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lumbar,spine,lbp,pain

Acute Inflammatory Responses Needed to Resolve Chronic Pain

May 16, 2022

Science Translational Medicine has published results of a Canadian study of low back pain (LBP) suggests that pain control by anti-inflammatory treatments might have negative effects on pain duration and may be counterproductive for long-term pain outcomes.

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Polygenic Risk Scores to Identfy Severe Knee and Hip Osteoarthritis This study identified genetic risk variants from genome-wide association analysis of OA patients to calculate PRSs associated with subsequent need for joint replacement surgery.https://t.co/ZhAiuFu8iw https://t.co/OsR6p9m2S9
Dr. John Cush @RheumNow( View Tweet )
May 15, 2022
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Methotrexate Monitoring (5.13.2022)

May 13, 2022

Dr. Jack Cush reviews the news and journal reports from the past week on RheumNow.com. Bad news for digitial ulcers in Systemic sclerosis, Readmissions in Lupus and Thrombocytopenia in APL patients.




  1. Risk factors for readmission among 132,400 #SLE hospitalizatiions included

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Patient,instruction

Making You the Expert of You! (Smart Rules for Patients)

May 10, 2022

You’ve scheduled an appointment with your medical provider - how do you make the most of it? We've gathered these tips and suggestions to share with patients.

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Polygenic Risk Scores to Identfy Severe Knee and Hip Osteoarthritis

May 09, 2022

Prevention of knee and hip osteoarthritis would obviate considerable disability and future surgery.  We may be one step closer according to a prospective European GWAS study showing polygenic risk scores (PRSs) significantly associated with higher risks for knee and hip OA joint replacement

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Prospective randomized trial of ultrasound-guided genicular nerve block (GNB) vs physical therapy (PT) i102 pts chronic knee #OA - GNB was superior at walk distance, pain, functional and physical capacity, at 12 weeks https://t.co/MOJ16zAiqH https://t.co/JJJye2dobH
Dr. John Cush @RheumNow( View Tweet )
May 09, 2022
Expansive (full read) review of CBD - legal and regulatory overview, availability, physiologic and pharmacologic effects, safety, & risks, standards, use in specific rheumatic disorders. https://t.co/hefwKTmPLK https://t.co/IZKZMOZ5ij
Dr. John Cush @RheumNow( View Tweet )
May 09, 2022
medical.marijuana

Lack of Research Stymies Uptake of Medical Marijuana for Rheumatic Pain

Creaky Joints
May 06, 2022

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

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Rheumatologic diagnosis through hand exam by Dr. Sarah Chung @ACPinternists #rheumatology #rheumtwitter #MedEd #rheumatoidarthritis #BJHM #Hospitalmedicine #IM2022 #MedTwitter 👇🏽 https://t.co/qR4zNa4NcX
Brown Journal of Hospital Medicine @BrownJHM( View Tweet )
May 03, 2022
Intraarticular Steroids in Hip Osteoarthritis - Do They Work?https://t.co/AP9jo96xQo https://t.co/tYvP20Qpqh
Dr. John Cush @RheumNow( View Tweet )
May 01, 2022
US,hip,injx

Intraarticular Steroids in Hip Osteoarthritis - Do They Work?

Apr 27, 2022

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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QD Clinic - PsA lessons and cases from the Rheumatology clinic. Distinguishing Psoriatic arthritis from Erosive Osteoarthritis can be difficulthttps://t.co/UCcCMqUL2d https://t.co/zLkfBYI4Cm
Dr. John Cush @RheumNow( View Tweet )
Apr 25, 2022
US,hip,injx

