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  • Articles

    Acute Migraine Headache: Treatment Strategies

    Anna T. Wiley, James C. Watson, Delaney N. Lehmann

    Migraine treatment should begin with preventive measures that include trigger avoidance, lifestyle modification, and pharmacologic interventions. Many medications have good evidence to support their use for acute migraine treatment; therefore, cost, contraindications, and...

    Common Questions About Buprenorphine Treatment for Opioid Use Disorder

    Jeffrey D. Tiemstra

    Patients with moderate or severe opioid use disorder should be offered buprenorphine treatment. Buprenorphine is highly effective and safer than full opioid agonists such as methadone and should be continued as long as it is beneficial to the patient.

    Groin Pain and Injuries: Evaluation and Management

    Wyatt Maloy, Brian Merrigan, Chad D. Hulsopple

    Complex anatomy contributes to the difficulty in reaching an exact diagnosis for groin pain. This article focuses on the differential diagnosis of musculoskeletal causes of groin pain, including relevant evaluations and treatments.

    Premenstrual Syndrome and Premenstrual Dysphoric Disorder: Common Questions and Answers

    Wendy S. Biggs, Jennifer M. Romeu, Taylor Gaudard

    Premenstrual syndrome and premenstrual dysphoric disorder manifest in a spectrum of physical and psychological symptoms. Selective serotonin reuptake inhibitors are first-line treatment for these disorders, and continuous vs intermittent dosing may be more effective.

    Options for Unintended Pregnancies

    Christina Valerio, Mariah Norby, Patsy Kremsreiter

    Physicians should provide unbiased, medically accurate information and resources regarding options for patients with unintended pregnancies. Options include continuing the pregnancy and parenting, pursuing adoption, or having a medication or procedural abortion.

    Inside AFP

    Honoring Dr. Jay Siwek and 75 Years of American Family Physician

    Michelle Nelson

    Dr. Siwek embodies the spirit of family medicine with his compassion and commitment to patients through the education of future family physicians.

    Editorials

    Pain Management for IUD Insertion in Primary Care

    Dorothy N. Charles, Meera Nagarsheth, Lauren Oshman

    The US Selected Practice Recommendations for Contraceptive Use is the first guideline to recommend that all patients be counseled and provided with a person-centered plan for pain management.

    Prioritizing Patients With the Greatest Care Needs: Time for Family Physicians to Lead

    Amanda Niklasson, Victor M. Montori, Minna Johansson

    With practice guidelines that are impossible to follow, it's time for family physicians to lead the prioritization of how we spend our time.

    Graham Center Policy One-Pager

    Artificial Intelligence Scribes Shape Health Care Delivery

    Elise Blaseg, Alison Huffstetler

    Although most physicians are interested in the use of augmented or artificial intelligence (AI) in health care, only 38% are using AI in their practices. Initial results from AI integrated organizations show that AI scribe programs significantly decrease electronic health...

    AFP Clinical Answers

    Chest Pain, Multivitamin Supplements, Knee Osteoarthritis, Alzheimer Dementia, Asthma

    Key clinical questions and their evidence-based answers directly from the journal’s content, written by and for family physicians.

    Medicine by the Numbers

    Testosterone Replacement in Men With Sexual Dysfunction in the Absence of Hypogonadism

    Bradley J. Touchet, Verneeta L. Williams

    In men with symptoms of sexual dysfunction but no known testosterone deficiency, testosterone replacement therapy does not appear to be different from placebo in the short term. In the long term, it is uncertain whether testosterone replacement therapy is helpful because data...

    Cochrane for Clinicians

    Cognitive Behavior Therapy for Anxiety and Related Disorders in Older People

    Carlton J. Covey, Jake Van Weezep

    Compared with minimal management (ie, no formal treatment), 10 to 15 sessions of cognitive behavior therapy reduce posttreatment anxiety severity for 2 to 8 weeks in persons older than 55 years. This reduction is not sustained 3 to 6 months posttreatment. Symptoms of worry...

    Liver Fibrosis Stage Based on the Fibrosis-4 Score or Forns Index in Adults With Chronic Hepatitis C Virus Infection

    Kento Sonoda, Carly Messenger

    Using low cutoffs with the Fibrosis-4 score (ie, 1.45 or greater for detecting at least severe fibrosis [F3 or higher]) or Forns index (ie, 4.2 or greater for detecting at least significant fibrosis [F2 or higher]) yields relatively accurate results for predicting fibrosis...

    FPIN's Help Desk Answers

    Cold Water Immersion for Muscle Soreness

    Brock Cardon, Tanner Pulsipher

    Cold water immersion immediately after exercise can improve perceived recovery and delay onset of muscle soreness in the 24 hours after high-intensity and resistance exercise. Short immersion times (ie, less than 10 to 15 minutes) at temperatures below 59°F (15°C) have the...

    FPIN's Clinical Inquiries

    Physical Therapy for Osteoarthritis Knee Pain

    Melissa Neuman, Martin Keil, Kristen DeSanto

    Exercise therapy with strength, aerobic, or aquatic physical therapy (PT) may decrease pain due to knee osteoarthritis in the short term (6-18 weeks). Improvements may persist for 1 year but typically are diminished by 18 months. PT results in greater pain relief for 1 year...

    Photo Quiz

    Nodule on the Chin

    Jesse Bracamonte, Michael Underhill, Molly Kresin, Murk Rani

    A 64-year-old man presented with a solitary nodule on his chin that had gradually increased in size over several months.

    Interdigital Macerated Plaques

    Robert Dazé, Nathaniel Oommen, Krutil Patel

    A 41-year-old man presented with a pruritic rash between his toes that had been present for at least 2 months.

    Diary of a Family Physician

    Diary of a Family Physician

    Jennie Zheng, Stephen Finney

    First-person accounts from the front lines of family medicine.

    POEMs

    Continued Beta Blocker Use After Acute MI Reduces Hospitalizations but Not Cardiovascular Death, Acute MI, or Stroke

    Mark H. Ebell

    After 1 Year, Ultrasound-Guided Corticosteroid Injections Are Superior to Hyaluronic Acid Injections to Relieve Pain of Morton Neuroma

    Henry C. Barry

    Triptans Outperform Older and Newer Treatments for Acute Migraine

    Allen F. Shaughnessy

    Tirzepatide Causes Weight Loss and Improves Sleep Apnea Symptoms

    Mark H. Ebell

    Practice Guidelines

    Labor Management: Guidelines From the American College of Obstetricians and Gynecologists

    Daniel S. Hwang, Steven R. Banks

    The American College of Obstetricians and Gynecologists released guidelines on managing the first and second phases of labor.

    Letters to the Editor

    CBT and Mindfulness Effective for Diabetic Peripheral Neuropathy

    Lauren Oshman, Melissa Elafros, Brian Callaghan

    Reply: Sean Haley, Sarah Tucker Marrison, Scott Bragg

    Family Medicine Is Key in Cultivating Mental Health Among Farmers

    Holly Leigh Stegall, Dawn Caviness

    Case Report: An Unusual Cause of Headache in a Returning Traveler

    Andrea Gataric, Mary Kay Nordling



    Disclosure

    All editors in a position to control content for this activity, AFP journal, are required to disclose any relevant financial relationships. View disclosures.


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