Knee

Knee OA No Excuse to Skip Out on Physical Activity

by Ryan Basen Staff Writer, MedPage Today November 17, 2016 WASHINGTON — Most people with knee osteoarthritis (OA) were able to walk the 6,000 daily steps they needed to improve their condition and prevent disability, according to researchers here. In a prospective observational study, nearly half of the 1,790 knee OA patients (or high-risk knee […]

Randomized controlled trial comparing hyaluronic acid, platelet-rich plasma and the combination of both in the treatment of mild and moderate osteoarthritis of the knee

Lana JFSD Abstract Objective: This study aims to evaluate the clinical effects of Platelet Rich Plasma (PRP) and Hyaluronic Acid (HA) as individual treatments for mild to moderate Osteoarthritis (OA), and also examine the potential synergistic effects of PRP in combination with HA. Research continues to emerge examining the potential therapeutic efficacy of HA and […]

Knee Pain Linked to Pain Elsewhere

Gait adjustment a possible explanation for pain in regions outside the knee by Pauline Anderson Contributing Writer, MedPage Today 09.18.2016 Results of a new study confirm that patients with painful knees are more likely to develop pain in other joints. Since multiple musculoskeletal comorbidities are disabling and potentially preventive, it’s important to investigate causes of […]

The effect of adding whole body vibration training to strengthening training in the treatment of knee osteoarthritis: A randomized clinical trial.

J Bodyw Mov Ther. 2016 Apr;20(2):334-40. doi: 10.1016/j.jbmt.2015.08.005. Epub 2015 Aug 25. Bokaeian HR1, Bakhtiary AH2, Mirmohammadkhani M3, Moghimi J4. Abstract Strengthening training (ST) and whole body vibration training (WBV) alone may improve symptoms of osteoarthritis of the knee. In this study, we investigated the effect of adding WBV training to quadriceps and hamstring muscles […]

Structural pathology is not related to patient-reported pain and function in patients undergoing meniscal surgery – Full Text Article

What are the findings? Meniscal pathology features such as tear type, tear size and tear location identified at arthroscopy were not associated with preoperative self-reported knee pain and function in patients undergoing arthroscopic meniscal surgery. Other structural knee joint pathologies found at surgery, such as cartilage damage, were not associated with preoperative self-reported knee pain […]

Influence of acupuncture in treatment of knee osteoarthritis and cartilage repairing

Am J Transl Res. 2016; 8(9): 3995–4002. Published online 2016 Sep 15. PMCID: PMC5040698 PMID: 27725880 Yan Zhang Abstract As two major non-operative methods, physiotherapy and acupuncture have been proved to be safe and effective in osteoarthritis (OA) treatment. However, only a little study focused on functions of both methods on cartilage repairing. The main […]

Strong Muscles Protect Damaged Knees

by Mike Bassett, Contributing Writer, MedPage Today September 12, 2016 Low knee extensor (KE) muscle strength is associated with an increased risk of systematic and functional deterioration in knee osteoarthritis (KOA), a team of international investigators has found. Adam G. Culvenor, PhD, Institute of Anatomy, Paracelsus Medical University in Salzburg, Austria and colleagues, conducted a systematic review and […]

Disease-specific pain and function predict future pain impact in hip and knee osteoarthritis

Clin Rheumatol. 2016 Sep 6. [Epub ahead of print] Carlesso LC, Hawker GA, Waugh EJ, Davis AM. Abstract The objective of this study is to determine if osteoarthritis (OA) pain and function, persistent low back pain (LBP) and psychosocial factors predict future pain impact (PI) in people with hip and knee OA. In a population-based […]

Extensor/Flexor Ratio Associated With the Development of Knee Cartilage Degeneration

August 15, 2016 Osteoarthritis and Cartilage/OARS, Osteoarthritis Research Society TAKE-HOME MESSAGE People aged 50 to 60 years with no evidence of knee osteoarthritis (OA) were followed for 48 months to assess the impact of thigh muscle strength on the progression of knee cartilage degeneration. Thigh extension strength was associated with thigh muscle cross-sectional area (CSA). […]

Electrotherapy and acupuncture linked with decreased, delayed opioid use after TKA

Tedesco D, et al. JAMA Surg. 2017;doi:10.1001/jamasurg.2017.2872. August 16, 2017 Investigators found electrotherapy and acupuncture after total knee arthroplasty correlated with a decrease in and later use of opioids. Researchers performed a systematic review and found 5,509 studies of nonpharmacological interventions for postoperative pain following total knee arthroplasty. Of these studies, 39 randomized controlled trials […]

