Tyrannized by Evidence? Making 'Outcomes' Work for Our Patients

Stanley A. Herring, MD

Guidelines are a two-edged sword: They can clarify and enhance treatment, yet hamper individualization of care. The author proposes an approach to musculoskeletal medicine that improves patient care in a climate of cost control.

Ankle Sprains: Expedient Assessment and Management

Thomas H. Trojian, MD, MMB; Douglas B. McKeag, MD, MS

When someone has injured an ankle, distinguishing a simple inversion sprain from a more serious injury is essential. The thorough assessment approach described and illustrated here will lead to a specific diagnosis and open the way to proper management.

Controlling Blood Lipids: Part 1: A Practical Role for Diet and Exercise

Tedd L. Mitchell, MD; Larry W. Gibbons, MD, MPH

A healthy blood-lipid profile goes a long way toward preventing or limiting coronary artery disease. The authors provide up-to-date information and simple recommendations for patients on the role of various fats, fish oil, antioxidants, alcohol, and aerobic exercise in controlling blood lipids. The role of medication will be covered in our November issue.

Exercise Against Depression
Michal Artal, MD, with Carl Sherman

It's something of a catch-22: Exercise can ease symptoms of depression, but depression itself tends to make exercise difficult. The authors explain the case for exercise and offer suggestions for helping patients overcome the obstacles.

Patient Adviser

Mobilize Against Depression

Michal Artal, MD, with Carl Sherman

Wrist Injuries: Part 2: Spotting and Treating Troublemakers

Eric W. Honing, MD

Building on assessment tips discussed in the September issue, this guide will help you recognize and treat a broad range of wrist injuries in active people. It emphasizes injuries that are easy to miss or can lead to chronic trouble, such as scaphoid fractures and scapholunate dissociation.