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

Apr 07, 2022

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

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ICYMI: Effect of Intraarticular Steroid Shots on Knee OA Outcomes In patients w/ OA of the knee, intra-articular injections of steroids didn’t increase rates of either disease progression or subsequent knee replacement surgery, researchers said.https://t.co/qinnfFLsGQ https://t.co/6859pSNNhL
Dr. John Cush @RheumNow( View Tweet )
Mar 27, 2022
TENS does not work! Multi-centre, trial in 220 active Knee OA pts pitted TENS vs placebo TENS for 3 Wks. Using WOMAC pain scores there was no difference between TENS and placebo TENS (mean diff -0.06; P=0.74). No diff in AE or 2ndary outcomes https://t.co/4Aw9s1zfBQ https://t.co/gwdK6nbKLB
Dr. John Cush @RheumNow( View Tweet )
Mar 24, 2022
Effect of Intraarticular Steroid Shots on Knee OA Outcomes In patients with osteoarthritis of the knee, intra-articular injections of steroids did not increase rates of either disease progression or subsequent knee replacement surgery, researchers said.https://t.co/KlNj1GABlb https://t.co/2npPTNSlSA
Dr. John Cush @RheumNow( View Tweet )
Mar 24, 2022
joint.injx_.jpg

Effect of Intraarticular Steroid Shots on Knee OA Outcomes

MedPage Today
Mar 22, 2022

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.



Among more than 560 OA patients in a long-running French cohort, 6.0% of those

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French study of "Pre-Hab" before Total Knee replacement (prospective, OL, randomized trial) in 262 Knee OA pts >50yrs; saw no benefit of PreHab before TKR. 4 d post surgery, functional independence was same in PreHab (34%) & control (27%) https://t.co/0kXMNEfz4b. https://t.co/yhzk2MyZE3
Dr. John Cush @RheumNow( View Tweet )
Mar 21, 2022
Most chronic pain is as you would think, back pain and OA. Dr. @Tuhina_Neogi #RNL2022 @RheumNow https://t.co/0thMj6mzjp
Dr. Rachel Tate @uptoTate( View Tweet )
Mar 20, 2022
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Failed Osteoarthritis Pulse Ultrasound Study

MedPage Today
Mar 08, 2022

A promising therapy aimed at halting and even reversing the pathology underlying osteoarthritis (OA) of the knee failed to show any benefit in a randomized trial.



Neither clinical nor radiographic outcomes differed between patients who received pulsed low-intensity ultrasound (PLIUS)

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Top February Tweet: Positive Results from the DOA (Duloxetine in OsteoArthritis) Study https://t.co/Is56PBxpIr https://t.co/xEh6zbx9nr
Dr. John Cush @RheumNow( View Tweet )
Mar 03, 2022
Diabetes (HR 1.29), bad glycemic control (HR 1.41), and long-term diabetes (>5yrs HR 1.49) are potential risk factors of symptomatic knee OA, independent of age and BMI. Targeting blood glucose, in addition to obesity, may prevent knee OA. https://t.co/6XXVfLumqG https://t.co/ypz8avcjVs
Dr. John Cush @RheumNow( View Tweet )
Mar 02, 2022
knee.surg2_.jpg (keep)

Updated ACR/AAHKS Guidelines on Drug Use in Knee & Hip Arthroplasty Patients

ACR
Feb 28, 2022

The American College of Rheumatology and the American Association of Hip and Knee Surgeons released a summary of their updated guideline for the Perioperative Management of Antirheumatic Medication in Patients with Rheumatic Diseases Undergoing Elective Total Hip or Total Knee Arthroplasty.

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Diagnostic Delay in Axial Spondyloarthritis (2.25.2022)

Feb 25, 2022

Dr. Jack Cush reviews the news and journal reports from the past week on RheumNow.com. This week, rheumatologic problems incited by respiratory infections, air pollution and how you live, now where you live.




  1. Diagnostic delay in axial spondyloarthritis? Systematic review

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Positive Results from the DOA (Duloxetine in OsteoArthritis) Study

Feb 21, 2022

A pragmatic, open-label trial of osteoarthritis (OA) patients demonstrated that adding duloxetine treatment seems to be beneficial for end-stage knee OA patients with neuropathic-like symptoms (at risk of central sensitization).



While duloxetine is approved for the treatment of

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