Extremities

The Dietary Approaches to Stop Hypertension (DASH) diet, Western diet and risk of gout in men: Prospective cohort study

BMJ Rai SK, et al. This trial is formulated in order to analyze the correlation between the Dietary Approaches to Stop Hypertension (DASH) and Western diets with the risk of gout in men. The DASH diet appears to be linked with a lower risk of gout. Its impact on lowering uric acid levels in patients […]

Effectiveness of Manual Therapy Combined With Physical Therapy in Treatment of Patellofemoral Pain Syndrome: Systematic Review

Journal of Chiropractic Medicine Volume 16, Issue 2, June 2017, Pages 139–146 Gemma Victoria Espí-López, PhD, PT Abstract Objectives The purpose of this study was to conduct a review of randomized controlled trials (RCTs) to determine the treatment effectiveness of the combination of manual therapy (MT) with other physical therapy techniques. Methods Systematic searches of […]

Knee osteoarthritis: Steroid injections offer no benefit, study suggests

Medical News Today Tuesday 16 May 2017 By Honor Whiteman Patients with symptomatic knee osteoarthritis do not benefit from steroid injections, concludes a new study published in JAMA. Study co-author Timothy E. McAlindon, of Tufts Medical Center in Boston, MA, and colleagues found that steroid injections administered every 3 months were no better than a placebo for alleviating […]

Steroid Shots Do Little for Knee Pain of Arthritis

May 16, 2017 Doctors often prescribe steroid injections for the pain of knee arthritis, but a rigorous trial has found they work no better than a placebo. Researchers randomly assigned 140 men and women over 45 with painful knee osteoarthritis to injections of either a corticosteroid or a saline placebo. The subjects were injected every […]

The Association of Recreational and Competitive Running With Hip and Knee Osteoarthritis: A Systematic Review and Meta-Analysis

Eduard Alentorn-Geli, MD, MSc, PhD Study Design Systematic review and meta-analysis. Background Running is a healthy and popular activity worldwide, but data regarding its association with osteoarthritis (OA) are conflicting. Objectives To evaluate the association of hip and knee OA with running and to explore the influence of running intensity on this association. Methods PubMed, […]

DASH Diet Wards Off Gout

– Blood pressure diet shows ancillary benefits in men by Nancy Walsh, Senior Staff Writer, MedPage Today May 12, 2017 Men who adhered to the Dietary Approaches to Stop Hypertension (DASH) diet significantly lowered their risk of gout, analysis of data from a large prospective study found. Among 44,444 men enrolled in the Health Professionals […]

Several factors may predict rotator cuff retear after arthroscopic repair

Kim IB, et al. Arthroscopy. 2016;doi:10.1016/j.arthro.2016.03.012. April 12, 2017 Duration of symptoms before surgery of full-thickness rotator cuff tears, tear size and tendon involvement may be used to preoperatively predict retear after arthroscopic repair using the suture bridge technique, according to results of this prognostic case series. Researchers identified 282 patients who underwent arthroscopic rotator […]

Arthroscopic surgery for degenerative knee arthritis and meniscal tears: a clinical practice guideline

BMJ 2017; 357 doi: https://doi.org/10.1136/bmj.j1982 (Published 10 May 2017) Cite this as: BMJ 2017;357:j1982 What you need to know We make a strong recommendation against the use of arthroscopy in nearly all patients with degenerative knee disease, based on linked systematic reviews; further research is unlikely to alter this recommendation This recommendation applies to patients […]

Are degenerative rotator cuff disorders a cause of shoulder pain?

Journal of Elbow and Shoulder Surgery May 2017 Volume 26, Issue 5, Pages 766–773 Are degenerative rotator cuff disorders a cause of shoulder pain? Comparison of prevalence of degenerative rotator cuff disease to prevalence of nontraumatic shoulder pain through three systematic and critical reviews Karl Vincent, DC, PT, MSc Hypothesis and Background The role of degeneration is […]

Natural history of frozen shoulder: fact or fiction?

This review found a lack of evidence to support the long-running notion that frozen shoulder is a self-limiting condition with identifiable stages of progression (painful, stiff and recovery phases) and complete resolution of symptoms, even without treatment. The proposed timing of this progression – slower gains in the beginning and faster ones at the end […]

Young athletes with previous knee injury had higher risk of OA

May 2, 2017 LAS VEGAS — Young athletes who previously sustained an intra-articular knee injury had a higher risk of structural changes associated with future osteoarthritis, according to results presented at the Osteoarthritis Research Society International World Congress. “Young adults around the age of 22 [years] who sustained an intra-articular knee injury when they were […]

Osteoarthritis: Knee joint degeneration slowed with weight loss, study confirms

Written by Honor Whiteman Published: Tuesday 2 May 2017 Obesity is a known risk factor for osteoarthritis, one of the leading causes of disability in the United States. A new study provides evidence that losing weight can slow the development of osteoarthritis of the knee by reducing the degeneration of knee cartilage. Researchers found that […]

Association of Mild Leg Length Discrepancy and Degenerative Changes in the Hip Joint and Lumbar Spine

J Manipulative Physiol Ther. 2017 Apr 17. pii: S0161-4754(17)30065-9. doi: 10.1016/j.jmpt.2017.03.001. [Epub ahead of print] Murray KJ1, Molyneux T1, Le Grande MR2, Castro Mendez A3, Fuss FK4, Azari MF5. Author information Abstract OBJECTIVE: The purpose of this study was to evaluate the correlation between mild leg length discrepancy (LLD) and degenerative joint disease (DJD) or […]

DASH Diet Can Reduce Serum Uric Acid Within 30 Days

April 13, 2017 Clinical Rheumatology TAKE-HOME MESSAGE Participants adhering to either the Dietary Approaches to Stop Hypertension (DASH) diet or a control diet underwent repeated serum uric acid (SUA) measurement to evaluate the time required for the DASH diet to affect SUA levels. The participants following the DASH diet had a reduction in SUA of […]

Fear of Movement Plagues Patients with Symptomatic Knee OA

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, […]

Knee Surgery Does Not Improve Life Quality for Many Patients

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 […]

Knee Patients Spending Millions on Wasted Treatments, Study Finds

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 […]

Study cites risk factors for conversion to TKA following knee arthroscopy

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 […]

Knee Pain Severity, Not Structural Damage, a Risk Factor for Incident Widespread Pain

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 […]

Dry Needling Versus Cortisone Injection in the Treatment of Greater Trochanteric Pain Syndrome: A Non-Inferiority Randomized Clinical Trial

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 […]