Knee

Is Knee Noise a Problem?

BY ERSON RELIGIOSO III, DPT, FAAOMPT Noises Around the Knee INTRO: Noise in the knee joint is a common symptom that often leads to outpatient clinic visits. However, there have been no previous review articles regarding noise around the knee despite its high prevalence. Song et al. (2018) reviewed the noise characteristics according to sound […]

Osteoarthritis Patients Who Start Opioids at Higher Doses Have Worse Outcomes

By Lorraine L. Janeczko October 24, 2018 NEW YORK (Reuters Health) – Patients with osteoarthritis who start opioid treatment at higher doses tend to have higher treatment-failure rates, according to an industry-sponsored study. The findings were presented in a poster September 13 at the International Association for the Study of Pain (IASP) World Congress on […]

Risks and Complications of Total Knee Replacement Surgery

Medically reviewed by William Morrison, MD on October 23, 2017 — Written by Samuel Greengard Knee replacements have emerged as a mainstream surgery. According to the Agency of Research and Quality (AHRQ), over 600,000 procedures were performed in 2009. That number is expected to grow into the millions by the year 2030. According to the […]

Effect of Early Surgery vs Physical Therapy on Knee Function Among Patients With Nonobstructive Meniscal Tears – Full Text Article

October 2, 2018 The ESCAPE Randomized Clinical Trial Victor A. van de Graaf, MD Key Points Question  Is physical therapy noninferior to early surgery with arthroscopic partial meniscectomy for improving knee function among patients with nonobstructive meniscal tears? Findings  In this noninferiority randomized clinical trial that included 321 patients, knee function that was measured by a self-administered […]

Diclofenac tied to increased risk of heart problems

Reuters Health News | September 24, 2018 The commonly used painkiller diclofenac may be linked with an increased risk of heart problems, a large Danish study suggests. Diclofenac is a nonsteroidal anti-inflammatory drug (NSAID) that’s often used to treat arthritis and other painful joint conditions. In many countries, it’s available without a prescription. Researchers found […]

Osteoarthritis: Can an antioxidant offer protection?

Healthline/Medical News Today | September 17, 2018 In a recent series of experiments, scientists found that a specific antioxidant helps prevent the damage that osteoarthritis causes to cartilage. This may also have applications for bone and brain disorders. Osteoarthritis is the most common arthritis type, causing pain and stiffness in the joints as cartilage steadily […]

Clinical outcomes are associated with changes in ultrasonographic structural appearance after platelet-rich plasma treatment for knee osteoarthritis

International Journal of Rheumatic Diseases — Ahmad HS, et al. | June 01, 2018 Authors compared the effectiveness of platelet-rich plasma (PRP) and hyaluronic acid (HA) intra-articular injections as mono-therapeutic options for primary knee osteoarthritis (KOA). They also ascertained if the clinical outcomes were related to changes in the ultrasonography structural appearance. Findings suggested the […]

Lower Quadriceps Rate of Force Development Is Associated With Worsening Physical Function in Adults With or at Risk for Knee Osteoarthritis: 36-Month Follow-Up Data From the Osteoarthritis Initiative

APM&R July 2018 Volume 99, Issue 7, Pages 1352–1359 Bo Hu, PhD Abstract Objective To determine the association between quadriceps rate of force development (RFD) and decline in self-reported physical function and objective measures of physical performance. Design Longitudinal cohort study. Setting Community-based sample from 4 urban areas. Participants Osteoarthritis Initiative participants with or at […]

Relationship between knee alignment in asymptomatic subjects and flexibility of the main muscles that are functionally related to the knee – Full Text Article

Journal of International Medical Research María Orosia Lucha-López Article first published online: June 25, 2018 Received: June 26, 2017; Accepted: March 27, 2018 https://doi.org/10.1177/0300060518771825 Abstract Objective To assess the relationship between static frontal knee alignment in asymptomatic subjects and flexibility of the main muscles functionally related to the knee. Methods A descriptive cross-sectional study was […]

The immediate effect of a soft knee brace on dynamic knee instability in persons with knee osteoarthritis

This article suggests that people with knee arthritis may respond favorably to a soft knee brace.  The soft knee brace in this study was the GENUTEX A2, Human I, Bleiswijk, The Netherlands. Rheumatology — Cudejko T, et al. | June 22, 2018 Authors evaluated the impact of a soft knee brace on objectively assessed dynamic […]

For Knee Osteoarthritis, More Weight Loss Is Better

Clinical and mechanistic improvements seen with weight loss of 20% or more by Nancy Walsh, Senior Staff Writer, MedPage Today June 20, 2018 Older adults with knee osteoarthritis (OA) who lost 20% or more of their body weight had significant improvements in pain and function, and experienced benefits on multiple other clinical and mechanistic outcomes, a secondary analysis […]

