Early treatment

Is the complex primary total knee arthroplasty glass half full or half empty?

Total knee arthroplasty as we know it today, for the vast majority of patients, is really a resurfacing of the knee. Approximately a centimeter of bone is shaved off all of the surfaces of each bone and replaced with metal and/or … READ MORE

Themes patients focus on when selecting treatment for OA

Investigators of this study identified key themes, such as the characteristics of a treatment and the time and money investment required, which guide patients with hip or knee osteoarthritis when they decide on a treatment option. … READ MORE

You’ll know when you’re ready: When the time is right for joint replacement surgery

Pool Exercises for Joint Pain, Arthritis Foundation. Background. While some studies have identified patient readiness as a key component in their decision whether to have total joint replacement surgery (TJR), none have examined how … READ MORE

Biomechanical effect of unloader braces for medial osteoarthritis of the knee

Osteoarthritis (OA) is a frequent cause of knee pain, especially in the elderly population. The prevalence of OA is expected to increase as the population ages. The initial treatment of OA is non-operative and consists of patient … READ MORE

Activity limitations and pain in patients scheduled for total knee arthroplasty

This paper reports the functional and activity limitations among persons scheduled for TKA, stratified by preoperative pain level. About one-fifth of subjects in the cohort reported Low WOMAC Pain scores (0–25) prior to surgery. … READ MORE

Knee OA brace experts revisit persistent issues

By using the brace, people can reduce their pain and increase their function. Absolutely, these should be tried before going through any kind of surgical technique. It’s a noninvasive therapy that is relatively low-cost. Eric … READ MORE

Gait differences in patients with non-traumatic and post-traumatic knee OA

Results from this study indicated patients with non-traumatic knee osteoarthritis were different from patients with post-traumatic knee osteoarthritis in regard to knee adduction angles and kinematics during ambulation. Evoke … READ MORE

Reductions in co-contraction following neuromuscular re-education in people with knee osteoarthritis

Background. Both increased knee muscle co-contraction and alterations in central pain processing have been suggested to play a role in knee osteoarthritis pain. However, current interventions do not target either of these mechanisms. … READ MORE

Patient preference is as sensitive as conventional measures for knee OA pain

Results from this study using data from two knee osteoarthritis trials suggest patient-preference instruments may detect treatment effects missed by conventional instruments. Researchers used data on patients with knee osteoarthritis … READ MORE

Is a rare bump on the chest actually helping American breaststrokers?

RIO DE JANEIRO — The old swimming adage is that breaststrokers are born, not made. You often can look at a swimmer standing still and tell whether they are a natural fit for the most esoteric of the four strokes. Kevin Cordes … READ MORE

Minorities less likely to have knee replacement surgery, more likely to have complications

Minority populations have lower rates of total knee replacement (TKR) utilization but higher rates of adverse health outcomes associated with the procedure, according to a new study appearing in today’s issue of the Journal of … READ MORE

Chondroitin + glucosamine sulfate may provide no benefits for patients with knee osteoarthritis

Chondroitin sulfate (CS) plus glucosamine sulfate (GS) was no better than placebo for reducing pain and function impairment in a multicenter, randomized, double-blinded, placebo-controlled study of 164 patients with knee … READ MORE

Exercise as effective as surgery for middle aged patients with knee damage

Study raises questions over widespread practice without supporting evidence. Exercise therapy is as effective as surgery for middle aged patients with a common type of knee injury known as meniscal tear (damage to the rubbery discs … READ MORE

Effects of decompressive brace use in medial compartment knee osteoarthritis

Knee osteoarthritis is a prevalent disease. Unloading the affected compartment using a brace is a treatment option. OssKin Evoke Study design was within subjects; pre- and post testing — to determine whether a de-compressive knee … READ MORE

Osteoarthritis prevalence and modifiable factors

The prevalence of hand, knee, or hip joint OA has increased from 21 million in 1995 to an estimated 27 million among adults in the United States. Such increases are likely due to aging of the population and the rising prevalence of … READ MORE

Arthritis of the knee: Ten exercises

Arthritis is a condition where the joints become swollen, hot, and often painful. One joint that is commonly affected by arthritis is the knee, the largest joint in the body. by Brian Wu, Reviewed by William Morrison MD, Medical News … READ MORE

Relief for joints besieged by arthritis

If you live long enough — that is, beyond 50 or 60 — chances are one or more of your joints, probably your knees or hips, will become arthritic. And if pain or stiffness begin to seriously limit your ability to enjoy life and … READ MORE

Gender, gait and knee OA: Kinematic data have rehab implications

In the moment: Rehabilitation.. Women with and without knee osteoarthritis (OA) demonstrate greater knee abduction and hip adduction during gait than their male counterparts, according to research from Canada that supports the … READ MORE

Benefits of psychological care in pain management

Doctors should consider cognitive therapies as potential first-line treatment. Increasing practitioner skepticism about the long-term safety of opioid pain medications for treating chronic pain and compelling evidence showing the … READ MORE

Total knee arthroplasty, TKA not detrimental to participation in sports

“This study documented that patients were not only able to maintain, but to increase activity following surgery. Since subjective scores, such as the OKS and the VAS for pain, improved significantly over preoperative [measures] and … READ MORE

Do pain relievers heal tendinitis, or just ease pain?

Nonsteroidal anti-inflammatory drugs, or Nsaids, such as ibuprofen, are commonly given to blunt the pain and inflammation of tendinitis. But most physicians now believe that tendinitis – the suffix “itis” means inflamed – is … READ MORE

Exercise prescription for chronic conditions: A how-to guide

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 … READ MORE

Knee osteoarthritis: Daily walking maintains function

Patients with knee osteoarthritis (OA) can gain significant benefits and avoid physical function limitations by simply walking more, Daniel K. White PT ScD and colleagues report in Arthritis Care & Research. Janis C. Kelly, … READ MORE

Aggressive rehab safe after knee replacement

Aggressive rehabilitation after total knee arthroplasty is safe and could lead to earlier functional recovery without compromising range of motion, new research shows. 5 tips for faster knee surgery recovery. Spring Loaded Technology … READ MORE

Physical therapy for knee osteoarthritis

New study puts four treatment strategies to the test. We believed there was a need to improve both the magnitude and sustainability of treatment effects of exercise therapy for improving pain and function in people with knee OA. G. … READ MORE

Osteoarthritis results from inflammatory process, not just wear and tear, study suggests

In a study published online Nov. 6 in Nature Medicine, investigators at the Stanford University School of Medicine have shown that the development of osteoarthritis is in great part driven by low-grade inflammatory processes. This is … READ MORE

Calgary OA knee brace clinic – relieve knee pain, boost your mobility

Resume the activities you love. Unloading braces cushion the knee joint, help absorb impact and prevent bone to bone contact due to cartilage degeneration. Relieve knee pain due to degeneration or inflammation linked to … READ MORE

Caution, gradual transition are key to avoiding plantar fasciitis

For many people, the warmer weather offers motivation to get back outside and put the running shoes to good use again. Unfortunately, if you spent the previous months indoors running on a more forgiving treadmill, pounding the hard … READ MORE

Improving foot posture, balance in CMT may aid ankle stability

Early care advised for FAI prevention. “…ankle sprains in children with CMT are not prevented adequately as the neurological condition is not often diagnosed in childhood, unless present in another family member. He noted that … READ MORE

Optimize bracing for knee OA

Significant improvements in pain, function and loading, and propulsive forces were seen with the valgus brace. Evoke™ knee brace highlights. OssKin By Larry Hand, Lower Extremity Review November 2013 ▽ Table of Contents … READ MORE

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