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DDX of SSc by Dr L Hummers. Potential #RheumBoard question… look at photos and be able to distinguish the features. #CCRE25

Fsteinkamp This based on effect of intragastric pH - there is one newer drug missing through 😉 link.springer.com/article/10.100…

Nerves

Horner’s explained

Peripheral nerve presentations of hand

Typical pain patterns in radiculopathies- important for shoulder pain a) C5 b) C6 c) C7 d) C8 e) T1 link.springer.com/article/10.100…

Here’s a nice little retro paper that looks at, among other things, lumbar nerve root contact in asymptomatic individuals: Weishaupt et al. pubs.rsna.org/doi/10.1148/ra… They found that 27–30% of asymptomatic individuals had some degree of nerve root contact on MRI. I see this daily

Biologising the psychosocial. 👉This discussion is key to help people better understand why psychosocial factors contribute to pain. Importantly, it helps to avoid the a brain-centric understanding of pain or an interpretation of it's "all in the head". sciencedirect.com/science/articl…

In my clinical practice, I am more concerned with the behavioural consequences of fear (e.g. activity avoidance) rather than measures of fear per se. It's the behavioural consequences that contribute to disability. sciencedirect.com/science/articl…

New blog by Drs. Quintner and Cohen. An introduction to nociception fot laymen. painlosophy.wordpress.com/2025/05/19/mee…

The Prevalence of Lumbar Spine Facet Joint Osteoarthritis and Its Association with Low Back Pain in Selected Korean Populations ecios.org/pdf/10.4055/ci… LSFJOA was not associated with LBP in men (p = 0.093) but was associated with LBP in women (p = 0.003)

More muscle 🟰 better recovery from surgery. MUCH better. 😮 In addition to “rehab” AFTER surgery, we should prepare by getting as fit as possible BEFORE surgery: “prehab,” one of the best evidence-based ways to PREVENT pain. NEW POST, 2m read: PainScience.com/blog/more-musc…

Progression trajectories of chronic overlapping pain conditions unveiled across two large clinical data warehouses. pubmed.ncbi.nlm.nih.gov/40408224/

Discogenic Low Back Pain: Anatomic and Pathophysiologic Characterization, Clinical Evaluation, Biomarkers, AI, and Treatment Options mdpi.com/2077-0383/13/1…

Good news here for lumbar disc herniations! pubmed.ncbi.nlm.nih.gov/25009200/

DISH vs Spondyloarthritides pmc.ncbi.nlm.nih.gov/articles/PMC72…

Diagnostic Criteria for Fibromyalgia: Critical Review and Future Perspectives pmc.ncbi.nlm.nih.gov/articles/PMC72…

On the definitions and physiology of back pain, referred pain, and radicular pain - PubMed A classic pubmed.ncbi.nlm.nih.gov/19762151/

June A&R Clinical Connections ⭐ Changes in Descending Pain Modulation During Anti-TNF Therapy in RA and SpA ⭐ Association of Synovial Innate Immune Exhaustion With Worse Pain in Knee OA acr.tw/4mALq0x

Important to be aware of non-inflammatory types of psoriatic arthritis. Absence of active synovitis or elevated blood inflammatory markers does not rule out the diagnosis. nature.com/articles/s4158…