Hip Strength Deficits in People With Symptomatic Knee Osteoarthritis

Hip Strength Deficits in People With Symptomatic Knee Osteoarthritis: A Systematic Review With Meta-analysis Authors: Margaret Deasy, PT, MPhty Study Design Systematic review with meta-analysis. Background A complete understanding of impairments associated with knee osteoarthritis would optimize exercise interventions for people with knee osteoarthritis. Our current understanding of hip strength deficits in this population is […]

Knee Problems – Correcting a Knee Valgus for the Long Term

Still using Glute Medius activations to correct a knee valgus? How about trying to strengthen the Vastus Medialis for a knee valgus? If you are, you might not be thinking far enough to actually make a noticeable improvement of this common problem in dynamic contexts. In fact, you might be further ingraining imbalances by loading […]

Morbid Obesity and Total Joint Replacement: Is It Okay to Say No?

Clint Wooten, MD; Brian Curtin, MD Orthopedics July/August 2016 – Volume 39 · Issue 4: 207-209 Posted July 25, 2016 Our waiting room provides evidence each day that obesity continues to be a major problem, if not an epidemic, within the United States. It is particularly challenging in the world of arthroplasty. As reported by […]

Mindfulness Moderates Pain in Knee Osteoarthritis

July 19, 2016 Osteoarthritis and Cartilage/OARS, Osteoarthritis Research Society TAKE-HOME MESSAGE In this randomized comparative trial, 80 patients with knee osteoarthritis were enrolled and associations between mindfulness and health outcomes were evaluated. Mental and physical components of quality of life, self-efficacy, depression, and stress were associated with total mindfulness score. Mindfulness was not significantly associated […]

Dietary Fat – Including Type – Matters in Knee OA Progression

06.27.2016 Saturated fats tied to faster symptom worsening by Wayne Kuznar Contributing Writer High intakes of total fat and particularly saturated fatty acids (SFA) increased the rate of structural progression of knee osteoarthritis (OA), whereas high intakes of unsaturated fatty acids appeared to slow the rate of radiographic progression in a prospective observational study. In […]

Joint Mobilization Enhances Mechanisms of Conditioned Pain Modulation in Individuals With Osteoarthritis of the Knee

Authors: Carol A. Courtney, PT, PhD Published: Journal of Orthopaedic & Sports Physical Therapy, 2016 Volume:46 Issue:3 Pages:168–176 DOI:10.2519/jospt.2016.6259 Study Design An experimental laboratory study with a repeated-measures crossover design. Background Treatment effects of joint mobilization may occur in part by decreasing excitability of central nociceptive pathways. Impaired conditioned pain modulation (CPM) has been found […]

Tai Chi May Be as Good as PT for Knee Arthritis Pain

Janis C. Kelly May 18, 2016 The first randomized head-to-head comparison of tai chi and conventional physical therapy (PT) in patients with knee osteoarthritis (OA) shows equally good pain relief with either intervention, researchers report in an article published onlineMay 17 in the Annals of Internal Medicine. The researchers also show that tai chi was […]

Tai Chi Deemed Beneficial for Knee Osteoarthritis

— Similar benefits for Tai Chi, physical therapy; benefits of Tai Chi consistent across instructors TUESDAY, May 17, 2016 (HealthDay News) — For knee osteoarthritis, similar benefits are seen for Tai Chi and standard physical therapy, according to a study published online May 17 in the Annals of Internal Medicine. Chenchen Wang, M.D., from the […]

Effectiveness of non-steroidal anti-inflammatory drugs for the treatment of pain in knee and hip osteoarthritis: A network meta-analysis

The Lancet, 03/25/2016 da Costa BR, et al. Researchers sought to investigate the effectiveness of different preparations and doses of non–steroidal anti–inflammatory drugs (NSAIDs) on osteoarthritis pain in a network meta–analysis. It was determined that diclofenac 150 mg/day is the most effective NSAID for the treatment of pain and function in patients with osteoarthritis. Methods […]

Exercise Prescriptions for Chronic Conditions: A How-to Guide – Full Text Article

Diana Phillips March 22, 2016 Exercise can be an effective component of treatment for many chronic conditions from knee osteoarthritis to type 2 diabetes, but physicians must be aware of the details of evidence-based interventions for the specific condition to properly prescribe it for their patients, according to a multidisciplinary review and how-to guide published […]