Low back pain

Wearing adjustable foot platforms meant to improve neuromuscular control and improve muscular strength resulted in improved non-specific low back pain.  

These shoes look like an easy way for patients to do physical therapy without having to go to physical therapy.

https://www.pmrjournal.org/article/S1934-1482(17)30387-8/fulltext

Se Won Lee, R. V. (2018). Footwear-Genearted Dynamic Biomechanical Manipulation and Perturbation Training for Chronic Nonspecific Low Back Pain. PM&R Journal, 836-842

NSAID Injection

Diabetics should consider intra-articular or trigger finger NSAID injections as they have as good short term pain relief and do not have the harmful effects of hyperglycemia when compared to corticosteroid injections. 

Another interesting take away from the paper was that the patients who received the NSAID injections had longer lasting pain relief compared to those who received corticosteroid injections. We also do not have know if NSAIDs have the chondrotoxic effects corticosteroids do. 

https://www.sciencedirect.com/science/article/pii/S0972978X1830299X?via%3Dihub

Vandit Sardana, J. B. (2018). Are non-steroidal anti-inflammatory drug injections and alternative to steroid injections for musculoskeletal pain? Journal of Orthopaedics, 812-816.

Visit www.sportsmedreview.com for more evidence based articles. 

Medical Scribes

Medical scribes decrease physician burnout!

https://jamanetwork.com/journals/jamainternalmedicine/fullarticle/2701617

Pranita Mishra, J. K. (2018). Association of Medical Scribes in Primary Care With Physician Workflow and Patient Experience. JAMA Internal Medicine

Backpacks

There is no evidence that backpacks cause back pain in kids.

Do schoolbags cause back pain in children and adolescents? A systematic review.

Tie Parma Yamato, C. M. (2018). Do schoolbags cause back pain in children and adolescents? A systematic review. British Journal of Sports Medicine, 1241-1245.

Concussion age

A majority of children recover from a concussion within four weeks.

Concussion Evaluation and Management: An Osteopathic Perspective.
Hallie Zwibel, A. L. (2018). Concussion Evaluation and Management: An Osteopathic Perspective. The Journal of the American Osteopathic Association

Optimistic

Being optimistic can decrease your risk for developing cardiovascular disease.

Positive Psychological Well-Being and Cardiovascular Disease

Laura Kubzansky, J. H. (2018). Positive Psychological Well-Being and Cardiovascular Disease. Journal of the American College of Cardiology, 1382-1396

Long Toss

Throwing from further distances increases elbow varus torque which can put the elbow at increased risk of injury.

Creating a throwing program for a pitcher can be difficult as increasing distance of throwing during long toss increases elbow varus torque which can put the elbow at risk of injury.

Brittany Dowling, M. M. (2018). Changes in Throwing Arm Mechanics at Increased Throwing Distances During Structured Long-Toss. American Journal of Sports Medicine, 1-5

Pitching Mound

Increasing the distance of the pitching mound to the plate in adolescent baseball players led to more maximum shoulder anterior force and maximum shoulder horizontal adduction torque which may increase the risk of humeral epiphysitis.

Do Mound Height and Pitching Distance Affect Youth Baseball Pitching Biomechanics?

Glenn Fleisig, A. D. (2018). Do Mound Height and Pitching Distance Affect Youth Baseball Pitching Biomechanics? American Journal of Sports Medicine, 1-6

Cinnamon

Cinnamon is used as a supplement to help treat diabetes but one of the side effects is peripheral edema due to a mechanism of action similar to Thiazolidinediones which also cause edema.

Edema from taking Cinnamon for Treatment of Diabetes: Similar Biochemistry and Pathophysiology to Thiazolidinedione Medications
Paul Crawford, A. C. (2018). Edema from taking Cinnamon for Treatment of Diabetes: Similar Biochemistry and Pathophysiology to Thiazolidinedione Medications. Journal of the American Board of Family Medicine, 809-811

Holocaust Survivors

Holocaust survivors compared to a group of Europeans who lived in countries not under Nazi occupation were found to have higher levels of diabetes, hypertension, and dyslipidemia.

Cardiovascular Morbidity and Risk Factors In Holocaust Survivors in Israel

Omri Zamstein, A. B. (2018). Cardiovascular Morbidity and Risk Factors in Holocaust Survivors in Israel. Journal of the American Geriatrics Society.

Running Injuries

Injured runners were found to have a greater contralateral pelvic drop and the altered force distribution put those patients at greater chance of developing medial tibia stress syndrome and Achilles tendinopathy.

Is There a Pathological Gait Associated With Common Soft Tissue Running Injuries?
Christopher Bramah, S. P. (2018). Is There a Pathological Gait Associated With Common Soft Tissue Running Injuries? American Journal of Sports Medicine, 1-9

Vitamin D Supplementation

Rubin One-Liner of the Day:
The USPSTF does not recommend vitamin D supplementation in patients over age 65 without a vitamin D deficiency to prevent falls.

USPSTF recommends exercise and multifactorial interventions for fall prevention in older adults.

Force, U. P. (2018). Guideline: USPSTF recommends exercise and multifactorial interventions for fall prevention in older adults. JAMA, 1696-1704.

Knee Pain

Rubin Review of the Day:
Risk factors for chronic pain after total knee arthroplasty are female gender, anxiety/depression, and history of CHF.

Predictive Factors for Developing Chronic Pain After Total Knee Arthroplasty

David H Kim, K. P.-C. (2018). Predictive Factors for Developing Chronic Pain After Total Knee Arthroplasty. Journal of Arthroplasty, 1-7