Brian Levings, D.O. - Orthopaedic Surgeon
 

Healthcare News

How to Ease Back into Exercise Safely After a Long Break

Source: Healthline

After taking a long break from physical activity, most people will not be able to perform at the same level they once did. It’s important to manage expectations and set realistic goals when easing back into exercise after a break.

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Nerve Zap' Pain Treatment Could Cut Need for Opioids After Surgeries

Source: HealthDay

An emerging technology could zap your post-op pain away — little or no opioids needed. The technique is called percutaneous peripheral nerve stimulation.

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What to know about bicep tendonitis

Source: Medical News Today

Bicep tendonitis develops when a tendon in the biceps muscle swells and becomes inflamed. It usually occurs with other problems with the shoulder, such as dislocation, impingement, or arthritis.

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10 exercises for shoulder pain

Source: Medical News Today

Many people experience shoulder pain, but some research suggests that exercise and mobility work may help.

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Injections That Could Ease Your Joint Pain

Source: healthessentials

Depending on the severity of your pain, injections can be another option for easing your joint pain and get you moving again

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A common shoulder injury could heal faster, thanks to this first-of-a-kind tissue implant

Source: Medical Xpress

A shoulder injury such as a badly torn rotator cuff threatens to pause or end the career of any athlete in sports ranging from football, basketball and baseball to golf and tennis. Athletes sidelined with such an injury could benefit from a new tissue implant on the market invented at Purdue University.

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Why is diet so important for athletes?

Source: Medical News Today

Athletes will have different nutritional needs compared with the general public. They may require more calories and macronutrients to maintain strength and energy to compete at their optimum level.

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Athletes: What to Do When You Get Hurt

Source: healthessentials

Whether you’re a weekend warrior, competitive athlete, regular recreational exerciser or simply an active individual, you know a nagging tendonitis or skin infection can halt you in your tracks. Instead of toughing it out, a sports medicine physician can get you back to an active lifestyle.

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How Long Does It Take for a Sprained Ankle to Heal?

Source: healthline

Ankle sprains are a real pain — especially if they sideline you from physical activity. Ankle injuries are far too common. And when you consider that it takes between 3 to 4 weeks to heal a moderate ankle sprain and 3 to 6 months for a more severe injury to heal, finding the right treatment is key.

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An individualized approach to improve surgical outcomes after shoulder dislocation

Source: News Medical Life Sciences

A dislocated shoulder is a common sports injury that can occur with a single swing of the tennis racket or an awkward fall on the field. Though popping the bone back into the socket may seem like a simple solution, the reality is more complex.

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Common Running Injuries and Treatment Options

Source: Verywell Health

Running injuries are an unfortunate but all too common occurrence. Understanding a running injury is the key to effective treatment. Here you will find resources that explain common problems and offer information about types of treatment for a running injury.

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What can cause pain in the back of the knee when straightening the leg?

Source: Medical News Today

When a person experiences pain in the back of their knee when straightening their leg, it is called posterior knee pain. Pain in the back of the knee, called the popliteal fossa, is common, but there is a wide range of causes, ranging from ligament injury to arthritis.

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Stick to supportive shoes if you have knee pain

Source: Medical Xpress

A randomized controlled trial found that sturdy supportive shoes improve knee pain on walking and knee-related quality of life compared with flat flexible shoes.

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Causes of Shoulder Pain and Treatment Options

Source: Verywell Health

Shoulder pain has many different causes and treatments. It isn't easy to know the difference between different types of shoulder pain, like a frozen shoulder, shoulder blade pain, or symptoms of a rotator cuff tear. This is why you need to get medical attention if you have shoulder pain—and the treatment is tailored to the cause, your overall health, and your level of activity.

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The Best Workouts for Osteoporosis

Source: healthessentials

Your bones are living tissues that are constantly breaking down and rebuilding. And diseases that change bone architecture, such as osteoporosis, spell trouble. Fortunately, exercise done properly can help to rebuild bone and reduce the likelihood of fracture.

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How to Recover After a Cycling Race

Source: healthessentials

Recovering from a road race is an important component of your overall training plan when you’re an avid cyclist. If you don’t take steps to properly recover from your bike race, you can increase your risk of injury and burnout. And you may even limit your participation in upcoming races.

