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Sciatica Treatment Medscape

Hey this is gangemi and welcome to our newest sock doc tutorial. today we’re going to talk about the shoulder and the shoulder joint in general. Helping out today is Madison McCarroll. Thanks for joining. Madison’s a great rower in the area. The shoulder you know most people think about the shoulder as just like a certain area which it obviously is but it’s really combined of three joints.

And three bones. so it’s a very dynamic area that’s used to, you know, we use our shoulder all day long. We use it to support things, we use it to lift things, we use it to carry. It’s actually one of the most common areas that people injure and you can injure your shoulder, the shoulder area, in so many different ways. A lot of times people will tear their rotator cuff or sprain or strain their.

Rotator cuff. they will get stuff like tendonitis, bursitis, or perhaps a frozen shoulder is also very common. So these are some of the things we’re going to talk about. So the three joints of the shoulder pretty much we have a sternoclavicular joint. Our clavicle is here. That’s that bone running across the top. People know it as their collarbone. And the joint here where it hits your.

Sternum which is your breast bone, not going to talk about really today because there’s not a whole lot going on there. The two other joints are going to be our major function, or our major focus, because that’s where a lot of the injuries occur. First one we’re going to talk about is your AC joint which is also known as your acromioclavicular joint and that’s if you trace your collarbone to the.

Outside here you’re going to hit a little bump which is the acromion of your scapula which is your shoulder blade. And then that’s where it attaches to your clavicle which is your collarbone. Now if you come down just on the inside there, so you find that dip on the end of your collarbone and then dip right down, you have what’s called your coracoid process. Now this AC joint is very, very important to understand.

Because it’s where people get things like a frozen shoulder. and they can also get generalized shoulder pain if this joint is not moving properly. So a frozen shoulder is basically if you cannot lift your arm, a lot of people can’t lift it at all, or especially above parallel. So if you can’t lift your arm anywhere over your shoulder or if you can’t do it freely without pain a lot of people are diagnosed as a frozen shoulder. But again,.

Especially if you can’t even just move it at all. typically it’s because the AC joint is locking up. Three major muscles going there. You’ve got one of your pec muscles, your pec minor, which comes up from your chest and inserts into that coracoid process. We also have your biceps, one of your biceps, the short heavier biceps that has to do with this, obviously curling, flexion of the arm.

That pec minor is more of an across the body, especially with your palm up, type motion. It supports a lot of the rib muscles. And then also a very important muscle called your coracobrachialis. Now this muscle we kind of associate when someone has pain if they say are washing or combing your hair, like so. And your shoulder hurts even just doing that, not necessarily if you have a frozen shoulder but if just you.

Rheumatoid Arthritis TNF inhibitors reduce fatigue

Rheumatoid arthritis: tnf inhibitors linked to less fatigue Lara Pullen writing for Medscape reported on a study demonstrating patients with rheumatoid arthritis (RA) report substantial improvement of fatigue after beginning antitumor necrosis factor (TNF) therapy. In particular, employed women with a low level of disability were the most likely to experience an improvement in fatigue. Pain, however, was not a significant predictor of improvement in fatigue. Although fatigue is generally considered a.

Significant factor in ra, it is rarely a primary endpoint in al trials. katie l. duce, a PhD student from the Epidemiology Group, Institute of Applied Health Sciences, University of Aberdeen, United Kingdom, and colleagues published the results of their longterm observational cohort study in the journal, Rheumatology. Comment: Second only to pain and stiffness, fatigue is a major problem for patients with RA. In my experience, TNF inhibitors are great at reducing fatigue.

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