Knee

Inflammation Tied to Bone Marrow Lesions in Knee OA

01.20.2016 Results may facilitate development of new treatment strategies by Wayne Kuznar Contributing Writer Systemic inflammation was linked with bone marrow lesion scores and pain in patients with knee osteoarthritis (OA), researchers from Australia and China reported. Serum high sensitivity-C-reactive protein (hs-CRP) was associated with the presence of knee bone marrow lesions and knee pain, […]

Patient age, diabetes increase mortality risk after TKA

January 3, 2014 Older patients and patients with diabetes have an increased risk of mortality and postoperative complications following primary total unilateral knee arthroplasty, according to recently published data. Philip J. Belmont, Jr., MD and colleagues studied 15,321 patients who underwent primary unilateral total knee arthroplasty (TKA). They found that the results “underscore that diabetes […]

TENS in Patients With Knee Osteoarthritis

Transcutaneous Electrical Nerve Stimulation in Patients With Knee Osteoarthritis: Evidence From Randomized-controlled Trials Chen, Ling-Xiao MD; Zhou, Zhi-Rui MD; Li, Yu-Lin MD; Ning, Guang-Zhi MD; Li, Yan MD; Wang, Xiao-Bo MD; Feng, Shi-Qing PhD The Clinical Journal of Pain February 2016 Vol. 32 – Issue 2: p 146–154 Abstract Objectives: Transcutaneous electrical nerve stimulation (TENS) […]

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

Carol A. Courtney, PT, PhD Study Design Experimental laboratory study with 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 experimentally in persons with knee and hip osteoarthritis (OA), indicating impaired inhibition of central nociceptive […]

The Effect of Knee Braces on Quadriceps Strength and Inhibition in Subjects With Patellofemoral Osteoarthritis

Michael J. Callaghan, PhD, MPhil, MCSP Abstract Study Design Secondary analysis of a randomized controlled trial. Background The use of external supports has been questioned because they may lead to weakness in the surrounding muscles. To our knowledge, there is no investigation into the effect of knee supports or braces on quadriceps muscle strength and […]

Body Mass Index and Risk of Knee Osteoarthritis

December 25, 2015 BMJ Open TAKE-HOME MESSAGE The authors of this meta-analysis of 14 studies evaluated the association between body mass index (BMI) and the risk of osteoarthritis (OA) of the knee. The risk of knee OA was significantly increased in overweight (RR, 2.45) and obese (RR, 4.55) individuals. Each 5-kg/m2 increase in BMI resulted in […]

Knee Bracing No Benefit Over Nonoperative Program in Knee OA

Significant improvements in pain, activities of daily living at week 52, regardless of bracing TUESDAY, Nov. 17, 2015 (HealthDay News) — For patients with knee osteoarthritis (OA), knee bracing offers no benefit over a multidisciplinary nonoperative program, according to a study published online Nov. 12 in the International Journal of Rheumatic Diseases. Shirley P. Yu, […]

Steroid Shots No Long-Term Help in Knee OA

11.13.2015 No effects on structural progression in 2-year randomized study by Nancy Walsh Senior Staff Writer, MedPage Today SAN FRANCISCO — Intra-articular steroid injections are not effective over the long term for preventing structural damage in knee osteoarthritis, a 2-year randomized trial found. In the study, which was funded by the National Institutes of Health, […]

The Effect Of Knee Braces On Quadriceps Strength And Inhibition In Subjects With Patellofemoral Osteoarthritis

Michael J. Callaghan, PhD Study Design Secondary analysis of a randomized controlled trial. Background The use of external supports has been questioned because they may lead to weakness in the surrounding muscles. To our knowledge, there is no investigation into the effect of knee supports or braces on quadriceps muscle strength and quadriceps inhibition in […]

Ozone gas injections may do the trick for knee osteoarthritis sufferers

Date: November 8, 2015 Source: American College of Rheumatology (ACR) Summary: Injecting ozone gas into the knee reduces pain and improves functioning and quality of life in people with knee osteoarthritis, according to new research. Injecting ozone gas into the knee reduces pain and improves functioning and quality of life in people with knee osteoarthritis, […]

Chondroitin outperforms celecoxib in knee osteoarthritis study

Date: November 7, 2015 Source: American College of Rheumatology (ACR) Summary: For the first time, chondroitin sulfate has been more successful than celecoxib in reducing the long-term progression of knee osteoarthritis (OA), according to new research findings. For the first time, chondroitin sulfate has been more successful than celecoxib in reducing the long-term progression of knee […]

Tai Chi found to be as effective as physical therapy for knee osteoarthritis

Date: November 7, 2015 Source: American College of Rheumatology (ACR) Summary: Both Tai Chi and physical therapy positively impact pain, function and other symptoms of knee osteoarthritis – making Tai Chi a viable treatment alternative for people suffering with the degenerative disease, according to new research. Both Tai Chi and physical therapy positively impact pain, […]

Does addition of low-level laser therapy (LLLT) in conservative care of knee arthritis successfully postpone the need for joint replacement?

