There is moderate evidence to suggest that there is no benefit to arthroscopic meniscal debridement for degenerative knee meniscal tears in comparison with nonoperative or sham treatments in middle-aged patients with mild or no concomitant osteoarthritis. A trial of nonoperative management should be the firstline treatment for such patients.
Three exam methods may be useful tests in identifying patients suitable for diagnostic spinal facet joint blocks.
Restricting carbohydrate may be an option for persons seeking to lose weight and reduce cardiovascular risk factors.
Very few bariatric surgery studies report long-term results with sufficient patient follow-up to minimize biased results.
With carpal tunnel syndrome, endoscopic vs open release allows for earlier return to work.
There are few high-quality studies evaluating nonoperative treatments for reducing discogenic low back pain. http://www.ncbi.nlm.nih.gov/pubmed/24827515?dopt=Abstract&otool=icamculib
Treatment planning for persistent pain in later life requires a clear understanding of the patient`s treatment goals and expectations, comorbidities, and cognitive and functional status, as well as coordinating community resources and family support when available.
Strength training, Tai Chi and aerobics exercises improved balance and falls risk in older individuals with knee osteoarthritis. http://www.ncbi.nlm.nih.gov/pubmed/25149678?dopt=Abstract&otool=icamculib
Meaningful changes in postoperative functional exercise capacity can be achieved with a prehabilitation program. http://www.ncbi.nlm.nih.gov/pubmed/25076007?dopt=Abstract&otool=icamculib
Tai chi training may be a safe and effective therapy to help improve physical function and dual-task walking in very old adults living in supportive housing facilities.
Dr. Craig Bauman is a chiropractor who takes an evidence-informed and patient-centred approach.