Analysis of Factors Influencing Corrective Power of Akin's Osteotomy in 2D Plain Radiographs: What to Consider to Obtain Good Correction in Hallux Valgus Surgery - Summary by Liv Harley Street Hospital
Bunion Surgery London

Analysis of Factors Influencing Corrective Power of Akin’s Osteotomy in 2D Plain Radiographs: What to Consider to Obtain Good Correction in Hallux Valgus Surgery – Summary by Liv Harley Street Hospital

Background/Objectives: Akin osteotomy, in the context of corrective surgery for hallux valgus, is an effective tool available to surgeons. However, few studies have thoroughly investigated the anatomical and technical characteristics to be considered in order to perform an optimal osteotomy. This cross-sectional observational study aims to identify the ideal site for performing Akin osteotomy and to identify the factors that influence its corrective power. Methods: To this end, an analysis was…

Augmentation of the medial collateral ligament using suture tape reduces the recurrence after corrective surgery for severe hallux valgus - Summary by Liv Harley Street Hospital
Bunion Surgery London

Augmentation of the medial collateral ligament using suture tape reduces the recurrence after corrective surgery for severe hallux valgus – Summary by Liv Harley Street Hospital

CONCLUSION: The medial joint capsule in severe HV deformity showed the degenerative change and the MCL reconstruction using suture tape combined with osteotomy provides a strong medial constraint to prevent the recurrence of the deformity in severe hallux valgus.

Changes in Sleep Quality and Treatment Outcomes in Patients with Musculoskeletal Pain Managed in Primary Care Physiotherapy - Summary by Liv Harley Street Hospital
Medical Condition

Changes in Sleep Quality and Treatment Outcomes in Patients with Musculoskeletal Pain Managed in Primary Care Physiotherapy – Summary by Liv Harley Street Hospital

CONCLUSION: Individuals who reported improved sleep quality during the first three months after the first consultation with a physiotherapist in primary care had a substantially higher probability of positive treatment outcomes up to 12 months, compared with those who had poor sleep.

Changes in Sleep Quality and Treatment Outcomes in Patients with Musculoskeletal Pain Managed in Primary Care Physiotherapy - Summary by Liv Harley Street Hospital
Medical Condition

Changes in Sleep Quality and Treatment Outcomes in Patients with Musculoskeletal Pain Managed in Primary Care Physiotherapy – Summary by Liv Harley Street Hospital

CONCLUSION: Individuals who reported improved sleep quality during the first three months after the first consultation with a physiotherapist in primary care had a substantially higher probability of positive treatment outcomes up to 12 months, compared with those who had poor sleep.

Postoperative Opioid Consumption Following Hallux Valgus and Rigidus Surgery: A Guide to Postoperative Prescription Writing - Summary by Liv Harley Street Hospital
Bunion Surgery London

Postoperative Opioid Consumption Following Hallux Valgus and Rigidus Surgery: A Guide to Postoperative Prescription Writing – Summary by Liv Harley Street Hospital

Prescribing postoperative pain medications is essential to foot and ankle surgery; however, prescribing an amount that results in an excess of pills has shown to lead to opioid abuse. The opioid epidemic has forced surgeons to analyze how we manage postoperative pain with a goal to prescribe the optimal number of pills that will reduce a patient’s pain while limiting the amount that is left over. The purpose of this study was to develop a guideline for prescribing postoperative pain medication…

A remote first nation community-informed virtual care approach to chronic back pain management: a mixed methods study - Summary by Liv Harley Street Hospital
Medical Condition

A remote first nation community-informed virtual care approach to chronic back pain management: a mixed methods study – Summary by Liv Harley Street Hospital

Chronic back pain (CBP) is a widespread public health issue. There is a lack of community-based care options for Indigenous Peoples with CBP. A virtual care clinic co-designed with community was implemented in the Cree Community of Pelican Narrows using remote presence (RPR) technology. Methods We used a community-based participatory action framework and pre-post design to evaluate this intervention. Pain, quality of life and experience outcomes were measured. An assessment was provided by a…

A remote first nation community-informed virtual care approach to chronic back pain management: a mixed methods study - Summary by Liv Harley Street Hospital
Medical Condition

A remote first nation community-informed virtual care approach to chronic back pain management: a mixed methods study – Summary by Liv Harley Street Hospital

Chronic back pain (CBP) is a widespread public health issue. There is a lack of community-based care options for Indigenous Peoples with CBP. A virtual care clinic co-designed with community was implemented in the Cree Community of Pelican Narrows using remote presence (RPR) technology. Methods We used a community-based participatory action framework and pre-post design to evaluate this intervention. Pain, quality of life and experience outcomes were measured. An assessment was provided by a…

Lower limb kinematic changes during gait after hallux valgus surgery: A prospective observational study - Summary by Liv Harley Street Hospital
Bunion Surgery London

Lower limb kinematic changes during gait after hallux valgus surgery: A prospective observational study – Summary by Liv Harley Street Hospital

BACKGROUND: Patients with hallux valgus are known to alter lower limb joint kinematics during gait. However, little information is available about gait changes following hallux valgus surgery. We aimed to longitudinally investigate lower limb kinematic changes at the mid and terminal stances of gait after hallux valgus surgery.

