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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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24 June 2022: It has been two years since the launch of WikiMSK. Read more
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Featured Wiki Article for 1 January 2023

Smoking and Chronic Pain

The prevalence of smoking in those with chronic pain is up to double that of the general population. In the short term smoking is an analgesic, however in the long-term it is deleterious for pain as it exacerbates nociceptive, neuropathic, and psychosocial pain. Smokers have higher pain intensities, number of painful areas, levels of disability, and opioid use to nonsmokers. There is a positive correlation even when controlling for confounding demographic, socioeconomic, and mood disorder factors. Many smokers identify coping with pain and anxiety as reasons for smoking. There is therefore a bidirectional relationship with smoking and pain. Pain increases the desire to smoke, and smoking increases pain. - Read More
Smoking pathophysiology pain.jpg


Featured Open Access Journal Article for 1 January 2023

Orthoses for neurological ankles

Practical Neurology

ABSTRACT - Patients with weakness or abnormal posture of their lower leg may benefit greatly from appropriate orthoses. This paper describes the sorts of problems that can be helped in neurological practice and the range of devices commonly used, and also highlights some of the factors influencing selection. With greater understanding of their use, clinicians will feel more confident about referring patients for early orthotic assessment.

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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