by Wayne Kuznar, Contributing Writer April 07, 2017 Fear of movement is common among patients with symptomatic knee osteoarthritis (OA). More than three-fourths of patients with symptomatic knee OA who were enrolled in a clinical trial of physical therapy and exercise training reported some fear of movement on a novel measure aimed at that very phenomenon in persons with OA, […]
Medscape.com Pam Harrison March 29, 2017 Total knee replacement provides minimal quality-of-life benefit for patients with less severe disability at baseline, according to new research. Thus, the treatment, as currently practiced in the United States, is not cost-effective. “Improvements in quality of life with total knee replacement were on average smaller than previously shown,” Bart […]
NBC NEWS MAR 14 2017, 4:38 PM ET by MAGGIE FOX Wasted treatments for knee pain have racked up millions of dollars in medical bills, researchers reported Tuesday. Patients who had knee replacements went through treatments such as injections that did not help, that are not recommended, and that accounted for a third of their […]
Boyd JA, et al. Orthopedics. 2016;doi:10.3928/01477447-20160719-01. March 7, 2017 Results from this study demonstrated women, patients 70 years and older, obese patients, those with diabetes, depression disorders and rheumatoid arthritis had a higher chance of conversion to total knee arthroplasty 2 years following a knee arthroscopy. Researchers identified 68,090 patients older than 50 years who […]
MARCH 3, 2017 For people who have osteoarthritis (OA), knee pain severity may be a far more important predictor of long-term incident widespread pain than structural damage, according to results from Canada’s Multicenter Osteoarthritis Study (MOST). Indeed, researchers at the Université de Montréal concluded that consistent frequent knee pain, symptomatic knee OA and knee pain […]
Kindyle L. Brennan, PT, PhD Study Design Prospective, randomized, partially-blinded. Background Greater trochanteric pain syndrome (GTPS) is the current terminology for what was once called greater trochanteric or sub-gluteal bursitis. Cortisone (corticosteroid) injections into the lateral hip is a traditionally accepted treatment for this condition. However, the effectiveness of injecting the bursa with steroids is […]
Tue 14 March 2017 By Zawn Villines Reviewed by Christina Chun, MPH Most people experience shoulder pain, usually due to inflammation or muscle injuries. Much less frequently, shoulder pain can be a sign of lung cancer. Although shoulder pain is not a hallmark of lung cancer, any persistent unexplained pain warrants a visit to a […]
Niels Gunnar Juel, MD Archives of Physical Medicine and Rehabilitation Highlights •59% of patients with type 1 diabetes over 45 years had frozen shoulder, 73% bilaterally. •Patients with painful frozen shoulder had highest disability and least shoulder mobility. •High glycemic index was associated severe disability and restricted shoulder mobility. Abstract Objective To compare the prevalence […]
J Man Manip Ther. 2017 Feb;25(1):3-10. doi: 10.1080/10669817.2015.1106818. Epub 2016 Apr 26. Mischke JJ1, Jayaseelan DJ2, Sault JD3, Emerson Kavchak AJ3. Author information Abstract OBJECTIVES: Plantar heel pain is common and can be severely disabling. Unfortunately, a gap in the literature exists regarding the optimal intervention for this painful condition. Consequently, a systematic review of the current literature regarding […]
Growing evidence of relationship, but only for females by Wayne Kuznar, Contributing Writer February 19, 2017 Women with thigh muscle weakness have an increased risk of radiographic knee osteoarthritis (RKOA), but this relationship was no longer significant when adjusting for body mass index (BMI). In men, in contrast, thigh muscle strength was similar between knees with RKOA and […]
What are the side effects of orthopedic surgery? One of the more disturbing things we see in interventional orthopedics is patients who have undergone multiple aggressive types of orthopedic surgery. The behavior is a bit like a gambler at a casino. If you don’t hit it big the first time, keep doubling down until you […]
Authors: César Fernández-de-las-Peñas, PT, PhD, DMSc Published: Journal of Orthopaedic & Sports Physical Therapy, 2017 Volume:0 Issue:0 Pages:1–43 DOI: 10.2519/jospt.2017.7090 Study Design Randomized parallel-group trial. Background Carpal tunnel syndrome (CTS) is a common pain condition that can be managed surgically or conservatively. Objective To compare the effectiveness of manual therapy versus surgery for improving self-reported […]
Nerve gliding may be a worthwhile add-on in the conservative management of carpal tunnel syndrome. Here are a couple of videos showing how to do nerve gliding for CTS. Carpal Tunnel Tendon Stretch and Nerve Gliding – Video – Fitzmaurice Hand Institute Carpal Tunnel Nerve Gliding – Video – Leo Rozmaryn MD, Orthopedic Surgeon J Manipulative Physiol Ther. 2017 […]
Osteoarthritis Cartilage. 2017 Jan;25(1):23-29. doi: 10.1016/j.joca.2016.09.013. Epub 2016 Oct 3. Rongen JJ, Rovers MM, van Tienen TG, Buma P, Hannink G. Abstract OBJECTIVE: The primary objective was to assess whether patients with knee osteoarthritis and whom undergo arthroscopic meniscectomy have an increased risk for future knee replacement surgery. DESIGN: Data used were obtained from the […]
Amy L. Minkalis Chiropractic & Manual Therapies 2017 25:1 https://doi.org/10.1186/s12998-016-0133-8 © The Author(s). 2017 Received: 20 July 2016 Accepted: 7 December 2016 Published: 4 January 2017 Abstract Purpose Although many conservative management options are available for patients with non-surgical shoulder conditions, there is little evidence of their effectiveness. This review investigated one manual therapy approach, thrust manipulation, as a treatment option. Methods A systematic search was conducted of the […]
Published: Journal of Orthopaedic & Sports Physical Therapy, 2016 Volume:47 Issue:1 Pages:11–20 DOI:10.2519/jospt.2017.6698 Study Design Multicenter, parallel randomized clinical trial. Background Myofascial trigger points (MTrPs) are implicated in shoulder pain and functional limitations. An intervention intended to treat MTrPs is dry needling. Objectives To investigate the effectiveness of dry needling in addition to evidence-based personalized […]
Date: December 27, 2016 Source: University of Utah Health Sciences Summary: After all the lifting, hauling and wrapping, worn out gift givers may blame the season’s physical strain for any shoulder soreness they are feeling. It turns out there could be another reason. A new study finds that individuals with symptoms that put them at […]