Viruses and Joint and Tendon Pain
You had a cold two weeks ago. Nothing serious. But now your knee hurts more than it has in months. Your achilles is flaring. Your easy run felt like a half-marathon. You didn't do anything wrong. Here's what's actually happening...
Do scientific trials obscure some good treatment results? Outliers? “Strong responders”?
TL;DR: Strong responders do exist…but they’re rare, hard to find, and probably not YOU.
Or your patients.
And now for the whole discussion (4-min read):
https://t.co/grcZE79LYf
The lesser quoted Brinjikji et al study
MRI Findings of Disc Degeneration are More
Prevalent in Adults with Low Back Pain than
in Asymptomatic Controls: A Systematic
Review and Meta-Analysis
https://t.co/HKsA3bfchX
New article. Navigating the grey zone regarding surgery for disc herniation and sciatica! Feedback appreciated (I know it's long).
https://t.co/OhjCsVm3Wi
@adamdobson123 Just relaying my experience, who doesn't listen to pts? That's basic care, Mckenzie appraocj is just another approach like any other. No better or worse than anything else.
For the people at the back -
1. Distance runner with ramp in load +/- REDS risk factors
2. Positive hop test
3. Positive FADDIR
4. Weak / painful on iliopsoas testing
This is 99.9% likely to be a neck of femur stress injury
IT ISN'T A TIGHT HIP FLEXOR
Pain neuroscience education combined with any singular form of physical therapy intervention is not more effective than the single intervention itself: a systematic review
https://t.co/eO1BfbrwXT
It's commonly claimed that ultra-processed foods drive hedonic overeating.
However, this new analysis found that the degree of food processing was not the strongest predictor — it explained only up to 7% of the variance in overeating behavior.
Instead, individuals' subjective perceptions — such as whether a food was seen as indulgent, tasty, or a “guilty pleasure” — explained significantly more of the variation in both liking and hedonic overeating, accounting for up to 38%.
The biggest determinant was nutritional composition, i.e., macronutrients, fiber, energy density (40-57%)
Carbohydrate-to-fat ratio provided no additional effect
Study: https://t.co/Z8EvXPCGb9
Metabolic disorders and pathophysiologies have many detrimental effects and are associated not only with tendinopathies but also with chronic #pain and are highly likely to be causal for these. This new review finds that diabetes has crazy effect sizes for many types of tendinopathies from trigger finger OR=~3.8 to Achilles tendinopathy OR =7.2 to medial epicondylitis OR = ~11.3 ! There are other weaker associations.
Open access in the comments.