The Journal of family practice
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Placebo injections actually improve lateral epicondylitis at high rates. No other injections convincingly improve it better than placebo. Corticosteroid injection is not superior to saline or anesthetic injection (strength of recommendation [SOR] A, systematic review of randomized controlled trials [RCTs]). ⋯ Prolotherapy injection, compared to saline injection, improved pain at 16-week, but not at 8-week, follow-up (SOR B, one small pilot RCT). Hyaluronic acid injection, compared to saline injection, resulted in a statistically significant pain reduction (6%) but did not achieve the minimum clinically important difference (SOR B, single RCT). Autologous blood injection, compared to saline injection, did not improve disability ratings (SOR B, one small RCT).
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Case Reports Multicenter Study
Validated scoring system identifies low-risk syncope patients.
This study validated the Canadian Syncope Risk Score for predicting 30-day serious outcomes in patients presenting to the ED within 24 hours of syncope.
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Botulinum toxin has proven safe and effective when used correctly. This review examines the evidence that could support its expanded use.
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► Fever ► New-onset urinary frequency ► Altered mental state.
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► Chronic insomnia ► Nightly zolpidem use ► Concern for tapering withdrawals.