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The Journal of Musculoskeletal Medicine Vol 28 No 8

Exercise and Physical Activity for Fibromyalgia

August 01, 2011

Multidisciplinary management of fibromyalgia syndrome, including pharmacological and nonpharmacological interventions, is optimal. Exercise may improve patients’ symptoms and quality of life, but an exercise program may be challenging because of pain, stiffness, and fatigue.

The Pros and Cons of Ultrasonography for Rheumatologic Conditions

August 01, 2011

Portable, bedside musculoskeletal ultrasonography (MSUS) equipment has placed the potential for advanced imaging in the hands of office-based clinicians. Assessment of synovial tissue is one of the main applications of MSUS in rheumatology.

Pain Report Seen as "A Major Step Forward" in Care and Prevention

July 30, 2011

Recommendations on pain prevention, care, education, and research intended to achieve a cultural transformation in the way pain is understood, viewed, assessed, and managed are provided in an Institute of Medicine (IOM) report recently submitted to Congress.

Malignancy, Infection Risk in Early RA May Not Increase With TNF-α Inhibitors

July 28, 2011

In this meta-analysis, the risk of malignancy or serious infections was not increased in patients with a new diagnosis of rheumatoid arthritis (RA) who received tumor necrosis factor α (TNF-α) inhibitor therapy and had not received disease-modifying antirheumatic drugs (DMARDs) or methotrexate (MTX). This finding runs contrary to the results of earlier meta-analyses.

DMARDs Reduce Diabetes Risk in RA and Psoriasis

July 28, 2011

In patients who have rheumatoid arthritis (RA) or psoriasis, there is a reduced risk of diabetes mellitus (DM) with the use of a tumor necrosis factor α (TNF-α)inhibitor or hydroxychloroquine (HCQ), but not with methotrexate (MTX), compared with other nonbiologic disease-modifying antirheumatic drugs (DMARDs). Evidence suggests a possible role for DMARDs and immunosuppression in DM prevention

Antibody Levels and Male Sex Associated With Lung Disease in RA

July 27, 2011

High anti–cyclic citrullinated peptide (anti-CCP) antibody levels are associated with lung disease in patients with rheumatoid arthritis (RA). Male sex is another independent risk factor for co-occurrence of active lung disease in RA.

Treadmill Walking Provides Safe, Effective Exercise for Obese Adults

July 27, 2011

Walking at a slow speed up a moderate incline is an alternative exercise strategy for obese adults that may reduce the risk of musculoskeletal injury and pathological disease associated with brisk, level walking and provide proper cardiovascular stimulus for weight management.

A Model for Primary Care Hepatitis C Management in Underserved Communities

July 27, 2011

The Extension for Community Healthcare Outcomes (ECHO) model, which uses video-conferencing technology to train primary care physicians to manage complex diseases, is effective for treating patients with hepatitis C virus (HCV) infection in underserved communities.