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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.
http://www.ncbi.nlm.nih.gov/pubmed/25157057?dopt=Abstract&otool=icamculib
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Three exam methods may be useful tests in identifying patients suitable for diagnostic spinal facet joint blocks.
http://www.ncbi.nlm.nih.gov/pubmed/24662813?dopt=Abstract&otool=icamculib Restricting carbohydrate may be an option for persons seeking to lose weight and reduce cardiovascular risk factors.
http://www.ncbi.nlm.nih.gov/pubmed/25178568?dopt=Abstract&otool=icamculib Very few bariatric surgery studies report long-term results with sufficient patient follow-up to minimize biased results.
http://www.ncbi.nlm.nih.gov/pubmed/25182102?dopt=Abstract&otool=icamculib With carpal tunnel syndrome, endoscopic vs open release allows for earlier return to work.
http://www.ncbi.nlm.nih.gov/pubmed/25135849dopt=Abstract&otool=icamculib … 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.
http://www.ncbi.nlm.nih.gov/pubmed/25157726?dopt=Abstract&otool=icamculib 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.
http://www.ncbi.nlm.nih.gov/pubmed/25116984?dopt=Abstract&otool=icamculib |
AuthorDr. Craig Bauman is a chiropractor who takes an evidence-informed and patient-centred approach. Archives
February 2019
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