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American Family Physician August 2001 Saud Suleiman & David E. Johnston	The Abdominal Wall: An Overlooked Source of Pain When abdominal pain is chronic and unremitting, with minimal or no relationship to eating or bowel function but often a relationship to posture (i.e., lying, sitting, standing), the abdominal wall should be suspected as the source of pain...
Nurse Practitioner June 2012 Jane E. Corrarino	Stress fractures in runners Many runners in the United States are at risk for stress-related injuries, which are largely preventable. This article explores risks, pathophysiology, diagnostic considerations, and rehabilitation.
American Family Physician March 15, 2006 Cassas Cassettari-Wayhs	Childhood and Adolescent Sports-Related Overuse Injuries Each year in the United States, approximately 30 million children and teenagers participate in organized sports. Youth sports participation carries an inherent risk of injury, including overuse injuries. Here are key recommendations for practices.
American Family Physician January 1, 2001 Michael W. Wolfe	Management of Ankle Sprains Without adequate care, acute ankle trauma can result in chronic joint instability. Use of a standardized protocol enhances the management of ankle sprains...
American Family Physician January 15, 2003 Brunner et al.	Hip Fractures in Adults Hip fracture is a major public health problem in the United States. When hip fracture is detected early, appropriate treatment can minimize morbidity and mortality and prevent the rapid decline in quality of life that often is associated with this injury.
American Family Physician January 15, 2007 Dixit et al.	Management of Patellofemoral Pain Syndrome Patellofemoral pain syndrome is the most common cause of knee pain in the outpatient setting. It is caused by imbalances in the forces controlling patellar tracking during knee flexion and extension, particularly with overloading of the joint.
American Family Physician July 15, 2004 Tracy Aldridge	Diagnosing Heel Pain in Adults A thorough history and a physical examination of the lower extremity should be conducted to locate the pain, define its attributes, and narrow the differential diagnosis.
American Family Physician August 15, 2001 Daisy Arce	Recognizing Spinal Cord Emergencies Physicians who work in primary care settings and emergency departments frequently evaluate patients with neck and back pain. Spinal cord emergencies are uncommon, but injury must be recognized early so that the diagnosis can be quickly confirmed...
American Family Physician May 1, 2002 Michael F. Mazzone	Common Conditions of the Achilles Tendon The Achilles tendon, the largest tendon in the body, is vulnerable to injury because of its limited blood supply and the combination of forces to which it is subjected...
American Family Physician September 1, 2005 Wilson & Best	Common Overuse Tendon Problems: A Review and Recommendations for Treatment Distinguishing tendinopathy from tendonitis and recommendations on appropriate treatments.
American Family Physician November 1, 2005 Forman, Forman & Rose	A Clinical Approach to Diagnosing Wrist Pain Primary care physicians often are the first to evaluate and treat a patient with wrist pain. A detailed history alone may lead to a specific diagnosis in approximately 70% of patients who have wrist pain.
American Family Physician April 15, 2005 Khaund & Flynn	Iliotibial Band Syndrome: A Common Source of Knee Pain The diagnosis of Iliotibial Band Syndrome and treatment options such as stretching and strengthening are described.
American Family Physician September 1, 2002 Judd & Kim	Foot Fractures Frequently Misdiagnosed as Ankle Sprains Most ankle injuries are straightforward ligamentous injuries. However, the clinical presentation of subtle fractures can be similar to that of ankle sprains, and these fractures are frequently missed on initial examination.
American Family Physician October 15, 2003 Sanderlin & Raspa	Common Stress Fractures Stress fractures are among the most common sports injuries and are frequently managed by family physicians. A stress fracture should be suspected in any patient presenting with localized bone or periosteal pain.
American Family Physician July 15, 2001 Swagerty & Hellinger	Radiographic Assessment of Osteoarthritis Worldwide, osteoarthritis is the most common form of arthritis and it is among the most prevalent and disabling chronic conditions in the United States.
