the palmar aponeurosis induces a contracture that typically involves the fourth and fifth digits of the hand. Radiographic findings consist of flexion deformity of the proximal interphalangeal joint of the ring finger, with mild subluxation.

Early rheumatologist evaluation of RA improves outcomes

January 26, 2011

For patients with rheumatoid arthritis (RA), a shorter time to assessment by a rheumatologist is associated with longer disease-modifying antirheumatic drug (DMARD)-free remission times and less joint destruction.

RA disease activity measures offer easy, practical alternative

January 26, 2011

Less complex disease activity measures for evaluating patients with rheumatoid arthritis (RA) correlate well with the C-reactive protein–based Disease Activity Score 28 (DAS28-CRP4) and may provide physicians in office practices with practical, easy-to-use tools.