Neurofeedback Training for Managing Neuropathic Pain-Like Features in Chronic Musculoskeletal Pain: Protocol for an Open-Label Pilot Feasibility Clinical Trial - Summary by Liv Harley Street Hospital
Medical Condition

Neurofeedback Training for Managing Neuropathic Pain-Like Features in Chronic Musculoskeletal Pain: Protocol for an Open-Label Pilot Feasibility Clinical Trial – Summary by Liv Harley Street Hospital

CONCLUSIONS: The results and data generated will inform the design and sample size calculation for a fully powered randomized controlled trial aimed at evaluating the effectiveness of EEG-NF in targeting NP-like features in individuals with chronic MSK pain.

Comparison of modified U-shaped and inverted L-shaped medial capsulorrhaphy in hallux valgus surgery: a prospective, randomized controlled trial of 75 patients - Summary by Liv Harley Street Hospital
Bunion Surgery London

Comparison of modified U-shaped and inverted L-shaped medial capsulorrhaphy in hallux valgus surgery: a prospective, randomized controlled trial of 75 patients – Summary by Liv Harley Street Hospital

CONCLUSION: Compared to the inverted L-shaped capsulorrhaphy, the modified U-shaped capsulorrhaphy provided a better ROM of the first MTP joint; at 1 year following surgery, the modified U-shaped capsulorrhaphy maintained the normal HVA better.

Retrospective Comparison of Preoperative and Postoperative Foot Width in Minimally Invasive Hallux Valgus Surgery - Summary by Liv Harley Street Hospital
Bunion Surgery London

Retrospective Comparison of Preoperative and Postoperative Foot Width in Minimally Invasive Hallux Valgus Surgery – Summary by Liv Harley Street Hospital

Minimally invasive surgery (MIS) has gained popularity for hallux valgus correction in the adult population. The advantage of reproducibility of this procedure can aid in lower operating room costs, quicker recovery, and fewer complications. The purpose of this retrospective study was to compare preoperative versus postoperative foot widths in patients that underwent MIS hallux valgus correction. The average preoperative foot width was 101.1 ± 5.67 mm and postoperatively the foot width measured…

Dexamethasone versus Dexmedetomidine as Adjuvants in Ultrasound Popliteal Sciatic Nerve Block for Hallux Valgus Surgery: A Mono-Centric Retrospective Comparative Study - Summary by Liv Harley Street Hospital
Bunion Surgery London

Dexamethasone versus Dexmedetomidine as Adjuvants in Ultrasound Popliteal Sciatic Nerve Block for Hallux Valgus Surgery: A Mono-Centric Retrospective Comparative Study – Summary by Liv Harley Street Hospital

CONCLUSION: No significant differences were observed in the duration of motor and sensory blockade between patients in both groups. Additionally, both groups showed good pain control with a low rate of adverse effects, even if there was no clinical difference between the groups. However, patients who received dexamethasone reported experiencing less interference with their sleep, daily activities and overall emotional well-being, and overall pain control.

Enhancing chronic neck pain management: integrating SFBC and digital mental health screening - Summary by Liv Harley Street Hospital
Medical Condition

Enhancing chronic neck pain management: integrating SFBC and digital mental health screening – Summary by Liv Harley Street Hospital

Chronic nonspecific neck pain (CNSNP) and degenerative cervical spondylosis (DCS) are common musculoskeletal disorders that significantly impact quality of life. Current management strategies focus primarily on physical therapies, such as muscle strengthening and postural correction. However, these treatments often overlook the psychological factors that influence pain perception and management. This manuscript proposes an integrated approach combining Solution-Focused Brief Counseling (SFBC)…

Enhancing chronic neck pain management: integrating SFBC and digital mental health screening - Summary by Liv Harley Street Hospital
Medical Condition

Enhancing chronic neck pain management: integrating SFBC and digital mental health screening – Summary by Liv Harley Street Hospital

Chronic nonspecific neck pain (CNSNP) and degenerative cervical spondylosis (DCS) are common musculoskeletal disorders that significantly impact quality of life. Current management strategies focus primarily on physical therapies, such as muscle strengthening and postural correction. However, these treatments often overlook the psychological factors that influence pain perception and management. This manuscript proposes an integrated approach combining Solution-Focused Brief Counseling (SFBC)…