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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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