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The Thrower`s 10 Essential Exercises

Source: Verywell Fit

If you are an athlete who participates in a sport that requires overhead motions like throwing—which includes baseball, softball, and racquet sports—you know the amount of stress this places on your shoulder. Injury prevention is paramount to helping you stay involved in your sport longer and with less lost time. These "Throwers 10" exercises can help you maintain adequate mobility and stability for participation in your sport.

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Knee mechanics associated with patellofemoral cartilage changes after ACL reconstruction

Source: Healio

Modifiable mechanical factors of the knee may be associated with patellofemoral cartilage changes and reduced knee function in sports and recreation 2 years after ACL reconstruction, according to published results.

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Neither `meniscal` nor `mechanical` symptoms predict findings on knee arthroscopy

Source: Medical Xpress

Orthopaedic surgeons have traditionally been taught that certain types of knee symptoms indicate damage to specialized structures called the menisci. But these "meniscal" and "mechanical" symptoms do not reflect what surgeons will find at knee arthroscopy, reports a study in The Journal of Bone & Joint Surgery.

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Why physical activity matters now more than ever

Source: Medical Xpress

Exercise not only helps people with long-term conditions better manage their health but also boosts the immune system. So how can we support more people to be physically active?

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Autologous chondrocyte implantation in the knee: M-ACI has comparable benefit to therapy alternative

Source: Medical Xpress

Autologous chondrocyte implantation (ACI) has been used in adults with deep cartilage defects for over 30 years and has been further developed and modified over time. For the most recent procedure, matrix-induced ACI (M-ACI), favorable effects have been shown suggesting that the benefits are at least comparable to those of therapy alternatives.

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Tips for Treating Your Bicep Pain at Home

Source: healthessentials

The bicep muscle is one of the most important muscles for your upper body strength. An injury to this hardworking muscle can make day-to-day tasks difficult.

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How to treat a bruised knee

Source: Medical News Today

Most bruises, also known as contusions, are mild and heal on their own. However, more severe contusions can damage muscle tissue or bone, which may take longer to heal.

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Novel bioresorbable, tissue-healing surgical device approved by FDA

Source: Medical Xpress

A new surgical tendon fixation system that not only re-attaches damaged tissues but also facilitates healing as it is absorbed by the body has been granted 510(k) clearance by the U.S. Food and Drug Administration, indicating that the device is "as safe and effective" as other legally marketed devices and is ready to go to market.

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10 Massages and Stretches for a Frozen Shoulder

Source: healthline

Frozen shoulder syndrome occurs when the mobility of your shoulder joint is restricted to the degree that it feels frozen in place. The limited range of motion of your shoulder joint makes it difficult or painful to perform certain movements. To regain mobility, you must create an effective treatment plan involving stretching and massage.

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6 Expert Tips to Prevent Running Injuries

Source: healthessentials

If you’re a runner, you know that hitting the pavement can take a heavy toll on your body. From runner’s knee to shin splints, an injury can sabotage your training or worse — it can take you out during the first leg of a competition for which you’ve spent months training.

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Is There Such a Thing as ‘Good Pain’ and When Should You Listen to Your Body?

Source: healthessentials

Weight-bearing and cardiovascular activities stress the body. As a result of that stress, we enhance our strength and endurance. By pushing our physical boundaries, we optimize our athletic performance. But this process is almost always at the cost of feeling some level of pain.

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How Is a Rotator Cuff Tear Diagnosed?

Source: healthline

A doctor or physiotherapist can use one of more than 25 functional tests during a physical exam to diagnosis a torn rotator cuff. Some of these tests directly indicate a rotator cuff injury and others rule out similar injuries like nerve impingement or torn labrum.

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What to know about kneecap dislocation

Source: Medical News Today

A kneecap becomes dislocated when the patella bone, which sits at the front of the knee, comes out of position. In the process, the connective tissues that hold the bone in place may stretch and tear.

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Physical Therapy For A Pectoralis Major Tear

Source: Verywell Health

A torn or ruptured pectoralis muscle can limit your ability to engage in normal work and recreational activities. It can limit arm use, and may cause significant pain. If you have ruptured or torn your pectoralis major muscle in your chest, you may benefit from physical therapy (PT) to help you recover.

