ArticleWhen the evidence suggests that placebo is bestAuthor:Richard Guthmann, MD, MPHPublish date: November 17, 2021What they discovered is that no type of injection therapy has been proven to be better than a saline injection.Read More
ArticleDo A-fib patients continue to benefit from vitamin K antagonists with advancing age?Author:Richard Guthmann, MD, MPHPublish date: August 1, 2019EVIDENCE-BASED ANSWER: Yes, patients with atrial fibrilla- tion who are between the ages of 50 and 90 years continue to benefit from vitamin K anta...Read More
ArticleWhat clinical clues differentiate migraine from sinus headaches?Author:Richard Guthmann, MD, MPHPublish date: December 2, 2013EVIDENCE-BASED ANSWER: Patients with sinus headaches have thick nasal discharge, fever, chills, sweats, or abnormally malodorous breath (SOR: B, cr...Read More
ArticleWhat treatment is best for hypertrophic scars and keloids?Author:Richard Guthmann, MD, MPHPublish date: December 1, 2011EVIDENCE-BASED ANSWER: NO ONE TREATMENT IS BEST (strength of recommendation [SOR]: C, meta-analysis of heterogenous studies); no good evidence exis...Read More
ArticleWhen should you consider implanted nerve stimulators for lower back pain?Author:Richard Guthmann, MD, MPHPublish date: November 1, 2009EVIDENCE-BASED ANSWER: CONSIDER IT FOR PATIENTS WITH FAILED BACK SURGERY SYNDROME. These patients can gain more pain relief from spinal cord stimul...Read More
