Early treatment

Patients benefit from one-on-one education prior to joint replacement surgery

Education session with a physical therapist prior to knee or hip replacement benefits patients. A study at Hospital for Special Surgery (HSS) finds that patients benefit from a one-on-one education session provided by a physical … READ MORE

Glucosamine-chondroitin shown protective for 6 years in patients with knee OA

Cartilage volume loss was reduced in patients with knee osteoarthritis who supplemented with glucosamine and chondroitin sulfate, and retention of cartilage was related to exposure time to treatment during a period of 6 years, … READ MORE

Pectus excavatum and Pectus carinatum: Associated conditions, family history, and post-operative patient satisfaction

Background. Pectus excavatum (PE) and pectus carinatum (PC) are the most common chest wall deformities. In this study, we aimed to characterize how patients obtained information about these deformities, as well as patients’ family … READ MORE

Knee instability treatment may help older adults prevent falls

Interventions that reduce knee buckling may help prevent falls, fall-related injuries and adverse psychological consequences of falls in persons with knee OA. Hikers in Banff National Park Symptoms of knee instability in older adults … READ MORE

Exercise is ‘most effective’ method of preventing lower back pain

Exercises for golfers to prevent back pain. Watchfit “Exercise is the best medicine to banish back pain and stop people taking sick days,” reports the Daily Mirror. While this may be true, the research in question did not … READ MORE

Effectiveness of arthroscopic surgery compared with non-operative management of knee osteoarthritis

A new study from Western’s Bone and Joint Institute could save the health-care system millions of dollars while also preventing some of the more than 250 million knee osteoarthritis (OA) sufferers from going under the knife. British … READ MORE

Strategies to reduce progression of structural changes in osteoarthritis

Chondroitin sulfate is more efficient than anti-inflammatory drugs for delaying the progression of knee osteoarthritis. Pelletier, et al, Osteoarthritis Research Unit, University of Montréal Hospital Centre, Notre-Dame Hospital, … READ MORE

Panel discusses nonoperative treatment of knee osteoarthritis

Clinical practice guidelines for knee osteoarthritis (OA) were developed and published by the American Academy of Orthopaedic Surgeons (AAOS) in 2008. The guidelines have been helpful and have stimulated discussion among physicians as … READ MORE

OA bracing: Spin class

Rotation may be key to pain relief. Research from the Hospital for Special Surgery in New York City confirms that the kinetic effects of osteoarthritis knee bracing are in fact related to bracing’s effects on knee pain—but not in … READ MORE

Biomechanics play key role in knee osteoarthritis

Researchers and clinicians often point to biomechanical elements, particularly aberrant biomechanical forces and pathological responses to them, as key factors in osteoarthritis (OA) disease progression. However, little is known about … READ MORE

When not to fix: Thoughts of an orthopaedic surgeon

One driving force that is emerging in our high-tech, low-touch approach to healthcare is our tendency to rely far too much on technology such as MRI findings, and too little on our physical exam findings and on the story our patient … READ MORE

Conservative biomechanical strategies for knee osteoarthritis

Knee osteoarthritis (OA) is one of the most prevalent forms of this disease, with the medial compartment most commonly affected. The direction of external forces and limb orientation during walking results in an adduction moment that … READ MORE

Knee brace reduces damage, pain in osteoarthritis

For the first time, a scientific study has shown that a simple slip-on knee brace reduces bone marrow lesions and pain associated with osteoarthritis. Alice Goodman, Medscape Multispecialty October 31, 2013 “There is a pressing … READ MORE

Evidence Sport and Spine

Evidence Sport and Spine is a multidisciplinary clinic providing expertise and effective musculoskeletal pain management. Physiotherapists, pain physicians, and medical specialists passionate about providing the highest standard in … READ MORE

Low intensity intervention yields modest benefit in knee and hip osteoarthritis

The combined patient and provider intervention resulted in modest improvement in self-reported physical function in patients with hip and knee osteoarthritis. Allen, Yancy, Bosworth, et al. The Lantern Path in the woods of Hakone, … READ MORE

