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[Low back pain: Our greatest enemy? Brief advice on pain in primary care].
Aten Primaria
December 2024
Medicina Familiar y Comunitaria, Consultorio Barriada del Ángel - UGC Fuensanta, Córdoba, España.
This article rewievs the available evidence on low back pain, one of the most prevalent conditions and the main cause of disability in most countries according to the latest Global Disease Burden 2021 study, which has led entities such as the WHO to recently publish recommendations on low back pain management. The causes and associated risk factors are analyzed, with more than 90% of low back pain cases being nonspecific and closely related to biopsychosocial context, as well as the role of imaging tests, whose findings have not been proven to be the source of low back pain. Finally, the effectiveness of the different treatments is analyzed, with non pharmacological being the first-line of treatment and pharmacological treatment having a very limited role, despite the excessive use we make of it.
View Article and Find Full Text PDF[Osteoarthritis: Degenerative changes or adaptive changes? Brief pain advice in primary care].
Aten Primaria
December 2024
Fisioterapia Atención Primaria, Madrid, España.
Osteoarthritis is a degenerative joint disease and is the most common joint problem worldwide. It is considered a serious disease due to the presence of pain and reduced functional capacity. Moreover, there are no disease-modifying drugs or curative treatment at present; the basic or first-line treatment is non-pharmacological, based on education and physical exercise.
View Article and Find Full Text PDF[Unhelpful believes about pain. Brief pain advice in primary care].
Aten Primaria
December 2024
Gerencia de Atención Primaria, Centro de salud Villa de Vallecas, Madrid, España.
In chronic non-oncological pain, there is a gap between the recommendations and the usual clinical practice. To improve this situation, it is essential to address unhelpful beliefs about pain in patients and health professionals. We address cultural beliefs such as thinking that pain means damage to the tissue where it is felt, that pain originates in the area where it is perceived, that it is important to rest for the tissues to heal, or that drugs and surgery are the best treatments for pain.
View Article and Find Full Text PDFTips and tricks for using cement augmentation of pedicle screws and vertebral body replacements-A literature review supported by two case reports.
Rev Esp Cir Ortop Traumatol
September 2024
Center for Spinal Surgery, Sana Klinikum Offenbach, Offenbach, Alemania.
Background: The prevalence of osteoporosis is escalating alongside an aging global population, increasing the demand for spinal surgeries, including those necessitating cement augmentation for enhanced construct stability.
Objective: This article delves into the nuanced application of cement augmentation techniques for pedicle screws and vertebral body replacements (VBR), aimed at optimizing surgical outcomes in osteoporotic spines.
Method: Drawing from a comprehensive literature review according to important clinical and biomechanical studies and the authors' clinical experiences, we elucidate strategies to mitigate complications and improve surgical efficacy.
Tips and tricks for writing a manuscript to publish in a biomedical journal.
Gastroenterol Hepatol
August 2024
Servicio de Aparato Digestivo, Hospital Universitario de La Princesa, Instituto de Investigación Sanitaria Princesa (IIS-Princesa), Universidad Autónoma de Madrid (UAM), Madrid, España; Centro de Investigación Biomédica en Red de Enfermedades Hepáticas y Digestivas (CIBEREHD), Madrid, España.
Science barely exists until it is published. It is only then that the information surpasses the limits of the author and can be shared by the scientific community. Although scientific articles must follow a rigidly defined structure, there is still room to tell a fascinating story, one that clearly conveys the science and is, at the same time, enjoyable for the reader.
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