{"title":"How Physicians Might Get in Trouble Using AI (or Not Using AI).","authors":"Kimberly Chew, Kathleen Snyder, Colleen Pert","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":74203,"journal":{"name":"Missouri medicine","volume":"122 3","pages":"169-172"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12309835/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144762595","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Howard A. Rusk, MD: The Missouri Physician Who Is Considered the Father of Rehabilitative Medicine.","authors":"Arthur H Gale","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":74203,"journal":{"name":"Missouri medicine","volume":"122 3","pages":"186-187"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12309828/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144762596","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Low back pain (LBP) is a leading cause of disability globally, with substantial socioeconomic impacts, including reduced productivity and increased healthcare costs. Most LBP cases are nonspecific and benign, but a thorough assessment is necessary to rule out serious underlying conditions such as infections, tumors, and fractures. This article reviews common etiologies, including mechanical back pain, degenerative disc disease, and spinal stenosis, and discusses both urgent and nonurgent spinal pathologies. Emphasis is placed on the role of non-operative spine clinics, which coordinate multidisciplinary care to improve outcomes and reduce unnecessary interventions and imaging. Conservative management for acute and chronic non-specific LBP focuses on patient education, exercise, and physical therapy. Evidence suggests that early education on spinal health and appropriate care pathways can significantly reduce surgery rates, enhance patient satisfaction, and improve long-term outcomes.
{"title":"Navigating Low Back Pain: A Multidisciplinary Approach to Diagnosis, Management, and Education.","authors":"Zacharie Finneman, Connor Swartz, Mark Drymalski","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Low back pain (LBP) is a leading cause of disability globally, with substantial socioeconomic impacts, including reduced productivity and increased healthcare costs. Most LBP cases are nonspecific and benign, but a thorough assessment is necessary to rule out serious underlying conditions such as infections, tumors, and fractures. This article reviews common etiologies, including mechanical back pain, degenerative disc disease, and spinal stenosis, and discusses both urgent and nonurgent spinal pathologies. Emphasis is placed on the role of non-operative spine clinics, which coordinate multidisciplinary care to improve outcomes and reduce unnecessary interventions and imaging. Conservative management for acute and chronic non-specific LBP focuses on patient education, exercise, and physical therapy. Evidence suggests that early education on spinal health and appropriate care pathways can significantly reduce surgery rates, enhance patient satisfaction, and improve long-term outcomes.</p>","PeriodicalId":74203,"journal":{"name":"Missouri medicine","volume":"122 3","pages":"193-198"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12309791/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144762604","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Financial Statement: Missouri State Medical Foundation.","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":74203,"journal":{"name":"Missouri medicine","volume":"122 3","pages":"245"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12309803/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144762593","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
The care of patients with disabilities remains a significant challenge for the healthcare system. This challenge is made worse by gaps in education and awareness among medical providers. Despite the passage of the Americans with Disabilities Act (ADA), which seeks to protect the rights of individuals with disabilities, healthcare providers often struggle to deliver comprehensive patient centered care to this diverse population. This article explores the relationship between medical providers and patients with disabilities, highlighting the importance of individualized care and recommending strategies to improve healthcare delivery for these patients.
{"title":"Physicians and Disabilities.","authors":"Vovanti Jones, Blake Dryer","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The care of patients with disabilities remains a significant challenge for the healthcare system. This challenge is made worse by gaps in education and awareness among medical providers. Despite the passage of the Americans with Disabilities Act (ADA), which seeks to protect the rights of individuals with disabilities, healthcare providers often struggle to deliver comprehensive patient centered care to this diverse population. This article explores the relationship between medical providers and patients with disabilities, highlighting the importance of individualized care and recommending strategies to improve healthcare delivery for these patients.</p>","PeriodicalId":74203,"journal":{"name":"Missouri medicine","volume":"122 3","pages":"215-220"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12309833/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144762606","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Amyotrophic lateral sclerosis (ALS) is a progressive motor neuron disease that causes loss of upper and lower motor neurons, leading to muscle weakness and ultimately death. This review highlights recent advancements in Neuromuscular Medicine and Physical Medicine and Rehabilitation (PM&R), emphasizing innovations in the diagnosis, treatment, and care delivery for ALS. The field of PM&R emphasizes a multidisciplinary, patient-centered approach, incorporating advanced diagnostic tools, therapeutic strategies, adaptive equipment, and telerehabilitation to optimize function. Neuromuscular PM&R physicians play a key role in managing symptoms and maximizing functional independence. Current disease-modifying therapies include riluzole and edaravone which provide only modest benefits, but emerging gene therapies like tofersen for SOD1-related ALS offer promise for targeted treatment for genetic forms of ALS. Future advancements in regenerative therapies, biotechnologies, and digital health integration hold the potential to improve care and enhance the quality of life and functional independence of individuals living with ALS.
{"title":"Innovations In Physical Medicine and Rehabilitation: Advances in the Diagnosis, Treatment, and Care of Amyotrophic Lateral Sclerosis.","authors":"W David Arnold, Ryan Castoro, Smita Saxena","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Amyotrophic lateral sclerosis (ALS) is a progressive motor neuron disease that causes loss of upper and lower motor neurons, leading to muscle weakness and ultimately death. This review highlights recent advancements in Neuromuscular Medicine and Physical Medicine and Rehabilitation (PM&R), emphasizing innovations in the diagnosis, treatment, and care delivery for ALS. The field of PM&R emphasizes a multidisciplinary, patient-centered approach, incorporating advanced diagnostic tools, therapeutic strategies, adaptive equipment, and telerehabilitation to optimize function. Neuromuscular PM&R physicians play a key role in managing symptoms and maximizing functional independence. Current disease-modifying therapies include riluzole and edaravone which provide only modest benefits, but emerging gene therapies like tofersen for SOD1-related ALS offer promise for targeted treatment for genetic forms of ALS. Future advancements in regenerative therapies, biotechnologies, and digital health integration hold the potential to improve care and enhance the quality of life and functional independence of individuals living with ALS.</p>","PeriodicalId":74203,"journal":{"name":"Missouri medicine","volume":"122 3","pages":"199-205"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12309834/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144762598","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}