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What You Should Know About Torn Bicep Tendon Injuries

Source: Verywell Health

A biceps tendon injury is a tear or rupture of connective tissue that connects the biceps muscle of the upper arm to bones at either the shoulder (proximal tendon) or elbow (distal tendon). Proximal tears are more common than distal tears and usually are the the result of chronic overuse or an acute injury, such as a direct blow to the shoulder or falling onto an outstretched arm.1

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What Jobs Are Toughest On The Knees?

Source: HealthDay

Based on a review of 71 studies that included nearly one million workers, the riskiest occupations include agriculture, construction, mining, service jobs and housekeeping. And jobs that demand excessive kneeling, squatting, standing, lifting and climbing stairs all increase your odds.

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Will Your Kid Play School Sports This Fall? Here's Some Guidance On Doing It Safely

Source: Medical Xpress

If you're thinking about letting your child resume sports while the coronavirus pandemic continues to rage, a leading pediatricians' group says there are a few things you should consider.

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Don’t Make These 4 Mistakes When Lifting Weights

Source: healthessentials

No matter what your gender or age, lifting weights is a great way to increase your resting heart rate, lower body fat, improve balance and motor coordination, and enhance joint stability. However, it’s easy to make common mistakes that can cause injuries or delay the results you hope to achieve.

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Avoiding Pain And Addiction After Sports-injury Surgery

Source: US News

With opioid addiction soaring in the United States, it should come as good news that an opioid painkiller may not be needed after a sports-injury repair.

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Swollen Knee: Causes And How To Treat It

Source: Medical News Today

A variety of issues can cause knee swelling, including injuries and medical conditions such as arthritis. A person can treat some of these causes at home, while other issues require care from a doctor. In some cases, the cause of the swelling is chronic and requires long-term treatment.

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Is Partial Knee Replacement Right For You?

Source: Verywell Health

The partial knee replacement surgical procedure has generated significant interest because it uses a smaller incision and has a faster recovery than full knee replacement surgery. Partial knee replacement is a type of and minimally invasive surgery. The idea is to remove only the most damaged areas of cartilage from the joint and leave any healthy parts of the joint for continued use.

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Protective mediators can help heal injured tendon cells by attacking inflammation

Source: Science Daily

Tendon tears, both to the rotator cuff and Achilles heel, are common injuries, especially in aged individuals. Painful and disabling, they can adversely impact quality of life. New approaches are required to help patients suffering from chronic tendon injuries. A novel study identified mediators that promote resolution of inflammation as potential new therapeutics to push chronically injured tendons down an inflammation-resolving pathway.

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When Is Shoulder Replacement a Good Option?

Source: healthessentials

Advancements in implant design and more careful patient selection have improved outcomes and longevity of shoulder replacement in recent years. More than 70,000 of these surgeries are done annually, making shoulder replacements the fastest growing joint replacement.

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Study suggests surgery better than observation for older patients with meniscus tear

Source: Medical Xpress

Patients over age 50 who underwent an all inside arthroscopic repair technique had lower rates of subsequent total knee surgery than a similar group that was only observed, according to research presented at the American Orthopedic Society of Sports Medicine Annual Meeting today.

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How to Know If You Have Gout in Your Shoulder — and What to Do Next

Source: Healthline

Gout is a common type of arthritis. It’s a sudden and painful inflammation that usually occurs in the big toe, but can affect other joints. It happens rarelyTrusted Source in the shoulders and hips.

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Surgery better than observation for older patients with meniscal root tear, study suggests

Source: News Medical

Patients over age 50 who underwent an all inside arthroscopic repair technique had lower rates of subsequent total knee surgery than a similar group that was only observed, according to research presented at the American Orthopedic Society of Sports Medicine Annual Meeting today.

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Operative versus non-operative treatment for two-part proximal humerus fracture

Source: Medical Xpress

The results of a recent nordic collaboration study showed that there is no difference in functional results between operative and non-operative treatment in persons aged 60 or more with displaced proximal humerus fractures.

