Articles related toMusculoskeletal Medicine and Pain

The author offers feedback on a previously published article: Patel KG, Sabini RC. Safety of osteopathic cranial manipulative medicine as an adjunct to conventional postconcussion symptom management: a pilot study. J Am Osteopath Assoc. 2018;118(6):403-409. doi:10.7556/jaoa.2018.061

The authors respond to a Letter to the Editor from Evelyn Eakin, DO regarding their article: Patel KG, Sabini RC. Safety of osteopathic cranial manipulative medicine as an adjunct to conventional postconcussion symptom management: a pilot study. J Am Osteopath Assoc. 2018;118(6):403-409. doi:10.7556/jaoa.2018.061

In the first of 3 reports from this research group in this issue, college athletes with concussion were evaluated for somatic dysfunction of the cranium within 1 week of injury, comparing force vectors and strain patterns with evaluate association trends.

The authors review the pathophysiological mechanisms and cascades that accompany a mild traumatic brain injury and evaluate information on the emergence of serum biomarkers (both those that are currently approved by the US Food and Drug Administration and those still under investigation).

In this pre-post study conducted at a community-based teaching hospital in Oregon, the research group evaluated the clinical effectiveness of an 8-week mindfulness-based stress reduction course for patients with chronic pain.

While the vascular and cardiac effects of diabetes mellitus (DM) have been well-studied, the prevalence of musculoskeletal (MSK) conditions in patients with diabetes is less clear; the authors review the current literature documenting common MSK and DM comorbidities, as well as treatment approaches.

In this narrative review, the authors summarize literature published in the last decade and analyze the relationship between musculoskeletal disorders and systemic medical conditions such as diabetes mellitus.

The authors present the case of a 24-year-old man who sustained a right sacral fracture, bilateral femoral fractures, a separated pubic symphysis, and compression fractures of the fifth and sixth thoracic vertebrae after a parachute landing and whose treatment involved gait correction achieved with left-sided heel lift and custom molded orthotics to level his sacral base.

The authors used lumbar spine ultrasonography to measure differences in soft tissue thickness before and after OMT to assess improvements in rotational asymmetry in 20 adult participants; they also evaluated the correlation of US results with palpatory diagnosis.