Clinical Question: What is the efficacy of myofascial release, combined with trigger point therapy, in treating pain in patients with tension-type headaches? Clinical Bottom Line: There is significant evidence to support the use of myofascial release and trigger point therapy in patients with pain from tension-type headaches.
Irfan A. Khan and Kelley Henderson
Irfan A. Khan and Kelley D. Henderson
Clinical Question: What is the efficacy of valgus knee braces in treating pain in patients who have medial compartment osteoarthritis? Clinical Bottom Line: There is significant evidence to support the use of valgus knee braces in patients who are suffering with pain from medial knee osteoarthritis.
Kelley D. Henderson, Sarah A. Manspeaker and Zevon Stubblefield
A 19-year-old female tennis athlete with a history of hypohydration presented with cottonmouth, tunnel vision, and muscle cramping following an in-season tennis match. The patient was referred to the emergency department where she was subsequently diagnosed with exertional rhabdomyolysis (ER). Both clinical presentation and laboratory values are pertinent considerations leading to the diagnosis of ER. Specifically, creatine kinase (CK) levels and urine-specific gravity (USG) should be monitored during treatment and recovery, particularly in patients seeking to return to activity. This case presents a unique case of ER in a female individual sport athlete as well as a documented protocol for return to activity supported by current evidence.