October 2026 Vol. 126, No. 10

Eagle syndrome is a rare condition characterized by an elongated cranial styloid process (≥30.00 mm), leading to pain and dysfunction in the surrounding anatomy. Current treatment options include styloidectomy, analgesics, corticosteroids, and antidepressants. The fascial distortion model (FDM), a newer osteopathic approach, offers a different perspective on treating Eagle syndrome. This case study examines the use of the FDM to manage Eagle syndrome by treating the cranial styloid elongation as a continuum distortion.

Gitelman syndrome is an inherited renal salt wasting tubulopathy caused by variants in SLC12A3 and classically associated with hypokalemic metabolic alkalosis, hypomagnesemia, and hypocalciuria. This report describes an 18-year-old professional baseball player with an approximately 6-month history of recurrent, exertional muscle cramping, fatigue, and profuse sweating that persisted despite hydration and commercial electrolyte supplementation.

Firearm-related injury and suicide represent a critical public health challenge in the United States, with older adults experiencing the highest rates of firearm suicide. Despite high household firearm access and unsecured storage, standardized screening and counseling in primary care remain underutilized. Primary care physicians are uniquely positioned to identify clinically vulnerable patients and evaluate lethal means safety through longitudinal relationships during routine encounters. This Clinical Practice report presents an evidence-based framework for firearm suicide risk assessment, clinical communication, and safe storage counseling tailored to older adults.