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Objective To compare treatment effects between ultrasound guided lavage with corticosteroid injection and sham lavage with and without corticosteroid injection in patients with calcific tendinopathy of the shoulder.
Design Pragmatic, three arm, parallel group, double blinded, sham controlled, randomised, superiority trial with repeated measurements over 24 months.
Setting Six hospitals in Norway and Sweden.
Participants 220 adults with calcific tendinopathy of the shoulder, persistent for at least three months.
Interventions Ultrasound guided deposit lavage plus subacromial injection of 20 mg triamcinolone acetonide and 9 mL 1% lidocaine hydrochloride (lavage+steroid); sham lavage plus subacromial injection of 20 mg triamcinolone acetonide and 9 mL 1% lidocaine hydrochloride (sham lavage+steroid); or sham lavage plus subacromial injection of 10 mL 1% lidocaine hydrochloride (sham). All patients received a physiotherapeutic treatment regimen consisting of fou ....
Retrospective studies have suggested that Roux-en-Y gastric bypass may be more effective in countering hepatic steatosis, but randomized trials have been lacking. ....
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A randomized trial found that video-based, telehealth-delivered exercise and weight loss programs with online educational support improved pain and function in people with knee osteoarthritis and overweight or obesity. ....
Norway: Roux-en-Y gastric bypass (RYGB) is an effective anti-reflux surgery than sleeve gastrectomy (SG) for obese patients, a recent study in the journal Gastroenterology has found. According to the. ....