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Lack of Research Stymies Uptake of Medical Marijuana for Rheumatic Pain

Creaky Joints

A new review article from CreakyJoints finds that there has been limited progress in understanding the potential of cannabis based therapies for the treatment of pain associated with rheumatic conditions in the past five years because of a lack of standardization of clinical research and barriers to conducting research due to existing federal and state regulations.

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US,hip,injx

Intraarticular Steroids in Hip Osteoarthritis - Do They Work?

Jack Cush, MD

The efficacy of ultrasound guided intra-articular hip injection of corticosteroid in adult hip osteoarthritis (HOA) was shown to be effective when added to conventional current treatment. But was this a clinically meaningful outcome?

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TNR,controversies,psa

TNR - Controversies in PsA

Jack Cush, MD

Held on April 19, 2022, Tuesday Night Rheumatology: Controversies in PsA, featured a lively and informative panel discussion, moderated by Dr. Jack Cush.



The PsA Expert panelists included:

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RheumNow Podcast – What You Do For & What You Do To the Patient (4.8.2022)

Jack Cush, MD

Dr. Jack Cush reviews the news and journal articles from the past week and discusses the use of fibroscan in RA, steroid hip injections in OA and famous quotes from a famous cardiologist.

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US,hip,injx

Short-Term (not Long-Term) Benefits to Intraarticular Hip Steroid Injection

Jack Cush, MD

A single ultrasound guided intra-articular hip corticosteroid injection can be quite effective in patients with hip osteoarthritis (OA).

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Effect of Intraarticular Steroid Shots on Knee OA Outcomes

MedPage Today

In patients with osteoarthritis (OA) of the knee, intra-articular injections of steroids did not increase rates of either disease progression or subsequent knee replacement surgery, researchers said.

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Are Shoulder Conditions Incited by Vaccination?

Jack Cush, MD

A retrospective cohort study from Kaiser Permanente Southern California intramuscular vaccination given between 2016 and 2017 shows a small but significant increase in shoulder conditions, reported as an adverse event (AE) following intramuscular vaccination in the deltoid muscle. 

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There is 1.4 million transgender persons in the US. ACP has published a guideline "Care of the Transgender Patient" addressing health disparities, certain cancers, substance abuse, mental health conditions, infections, and chronic diseases. https://t.co/AoBeOzv9YH https://t.co/jKabVELPxH

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Dr. John Cush RheumNow ( View Tweet)
COVID-19 Vaccination Uptake and Perceptions in Rheumatic Patients Putman et al has reported vaccine survey results from the C19-GRA in Lancet Rheumatology showing the uptake and vaccine hesitancy among people with rheumatic diseases (RMD). https://t.co/sqsOHGThzV https://t.co/zeZrlDeQ9Z

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Dr. John Cush RheumNow ( View Tweet)
What I learned... always get an ALP and phosphorus level in people with chronic bony pain. https://t.co/nE0xYwODmC

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TheDaoIndex KDAO2011 ( View Tweet)

ICYMI: Metanlysis of psychological interventions for chronic low back pain (97 RCTs, 13,136 pts) finds that Only behavioural therapy delivered w/ physiotherapy care (mainly structured exercise) reduced pain intensity up (high quality evidence) https://t.co/56pMRVk0ic https://t.co/wxcfninf14

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Dr. John Cush RheumNow ( View Tweet)
CorEvitas Registry study of Axial #PsA pts showed 6 mos of bDMARD/tsDMARD resulted in modest, nonsignificant improvement axial outcomes,(irrespective HLA-B27 status), including ASDAS40, BASDAI50, & spinal pain. 31% of pts were B27+ https://t.co/9m9H7PwIIF #PsAlways https://t.co/dYk5GfIdez

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Dr. John Cush RheumNow ( View Tweet)
Metanlysis of psychological interventions for chronic low back pain (97 RCTs, 13,136 pts) finds that Only behavioural therapy delivered w/ physiotherapy care (mainly structured exercise) reduced pain intensity up (high quality evidence) https://t.co/wHHvj0vey9 https://t.co/PBwyitTZxK

Links:

Dr. John Cush RheumNow ( View Tweet)
Danish study of opioids in psoriasis (n 4016), PsA (847) & controls (3490). Opioid Use within 12 months seen in 9% general population, 14.2% psoriasis without PsA, & 22.7% concomitant PsA pts. Joint pain incr analgesic use (OR 3.72) #PsAlways https://t.co/WKrA8sChyN https://t.co/9FLq4mKz7V

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Dr. John Cush RheumNow ( View Tweet)
Metanalysis of 51 studies shows that chronic noninflammatory MSK pain is associated with impaired sexual function; compromised intimate relationships; and issues of sexual identity, body image, and self-worth https://t.co/VKHEMWiQZb https://t.co/OXhNSQF8Vc

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Dr. John Cush RheumNow ( View Tweet)
Ask Cush Anything! Have a rheumatology question or case for Dr. Cush? Submit it here and we may feature it on an upcoming podcast. https://t.co/KgPIeScthr https://t.co/nk4re9mlcH

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Dr. John Cush RheumNow ( View Tweet)
Emerging pain targets! Will start prescribing topical Capsaicin more !! Amazing talk by @Tuhina_Neogi @RheumNow #RNL2022 https://t.co/DjAtTjfGCo
Nouf Al hemmadi NoufAhmedAlham2 ( View Tweet)
Learning so much this weekend at @rheumnow. Great talks this am on psoriatic disease for rheumatologists and on hot topics in rheumatology featuring adults with JIA, pain, and central sensitization in rheumatic disease. #RNL2022 https://t.co/UBbchcJu4B
Aradhna-Agarwal AradhnaAgarwal ( View Tweet)
Impact of fibromyalgia on Anti-TNF treatment response!! Philip Mease @RheumNow #Rnl2022 https://t.co/BYdZA3uu94
Nouf Al hemmadi NoufAhmedAlham2 ( View Tweet)
What about fatigue in rheumatic diseases?! Philip Mease @RheumNow #Rnl2022 https://t.co/1RbnVwDZTp
Nouf Al hemmadi NoufAhmedAlham2 ( View Tweet)
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