Knee Osteoarthritis (OA)From February 2018, The Tragically Sore Hip
Jake and Andrew break down the data for us on knee OA treatments. Lo and behold, there is not a lot of evidence!18min 54Andrew Buelt, DO and Jake Anderson, MD
Trochanteric BursitisFrom February 2018, The Tragically Sore Hip
Once thought be caused by trochanteric bursitis, GTPS is now understood as an overload tendinopathy of the gluteus medius and minimus muscles. It is characterized by pain over the lateral trochanter area. Diagnosis is made clinically, though in some cases imaging may be beneficial. While GTPS is …10min 45Brandon Grove, MD and Neda Frayha, MD
Things I Do But Should I? Epicondylitis Bracing CarnageFrom October 2017, It's Bloody Halloween!
Sore elbows abound in the primary care clinic, and often epicondylitis is to blame. Vanessa and Adrien review the evidence around two commonly used braces - the wrist extension splint and the counter-force forearm brace. Turns out neither has a clear advantage and may not even be better than …5min 17Vanessa Cardy, MD and Adrien Selim, MD
Paper Chase 5 - A Zap on the Back for Chronic Low PainFrom September 2017, You Can Do It!!
Radiofrequency denervation combined with an exercise program is no better at improving chronic low back pain than exercise alone.6min 6Andrew Buelt, DO and Joe Weatherly, DO
Topical NSAIDs For the Win!From July 2017, Be Kind and Enjoy Life
Andrew and Jake tackle recent literature comparing efficacy of oral and topical NSAIDs. And, GOOD NEWS! Topical NSAIDs can be used to treat many conditions without the systemic side effects associated with oral NSAIDs.12min 29Andrew Buelt, DO and Jake Anderson, MD
Paper Chase 1 - Spinal ManipulationFrom July 2017, Be Kind and Enjoy Life
Go for it! Get your back adjusted. It will help your pain...at least according to this study. •4min 53Andrew Buelt, DO and Joe Weatherly, DO
Paper Chase 4 - Joint Replacement and Patient AgeFrom May 2017, My Gut Biome Told Me So
The vast majority of knee and hip replacements are still functional 20 yrs post implantation. Given this, perhaps joint replacement surgeries could be considered in younger patients than is typical. •5min 29Andrew Buelt, DO and Joe Weatherly, DO
Things I Do but Should I - Ingrown ToenailsFrom May 2017, My Gut Biome Told Me So
Vanessa and Adrien break Heid’s toenail surgery loving heart and discuss conservative treatments for ingrown toenail and review the evidence for each. Salt water soaks, manually pushing the skin away from the nail fold, high potency topical steroids, taping, inserting a pledget under the nail …14min 31Vanessa Cardy, MD and Adrien Selim, MD
Paper Chase 4: Avoid Surgical Repair of Degenerative Meniscal TearsFrom June 2016, C Diff Shows No Mercy!
Resection of a torn meniscus has no added benefit over sham surgery to relieve knee catching or occasional locking •5min 4Andrew Buelt, DO and Joe Weatherly, DO
Paper Chase 3: Vitamin D Supplement Yields No Benefit in Knee OsteoarthritisFrom June 2016, C Diff Shows No Mercy!
In patients with low serum vitamin D levels and knee pain, vitamin D supplementation did not result in significant differences in change in tibial cartilage volume or knee pain. •6min 57Andrew Buelt, DO and Joe Weatherly, DO
Introduction: Dupytren's DiseaseFrom May 2016, The Sexology of Radicular Back Pain
Dupuytren's’ contracture can cause significant disability, but 10% will resolve spontaneously. •11min 36Rob Orman, MD and Heidi James, MD
The Painful Pediatric ElbowFrom April 2015, The Iron Cranberry
Review common presentations of the painful elbow in the pediatric population.26min 3Mizuho Morrison, DO, Solomon Behar, MD, and Yu-Tsun (Yo) Cheng, MD
Undifferentiated Shoulder PainFrom October 2014, Butts, Handshakes, Blood and T… Shaky Shoulders and ADHD
“Doc, it hurts when I move my shoulder like this.” “Well, stop doing it.”32min 9Mizuho Morrison, DO and Brian Tollefson, MD