More articles from Review
- Improving influenza vaccination rates among adults
The medical profession must and can do a better job of vaccinating people against influenza every year. All we need is a plan.
- Does this patient have primary progressive aphasia?
Primary progressive aphasia is a distinct clinical entity in which the patient develops language deficits while other cognitive domains remain relatively preserved until late in the illness.
- Headaches in older patients: Special problems and concerns
Any patient older than 50 years who develops headaches for the first time or who has a change in a chronic headache pattern should be investigated for an underlying cause or exacerbating condition.
- Beyond cardiovascular risk: The impact of obesity on cancer death
We summarize the evidence supporting a link between obesity and cancer, discuss possible explanations, and recommend ways to enhance cancer prevention.
- Recurrent pregnancy loss: Evaluation and discussion of the causes and their management
Women who miscarry two or more consecutive pregnancies deserve an evaluation to look for the cause, which sometimes can be treated.
- Intra-articular injections for osteoarthritis of the knee
If usual medical measures fail to control the pain of osteoarthritis of the knee, intra-articular injections of a corticosteroid, a hyaluronan, or both may help.
- Tending to the musculoskeletal problems of obesity
Obese patients often hear that any ache or pain they have is due to their excess weight and will resolve with weight loss. The truth is more subtle, but weight loss can make a substantial difference.
- Migraine prophylaxis: Who, why, and how
If a patient has frequent, severely debilitating migraine headaches, prophylactic treatment may help. But only about half of patients obtain a 50% or greater reduction in attacks.
- Uses and misuses of quantitative ultrasonography in managing osteoporosis
Despite its advantages, this test cannot yet replace dual-energy x-ray absorptiometry for diagnosing and classifying osteoporosis or for monitoring therapy.
- Clinical approach to patients with neuropathic pain
Neuropathic pain is challenging to treat. New drugs aim at the mechanisms of the pain, but results are still less than desirable.

