PM & R : the journal of injury, function, and rehabilitation
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Distal biceps tendinopathy is an uncommon but increasingly diagnosed condition in persons with elbow pain. When traditional treatments are unsuccessful, practitioners have performed ultrasound (US)-guided tendon injections in this region using an anterior approach. ⋯ The patient had an excellent clinical outcome with no adverse events. This outcome suggests that a US-guided posterior percutaneous tendon injection might be a safe, viable, nonsurgical option for recalcitrant distal biceps tendinopathy.
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Review
Physical Medicine Interventions to Avoid Acute Respiratory Failure and Invasive Airway Tubes.
This article describes the use of physical medicine noninvasive inspiratory and expiratory muscle aids to prevent ventilatory/respiratory failure and to permit the extubation and tracheostomy tube decannulation of patients with little or no autonomous ability to breathe (ie, those who cannot be weaned from ventilator support). Noninvasive airway pressure aids can provide continuous ventilatory support and effective cough flows for patients with severely dysfunctional respiratory muscles.
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Controlled Clinical Trial
Dry Needling Alters Trigger Points in the Upper Trapezius Muscle and Reduces Pain in Subjects With Chronic Myofascial Pain.
To determine whether dry needling of an active myofascial trigger point (MTrP) reduces pain and alters the status of the trigger point to either a non-spontaneously tender nodule or its resolution. ⋯ Dry needling reduces pain and changes MTrP status. Change in trigger point status is associated with a statistically and clinically significant reduction in pain. Reduction of pain is associated with improved mood, function, and level of disability.