- Talocalcaneal Coalition
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Main Page
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 July 2025
Gait
Humans possess two primary gaits: walking and running. This article focuses on the walking gait, a complex, coordinated action requiring the seamless integration of sensory and motor functions throughout the neuromuscular and skeletal systems. A gait disturbance is defined as any deviation from a smooth, symmetrical, and efficient walking pattern. Such disturbances can affect the synchrony, fluency, and symmetry of movement. Identifying a gait disturbance is often a crucial step in diagnosing underlying pathologies, which can occur at any level of the neuraxis (central and peripheral nervous system) or within the musculoskeletal system itself. - Read More
New and Updated Articles
- Medical History
- Leg Length Discrepancy
- Diffuse Idiopathic Skeletal Hyperostosis
- Reflex Testing
- Hypermobility and Instability
- Lumbar Radicular Pain and Radiculopathy
- Hip Osteoarthritis
- Nerve Conduction Studies
- Calcific Tendinopathy
- Talocalcaneal Coalition
- The Immune System and Chronic Pain
- Tendinopathy
- Thoracic Outlet Syndrome
- Hip Joint Injection
- Lumbar Transforaminal Epidural Steroid Injection
- Myositis
- Classifying Pain
- Central Neuropathic Pain
- Peripheral Neuropathic Pain
- Pain Oriented Sensory Testing
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
