FUNCTIONAL MEDICINE BLOG 

Includes over 800 monographs reporting on emerging studies in the medical and scientific literature of practical clinical importance, easily searched for content.

Tennis elbow and sciatica are not helped by corticosteroid injections

Among patients with chronic unilateral lateral epicondylalgia, the use of corticosteroid injection vs placebo injection resulted in worse clinical outcomes after 1 year, and physiotherapy did not result in any significant differences. The available evidence suggests that epidural corticosteroid injections offer only short-term relief of leg pain and disability for patients with sciatica. The small size of the treatment effects, however, raises questions about the clinical utility of this procedure in the target population.

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Sitting the rest of the day wipes out the benefit of an hour of vigorous exercise

Adding to the evidence demonstrating the marked metabolic impairment caused by sitting most of the day (and the benefit of sit-stand desks), research recently published in PLoS One (Public Library of Science) shows that the benefit of a full hour of exercise is wiped out by sitting the rest of the day...One hour of daily physical exercise cannot compensate for the negative effects of inactivity on insulin sensitivity and plasma lipids if the rest of the day is spent sitting. Reducing inactivity by low intensity activities such as walking at a leisurely pace and standing is more effective than physical exercise in improving these parameters in sedentary subjects. Our study suggests that in addition to health interventions that stress the importance of spending enough energy to maintain a neutral energy balance, a minimal daily amount of non-sitting time should also be promoted.

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Sugar calories are worse for diabetes and obesity than others

Attentive clinicians who have been exhorting their patients for years to avoid excessively stimulating insulin production with sugar are heartily welcoming the superb research just published in PLoS One (Public Library of Science) that drives a stake through the heart of the mistaken notions that calories from sugar have the same effect as others, and that obesity causes diabetes.

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Data shows high intake of omega-6 fatty acids is not advised for cardiovascular health

Research recently published in BMJ (British Medical Journal) examines accumulated data to reveal that advice given by the American Heart Association to increase consumption of omega-6 fatty acids, particularly linolenic acid found in corn, sunflower, safflower, and soybean oils, is misguided for cardiovascular health.

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Bisphosphonates adversely affect orthodontic treatment

Bisphosphonates are drugs used to increase bone density by killing off the cells that resorb old bone (osteoclasts) to 'make room' for new bone cells. Bisphosphonates include alendronate (Fosamax and Binosto), zoledronic acid (Reclast), risedronate (Actonel) and ibandronate (Boniva)...A study just published in the American Journal of Orthodontics & Dentofacial Orthopedics documents adverse effects of bisphosphonates on orthodontic outcomes.

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