American Family Physician September 1, 2003 Calmbach & Hutchens	Evaluation of Patients Presenting with Knee Pain: Part II. Differential Diagnosis Differential Diagnosis
American Family Physician November 15, 2004 Quillen, Wuchner & Hatch	Acute Shoulder Injuries It is important that family physicians understand the anatomy of the shoulder, mechanisms of injury, typical physical and radiologic findings, approach to management of injuries, and indications for referral.
American Family Physician June 1, 2002 S. Craig Humphreys	Neuroimaging in Low Back Pain Patients commonly present to family physicians with low back pain. Because the majority of patients fully or partially recover within six weeks, imaging studies are generally not recommended in the first month of acute low back pain.
American Family Physician July 1, 2006 Junnila & Cartwright	Chronic Musculoskeletal Pain in Children: Part I. Initial Evaluation Musculoskeletal pain can be difficult for children to characterize. A logical and consistent approach to diagnosis is recommended, with judicious use of laboratory and radiologic testing.
Nurse Practitioner May 2009 Yvonne D'Arcy	Is Low Back Pain Getting on Your Nerves? The pain and disability of low back pain are the most common reasons patients seek healthcare. Here are tools for diagnosis and treatment options.
American Family Physician February 15, 2002 David J. Alvarez	Trigger Points: Diagnosis and Management Trigger points are discrete, focal, hyperirritable spots located in a taut band of skeletal muscle. They produce pain locally and in a referred pattern and often accompany chronic musculoskeletal disorders...
Nursing April 2010 Michelle D. Smeltzer	Making a point about open fractures This article describes fractures, explains the difference between open and closed fractures, and tells how to care for a patient who's had an open fracture.
American Family Physician January 1, 2004 Old & Calvert	Vertebral Compression Fractures in the Elderly Compression fracture of the vertebral body is common, especially in older adults. Vertebral compression fractures usually are caused by osteoporosis. Family physicians can help patients prevent compression fractures by diagnosing and treating predisposing factors.
Nursing August 2011 Sandra C. Voda	Bad breaks: A nurse's guide to distal radius fractures The most common upper extremity fracture, distal radius fracture accounts for an estimated 17% of fractures treated in the United States emergency departments and 16% of all fractures treated by orthopedic surgeons.
Nursing December 2011 Judith A. Nagle	Getting "hip" to hip hemiarthroplasty This article discusses arthroplasty, the surgery used to restore motion to a joint and function to the muscles, ligaments, and other soft tissues that control the joint.
AskMen.com Sabrina Rogers	Top 10 Common Sports Injuries Read on to find out which injuries are most common, as well as ways to prevent and treat these ailments.
American Family Physician May 15, 2001 Matthew J. Thompson & Frederick P. Rivara	Bicycle-Related Injuries Bicycle riding is a popular form of recreation among persons of all ages, and related injuries cause significant morbidity and mortality...
American Family Physician October 15, 2006 Storer & Skaggs	Developmental Dysplasia of the Hip In general, the goal of the family physician in examining for DDH should be early diagnosis and referral. This is because treatment earlier in life, especially within the first six months, is safer and more successful than treatment after the child is walking.
Nursing September 2008 Susan Simmons Holcomb	Acute Abdomen: What a Pain! So many things - some life-threatening - can cause abdominal pain. Here's how to capture the clues quickly and accurately.
American Family Physician November 1, 2006 Lyon & Clark	Diagnosis of Acute Abdominal Pain in Older Patients Acute abdominal pain is a common presenting complaint in older patients, but may be difficult to diagnose. Here are some common causes of abdominal pain in old patients and recommendations for treatment.
AskMen.com November 1, 2001 Ian Lee	Preventing Sports Injuries You don't need expensive gear to prevent injuries; just the basics and a bit of knowledge...
American Family Physician April 15, 2001 Lori J. Heim	Evaluation and Differential Diagnosis of Dyspareunia Dyspareunia is genital pain associated with sexual intercourse. Although this condition has historically been defined by psychologic theories, the current treatment approach favors an integrated pain model...
