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Fibromyalgia/Pain

Musculoskeletal sequelae/complications in adults following ICU admission studied by metanalysis of 32 studies. Muscle problems, pain (shoulder pain) predominated. Weakness in 29%, Chronic pain 34%, neuromuscular impairment 51%. https://t.co/FpqDvRDtVq

Dr. John Cush @RheumNow( View Tweet )

Sep 06, 2021
FORWARD prospective registry showed Obesity to be associated with a substantially higher risk of incident chronic opioid use (HR adj 1.74). Approximately 1 in 4 cases of incident strong opioid use can be attributable to obesity ((HRadj 2.11) https://t.co/R0KhH4b05g https://t.co/HGHeqh4B0c
Dr. John Cush @RheumNow( View Tweet )
Sep 03, 2021

RheumNow Podcast – JAK Inhibitor Warnings from the FDA

Sep 02, 2021

FDA JAK inhibitor warnings and what it means (also: what do you think?); other news released this week; and, two questions submitted from listeners. Dr. Cush discusses this and more in this week's podcast.

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JCI paper showing IgG fibromyalgia pts given to mice leads to passive transfer of FM symptoms leads to sensory hypersensitivity; increased sensitivity to noxious mechanical & cold stimulation, & nociceptive fibers in skin-nerve preparations.WHAT? https://t.co/af24a9BzzW

Dr. John Cush @RheumNow( View Tweet )

Aug 30, 2021
Among pregnant women, receipt of the BNT162b2 vaccine was associated with a 78% lower risk of incident SARS-CoV-2 infection. Cohort study tincluded 15 060 pregnant women in Israel. No adverse pregnancy outcome difference in Vax Pts https://t.co/jXUjaKIfUV

Dr. John Cush @RheumNow( View Tweet )

Aug 25, 2021
Rheums--have a question or case for Jack Cush? Record it here and we may feature it on an upcoming podcast. Tell us your name and where you practice rheumatology. https://t.co/wzNmOzH4VE https://t.co/QJn6Uo3lbM
Dr. John Cush @RheumNow( View Tweet )
Aug 24, 2021
New podcast available for download wherever you get your podcasts! We review the big stories on RheumNow this week. https://t.co/dbX9RN8ji5 https://t.co/WEf7yCR9km
Dr. John Cush @RheumNow( View Tweet )
Aug 21, 2021
Acupuncture (AP) studied in 440 men w/ chronic prostatitis/chronic pelvic pain syndrome (AP vs Sham). Responders were higher in the AP group at wk 8 and week 32 (61.5% vs 38.3%; adjusted odds ratio, 2.6) https://t.co/TOtUBE3Wvu

Dr. John Cush @RheumNow( View Tweet )

Aug 20, 2021

RheumNow Podcast – Driving in Pain (8.20.2021)

Aug 20, 2021

You know, I'm a very good driver. We all think we're great drivers - but consider what it's like to drive in pain: would you be a good driver? Also, I want you to consider the diagnosis of calcium pyrophosphate dihydrate disease (CPPD). But first, let's look at a study out of Scotland, looking

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Using data from Framingham Study, 347 pt w/ Widespread Pain (WP) compared to 2117 without. WP was associated with an increased risk of all-cause dementia (HR: 1.43), Alzheimer's (HR: 1.47) and stroke risk (HR: 1.29). https://t.co/S1CS01zNkJ

Dr. John Cush @RheumNow( View Tweet )

Aug 18, 2021
ICYMI: Can you manage FM without opioids? Study of 698 Fibromyalgia pts from a tertiary center finds 27.1% taking opioids. Opioid associated with longer Sx duration (>3 yrs), increased age, worse functional impairment & pain catastrophizing https://t.co/N1G4ZtkUE5

Dr. John Cush @RheumNow( View Tweet )

Aug 13, 2021
Can you manage FM without opioids? Study of 698 Fibromyalgia pts from a tertiary center finds 27.1% taking opioids. Opioid associated with longer Sx duration (>3 yrs), increased age, worse functional impairment & pain catastrophizing https://t.co/N1G4ZtkUE5

Dr. John Cush @RheumNow( View Tweet )

Aug 09, 2021

Lumbar Spine Decompression Alone is Superior to Decompression with Fusion

Aug 05, 2021

The NEJM has published a multicenter study wherein patients with surgical lumbar spinal stenosis and degenerative spondylolisthesis were found to fair equally well (noninferior if treated with decompression surgery alone compared to decompression with instrumented fusion.

