Knee

Glucosamine and chondroitin for knee osteoarthritis

A double-blind randomised placebo-controlled clinical trial evaluating single and combination regimens Fransen M,et al. Ann Rheum Dis. 2014 Jan 6. doi: 10.1136/annrheumdis-2013-203954. [Epub ahead of print] Abstract OBJECTIVE: To determine if the dietary supplements, glucosamine and/or chondroitin, result in reduced joint space narrowing (JSN) and pain among people with symptomatic knee osteoarthritis. METHODS: A double-blind […]

A systematic review and meta-analysis of medical leech therapy for osteoarthritis of the knee

The Clinical Journal of Pain, 12/09/2013 Lauche R, et al. .This paper presents a systematic review and meta–analysis of the effectiveness of medical leech therapy for osteoarthritis of the knee. This systematic review found moderate to strong evidence for the reduction of pain, functional impairment, and joint stiffness after medical leech therapy in patients with […]

The American Academy of Orthopedic Surgeons Approve Criteria for Non-Surgical Treatment of Knee Osteoarthritis

“The background for this AUC comes from the 2013 AAOS evidence-based clinical practice guideline on OA of the knee, a comprehensive review of all the available evidence,” said Michael Heggenness, MD, an orthopaedic surgeon who served as a non-voting moderator during the voting panel process. “This AUC is a tool that takes that guideline one step further; it marries the available evidence with expert medical opinion and is available at the touch of a web and mobile-based app.”

Coexisting Lumbar Spondylosis in Patients Undergoing TKA

How Common and How Serious? Chang, CB Clinical orthopaedics and related research : 2013 Sep 25 pg CONCLUSIONS Radiographic lumbar spine degeneration and lumbar spine symptoms are common among patients with advanced knee OA undergoing TKA. Severe lumbar spine symptoms (visual analog scale score of ≥ 7) were likely to adversely affect the preoperative clinical […]

Metabolic Syndrome Increases Risk For Severe Knee—But Not Hip—OA

Full Story Clinical Pain Medicine ISSUE: NOVEMBER 2013 | VOLUME: 11 Madrid—The presence of metabolic syndrome and its components is associated with an increased risk for severe osteoarthritis (OA) of the knee, leading in many cases to joint replacement, according to new research. However, this connection was not true of hip OA. The association with […]

Clinical characteristics of pain originating from intra-articular structures of the knee joint in patients with medial knee osteoarthritis

Springerplus. 2013 Nov 23;2:628. doi: 10.1186/2193-1801-2-628. eCollection 2013. Ikeuchi M, Izumi M, Aso K, Sugimura N, Tani T. Abstract PURPOSE: Although disease progression of osteoarthritis has been well documented, pain pathophysiology is largely unknown. This study was designed with two purposes: 1) to characterize patients with knee pain predominantly originating from intra-articular structures and 2) […]

Relationship between knee alignment and radiographic markers of osteoarthritis

Int J Rheum Dis. 2013 Nov 20. doi: 10.1111/1756-185X.12230. [Epub ahead of print] Relationship between knee alignment and radiographic markers of osteoarthritis: a cross-sectional study from a Korean population. Im GI, Kim MK, Lee SH. Abstract AIM: The purpose of this paper was to investigate the relationship between static varus knee alignment and the radiographic […]

Manual physical therapy and perturbation exercises in knee osteoarthritis

Authors: Rhon, Daniel1; Deyle, Gail2; Gill, Norman2; Rendeiro, Daniel3 Source: Journal of Manual & Manipulative Therapy, Volume 21, Number 4, 2013 , pp. 220-228(9) Abstract: Objectives: Knee osteoarthritis (OA) causes disability among the elderly and is often associated with impaired balance and proprioception. Perturbation exercises may help improve these impairments. Although manual physical therapy is […]

Adding Pounds, Then New Knees

By LAURIE TARKAN November 11, 2013 Full Story:  http://mobile.nytimes.com/blogs/well/2013/11/11/adding-pounds-then-new-knees/ In his mid-forties, Charles Carroll, a letter carrier in Shrewsbury, Mass., started taking anti-inflammatory medicine for his achy knees. Despite his young age, osteoarthritis had begun to settle in. Over the next decade, the pain became so bad that at times he had difficulty walking. Eventually […]

Does Quadriceps Atrophy Exist in Individuals With Patellofemoral Pain?

