Back Pain

Demographics In the United States, back pain is the leading cause of activity limitation in people younger than 45, the second most frequent reason for seeking healthcare services, the fifth leading cause of hospitals admission, and the third leading cause for surgery. 60% of those who suffer from acute LBP recover in 6 weeks and up… Read more »

Osteogenesis Imperfecta

Osteogenesis Imperfecta (OI) which is also known as “brittle bone disease” is a congenital  bone disorder and has traditionally been viewed as an autosomal dominant disease but recently some autosomal recessive forms have been discovered. In osteogenesis imperfecta, pathological changes are seen in all tissues in which type 1 collagen is an important component (bone, ligament,… Read more »

Controlled Substances

There is a certain degree of confusion about controlled substances, which meds fall into what category, which have the highest abuse potential, and so on.  Physicians’ prescribing habits are being scrutinized on a state and national level as it relates to pain medication administration.  This attention will no doubt find it’s way on the boards…. Read more »


Osteoarthritis is a degenerative disorder arising from biochemical breakdown of articular cartilage in the synovial joints which further leads to the degradation of  the underlying subchondral bone. Presentation Symptoms may include joint pain, stiffness (< 30 min), locking, and sometimes an effusion. There are classic physical signs that are pathognomonic for OA. Heberden nodes (palpable osteophytes in the DIP joints)… Read more »

Rheumatoid arthritis as office orthopedic problem

Overview Rheumatoid arthritis (RA) is a long-term disease that leads to inflammation of the joints and surrounding tissues, but can also affect other organs. RA usually affects joints on both sides of the body equally. Wrists, fingers, knees, feet, and ankles are the most commonly affected. The disease often begins slowly, usually with only minor… Read more »