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2.
Arch Phys Med Rehabil ; 88(3 Suppl 1): S10-3, 2007 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-17321841

RESUMO

UNLABELLED: This self-directed learning module highlights medications used in the treatment of acute musculoskeletal pain in the context of industrial rehabilitation. It is part of the study guide on industrial rehabilitation medicine and acute musculoskeletal rehabilitation in the Self-Directed Physiatric Education Program for practitioners and trainees in physical medicine and rehabilitation. This article compares various skeletal muscle relaxants, addresses issues related to nonsteroidal anti-inflammatory medications, provides an algorithm for acute pain management in an injured worker, and discusses topical medications for the treatment of pain. OVERALL ARTICLE OBJECTIVE: To summarize medication options in the treatment of acute musculoskeletal pain in the setting of injured workers.


Assuntos
Traumatismos do Tornozelo/tratamento farmacológico , Anti-Inflamatórios não Esteroides/uso terapêutico , Relaxantes Musculares Centrais/uso terapêutico , Doenças Profissionais/tratamento farmacológico , Cotovelo de Tenista/tratamento farmacológico , Traumatismos em Chicotada/tratamento farmacológico , Administração Tópica , Analgésicos não Narcóticos/uso terapêutico , Capsaicina/uso terapêutico , Humanos
3.
Arch Phys Med Rehabil ; 88(3 Suppl 1): S14-7, 2007 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-17321842

RESUMO

UNLABELLED: This chapter focuses on the use of modalities, therapeutic exercise, and orthotic devices in the treatment of lateral epicondylitis, carpal tunnel syndrome, plantar fasciitis, neck pain and low back pain. It is part of the study guide on industrial rehabilitation medicine and acute musculoskeletal rehabilitation in the Self-Directed Physiatric Education Program for practitioners and trainees in physical medicine and rehabilitation. OVERALL ARTICLE OBJECTIVE: To review the medical literature that may help clinicians make treatment decisions regarding modalities, therapeutic exercise, and orthotic devices for treating common work-related conditions in the upper and lower limbs.


Assuntos
Síndrome do Túnel Carpal/reabilitação , Fasciíte Plantar/reabilitação , Dor Lombar/reabilitação , Doenças Profissionais/reabilitação , Tendinopatia/reabilitação , Cotovelo de Tenista/reabilitação , Traumatismos em Chicotada/reabilitação , Terapia Combinada , Terapia por Exercício , Humanos , Aparelhos Ortopédicos , Contenções
4.
Arch Phys Med Rehabil ; 88(3 Suppl 1): S18-21, 2007 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-17321843

RESUMO

UNLABELLED: This self-directed learning module outlines the use of interventional techniques in the treatment of neck pain with and without referred pain into the arm. It is part of the supplement on industrial rehabilitation medicine and acute musculoskeletal rehabilitation in the Self-Directed Physiatric Education Program for practitioners and trainees in physical medicine and rehabilitation. This article specifically focuses on interventions used to diagnose or treat the conditions commonly seen in patients with neck pain or referred pain into the upper limb. Techniques reviewed include the use of botulinum toxin injections in the treatment of myofascial pain, cervical zygapophyseal joint injections and radiofrequency neuroablation in the treatment of posterior column disorders, and epidural steroid injections in the treatment of cervical radicular and referred upper-limb pain. OVERALL ARTICLE OBJECTIVE: To give an overview of the current state of the art regarding diagnostic and nonsurgical invasive treatment procedures for neck pain with and without referred upper-limb pain.


Assuntos
Doenças Profissionais/reabilitação , Radiculopatia/reabilitação , Traumatismos da Coluna Vertebral/reabilitação , Toxinas Botulínicas/administração & dosagem , Vértebras Cervicais/lesões , Humanos , Injeções Intra-Articulares , Radiculopatia/diagnóstico , Articulação Zigapofisária
5.
Arch Phys Med Rehabil ; 88(3 Suppl 1): S22-8, 2007 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-17321845

RESUMO

UNLABELLED: This chapter emphasizes the importance of establishing a differential diagnosis for low back pain (LBP) with and without referred lower-limb pain and outlines potential interventional treatments appropriate for each diagnosis. It is part of the study guide on industrial rehabilitation and acute musculoskeletal rehabilitation in the Self-Directed Physiatric Education Program for practitioners and trainees in physical medicine and rehabilitation. The article specifically focuses on the various interventions used to diagnose or treat those conditions commonly seen in patients with work-related LBP or referred pain in the lower limb. Current criterion treatments for lumbar disk pain, including surgical options, are reviewed. OVERALL ARTICLE OBJECTIVE: To give an overview of the current state of diagnosis and treatment options for low back pain with or without referred leg pain focusing on interventional procedures.


