Fractures and musculoskeletal problems are frequently encountered in the primary care setting, and the majority can be appropriately managed by primary care physicians. This session will provide a comprehensive review of fractures seen in the primary care setting, including diagnostic imaging and management strategies. It will also teach you how to recognize and manage common problems through actual patient cases collected from a primary care practice. An open question and answer session will allow your questions regarding challenging musculoskeletal problems to be addressed.
Hip, knee, and back pain are common complaints in the outpatient setting. It is critical for primary care providers to develop an evidence-based systematic approach to address these complaints. This presentation will improve familiarity with anatomy of the hip, knee, and back through a case-based approach. Learners will be able to generate differential diagnoses for pain in the aforementioned regions and determine appropriate imaging studies using ACR Appropriateness Criteria. The learner will be able to identify cases that require subspecialty care.
In this session, the speaker will discuss some challenging diagnostic cases that primary care practitioners may face in their practice. These cases will feature interpretation of laboratory and imaging studies as well as encounters with rare diseases and conditions. You will learn which aspects of the history and physical exam are most useful to establish certain diagnoses, increase your awareness of certain uncommon but “can’t miss” diagnoses, and become familiar with clinical decision aids that improve diagnostic accuracy for certain common diagnoses.
Guest: Alan M. Ehrlich, MD, FAAFPMusic Credit: Richard Onorato
Chronic pain affects 20% of people in the United States, and chronic low back pain is the most common cause of chronic pain. Although some treatments can reduce the severity of the pain, the persistence of chronic low back pain is a source of frustration for both patients and clinicians. Join us to discuss how behavioral and psychological therapy should be part of the treatment for chronic low back pain and how new approaches may be much more effective than existing therapies.
Guest: Alan Ehrlich MD, FAAFPMusic Credit: Richard Onorato
Plantar fasciitis is a common and often unsuccessfully treated chronic, painful condition. Multiple interventions have been suggested with varying degrees of effectiveness. Corticosteroid injections are sometimes used, but the evidence for efficacy has been limited with significant bias present in many of the trials. A Cochrane review in 2017 found a small degree of short-term benefit. Since then, a number of additional trials have been performed, and a newer systematic review finds no benefit.
Guest: Susan Feeney, DNP, FNP-BC, NP-CMusic Credit: Richard Onorato
More than 250 million individuals worldwide have osteoarthritis (OA) of the knee and the burden on individuals and healthcare systems is enormous. There is no cure for OA, with treatments such as NSAIDs and acetaminophen aimed towards symptom reduction and improved functioning. Most evidence-based guidelines include the use of supportive shoes, however little evidence exists on effectiveness of these types of shoes. It is also unclear what the characteristics of a supportive shoe are and what type of shoe is best for OA. Join us as we discuss a recent randomized controlled trial that compared 2 types of shoes, and their benefits in symptom reduction and functional improvement of knee OA
Knee pain is one of the most common musculoskeletal complaints in primary care. This presentation will cover a systematic evidence-based approach to the knee exam. Through live demonstrations and patient cases, you will learn differences between a knee exam focused on acute versus overuse injuries and develop more awareness of pediatric and geriatric considerations.