Lasers in Medical Science Published: 29 September 2015 Volume 30, pages 2335–2339, (2015) Abstract The current study evaluates whether the addition of low-level laser therapy into standard conventional physical therapy in elderly with bilateral symptomatic tri-compartmental knee arthritis can successfully postpone the need for joint replacement surgery. A prospective randomized cohort study of 100 consecutive […]

Taping Techniques for Patellar Tracking, Patellofemoral Pain and Chondromalacia – Videos

How to tape for Patella Femoral Syndrome (McConnell Taping Technique) This technique holds the patella. Patellar Tracking (Mulligan Taping Technique) This technique rotates the tibia. Mulligan Taping Techniques :: Principles

Therapeutic Effects of Whole-Body Vibration Training in Knee Osteoarthritis: A Systematic Review and Meta-Analysis

August 2015 Volume 96, Issue 8, Pages 1525–1532 Hamayun Zafar, PhD, PT Highlights •Whole-body vibration can reduce pain and improve function in individuals with knee osteoarthritis. •Whole-body vibration does not relieve knee stiffness in individuals with knee osteoarthritis. •Long-term follow-up effects of whole-body vibration were not investigated. Abstract Objective To examine the current evidence regarding […]

Influence of spinal imbalance on knee osteoarthritis in community-living elderly adults

Nagoya J Med Sci. 2015 Aug;77(3):329-37. Tauchi R, Imagama S, Muramoto A, Tsuboi M, Ishiguro N, Hasegawa Y Abstract Previous studies evaluated various risk factors for knee OA; however, no study has examined the association between spinal factors, such as total spinal alignment and spinal range of motion (ROM), with knee OA. The purpose of […]

Use of Transcutaneous Electrical Nerve Stimulation Device in Early Osteoarthritis of the Knee

J Knee Surg. 2015 Aug;28(4):321-7. doi: 10.1055/s-0034-1389160. Epub 2014 Aug 27. Jeffrey J Cherian PMID: 25162407 DOI: 10.1055/s-0034-1389160 Abstract Some have proposed the use of transcutaneous electrical nerve stimulation (TENS) as an adjunct to the current standard of care in treatment of osteoarthritis knee pain. The purpose of this study was to evaluate the effects […]

Low-Grade inflammation in symptomatic knee osteoarthritis: Prognostic value of inflammatory plasma lipids and peripheral blood leukocyte biomarkers

Arthritis & Rheumatism 07/21/2015 Attur M, et al. Inflammatory mediators, such as PGE2 and IL–1β, are produced by osteoarthritic joint tissues, where they may contribute to disease pathogenesis. The authors examined whether inflammation, reflected in plasma and peripheral blood leukocytes (PBLs) reflected presence of osteoarthritis (OA), progression or symptoms in patients with symptomatic knee osteoarthritis […]

Restorative Effect of Vitamin D Deficiency on Knee Pain and Quadriceps Muscle Strength in Knee Osteoarthritis

Acta Medica Iranica 2015. 53(8):466-470. Behzad Heidari, Yahya Javadian, Mansour Babaei, Behnaz Yousef-Ghahari ABSTRACT Both vitamin D deficiency and quadriceps muscle weakness are associated with knee osteoarthritis (KOA) and pain. The aim of this study was to determine the restorative effect of vitamin D deficiency on pain and quadriceps muscle strength in knee osteoarthritis. Patients […]

Arthroscopic Knee Surgery: Harms Outweigh Benefits

NEJM Journal Watch June 17, 2015 By Christine Sadlowski Edited by David G. Fairchild, MD, MPH, and Lorenzo Di Francesco, MD, FACP, FHM Arthroscopic surgery for knee pain in middle-aged and older patients is not more beneficial than standard care beyond 6 months and is associated with harms, a BMJ meta-analysis shows. In nine studies, […]