Nurse Practitioner May 2012 Hammersla & Kapustin	Peripheral Neuropathy: Evidence-based treatment of a complex disorder Peripheral neuropathy is a common and often progressive condition frequently seen in primary care. The chronic pain associated with PN, or neuropathic pain, can significantly diminish patients' quality of life and be challenging to treat.
American Family Physician December 1, 2000	Letters to the Editor Osteopathic Medicine in the Treatment of Low Back Pain...
American Journal of Nursing April 2009	Understanding and Managing Burn Pain: Part 1 Despite advances in topical wound care and pharmacology, and a growing emphasis on palliative care, wound care is the main source of the pain associated with burn injury.
AskMen.com July 20, 2003 Mike Davison	Stress & Strain: Work-Related Injuries Is work sometimes a pain in the neck, literally? Do you come home with irritated eyes or knotted muscles? It might surprise you to know, but you may be suffering from work-related strains; injuries caused through an excess of use or misuse of a muscle or body part.
American Family Physician October 1, 2002 Canavan & Cohen	Vulvar Cancer Vulvar cancer was reported in 3,200 women in 1998, resulting in 800 deaths. Recent evidence suggests that vulvar cancer comprises two separate diseases.
AskMen.com Jeff Bayer	8 Body Pains You Mustn't Ignore These are body pains you mustn't ignore while you're at the gym to help to ensure that you can maintain your workouts and stay injury free.
American Journal of Nursing August 2011 Karen Roush	Prevention and Treatment of Osteoporosis in Postmenopausal Women: A Review This article provides an overview of osteoporosis, describes current recommendations for its prevention and treatment, and discusses nursing implications.
Nursing Management March 2012 Yvonne D'Arcy	Pain and obesity It can be a challenge to provide effective pain management for obese patients; however, a multimodal pain management regimen that combines medications and complementary techniques can help increase pain relief.
Nurse Practitioner December 2011	Managing pain in obese patients Obesity-related pain conditions can limit the patient's efforts at increasing activity and limit quality of life. This article will offer information on these conditions and treatment options.
American Family Physician October 1, 2001 Karl E. Miller	Challenges in Pain Management at the End of Life Effective pain management in the terminally ill patient requires an understanding of pain control strategies. Ongoing assessment of pain is crucial and can be accomplished using various forms and scales...
Outside June 2009 Abe Streep	The Real Heal A nagging sports injury is a formidable opponent. Here's what I learned defeating mine.
American Family Physician November 15, 2005 William E. Cayley	Diagnosing the Cause of Chest Pain Distinguishing between serious and benign causes of chest pain is imperative, and diagnostic and prognostic questions are important in making this determination.
American Family Physician May 15, 2001 Allan Gottschalk & David S. Smith	New Concepts in Acute Pain Therapy: Preemptive Analgesia Preemptive analgesia, an evolving clinical concept, involves the introduction of an analgesic regimen before the onset of noxious stimuli, with the goal of preventing sensitization of the nervous system to subsequent stimuli that could amplify pain...
American Journal of Nursing December 2010 Baldridge & Andrasek	Pain Assessment in People with Intellectual or Developmental Disabilities Nurses in all settings need to be knowledgeable about alternate pain assessment methods.
Managed Care April 2007 Thomas Morrow	For Patients With a Broken Hip, News of a Lifetime Replacement Today's high-tech artificial joint has changed the outcomes for many who have suffered a fractured hip.
Nursing June 2008 Yvonne D'arcy	Nursing2008 Pain Management Survey Report See how your responses to this survey compare with those of nursing colleagues across the country and beyond.
American Journal of Nursing March 2011 Jablonski et al.	The Use of Algorithms in Assessing and Managing Persistent Pain in Older Adults This article introduces readers to the use of algorithms in guiding the assessment and management of persistent pain in older adults, and provides an illustrative case study.
American Journal of Nursing May 2009 Patricia Connor-Ballard	Understanding and Managing Burn Pain: Part 2 Despite advances in treatment of burn injuries and their consequent pain, wound care is the main source of the pain associated with burn injury.