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"Fibromyalgianess" is highlighted as a risk factor for undue, extended glucocorticoid use in rheumatoid arthritis (RA) patients, according to Wallace and colleagues in Rheumatology. https://t.co/uv19GSZsBV https://t.co/aSFlV9zeGt
Dr. John Cush @RheumNow( View Tweet )
Aug 02, 2021
Pain Persists in RA, Even Without Inflammation One-third of patients with rheumatoid arthritis had unacceptably high levels of pain 5 years after diagnosis, often despite low levels of inflammation, Swedish researchers found. https://t.co/K8zf1pE9jM https://t.co/aEBu7jVHft
Dr. John Cush @RheumNow( View Tweet )
Jul 31, 2021

Fibromyalgianess Influences Steroid Persistence

Jul 30, 2021

"Fibromyalgianess" is highlighted as a risk factor for undue, extended glucocorticoid use in rheumatoid arthritis (RA) patients, according to Wallace and colleagues in Rheumatology.



Fibromyalgianess is associated more disability and poor responses to RA treatment and can be

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RheumNow Podcast – Psoriatic Arthritis Without Psoriasis (7.30.2021)

Jul 30, 2021

How much psoriasis do you need to have in order to have psoriatic arthritis? This plus a review of rheumatology and COVID news from the past week on RheumNow.com.

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Bariatric surgery result in less pain med use. UK THIN database study of 588,494 pts: the 694 w/vbariatric surgery had a 23% increased odds of no analgesic use for ≥12 mos (HR=1.23) & all-cause mortality was also lower (HR=0.46) than controls https://t.co/b90AOE7lfg

Dr. John Cush @RheumNow( View Tweet )

Jul 28, 2021

US News & World Report Ranks Best Rheumatology Hospitals

Jul 27, 2021

Medscape has published the annual U.S. News and World Reports ranking of Rheumatology Hospitals, again honoring Johns Hopkins Hospital with the top spot, with runner up status going to the Cleveland Clinic, Hospital for Special Surgery, Mayo Clinic and Brigham and Women's Hospital.

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Growing Cannabis Use in Arthritis Patients The National Databank for Rheumatic Diseases reports a significant increased in cannabis use amongst arthritis patients between 2014-2019. https://t.co/9YyYB75GuN https://t.co/Xs24kBLmeg
Dr. John Cush @RheumNow( View Tweet )
Jul 23, 2021

Fracture Risk with Low Dose Steroid

Jul 22, 2021

A large RA cohort analysis shows that low-dose glucocorticoid therapy in rheumatoid arthritis (RA) patients may carry an increased risk of vertebral osteoporotic (OP) fractures. 



There were 15,123 RA patients (mean age 68.8 years) enrolled in Clinical Practice Research Datalink

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Growing Cannabis Use in Arthritis Patients

Jul 21, 2021

The National Databank for Rheumatic Diseases reports a significant increased in cannabis use amongst arthritis patients between 2014-2019, suggesting patients are more frequently engaged in self-management of pain and the unmet need for a pain relieving, opioid-sparing alternative.



A

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Rheums--Have a rheumatology question or case for Jack Cush? Record it here and we may feature it on an upcoming podcast. Tell us your name and where you practice rheumatology. https://t.co/wzNmOzH4VE https://t.co/kKoBTHWX6z
Dr. John Cush @RheumNow( View Tweet )
Jul 17, 2021
Metanalysis of 33 clinical trials show that corticosteroids are anaglesic, especially in 1st 3 mos (mean drop VAS pain -12mm); after that benefit wanes to -8mm @3-6 mos and -6mm (95% CI, -10mm, -2mm) after  6 mos. https://t.co/IKZhqqwhPO

Dr. John Cush @RheumNow( View Tweet )

Jul 12, 2021
1/3 of patients with rheumatoid arthritis had unacceptably high levels of pain 5 years after diagnosis, often despite low levels of inflammation, Swedish researchers found. Read more: https://t.co/K8zf1pE9jM https://t.co/eu2Byo6dx4
Dr. John Cush @RheumNow( View Tweet )
Jul 04, 2021
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