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Arthroscopy more effective than MRI for chondral defects of the knee

Source: Science Daily

MUsing arthroscopy to stage a lesion in the chondral area of the knee is more accurate than magnetic resonance imaging, according to researchers.

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Expert tips for reducing running injuries

Source: Medical Xpress

Most runners are enthusiastic about their sport and take steps to work out safely. But injuries like stress fractures and muscle strains, among others, are common and can sideline you, sometimes for weeks if not months.

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Types of Knee Braces for Support and Injury Prevention

Source: Verywell Health

The use of knee braces in sports medicine is a controversial topic. Knee braces are used for a wide variety of problems and conditions. But do knee braces help?

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High-intensity interval training increases injuries, study finds

Source: Medical Xpress

People who engage in high-intensity interval training are at greater risk for injury, especially in the knees and shoulders, a Rutgers study found.

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Increased muscle power may prolong life

Source: Medical News Today

Increasing muscle strength is good, but increasing muscle power may be even better for enjoying a longer life, according to a recent study.

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Clinical trial shows promise of stem cells in offering safe, effective relief from arthritic knees

Source: Medical Xpress

Stem cells collected from the patient's own bone marrow holds great interest as a potential therapy for osteoarthritis of the knee (KOA) because of their ability to regenerate the damaged cartilage. The results were released today in STEM CELLS Translational Medicine (SCTM).

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Why kids should play more than one sport

Source: Medical Xpress

About 70% drop out by age 13 for such reasons as pressure to perform or, conversely, not getting enough playing time. And at least half of athletic injuries are related to overuse. On the other hand, playing multiple sports offers benefits such as fostering a love of different activities that can last their entire lives.

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What to know about MCL tears

Source: Medical News Today

A tear to the medial collateral ligament in the knee can cause pain, swelling, and a lack of stability in the knee. Treatment is usually with ice, a knee brace, and physical therapy. Surgery may be necessary in rare cases.

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Rotator cuff repair with biceps tenodesis did not impact speed of recovery after surgery

Source: Healio

Outcomes and the speed of recovery were similar between patients who underwent rotator cuff repair with bicep tenodesis and patients who underwent only rotator cuff repair, according to a presentation at the American Academy of Orthopaedic Surgeons Annual Meeting.

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Top 10 stretches for shoulder tightness

Source: Medical News Today

In this article, we describe 10 shoulder stretches and their benefits. We also discuss what causes shoulder tightness and how to prevent it. interval training — what type of physical exercise will help your body to stay youthful for longer? A new study aims to answer that question.

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What makes joints pop and crack and is it a sign of disease?

Source: Medical Xpress

Joints emit a variety of noises, including popping, snapping, catching, clicking, grinding, grating and clunking. The technical term for these noises is "crepitus", from the Latin "to rattle".

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Hip pain may affect the shoulder, elbow in baseball pitchers

Source: Healio

Orthopedic surgeons should examine hip range of motion and look for asymmetry in baseball pitchers who present with shoulder pain, according to a presenter at the Advances in Throwing Symposium: Latest on Injury Treatment and Performance Optimization.

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Patients with irreparable rotator cuff tears may have another surgical option

Source: Medical Xpress

The arthroscopic superior capsule reconstruction (SCR) surgical technique offers patients with irreparable rotator cuff tears restored shoulder function and the opportunity to return to sports and physically-demanding work, according to research presented today at the AOSSM/AANA Specialty Day in Las Vegas, Nevada.

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What kind of physical exercise can help you stay young?

Source: Medical News Today

Endurance training, resistance training, or high-intensity interval training — what type of physical exercise will help your body to stay youthful for longer? A new study aims to answer that question.

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Researchers watch the knee degenerate and understand how osteoarthritis may begin

Source: Medical Xpress

For hockey great Bobby Orr, a torn knee ligament ended his career at age 30. Orr had more than 17 knee operations, at one point having his meniscus removed—the cartilaginous tissue that helps stabilize and lubricate the knee joint. Now scientists can see in real time just how important the meniscus is.

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Is chest pain during exercise serious?

Source: Medical News Today

Everyone, including people in excellent shape, can experience pain in their chest during exercise. The many potential causes range from benign to potentially life-threatening.

