Aspirin, joint pain and heart health

Many patients we see have been taking aspirin for years because it had at one time helped them with their joint pain. Many of these people ask when they come into our office if it is okay to continue taking the aspirin. After all, they say, people have been taking low-dose aspirin for years to help reduce the risk of heart attack. Low dose aspirin can be an appealing self-help treatment for some people. They have joint pain, they have become more sedentary and they have gained more weight. There is a heart health concern for many that they believe

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Effects of long-term opioid use for back pain

An August 2022 study (1) wanted to assess what happens to people on long-term opioid therapy for back-specific disability and health-related quality of life in patients with chronic low back pain. In this study there were 96 long-term opioid users and 204 long-term opioid nonusers. In surveying the people of this study, the researchers found: Long-term opioid use (more than 12 months) was a predictor of worse back-specific disability, physical function, fatigue, participation in social role, and pain interference outcomes. Intermediate-term opioid use was a predictor of worse back-specific disability, physical function, fatigue, and sleep disturbance outcomes. Short-term opioid use

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Physical therapy for rotator cuff injuries

An August 2022 study (1) examines the routine prescribing of exercise for rotator cuff-related shoulder pain. The researches write: “Exercise is considered to be both essential and at the forefront of the management of rotator cuff-related shoulder pain.. Despite this, many fail to substantially improve with exercise-based treatment. . . . The causal explanation for the beneficial effect of exercise for rotator cuff-related shoulder pain in clinical research is dominated by biomedical mechanisms (physical injury), despite a lack of supporting evidence.” 1 Powell JK, Schram B, Lewis J, Hing W. “You have (rotator cuff related) shoulder pain, and to treat

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Dietary recommendations on the prevention and treatment of tendinopathy remains unlear

An August 2022 paper (1) assessed the  impact of nutrition on tendon health and tendinopathy:. A review of 19 previously published papers revealed: “(a lack) of high-quality studies and a wide variety among studies regarding nutrients, tendon location, study population, and reported outcome measures. Individual studies showed promising clinical implications for the use of dietary supplements, particularly those containing collagen-derived peptides. However, giving any definitive dietary recommendations on the prevention and treatment of tendinopathy remains elusive.” 1 Hijlkema A, Roozenboom C, Mensink M, Zwerver J. The impact of nutrition on tendon health and tendinopathy: a systematic review. Journal of the

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Reverse total shoulder replacement

An August 2022 paper (1) compared Reverse total shoulder arthroplasty replacement with standard total shoulder arthroplasty (replacement). These are the findings: “Reverse total shoulder arthroplasty (Reverse total shoulder arthroplasty replacement), which was originally designed mainly for irreparable rotator cuff damage, has gained popularity in recent years for the treatment of advanced shoulder osteoarthritis instead of the clinically standard total shoulder arthroplasty (replacement). However, this Reverse total shoulder arthroplasty has some nonnegligible flaws such as higher complications rate and economic cost, not mention the following problems caused by irreversible physical structural damage. Therefore, the employment of Reverse total shoulder arthroplasty needs to

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Subacromial impingement

An August 2022 (1) opinion from Monash University writes: “Arthroscopic treatment should no longer be offered to people with subacromial impingement. In many people, subacromial impingement (or subacromial pain syndrome) is self-limiting and may not require any specific treatment. This is evident by the fact that almost 50% of people with new-onset shoulder pain consult their primary care doctor only once. The best-available evidence from randomized controlled trials indicates that glucocorticoid injection provides rapid, modest, short-term pain relief. Exercise therapy has also been found to provide no added benefit over glucocorticoid injection. Subacromial decompression (bursectomy and acromioplasty) for subacromial pain

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