Assuntos
Deslocamento do Disco Intervertebral/reabilitação , Dor Lombar/reabilitação , Doenças Profissionais/reabilitação , Fenômenos Biomecânicos , Diagnóstico Diferencial , Humanos , Injeções Intra-Articulares , Deslocamento do Disco Intervertebral/diagnóstico , Dor Lombar/etiologia , Vértebras Lombares/fisiopatologia , Articulação Zigapofisária/lesões
6.
Arch Phys Med Rehabil ; 88(3 Suppl 1): S29-33, 2007 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-17321846

RESUMO

UNLABELLED: This self-directed study module focuses on the use of corticosteroids and other injections in the treatment of lateral epicondylitis, de Quervain's tenosynovitis, carpal tunnel syndrome, Achilles' tendinitis, and plantar fasciitis. It is part of the study guide on industrial rehabilitation medicine and acute musculoskeletal rehabilitation in the Self-Directed Physiatric Education Program for practitioners and trainees in physical medicine and rehabilitation. OVERALL ARTICLE OBJECTIVE: To review the medical literature to help clinicians make treatment decisions regarding corticosteroid and other injections in the upper and lower limbs in injured workers.


Assuntos
Corticosteroides/administração & dosagem , Doenças Musculoesqueléticas/tratamento farmacológico , Doenças Profissionais/tratamento farmacológico , Tendão do Calcâneo , Síndrome do Túnel Carpal/tratamento farmacológico , Doença de De Quervain/tratamento farmacológico , Fasciíte Plantar/tratamento farmacológico , Humanos , Injeções Intra-Articulares , Tendinopatia/tratamento farmacológico , Cotovelo de Tenista/tratamento farmacológico
7.
Arch Phys Med Rehabil ; 88(3 Suppl 1): S3-9, 2007 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-17321847

RESUMO

UNLABELLED: This self-directed learning module reviews the history and physical examination of common acute musculoskeletal conditions that occur in the occupational setting. It is part of the industrial medicine and acute musculoskeletal rehabilitation study guide in the Self-Directed Physiatric Education Program for practitioners and trainees in physical medicine and rehabilitation. This article presents case vignettes to review the diagnostic evaluation of heel pain, whiplash, repetitive strain injuries, and low back pain. OVERALL ARTICLE OBJECTIVE: To understand the important components of a history, physical examination, and concise diagnostic testing when evaluating acute industrial and musculoskeletal injuries.


Assuntos
Doenças Musculoesqueléticas/diagnóstico , Sistema Musculoesquelético/lesões , Doenças Profissionais/diagnóstico , Lesões nas Costas/diagnóstico , Síndrome do Túnel Carpal/diagnóstico , Transtornos Traumáticos Cumulativos/diagnóstico , Fasciíte Plantar/diagnóstico , Humanos , Dor/etiologia , Traumatismos em Chicotada/diagnóstico
8.
Arch Phys Med Rehabil ; 88(3 Suppl 1): S34-9; quiz S40-8, 2007 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-17321848

RESUMO

UNLABELLED: This learning module highlights the unique challenges faced by physicians treating the aging workforce. It is part of the industrial medicine and acute musculoskeletal rehabilitation study guide in the Self-Directed Physiatric Education Program for practitioners and trainees in physical medicine and rehabilitation. Factors intrinsic and extrinsic to the patient that increase the risk of injury with aging are outlined. Low back injuries are the most common musculoskeletal complaint in the aging workforce. A conceptual framework for low back pain with aging, a differential diagnosis, and appropriate laboratory and radiographic investigations are also presented. Determination of causation in the setting of comorbid medical conditions and rehabilitation strategies are reviewed. OVERALL ARTICLE OBJECTIVE: To recognize diagnosis and treatment issues that are unique to the aging worker.


Assuntos
Envelhecimento/fisiologia , Transtornos Traumáticos Cumulativos/reabilitação , Sistema Musculoesquelético/lesões , Doenças Profissionais/reabilitação , Doença Aguda , Diagnóstico Diferencial , Humanos , Dor Lombar/diagnóstico , Doenças Profissionais/etiologia , Estados Unidos , Indenização aos Trabalhadores
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