In a recent study by Hart et al, the authors looked into the risk factors associated with blood transfusion during total hip and knee replacements. They looked at information from the National Surgical Quality Improvement Program, which is a nationally validated, outcome based program that collects data about preoperative risk […]
There have been a few research studies trying to answer just this question. Pedersen et al looked at hip replacements and found some association with post operative pneumonia and death. Browne et al showed blood transfusions with total hip replacement to have increased mortality, length of stay in the hospital […]
Studies vary on the prevalence of sciatica annually, however recent reviews of nine large studies found that the injury ranges between two and 34 percent of adults each year.
Hopefully, you will feel better with PT and medical interventions for your sciatica in the first few weeks of PT after the onset of your pain. There is good evidence to support that the higher the level of your fear of movement and pain initially, the better the chance you […]
Adhesive capsulitis, also known as frozen shoulder is often associated loss of range of motion in the shoulder with no known cause. In general an MRI is not needed to confirm this diagnosis, however there has been some recent indications that in some cases of frozen shoulder the rotator cuff […]
There has recently been some discussion of rotator cuff injuries being associated with adhesive capsulitis, or frozen shoulder, with no known cause and this is something to consider. A recent study by Ueda et al has attempted to clarify some of the information that is in the research these days. […]
I have good news for you. According to a recent study conducted by Moffat et al there is good evidence that there is no down side to having your at home physical therapy provided via the internet and video. They showed no significant difference at four months after hospital discharge […]
This is a problem for many people in all areas of medicine and with improvements in internet access telemedicine is increasing. There haven’t been too many studies on comparing the quality of these services as far as physical therapy is concerned. However there has been on recent study by Moffat […]
In the past, recovery from a burst fracture in the thoracolumbar region could include any combination of significant bed rest, surgery, and a brace (orthosis). However, recent treatments have been moving away from these due to the increased costs and risks of surgery and bed rest. In a recent study […]
According to a recent study by Bailey et al in 2015, treatment of a thoracolumbar burst fracture can include a brace or not with equivalent results. The group utilizing the brace was instructed to wear it at all times, unless in bed, for ten weeks, with a weening out period […]
A group of large randomized clinical studies investigated long term outcomes comparing anterior cervical discectomy and fusion (ACDF), to cervical disc replacement (CDR). They looked at measures including perceived neck function, general health, neurologic improvement and avoidance of future secondary surgical needs. All reported improvement in all outcomes with both […]
Both procedures are used for treatment of long term neck pain, neurological deficits, and radiculopathy stemming from the degenerative changes of the neck. Anterior cervical discectomy and fusion (ACDF), has been the gold standard for years. It involves a surgical procedure where an incision is made in the front of […]
On the surface, with results such as shorter hospital stays, less blood loss, and a lower chance of infection, it would seem that minimal access surgery would be more cost effective than an open spinal surgery. However, the instrumentation required for these techniques is often expensive and can outweigh the […]
Surgical techniques for lumbar spine fusion can be separated into two categories based on amount of tissue disruption. Minimal access surgery is reported to have better short term perioperative results as it utilizes small incisions and minimal muscle disruption. This technique involves use of a tube or sleeve to complete […]
In a recent report by Dines at al, there is a good description of common tennis injuries and why they occur. Tennis has many different movements associated with playing, but frequently there are explosive bursts of energy and there are repeated motions. Over the course of a few months playing […]
According to a report by Dines et al, there are several studies which have concluded that the most common injury to the tennis player is an ankle sprain. One of the easiest prevention measures to take, and if you notice at the US Open this summer most professionals have them, […]
A review study found supportive evidence on electing for the conservative non-surgical choice followed by rehabilitation focused on getting the person back to prior function gradually. Better outcomes, less infections, less medical cost all weighed in on the side of avoiding the knife.
Getting your leg fully examined by a qualified medical provider is a good start. They are recommended to use the Thompson test or calf-squeeze-test, which been found to be the most effective way to diagnose a full Achilles tendon tear.
Hill and Keating’s study found that regular exercise and spine health education reduce the incidence of low back pain in children (ages eight-11) more than just back care education alone.
According to the conclusions of this randomized and controlled study, the evidence does not support specific therapeutic exercises in reducing the frequency of episodes of low back pain.