Publications by authors named "Charles W Webb"
Lumbar spinal stenosis is a clinical syndrome that affects more than 200,000 people in the United States annually. It is a common cause of chronic insidious low back pain, especially in older patient populations (mean age = 64 years). Lumbar spinal stenosis is a degenerative condition of the spine leading to narrowing in the spaces around the neurovascular bundles and the classic symptom of low back pain that radiates to the buttocks and lower extremities bilaterally.
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- Hip and knee injections are important tools for family physicians, used for both diagnosis and treatment of conditions like greater trochanteric pain syndrome and knee and hip joint issues.
- The injections can help with various conditions, including rheumatoid arthritis and osteoarthritis, and aspirations can assist in diagnosing joint effusions and alleviating pain.
- While infections are a main reason to avoid injections, the most common side effect is temporary soreness, with follow-ups typically arranged within two to six weeks after the procedure.
► Chronic lower back pain ► peripheral neuropathy ►leg spasms with increasing weakness.
View Article and Find Full Text PDFClinical research regarding the therapeutic benefits of cannabis ("marijuana") has been almost non-existent in the United States since cannabis was given Schedule I status in the Controlled Substances Act of 1970. In order to discover the benefits and adverse effects perceived by medical cannabis patients, especially with regards to chronic pain, we hand-delivered surveys to one hundred consecutive patients who were returning for yearly re-certification for medical cannabis use in Hawai'i. The response rate was 94%.
View Article and Find Full Text PDFExercise, fluid, and nutrition recommendations for the postgastric bypass exerciser.
Curr Sports Med Rep
June 2009
Article Synopsis
- This study reviews the existing literature on nutritional, fluid, and exercise guidelines for patients who have had bariatric surgery, highlighting a lack of strong evidence to support current recommendations, which are mostly based on expert opinion.* -
- Nutritional deficiencies are frequently seen in these patients, and routine screening along with nutrient replacement tends to address most of these issues effectively.* -
- Engaging in increased physical activity prior to surgery has shown to enhance quality of life, and walking is recommended as a primary form of exercise post-surgery, with pedometers suggested as a helpful tool for tracking activity.*
Immunization against encapsulated bacterial pathogens decreases the incidence of post-splenectomy sepsis. Pneumococcal, meningococcal, and Haemophilus influenzae (Hib) vaccinations are indicated for patients after splenectomy. These immunizations should be given at least 14 days before a scheduled splenectomy, or given after the fourteenth postoperative day (strength of recommendation [SOR]: A, based on systematic review of RCTs for the pneumococcal vaccine; SOR: B, based on systematic review of clinical trials for meningococcal and Hib vaccines).
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