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Stiff Shoulder Syndrome and Parkinson’s Disease

Source: Very Well Health

Are your shoulders stiff? You may be suffering from stiff shoulder syndrome. Could it be from Parkinson’s disease?

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Exercise may prevent heart attacks in otherwise healthy people

Source: Medical News Today

New research published in the European Heart Journal suggests that even people with no signs of cardiovascular disease should exercise to prevent a heart attack.

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Researchers determine the rate of return to sport after shoulder surgery

Source: Medical Xpress

Athletes with shoulder instability injuries often undergo shoulder stabilization surgery to return to sport (RTS) and perform at their preinjury activity level. Returning to sports in a timely fashion and being able to perform at a high level are priorities for these athletes undergoing surgery.

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2 Simple Shoulder Exercises Anyone Who Works Out Should Be Doing

Source: Self

Rotator cuff muscles may be small, but they're majorly important.

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Strong Workout, Stronger Recovery!

Source: Ivanhoe

The American Heart Association says that running is good for your heart. But for every 100 hours of running, the average runner will sustain at least one injury. But, there are things you can do after a run to cut the risk of a future injury.

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What you need to know about shoulder pain - and shoulder surgery

Source: Chicago Tribune

The part of the body we call the shoulder consists of several joints that work with tendons and muscles to allow the arm to move in many directions. We can bowl a perfect game or reach the top shelf thanks to this system of joints, muscles and tendons. However, it is possible to overextend the shoulder and end up with pain. When your shoulder is painful, everyday life activities become difficult.

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Return to Work After Anatomic Total Shoulder Arthroplasty for Patients 55 Years and Younger at Average 5-Year Follow-up

Source: Healio

As the number of anatomic total shoulder arthroplasties performed on younger patients continues to grow, return to work after surgery becomes increasingly important. The purpose of this study was to evaluate the ability of anatomic total shoulder arthroplasty to return patients 55 years or younger to work postoperatively.

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Patients with preoperative fatty degeneration had worse outcomes after rotator cuff repair

Source: Healio

Patients with large or massive rotator cuff tears who had intact tendons after arthroscopic rotator cuff repair experienced worse outcomes if they had preoperative fatty degeneration of the infraspinatus or subscapularis with Goutallier stage 2 or higher, according to results.

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Anatomic press-fit short stem linked with significant clinical improvements after TSA

Source: Healio

Patients who underwent total shoulder arthroplasty with an anatomic press-fit short stem had significant clinical improvements, with few complications and minimal radiographic changes at short-term follow-up, according to results published in The Journal of Shoulder and Elbow Surgery.

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Current tobacco use linked with increased pain, narcotic use after total shoulder arthroplasty

Source: Healio

Results showed significantly greater VAS scores preoperatively and at 12 weeks postoperatively among patients in the current tobacco use group vs. nonusers and former users. Researchers also found current tobacco users had a significantly lower mean improvement in VAS scores.

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Debridement cited as better initial option to treat infection after reverse shoulder arthroplasty

Source: Healio

Results from a retrospective, multicenter study by French researchers that investigated treatment options for infection after reverse shoulder arthroplasty supported the use of debridement as a first-line treatment, but noted this option had a 54% healing rate.

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The Relationship Between Shoulder Stiffness and Rotator Cuff Healing

Source: The Journal of Bone and Joint Surgery

A total of 1,533 consecutive shoulders had an arthroscopic rotator cuff repair by a single surgeon. Patients assessed their shoulder stiffness using a Likert scale preoperatively and at 1, 6, 12, and 24 weeks (6 months) postoperatively, and examiners evaluated passive range of motion preoperatively and at 6, 12, and 24 weeks postoperatively. Repair integrity was determined by ultrasound evaluation at 6 months.

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Concomitant rotator cuff, biceps repair led to greater improvement in PROs

Source: Healio

Despite inferior baseline patient-reported outcomes, patients who underwent rotator cuff repair with concomitant biceps procedure had greater improvement in outcomes at 1-year postoperatively compared with patients who underwent rotator cuff repair alone, according to results.

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Brian Levings, D.O. - Orthopaedic Surgeon
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