Musculoskeletal Minute

Let's look into the new Clinical Practice Guidelines about management of acute non-low back musculoskeletal pain from the ACP and AAFP. This was published Aug 2020 in Annals of Internal Medicine as "Nonpharmacologic and Pharmacologic Management of Acute Pain From Non–Low Back, Musculoskeletal Injuries in Adults."  

I cover the article recommendations along with a critique of the article. Overall, I think it is a great article with some great information. See below for link to the article to read it yourself.   

If you prefer watching along with supporting visuals, check out the YouTube of this https://youtu.be/zpJHSNtHhfs

Journal Link https://www.acpjournals.org/doi/10.7326/M19-3602

I recently completed training in Tactical Combat Casualty Care (TCCC). During this episode I talk about TCCC and some of the great outcomes from it. However, saving lives is not the end of the journey. I am very interested in the journey to recover. I do not have the answers about the journey, I hope to learn more about that. This podcast was a collection of thoughts about this journey and also things we need to think about in our typical patients even if they did not suffer a combat wound. 

For more information about TCCC see: 

https://www.naemt.org/education/naemt-tccc

https://deployedmedicine.com

I made a mistake, that is right and I want to talk about that mistake. The mistake was not about content (at least right now) but actually a simple typo mistake across all of my marketing. The most important part about mistakes is learning from them. Join me as I talk about my mistake that I made along with lessons learned and how to improve. We cannot fix what we cannot identify. 

This was from a YouTube Live that I did to talk about it. 

I made it and so can you!

Med school is not easy and it will take a lot of work. This is my advice on how to make it through med school sane and happy.

I do share my study tips but most of this is focused on lifestyle during medical school to best succeed as a physician.

***If you are a resident or addending listening share this with a new med student and connect with me to share your advice***

Subscribe to my YouTube for musculoskeletal system study materials!

https://www.youtube.com/channel/UCnCYWYSt_20cbqLvWYebnUA?sub_confirmation=1

Connect with us:

https://www.facebook.com/musculoskeletalminute/

https://www.instagram.com/musculoskeletalminute/

Check out my new podcast "Underrated in Medicine" for more on maintaining a healthy and sane lifestyle in medicine. I talk about all the things underrated in the practice of medicine and the practice of life.

Apple Podcasts:

https://podcasts.apple.com/us/podcast/underrated-in-medicine/id1525169694

Spotify Podcasts:

https://open.spotify.com/show/4DDEhmuJODdkqJwMEXH0YB

Google Podcasts:

https://podcasts.google.com/feed/aHR0cHM6Ly9hbmNob3IuZm0vcy8yZDU3Yjg5MC9wb2RjYXN0L3Jzcw==

Freedivers push their bodies to amazing limits. Limits far beyond what seems humanly possible. However, part of their secret is powerful physiology that we all have and the other part is their mental control. Yes, you heard that right. Listen to find out what mental tricks freedivers use to push their bodies past comfort and activate our human physiology. 

Connect: https://linktr.ee/jtylerbates

Resources 

This is a great thesis about freediving psychology but also covers the physiology.

https://repositorio.ul.pt/bitstream/10451/38422/1/ulfpie053330_tm.pdf

These are shorter articles written for the public by a freediving instructor about physiology and psychology

Physiology: http://www.discoveryourdepths.com/about-freediving/freediving-physiology

Psychology: http://www.discoveryourdepths.com/about-freediving/freediving-psychology

Medicine is a team sport! 

Unfortunately, we are not always raised in medicine to work well as teams, especially with other professionals that might provide business competition. One of the big ones I have noticed in my training and practice how frequently DOs look at Physical Therapists and stealing their business. However, we each have strengths. 

In this podcast, I dive into some of the strengths of physical therapy along with the tools DOs and MDs have and how we can better work together to benefit our patients suffering in pain. I also provide recommendations for working with specialists and other vital healthcare teammates. 

linktr.ee/jtylerbates

Lets face it, we all want to help our patients out! We do not want to subject them to needless testing, wasting their time and money. Also, I cannot think of anyone that likes to fight with insurance companies to get tests approved.

Listen to learn my way to ensure proper testing, decrease money spent on useless exams, and have less tests denied by insurance! 

Check out my YouTube videos referenced:

Lumbar Spine Exam: https://youtu.be/Ml2cgy_GaH8

Cervical Spine Exam: https://youtu.be/PWWtzJQ-0Vs

Cranial Nerve Exam: https://youtu.be/s1Z5FbNBk3A

I would love to hear from you! 

Tension type headaches are the second most common medical condition in the entire world! 

In this podcast we cover the features of tension type headaches, physical exam findings, differentials, along with treatments both pharmacologic and non-pharmacologic. 

Follow these things and help patients suffering from one of the most common medical conditions in the world! 

References

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3620501/

https://pubmed.ncbi.nlm.nih.gov/17501847/

https://pubmed.ncbi.nlm.nih.gov/16618263/

https://pubmed.ncbi.nlm.nih.gov/22364330/

https://pubmed.ncbi.nlm.nih.gov/21247362/

https://pubmed.ncbi.nlm.nih.gov/26147739/

https://www.uptodate.com/contents/tension-type-headache-in-adults-preventive-treatment?sectionName=Trigger%20point%20injections&search=headache&topicRef=3358&anchor=H331018097&source=see_link#H331018097

https://www.uptodate.com/contents/tension-type-headache-in-adults-acute-treatment?search=headache&topicRef=3357&source=see_link

Pain is almost a universal experience but traditions, science, and beliefs all impact personal interpretation of pain. 

Join us as we go on a journey through time from pre-history, to Mesopotamia and ancient Egypt, through the Middle Ages and into the Renaissance and into modern times. Pain has been documented through all those times but the philosophies change. 

For more information check out the following resources I used: 

https://www.tandfonline.com/doi/pdf/10.3109/17453678909153916

https://www.practicalpainmanagement.com/pain/history-pain-brief-overview-17th-18th-centuries

https://www.mdlinx.com/article/ancient-medicines-and-procedures-still-used-today/lfc-4453

https://abcnews.go.com/Health/PainManagement/story?id=731553&page=1

https://www.sciencefocus.com/the-human-body/pain-relief-through-the-ages-what-are-they-and-did-they-work/

https://www.historytoday.com/archive/history-medicine-history-pain

https://crimsonpublishers.com/rmes/pdf/RMES.000567.pdf

https://en.wikipedia.org/wiki/Pain_theories

I'm Tyler Bates, D.O. Thank you for joining me as we work to better understand the musculoskeletal system and treat it. There is a disconnect between didactic and board teachings about musculoskeletal medicine to what will actually benefit our patients. Lets try to help our patients together! 

We have your back! 

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