Orthopedics

MRI for low back pain

Low back pain (LBP) is one of the most common reason for physician visits in the United States. Under the pressuer to "do something", MRI is often quickly performed. Unfortunately, several randomized clinical trials have shown that among patients without clinical signs and symptoms indicating serious underlying conditions, early MRI imaging before a trial of conservative therapy, does not improve overall outcomes. It must be remembered that the

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Radiofrequency coagulation for osteoblastic osteoma

Osteoid osteoma is a benign osteoblastic (bone producing) tumor. The literature suggests that its natural history is a history of resolving pain and healing of the lesions, but the course can be variable. The course of this disease is unpredictable and protracted, with intervals of resolution of pain that sometimes last 6-15 years. Initial treatment of osteoid osteoma remains nonoperative, with medications such as aspirin on other non-steroidal pain

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Hyperbaric oxygen for osteonecrosis of the jaw

Osteonecrosis, death of bone tissues,  is a well known complication that can occur in different bones. Osteonecrosis of the jaw is a known complication on of several medical interventions, such as radiation and biphosphonates. It had been initially described with the biphosphonate Fosomax but began to be seen more frequently with the intravenous biphosphonates, such as Zometa. Conservative treatment is successful in approximately 50% of patients

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