Is local platelet-rich plasma injection clinically superior to hyaluronic acid for treatment of knee osteoarthritis? A systematic review of randomized controlled trials

Di Yalong Arthritis Research & Therapy 2018 20:128 https://doi.org/10.1186/s13075-018-1621-0© The Author(s). 2018 Received: 16 September 2017Accepted: 13 May 2018 Published: 19 June 2018 Abstract Background In this study, we evaluated whether platelet-rich plasma (PRP) is superior to hyaluronic acid (HA) in the treatment of knee osteoarthritis. Methods The Cochrane Central Register of Controlled Trials, PubMed, […]

Worse Knee OA Linked with Depression

by Nancy Walsh, Senior Staff Writer, MedPage Today June 14, 2018 AMSTERDAM — Among patients with knee osteoarthritis (OA), greater structural disease severity and worse functional limitations were associated with an increased risk of developing depression, a researcher reported here. Compared with patients in the lowest quintile, patients in the highest quintile of disease structural severity as measured according […]

Noninvasive Nonpharmacological Treatment for Chronic Pain: A Systematic Review [Internet]

Chronic low back pain: At short term, massage, yoga, and psychological therapies (primarily Cognitive Behavioral Therapy) (strength of evidence [SOE]: moderate) and exercise, acupuncture, spinal manipulation, and multidisciplinary rehabilitation (SOE: low) were associated with slight improvements in function compared with usual care or inactive controls. Except for spinal manipulation, these interventions also improved pain. Effects […]

Canadian Guidelines for Knee Pain and Mobility Impairments: Meniscal and Articular Cartilage Lesions

The Canadian Chiropractic Guideline Initiative (CCGI) has just finished appraising and summarizing this 2018 guideline published in JOSPT, “Knee Pain and Mobility Impairments: Meniscal and Articular Cartilage Lesions”. This summary covers key recommendations for a physical examination (outcome measures, physical performance measures, and physical impairment measures), diagnosis, clinical course, risk factors, interventions, and imaging studies. […]

Inter- and intrarater reliability of two proprioception tests using clinical applicable measurement tools in subjects with and without knee osteoarthritis

Isabel A.C. Baert Musculoskeletal Science & Practice June 2018 Volume 35, Pages 105–109 Highlights •Proprioception tests that are easily accessible in clinical practice are needed. •Knee joint position sense can be tested using an analogue inclinometer. •This method is reliable (ICCs 0.65-0.95) and recommended for clinical practice. •Errors are low testing in multiple positions, calculating […]

Running does not increase symptoms or structural progression in people with knee osteoarthritis: Data from the osteoarthritis initiative

Clinical Rheumatology — | May 07, 2018 Lo GH, et al. – Researchers assessed the relationship of self-selected running on osteoarthritis (OA) symptom and structure progression in people with knee OA. In individuals 50 years old and older with knee OA, an association of self-selected running with improved knee pain and not with worsening knee […]

Preoperative Vitamin D Deficiency Is Associated With Higher Postoperative Complication Rates in Total Knee Arthroplasty

Vishal Hegde, MD; Armin Arshi, MD; Christopher Wang, BS; Zorica Buser, PhD; Jeffrey C. Wang, MD; Andrew R. Jensen, MD; John S. Adams, MD; Erik N. Zeegen, MD; Nicholas M. Bernthal, MD Orthopedics. https://doi.org/10.3928/01477447-20180424-04 Posted April 30, 2018 Abstract The purpose of this study was to determine the relative incidence of postoperative complications in 25-hydroxyvitamin […]

Multiple Injections of Platelet-Rich Plasma for Patellar Tendinopathy

April 27, 2018 The American Journal of Sports Medicine TAKE-HOME MESSAGE The authors of this meta-analysis of 70 studies including 2530 participants evaluated the efficacy of the nonsurgical options for the treatment of patellar tendinopathy. The most-described treatments were eccentric exercise, extracorporeal shockwave therapy (ESWT), and single or multiple platelet-rich plasma (PRP) injections. The best […]

Physical Activity and Exercise Therapy Benefits More Than Just Symptoms and Impairments in People With Hip and Knee Osteoarthritis

Søren T. Skou, PT, PhD Journal of Orthopaedic & Sports Physical Therapy, 2018 Volume:0 Issue:0 Pages:1–36 DOI: 10.2519/jospt.2018.7877 Synopsis Hip and knee osteoarthritis (OA) are among the leading causes of global disability, highlighting the need for early, targeted, and effective treatments. The benefits on symptoms and impairments of exercise therapy in people with hip and […]