BURSITIS, TENDINITIS SYNDROMES - Answers pain
tenderness of soft tissue
CAUSES:
overuse
crystal/bacteria origin
OCCURRENCE:
more often after middle age
53-71
FEMALES
FACTORS:
bursitis, rheumatoid arthritis, osteoarthritis, gout, thyroid disease, and diabetes
PRICEMM nmemonic for pain control in bursitis conditions - Answers P—Protect with padding, braces,
and changes in techniques.
R—Rest, avoid activities that exacerbate pain.
I—Ice; cryotherapy can relieve pain and decrease inflammation.
C—Compression; elastic dressings can ease pain in olecranon bursitis.
E—Elevation; raise the affected limb above the level of the heart.
M—Modalities; electrical stimulation or ultrasound.
M—Medications; NSAIDs, acetaminophen, and/or corticosteroid injection
RECOMMENDATIONS - Answers Extracorporeal shock wave therapy is not recommended in plantar
fasciitis outside of runners.
, Surgery for rotator cuff disease may not lead to any differences in pain compared to exercise.
Most patients who respond to injections do so in the first session
Strong evidence suggesting acupuncture is effective
FRACTURES - Answers WOMEN
over 50 (have a 15% chance of hip fracture)
By age 90, 1/3 of women and 1/6 men will experience a hip Fx
Caucasians and Asians
DT:
malnutrition
sedentary lifestyle
low vitamin D
steroid use
impaired vision
orthostatic hypotension
muscle atrophy
FRACTURES: clinical recommendations - Answers Frail older people in nursing centers may have fewer
hip and other nonvertebral fractures if given vitamin D with calcium supplements. The effectiveness of
vitamin D alone in fracture prevention is not clear.
Vitamin D taken with additional calcium supplements does appear to reduce hip fracture, particularly in
people living in institutional care.