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Gout – Rheumatology’s Royal Pain

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Gout is a common rheumatic disease often characterized by swelling, redness, and intense pain in the big toe. Once thought to be an exclusive disease of the wealthy who overindulged in food and spirits, gout has become a royal pain for millions of Americans.

Susac’s Syndrome: Confusion, Expressive Aphasia, Gait Instability

Candace H. Feldman, MD, MPH, Gwendolyn Kane-Wagner, MD  |  

A 49-year-old man presented to the hospital with confusion, dysarthria, expressive aphasia, and progressive gait instability.

Patient Fact Sheet: Carpal Tunnel Syndrome

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Carpal tunnel syndrome is possibly the most common nerve disorder experienced today. The carpal tunnel is located at the wrist on the palm side of the hand just beneath the skin surface (palmar surface). Eight small wrist bones form three sides of the tunnel, giving rise to the name carpal tunnel. The remaining side of the tunnel, the palmar surface, is composed of soft tissues, consisting mainly of a ligament called the transverse carpal ligament. This ligament stretches over the top of the tunnel.

Skilled Nursing Facility Patients—Consolidated Billing

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When treating a patient that lives in a skilled nursing facility (SNF), it is important to understand the coding and billing guidelines of consolidated billing. That is because certain services must be consolidated and submitted by the SNF using its Medicare provider number, and not submitted by you, the physician, unless they are one of the excluded services, which will be further discussed below.

Back Pain and the Role of the Physical Therapist

Andrew A. Guccione, PT, PhD and Jan K. Richardson, PT, PhD, OCS  |  

Back pain is a common occurrence, so much so that most adults will have at least one episode of back pain at some point in their lives. Fortunately, most of these episodes last only a few days and resolve if patients maintain normal activity levels, avoid the detrimental effects of too much bed rest, use over-the-counter pain relievers with caution, and seek the attention of a health professional if the pain or other symptoms persist or worsen over time.