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From WikiMSK
WELCOME TO WIKIMSK
The New Zealand Musculoskeletal Medicine Wiki
Nau mai, haere mai! This website is a learning resource that is primarily designed for Musculoskeletal Medicine training in New Zealand. It also aims to be useful for GPs, other doctors, and medical students. It is not written for patients but they are welcome to read the articles. Click on a body region on the skeleton or a portal below to get started.
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Featured Wiki Article for 1 September 2025
Myotomes
A myotome is the group of muscles innervated by a single spinal nerve. Many muscles are innervated by more than one spinal nerve root, and therefore consist of multiple myotomes, however some muscles commonly have dominant supply by a single nerve root. Understanding the myotomes is integral for performing an accurate motor system examination. In Musculoskeletal Medicine the concept is typically used in localising nerve root and peripheral nerve lesions. - Read More
New and Updated Articles
- CRPS
- Antidromic Impulses
- Neuropathic and Nociplastic Pain Pharmacotherapy
- Pain Oriented Sensory Testing
- Coat Hanger Pain
- Lumbar Epidural Adhesions
- Lumbar Discogenic Pain
- Calcaneonavicular Coalition
- Nerve Conduction Studies
- Basic Neurophysiology
- Thoracic Outlet Syndrome
- Diagnosis
- Posterior Ligamentous Complex Inflammatory Syndrome
- Chronic Low Back Pain
- Fibromyalgia
- Neuromuscular Disorders Overview
- Small Fibre Neuropathy
- Sensory Physiology
- Post-Radiofrequency Ablation Neuritis of the Spine
- Vibration and Proprioception
Featured Open Access Journal Article for 1 September 2025
Differential Effects of Repetitive Transcranial Magnetic Stimulation on Mood and Pain Symptoms in People With Chronic Pain and Major Depressive Disorders—A Review
Ciampi de Andrade et al. European Journal of Pain. July 2025
ABSTRACT - Evidence shows rTMS has target- and symptom-specific effects: Motor cortex stimulation improves pain without reliably affecting mood, while dorsolateral prefrontal cortex stimulation alleviates depressive symptoms but inconsistently influences pain. These outcomes suggest that symptom improvement with rTMS is not global over different symptom clusters, but rather different for specific syndromes and the respective neural networks engaged by therapy. Personalised treatment strategies guided by pre-treatment connectivity profiles and symptom clusters, already in use for psychiatric disorders, could enhance outcomes in chronic pain management. However, limitations include small sample sizes, low session numbers and potential floor effects in studies involving non-depressed fibromyalgia patients.
“I will respect the hard-won scientific gains of those physicians in whose steps I walk, and gladly share such knowledge as is mine with those who are to follow.”
— The Hippocratic Oath: Modern Version, Lasagna 1964
