PhysiatryNow

Following a strict preoperative rehabilitation protocol ("prehab") and use of antidepressants are both linked to reduced opioid use after surgery, two new studies suggest. The first study, which included 175 veterans, showed that 92% of those who went through prehab before undergoing spinal surgery were opioid-free 1 year later vs 28% of those who did not go through prehab. The multidisciplinary protocol included transitioning from opioid to non-opioid medications and enroll...ment in smoking cessation, exercise, and behavioral programs, as needed. The study also showed greater improvement in scores of pain, chronic pain acceptance, and pain catastrophizing for the prehab group.... https://www.medscape.com/viewarticle/911740

There’s been a lot of discussion around concussion. This is a hot-off-the-press new RCT looking at concussion recovery in adolescents using aerobic exercise. Conclusions and Relevance: This is, to our knowledge, the first RCT to show that individualized subsymptom threshold aerobic exercise treatment prescribed to adolescents with concussion symptoms during the first week after SRC speeds recovery and may reduce the incidence of delayed recovery.... https://jamanetwork.com//jamapediatrics/fullarticle/2723523

Solid work by Nature Reviews with this primer on Low Back Pain. PDF: https://www.nature.com/articles/s41572-018-0056-x.pdf

Excellent article about talking to patients with chronic pain by Andy Haig, MD, founder of the Michigan Medicine Spine Center. https://www.practicalpainmanagement.com//how-talk-your-chr

Words matter even when discussing musculoskeletal health. Please check out my new article! https://bit.ly/2QUygMy #sportsmedicine #health #chiropractor #...acupuncture #physicaltherapy #osteopathicmedicine #physician #ortho #athletictraining #wellnessblogger #wellness #somedocs #activelife #activelifestyle See more