Relationship between lower lumbar spine shape and patient bone metabolic activity as characterised by 18F NaF bio-markers
Chronic lower lumbar pain has been associated with elevated bone metabolic activity in the spine. Diagnosis of bone metabolic activity is currently through integrating Positron Emission Tomography (PET) with Sodium Fluoride (18F–NaF) biomarkers. It has been reported that numerous observable pathologies including lumbar fusion, disc abnormalities and scoliosis have often been associated with increased 18F–NaF […]
The Enigmatic Sacroiliac Joint: Diagnostic and Therapeutic Injections
Abstract The heterogeneity of the sacroiliac(SI) joint makes it a unique joint. Often discussed in medical textbooks, albeit overlooked in the real world. Despite all the clinical armamentarium in modern medicine, SI joint diagnosis is invariably misdiagnosed as lumbar discogenic or facet joint disease. This uncertainty leads to long-recognized paradox leading to a delayed diagnosis. […]
Clinical Diagnosis of Acute Anterior Cruciate Ligament (ACL) Injury: Should We Be Using Bedside Ultrasonography?
Introduction: Urgent care is a challenging, yet fascinating scope evidenced by the myriad of cases that come through the doors. Knee injury is a common presentation. A thorough history and physical examination is imperative to exclude any internal derangements to the knee. At this stage, it is important that a differential diagnosis is postulated. The […]
Cervical Zygapophyseal Joint Pain- Is Whiplash Injury a Myth?
ABSTRACT Cervical neck pain is a common presentation in primary care setting. The International Association for the Study of Pain (IASP) defines cervical neck pain as “pain perceived as arising from anywhere within the region bounded superiorly only by the superior nuchal line, inferiorly by an imaginary transverse line through the tip of the first […]