This article by Roy et. al provides a very interesting viewpoint on the management of musculoskeletal disorders that traditionally focus on the structural dysfunctions found within the musculoskeletal system, mainly around the affected joint or as we call it a symptomatic point. While a structural-dysfunction approach maybe effective for musculoskeletal conditions, especially in acute presentations, its effectiveness remains limited in patients with recurrent or chronic musculoskeletal pain. This relates directly to a neurological treatment model to address the 3 S’s (symptomatic, segmental and systemic) and the 3I’s (inflammation, irritation, inhibition) of neuromusculoskeletal dysfunction. Enjoy!
Clinical efficacy of 5-aminolevulinic acid photodynamic therapy combined with microneedling for vulvar lichen sclerosus
Photodiagnosis Photodyn Ther. 2025 Jun;53:104623. doi: 10.1016/j.pdpdt.2025.104623. Epub 2025 May 8. ABSTRACT BACKGROUND: Vulvar lichen sclerosus (VLS) is a chronic inflammatory dermatosis