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Heritability of Osteoarthritis

Jack Cush, MD

A Swedish study examine the genetic contribution to various rheumatic/musculoskeletal diseases (RMDs) and showed that osteoarthritis (OA) had a large heritability compared with other RMDs.

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tumeric

Curcumin therapy for knee osteoarthritis

Jack Cush, MD

Curcumin is widely used in traditional Chinese medicine to treat arthritis and is presumed to have analgesic and antiinflammatory effects that may benefit those with osteoarthritis, particularly knee osteoarthritis (KOA).

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OA, Hands, Frail, Woman

Sarcopenia Linked to Smoking in Osteoarthritis

Jack Cush, MD

Sarcopenia commonly has been linked to aging and arthritis and contributes significantly to quality of life and outcomes, but the association between sarcopenia and OA has not been well established.

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Fatigue, FM, fibromyalgia

Best of 2023: Postural Orthostatic Tachycardia Syndrome Review

Jack Cush, MD

The Cleveland Clinic Journal has published a full-read review of postural orthostatic tachycardia syndrome (POTS), a condition often seen in clinic with symptoms like fibromyalgia, but is clinically diagnosed with finding sustained tachycardia upon standing without orthostatic hypotension.

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RheumNow Podcast – Bill of Rights (12.15.2023)

Jack Cush, MD

Dr. Jack Cush reviews the news and journal reports from the past week on RheumNow.com. Two major reports on fatigue and fibromyalgia misfired, and "ankylosing spondylitis" is sent to the Rheumatology dead word cemetery. 

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Fatigue,depression

EULAR 2023 Recommendations on Fatigue

Jack Cush, MD

Fatigue is highly prevalent in inflammatory rheumatic and musculoskeletal diseases (I-RMDs) patients, is often unaddressed and yet it has significant effects on patient quality of life. A EULAR task force set out to develop recommendations for the management of fatigue in people with I-RMDs.

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CDC: Chronic Fatigue Syndrome 2021-2022

Jack Cush, MD

The current CDC report estimates that 1.3% of adults had myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS), based on the most recent population based National Health Interview Survey (NHIS 2021–2022).

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CBT or Naltrexone in Fibromyalgia (12.8.2023)

Jack Cush, MD

Dr. Jack Cush reviews the news and journal articles from the past week on RheumNow.com.  Be sure to catch the early registration break for 2024 RheumNow Live.

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Slower Weight Loss May Affect Osteoarthritis Survival

EurekAlert!

Arthritis & Rheumatology has published a new study that suggests knee or hip osteoarthritis patients who are overweight or obese may have less premature death if slow to moderate rate of weight loss results from anti-obesity medications.

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Is MTX Safe in the Elderly? (12.1.2023)

Jack Cush, MD

Dr. Jack Cush reviews this past week's news and journal reports from RheumNow.com. Good news is that nearly 99% of adult rheumatology positions matched! But the challenge is that 45% of pediatric fellowship programs and 39% of pediatric rheum slots were unfilled in the 2024 NRMP match.

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QD Clinic - A Non-Textbook Patient Widespread pain and a swollen wrist https://t.co/OixGhsKHRQ https://t.co/lvZ0duYwxw

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Dr. John Cush RheumNow ( View Tweet)
Do I have Arthritis? How I handle this frequent curbside consult question... https://t.co/uX6MUfy59w https://t.co/kYviOhcLQj

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Dr. John Cush RheumNow ( View Tweet)
Chronic Pain Management tools 1 Medication 2 Physical Therapy 3 Cognitive-Behavioral Therapy 4 Mindfulness Meditation 5 Acupuncture 6 Massage 7 Heat/Cold 8 TENS 9 Yoga/Tai Chi 10 Support groups https://t.co/VBvYR8VK16

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Dr. John Cush RheumNow ( View Tweet)

Prospective study.of 370 #FM pts (79% F; age 34yrs), and 79% were female w/ 14.3 tender points. A delay in Dx was signif correlated with Sx Severity Scale (r = 0.14) & tender points (r = 0.16), but not widespread pain. Early Dx = less severe FM. https://t.co/URvzRa1c3P

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Dr. John Cush RheumNow ( View Tweet)

Livedo reticularis is a painless, cyanotic cutaneous mottling in a fishnet pattern, often on extremities > trunk & exaggerated by cold. NOT specific but may be assoc w/ fibromyalgia, Raynauds, atheromatous or autoimmune Dz, hyperviscosity, thrombotic Dz https://t.co/8tGz1hIDiA https://t.co/3mw2RwTEeL

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Dr. John Cush RheumNow ( View Tweet)
RheumNow Podcast – Bill of Rights Dr. Jack Cush reviews the news and journal reports from the past week on RheumNow. Two major reports on fatigue and fibromyalgia misfired, and "ankylosing spondylitis" is sent to the Rheumatology dead word cemetery. https://t.co/lYtunY4cqd https://t.co/yNPqhPx5y3

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Dr. John Cush RheumNow ( View Tweet)
Cannabis Use in Rheumatic Diseases Dr. Janet Pope discusses several abstracts presented at the 2023 ACR Convergence meeting in San Diego, CA. https://t.co/C2vbbERoHZ https://t.co/XeiS0cJjuy

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Dr. John Cush RheumNow ( View Tweet)
CBT or Naltrexone in Fibromyalgia https://t.co/9SGRbY97oD https://t.co/wN2cMuqgHa

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Dr. John Cush RheumNow ( View Tweet)
RCT 114 fibromyalgia pts Rx w/ cognitive behavioral Tx (CBT) vs control education. CBT had significant reduction in pain catastrophizing, pain interference & Sxs w/ improved function; neuroimaging in 98 pts also showed comparable improvement https://t.co/bKwREZdDF0 https://t.co/XkZJAMBfld

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Dr. John Cush RheumNow ( View Tweet)
Naltrexone was NOT superior to placebo in a blinded RCT of 99 Fibromyalgia pts. Pain decreased –1·3 points w/ NAL vs –0·9 in PBO (p=0·27). D/C were similar (8% vs 6%). NAL may improve improve memory problems in FM pts. https://t.co/5i98Jr4u84 https://t.co/SkEbLaMfvI

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Dr. John Cush RheumNow ( View Tweet)
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