Orthopaedics 

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  • Complementary Therapies for Low Back Pain

    Many studies have shown that in low back pain massages, chiropractice and acupuncture do not give any better advantage than traditional therapies: low back pain remains one of the most frequent causes of addressing to primary care. In this study sponsored by NIH, 444 patients with acute low back [...]


  • Pillow and Physical Exerciese for Chronic Neck Pain

    Even if greatly used, pillows with neck support during sleep have never been examined in controlled studies: now, a Canadian trial has examined 128 subjects with neck pain for 2-12 months. Everybody had been treated by a physiotherapist with neck cold massage application, with a number of sessions [...]


  • Opioids in Back Pain

    Sometimes opioids are prescribed in chronic back pain which cannot be controlled with other therapies. Through a literature review, 38 studies were identified, having examined the use of these drugs in chronic low back pain, their efficacy and side effects. In 11 studies, opioids prescription in [...]


  • PPI and the Risk of Hip Fracture

    Since protonic pump inhibitors (PPI) cause hypochlorhydria, from a theroretical point of view, they could decrease calcium absorption and provoke, as a secondary effect, a weakening of the bone matrix. So, an English general registry, including almost 2 million patients older than 50 was used. [...]


  • Duration of Bisphosphonate Therapy

    Even if trials have shown a decrease in osteoporotic fractures through the use of alendronate, it is not yet clear how long this therapy should be, above all keeping in mind the fact that alendronate fix itself in the bone matrix and, in this way, it has a biological half-time of more than 10 [...]


  • Tennis Elbow: Treatment

    Elbow epicondylitis has generally a spontaneous recovery within a year, but the best approach to shorten the course of this disease is still controversial. In this blind study, some Australian researchers have compared three therapeutical procedures on 198 adults not previously treated and with a [...]


  • Acupuncture in Low Back Pain

    Even if largely used in the treatment of low back pain, acupuncture has not yet received definitive efficacy demonstrations. In England, a randomized study has been now realized with a cost-efficacy analysis on patients affected by non-specific low back pain treated with acupuncture: 241 adults [...]


  • Inhaled Corticosteroids and Fracture Risk

    We know, from various trials, that the use of inhaled corticosteroids is associated with a decrease in bone mineral density, proportional to the dose of used steroids. But it is still to be assessed whether there is a relation between their use and the fracture risk. In this observational trial [...]


  • Ibuprofen after Hip Prosthesis

    After a surgery for total hip prosthesis, there is the formation of periprosthetic calcifications, but it is not clear whether they can cause coxalgia. Ibuprofen administration after surgery reduces the formation of these calcifications, so in Australia a study was performed to assess whether [...]


  • Stretching for Plantar Fasciitis

    In a 2003 study some researchers had compared two different ways to treat plantar fasciitis: 82 patients who have been presenting this inflammation for at least 10 months had been treated with stretching exercise and the introduction of arch supports in shoes or with stretching of Achilles tendon. [...]


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