Moderate evidence that prophylactic antibiotics reduce the risk of infection, dry socket and pain following third molar extraction but benefit not enough to recommend routine use

Logo of The Cochrane Collaboration

Tooth extraction is probably the most commonly conducted surgical procedure.  Teeth are normally extracted because of severe dental caries or periodontal (gum) infection, although they are also removed because they are poorly aligned or developed.  To aim of this Cochrane review was to determine the effect of antibiotic prophylaxis on the development of infectious complications [read the full story…]

Risk Factors for Patellofemoral Pain Syndrome

anterior knee pain

When the keep-fit Elf was on holiday recently her replacement introduced us to a new exercise. We all enthusiastically participated in the ‘power lunges’ (more like wobbling really) but over the next few days the front of my knee hurt climbing stairs, kneeling or bending down. What was wrong? Would exercising make it worse? How [read the full story…]

The Effectiveness of Physiotherapy Exercises in Subacromial Impingement Syndrome

shoulder pain

As MSK elves we already know shoulder pain is one of the most common presenting musculoskeletal conditions accounting for between 7 -26% of general practitioner consultations in the UK. There are a variety of causes of shoulder pain and some of our previous blogs have discussed challenges to developing an acurate diagnosis. Once we have our appropriately [read the full story…]

Clinical guidelines for the diagnosis, assessment and physiotherapy management of contracted (frozen) shoulder

FROZEN SHOULDER

Have you ever had a painful shoulder? Did it get better on its own? I have a friend, not another Elf, who had bilateral frozen shoulders. It was a most functionally limiting and painful problem. Fortunately intra-articular steroid injections saved the day and made a huge difference to both pain and function. If you have [read the full story…]

Trail suggests rapid injection technique for inferior alveolar nerve block was more uncomfortable but more effective

shutterstock_17571817- injection

The aim of this study was to compare both the effectiveness of the anaesthesia and the pain with deposition between fast and slow inferior alveolar nerve block (IANB) injection techniques. Patients attending a dental emergency department and requiring endodontic management were randomised to receive either fast (n=30) or slow (n=30) IANB injections using 3.6 mL [read the full story…]

Exercise for rotator cuff tendinopathy

exercise shoulder

All MSK Elves know that shoulder pain is one of the most common complaints referred for assessment and therapeutic intervention both in the acute and primary sectors. The reason for the development of the pain is often blamed on degenerative changes in the rotator cuff. Prescribing the most appropriate form of exercise based on evidence [read the full story…]

Small but potential benefits of cryotherapy following total knee replacement surgery

ice

Osteoarthritis of the knee is a common condition and typically presents with painful and restricted function and sometimes varus (bow legs) and valgus (knock knees) deformity of the knee. Once the condition and pain worsens knee joint replacement surgery is a treatment option. Patients typically improve in terms of pain and function but there is [read the full story…]

Psychological therapies can help reduce pain in children with painful conditions

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Any parent whose child has a chronic or life-threatening illness will attest to the fact that it can be a worrying, stressful and exhausting journey. Parents can struggle to juggle caring for their child with work, social and other commitments. This can lead to parents suffering from mental health problems themselves, in addition to the [read the full story…]

Are school teachers at a high risk of developing musculoskeletal disorders?

teacher looking at globe with children

As teachers across the UK have been recharging their batteries over the summer break are they also taking the opportunity to rest their weary bodies? Musculoskeletal disorders have a huge impact on work related absences. For example in the UK, in 2007/2008, on average, each person suffering from an upper-limb disorder took an estimated 13.3 [read the full story…]

Low back pain longer than 6 weeks? Try physiotherapy functional restoration rather than advice

Low back pain

Have you ever had low back pain lasting longer than 6 weeks? I know a few elves who have. Did you know it is estimated that 28% of people will experience disabling low back pain (LBP) sometime during their lives and that 80% to 90% of attacks of low back pain resolve in about 6 [read the full story…]