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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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When a total ankle arthroplasty fails

A July 2022 study (1) measured the outcomes of revision surgery for a failed ankle arthroplasty. The researchers wrote: “Revision rates for ankle arthroplasties are higher than hip or knee arthroplasties. When a total ankle arthroplasty fails, it can either undergo revision to another ankle replacement, revision of the total ankle arthroplasty to ankle arthrodesis (fusion), or amputation.” Currently, they also note, there is not much information in the medical literature on the outcomes of these revisions. The researchers then assessed the outcomes of revision total ankle arthroplasty with respect to surgery type, functional outcomes, and reoperations. They examined six

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Female Sexual Dysfunction, Failed Back Surgery, and Low Back Pain

This article will provide general information on sexual dysfunction in female patients suffering from back pain. Researchers have tried to discern the exact impact of lumbar back pain and/or failed back surgery on sexual function in female patients. The answers are not easy to find. A September 2015 study (1) Sexual and reproductive health is important quality of life outcomes, which can have a major impact on patient satisfaction. Spinal pathology arising from trauma, deformity, and degenerative disease processes may be detrimental to sexual and reproductive function. Furthermore, spine surgery may impact sexual and reproductive function due to post-surgical mechanical,

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Swimmer’s injuries and treatment

Orthostatic intolerance A July 2022 paper (2) looked at orthostatic intolerance (lightheadedness, fainting or feeling faint, increased heart beat when arising to a standing position) as a potential contributor to prolonged fatigue and inconsistent performance in elite swimmers. In this paper, the authors described five elite swimmers with prolonged fatigue and athletic underperformance. Based on (previous) work in myalgic encephalomyelitis /chronic fatigue syndrome, we focused on orthostatic intolerance as a possible contributor to symptoms. Participants were referred for evaluation of fatigue and underperformance to the Chronic Fatigue Clinic at the Johns Hopkins Children’s Center. All patients were evaluated for overtraining

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