Gait retraining improves symptoms of knee OA

Walking differently to reduce knee pain. A number of different gait modifications have been demonstrated to significantly reduce the knee adduction moment in patients with knee osteoarthritis (OA). Now research suggests gait … READ MORE

OA knee braces: Buying time

Long-term compliance data raise issues. A study published in the August issue of Orthopedics found that although unloader braces effectively relieve pain and improve function in patients with unicompartmental knee osteoarthritis, … READ MORE

Hot tip for knee OA: Foam rollers reduce quadriceps soreness

Canadian and Australian researchers found large decreases in quadriceps pain 24 and 48 hours after foam rolling. 4 foam roller exercises to relieve pain in 10 minutes. By Lois Wingerson, Physicians Practice November 26, 2014 The … READ MORE

Catching knee osteoarthritis early

Pharmacists are about to take on a bigger role in preventive health care by offering early screening for osteoarthritis (OA) of the knee. “People see their pharmacists about seven times as often as their doctor, showing this is … READ MORE

Variation in use of non-surgical treatments among osteoarthritis patients in orthopaedic practice in the Netherlands

While most recommended non-surgical treatments for OA were used frequently as single therapy, the combination is used in only a small percentage of OA patients who received a THA or TKA. With regard to wild animals, dogs should also … READ MORE

UCSF study reveals weight loss protects knees

Obese people who lose a substantial amount of weight can significantly slow degeneration of cartilage in the knee, a common site of osteoarthritis in aging baby boomers, according to a new MRI study by Alexandra Gersing MD, and nine … READ MORE

Plantar fasciitis: A new take on custom foot orthoses

The medical literature generally supports the use of foot orthoses for management of plantar fasciitis symptoms, but evidence regarding specific orthotic designs is inconclusive. Early research suggests a temporary custom foot … READ MORE

New strategy discovered for treating arthritis

Arthritis patients could one day benefit from a novel form of medicine, according to researchers at Queen Mary University of London, QMUL. Their early study indicates that arthritic cartilage, previously thought to be impenetrable to … READ MORE

Physical therapy in knee osteoarthritis relieves physical and financial pain

Individuals with knee osteoarthritis can benefit more from intensive physical therapy paired with subsequent booster sessions than from a shorter period of concentrated physical therapy, according to a recent study. By Whitney L.J. … READ MORE

Prehabilitation better prepares patients for knee replacement

An exercise program designed by researchers at the University of Louisville for patients with severe knee arthritis improves leg strength and patients’ functional ability before knee replacement surgery, according to a report … READ MORE

Lateral wedge insoles not associated with improvement of knee pain in osteoarthritis

“These results suggest that compared with control interventions, lateral wedges are not efficacious for the treatment of knee pain in persons with medial knee osteoarthritis.” CHICAGO – Although a pooling of data from 12 studies … READ MORE

The effect of knee orthoses on gait in medial knee compartment osteoarthritis

Knee osteoarthritis (OA) is one of the most common joint disorders. Epidemiological studies have demonstrated that approximately 6% of the population aged 30 years or older and 12% of the population aged 65 years or older have knee … READ MORE

Chondroitin rivals Celecoxib for osteoarthritis symptoms

“There is now more than 20 years of clinical and empirical evidence supporting the benefits of supplement use, prompting the need to review current clinical orthopedic guidelines on the use of high-quality supplements and their … READ MORE

Early knee osteoarthritis management should first address mechanical joint overload

Early knee osteoarthritis poses a therapeutic dilemma to the musculoskeletal clinician. Despite the recent interest in arthroscopic and injectable regenerative therapies intended to repair or restore a focal target such as cartilage, … READ MORE

Four-step plan for managing knee osteoarthritis

An international task force of osteoarthritis (OA) experts is proposing a four-step plan to prioritize management strategies for symptomatic knee OA – from supplements to surgery. Paddling with Evoke brace By Rita Baron-Faust, … READ MORE

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