J Rheumatol
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Randomized Controlled Trial Comparative Study Clinical Trial
A randomized comparative study of short term response to blind injection versus sonographic-guided injection of local corticosteroids in patients with painful shoulder.
Local corticosteroid injections, commonly accepted by rheumatologists to be effective treating painful shoulder, have shown controversial results. High frequency ultrasonography is an accurate and safe imaging modality for guiding musculoskeletal injections. We prospectively compared the short term response to randomized blind injection versus sonographic-guided injection of local corticosteroid in patients with painful shoulder. ⋯ We suggest that sonographic-guided corticosteroid injections should be indicated, at least, in patients with poor response to previous blind injection to ensure accurate medication placement in order to improve therapeutic effectiveness.
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Editorial Comment Review
Translating research into practice: acetaminophen in osteoarthritis revisited.
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To examine the function of the nociceptive system in patients with fibromyalgia (FM) using functional magnetic resonance imaging (fMRI). ⋯ Our results provide further evidence for a physiological explanation for FM pain.
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To evaluate the extent to which disease activity, pain, and psychological distress predict activity limitations in persons with systemic lupus erythematosus (SLE). ⋯ Disease Activity and Pain accounted for a substantial proportion of the variance in Activity Limitations. Pain Severity was the strongest predictor of Activity Limitations. This study highlights the importance of adequate pain management for maintaining quality of life in persons with SLE.