A Systematic Literature Review With Meta-Analysis Lachlan S. Giles, PT Study Design Systematic literature review. Objectives To investigate whether quadriceps atrophy is present in the affected limb of individuals with patellofemoral pain (PFP). Background PFP is a common condition. Atrophy of the quadriceps femoris, in particular the vastus medialis obliquus, is often assumed to be […]

Injections Help Postpone Knee Replacement

Published: Oct 31, 2013 By Nancy Walsh, Staff Writer, MedPage Today Full Story:  http://www.medpagetoday.com/MeetingCoverage/ACR/42626 Action Points Note that this study was published as an abstract and presented at a conference. These data and conclusions should be considered to be preliminary until published in a peer-reviewed journal. SAN DIEGO — Patients with knee osteoarthritis who were given injections […]

Knee Brace Eases OA Pain

Patients with knee osteoarthritis (OA) who wore a patellofemoral brace for 6 weeks experienced decreases in pain and bone marrow lesions

Specialized core stability exercise: a neglected component of ACL rehabilitation programs

Shi DL, et al. J Back Musculoskelet Rehabil. 2012 Jan 1;25(4):291-7. doi: 10.3233/BMR-2012-0345. Abstract The incidence of anterior cruciate ligament injury has continued to increase over the last two decades. This injury is associated with abnormal gait patterns and osteoarthritis of the knee. In order to accelerate recovery, the introduction of core stability exercises into […]

What Is the Predictive Value of MRI for the Occurrence of Knee Replacement Surgery in Knee Osteoarthritis?

J-P Pelletier Ann Rheum Dis. 2013;72(10):1594-1604. Abstract Knee osteoarthritis is associated with structural changes in the joint. Despite its many drawbacks, radiography is the current standard for evaluating joint structure in trials of potential disease-modifying osteoarthritis drugs. MRI is a non-invasive alternative that provides comprehensive imaging of the whole joint. Frequently used MRI measurements in […]

Non-pharmacological Core Management of Hip and Knee Osteoarthritis

EULAR Recommendations for the Non-pharmacological Core Management of Hip and Knee Osteoarthritis Linda Fernandes Ann Rheum Dis. 2013;72(7):1125-1135. Abstract The objective was to develop evidence -based recommendations and a research and educational agenda for the non-pharmacological management of hip and knee osteoarthritis (OA). The multidisciplinary task force comprised 21 experts: nurses, occupational therapists, physiotherapists, rheumatologists, […]

Arthritis Knee Pain: Exercise and Diet Tops Diet Alone

Janis C. Kelly Sep 26, 2013 Knee pain decreased and function increased significantly in overweight or obese adults with knee osteoarthritis (OA) who lost at least 10% of their baseline body weight, and those who combined diet and exercise had better outcomes than those who used diet or exercise alone in a large randomized trial. The final […]

Manual therapy, exercise therapy, or both, in addition to usual care, for osteoarthritis of the hip or knee

In this study, exercise therapy and manual therapy were more cost effective than usual care…

Leg length discrepancy and osteoarthritic knee pain in the elderly

Leg length discrepancy and osteoarthritic knee pain in the elderly: an observational study. Noll DR. J Am Osteopath Assoc. 2013. Citation J Am Osteopath Assoc. 2013 Sep;113(9):670-8. doi: 10.7556/jaoa.2013.033. Abstract CONTEXT: Osteoarthritic knee pain is very common, as are leg length discrepancies (LLDs). The relationship between LLDs and osteoarthritic knee pain is not well understood. OBJECTIVE: To […]

Why Runners Don’t Get Knee Arthritis

By GRETCHEN REYNOLDS SEPTEMBER 25, 2013, 12:01 AM Link to article:  http://well.blogs.nytimes.com/2013/09/25/why-runners-dont-get-knee-arthritis/?_r=0 One of the most entrenched beliefs about running, at least among nonrunners, is that it causes arthritis and ruins knees. But a nifty new study finds that this idea is a myth and distance running is unlikely to contribute to the development of […]

Diet, Exercise Combo Best for Knee Arthritis in Heavy Patients

Published: Sep 24, 2013 By Crystal Phend, Senior Staff Writer, MedPage Today Full Story:  http://www.medpagetoday.com/Orthopedics/Orthopedics/41832 Action Points Note that this randomized trial demonstrated that subjective knee osteoarthritis measures improved more among subjects in the diet and exercise arm than in the diet alone or exercise alone arm. Be aware that objective measures of loading and […]