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Fibromyalgia/Pain

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Dr. John Cush RheumNow ( View Tweet)
Jan 20, 2021
2020 Rheumatology Year in Review-- Read our top news items that rheumatologists should recollect and integrate into clinical standards for 2021 and beyond. https://t.co/QisCpdcLEa https://t.co/pZekUvcomE
Dr. John Cush RheumNow ( View Tweet)
Jan 16, 2021
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Dr. John Cush RheumNow ( View Tweet)
Jan 12, 2021
Rheumatologists: Record your question or case for the RheumNow podcast. https://t.co/NDhYNX50e2

Dr. John Cush RheumNow ( View Tweet)

Jan 09, 2021

EULAR Guidance on Patient Adherence to Meds

Jan 06, 2021

Non-adherence may be the single most untold risk to suboptimal outcomes in the care of musculoskeletal disease.  It has been estimated that 30-80% of patients with rheumatic and musculoskeletal diseases (RMDs) are nonadherent to prescribed regimens.  EULAR has commissioned a task force to

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Dr. John Cush RheumNow ( View Tweet)
Jan 05, 2021

Best of 2020: The COVID-19 Global Rheumatology Registry

Dec 24, 2020

What started out as online tweets and sharing newsfeed and case reports, has progressed to the formation of the COVID-19 Global Rheumatology Alliance, whose mission is to create an international rheumatology registry of patients affected by the disease in order to better understand the disease

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Phase II/III, double-blind, RCT shown fasinumab (nerve growth factor inhibitor) at higher doses (9mg q4 or q8wks), but not lower doses, improved chronic low back pain w/ best responses at wk 16.. Rapid OA progression seen more w/ FAS (3.8%) vs PBO (0.7%) https://t.co/OfdEsAZuDe

Dr. John Cush RheumNow ( View Tweet)

Dec 09, 2020
Fibromyalgia Therapies Show Limited Evidence of Pain and QOL Reduction https://t.co/jpZC4KFygJ https://t.co/k7WFNQg9AY
Dr. John Cush RheumNow ( View Tweet)
Nov 30, 2020
The presence of fibromyalgia in psoriatic arthritis correlates with the clinical outcome scores. Ultrasound evaluation can be useful to evaluate disease activity in the presence of fibromyalgia @rheumnow #ACR20 Abstr#315 #ACRbest

Dr. Antoni Chan synovialjoints ( View Tweet)

Nov 06, 2020
Early RA pts may develop chronic widespread pain. Not all have fibromyalgia. Multiple areas of pain & inflammation ^ chronic pain & other factors ie women high initial pain longer symptoms @CRASCRRheum @RheumNow #ACR20 abstr#187 1/3 at onset have regional pain 1/4 at 1yr https://t.co/7qOxH4h7Dd https://t.co/IFO1uwyR0o
Janet Pope Janetbirdope ( View Tweet)
Nov 06, 2020

Fibromyalgia Therapies Show Limited Evidence of Pain and QOL Reduction

Oct 27, 2020

JAMA Internal Medicine has published a review showing that most currently approved therapies for fibromyalgia (FM) do not have high-quality evidence to support their use; with some reducing pain or improving quality of life (QOL) in the short term, but overall effect size is not impressive.

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IL-1 Inhibition Alters Arthroplasty Rates

Oct 07, 2020

A subanalysis of the CANTOS trial suggests that inhibition of interleukin-1β (IL-1β) can reduce rates of incident hip or knee replacement (THR/TKR) surgeries.

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RheumNow Podcast – Function Follows Form (10.2.20)

Oct 01, 2020

Dr. Jack Cush reviews the news and journal articles from the past week on RheumNow.com. Regulatory approvals, update on global rheumatology alliance, smoking and psoriasis, gabapentin let down and defining difficult RA.

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Gabapentin Fails to Lessen Chronic Pelvic Pain

Sep 27, 2020

Lancet reports that in a randomized, blinded, controlled trial, gabapentin failed to significantly lower pain scores in women with chronic pelvic pain, and was associated with higher adverse event rates compared to placebo.

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Global task force establishes protocols for medical cannabis use to treat pain. Start low (5mg CBD) and titrate up (max 40 mg) - ALL Expert opinion, no good evidence (largely bunk?) https://t.co/HyYU0tGVF5

Dr. John Cush RheumNow ( View Tweet)

Sep 23, 2020

Has the Risk of Hip Fracture Changed over Time?

Sep 16, 2020

Data from the Framingham Heart Study has shown that hip fracture incidence has decreased over time, probably resulting from improved lifestyle changes (less smoking and heavy drinking). 



The incidence of hip fracture has been shown to be decreasing in the US, presumeably attributeable

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NSAIDs Shows No Advantage over CBT in Knee Osteoarthritis

Sep 16, 2020

JAMA Internal Medicine reports on a controlled clinical trial of knee osteoarthritis patients wherein meloxicam responses were not significantly or clinically superior to placebo or CBT (after placebo).



Because of the uncertain benefits and safety of long-term NSAIDs,

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Sleep, Fatigue and Depression in Psoriatic Arthritis

Aug 28, 2020

Comorbidities are highly prevalent in psoriatic disease. A recent study in Arthritis Research & Therapy suggests a high prevalence of sleep disturbances, fatigue, and anxiety/depression in psoriatic arthritis (PsA) that is unrelated to skin disease musculoskeletal (MSK)

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EHR review of acute MSK injuries (13+ million participants) finds prolonged opioid use in high-risk pts (workers' comp, VA pts, substance abuse ) to be 27% but only 6% in low-risk pts; persistent opioid increased w/ older age and physical comorbidity https://t.co/yCDGxpilDT

Dr. John Cush RheumNow ( View Tweet)

Aug 28, 2020

RheumNow Podcast – Rheum Lives Matter (8.28.20)

Aug 28, 2020

Dr. Jack Cush reviews the news and journal articles from the past week. Of mice and men in cartilage, the efficacy of JAK inhibitors in patients who are having skin problems, nrAxSpa has its own diagnostic code, metformin, talking about Back Talk, plus so much more.

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Fibromyalgia & Exercise? Systematic review of 50 trials, shows that, compared to usual care, exercise had moderate effect on fatigue, small effect on sleep and meditative exercise programs were the most effective for improving sleep quality. https://t.co/iloD8rMx64

Dr. John Cush RheumNow ( View Tweet)

Aug 24, 2020
Telemedicine: What's Changed and What Needs to be Addressed? An update on legislative changes, uncertainties, and the care gap post COVID https://t.co/HRAsEP7IL6 https://t.co/X6PL0W4tI7
Dr. John Cush RheumNow ( View Tweet)
Aug 23, 2020

ACP/AAFP Guidelines on Managing Musculoskeletal Pain

Aug 17, 2020

Topical nonsteroidal anti-inflammatory drugs (NSAIDs) are recommended as first-line therapy in a new guideline for treating acute, non-low back pain from musculoskeletal injuries in outpatient settings.



The clinical guide, released by the American College of Physicians (ACP) and the

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Check out my Virtual Video Exam - 5 minutes of a combo of Simon Sez and the Macarena hits the high points of a functional virtual examination. https://t.co/iwHTJKQtEC

Dr. John Cush RheumNow ( View Tweet)

Aug 14, 2020
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