Search results for "Back pain"
Changing thinking on chronic fatigue
A recent report might shed some diagnostic insight on the profound fatigue, unrefreshing sleep, and other nagging symptoms that could indicate myalgic encephalomyelitis/chronic fatigue syndrome.
https://immattersacp.org/archives/2015/06/fatigue.htm
1 Jun 2015
Warning on using hep C drugs with amiodarone
This update covers combining amiodarone, sofosbuvir, and another direct-acting antiviral for hepatitis C, as well as the approval of a non-invasive test to aid in the diagnosis of gastroparesis.
https://immattersacp.org/archives/2015/06/fda.htm
1 Jun 2015
Prescribe opioids, but with caution
Use of opioids for chronic pain quadrupled in a 10-year span, despite scant evidence that they are effective for noncancer pain and ample evidence of harm. Learn more about how to prescribe them safely.
https://immattersacp.org/archives/2015/07/opioids.htm
1 Jul 2015
Corticosteroid injections may not offer lasting benefit in low back pain
Researchers called for more research to clarify the benefits and harms of injections for low back pain.
https://immattersacp.org/weekly/archives/2015/08/25/1.htm
25 Aug 2015
Physical therapy for low back pain may offer modest benefit
While there was a modest difference favoring early physical therapy at 3 months, a between-group difference did not achieve the threshold for minimum clinically important difference, and differences were mostly undetectable by 1 year.
https://immattersacp.org/weekly/archives/2015/10/20/1.htm
20 Oct 2015
No additional benefit for low back pain when naproxen is combined with adjunct treatment, study finds
Adding a muscle relaxant or an opioid plus acetaminophen to naproxen did not appear to improve pain or functional outcomes at 1 week in patients who presented to an ED with low back pain.
https://immattersacp.org/weekly/archives/2015/10/27/5.htm
27 Oct 2015
New warnings added on multiple diabetes drugs
This update also covers a risk evaluation and mitigation strategy for liraglutide and approval of a new PCSK9 inhibitor.
https://immattersacp.org/archives/2015/11/fda.htm
1 Nov 2015
Benefits of clearly defining value in patient care
Physicians have always been charged as agents to advocate for patients' best interests. Simultaneously, however, they are tasked with considering using resources wisely. These commitments can sometimes conflict and create tradeoffs in clinical decision making.
https://immattersacp.org/archives/2015/11/policy.htm
1 Nov 2015
MKSAP Quiz: follow-up after hospitalization for a large bleeding gastric ulcer
A 50-year-old man is evaluated in follow-up after hospitalization 6 months ago for a large bleeding gastric ulcer. Tests performed for Helicobacter pylori infection at that time were negative. However, for the 3 months before hospitalization he had been taking ibuprofen for chronic back pain. He was discharged from the hospital on omeprazole, and his ibuprofen was discontinued. Following a physical exam and upper endoscopy, what is the most appropriate management?
https://immattersacp.org/weekly/archives/2015/11/24/3.htm
24 Nov 2015
Warning on HCV treatments; more cancer drugs approved
This update also covers a warning that combination drugs can cause serious liver injury and approval of new drugs for metastatic non-small-cell lung cancer that has progressed after other treatments.
https://immattersacp.org/archives/2016/01/fda.htm
1 Jan 2016