No significant benefit found between arthroscopic partial meniscectomy, placebo surgery

Sihvonen R, et al. Ann Rheum Dis. 2017;doi:10.1136/annrheumdis-2017-211172. June 7, 2017 Recently published results showed patients with a degenerative meniscal tear who underwent arthroscopic partial meniscectomy had no significant benefit over placebo surgery. “As the evidence started to mount that arthroscopic partial meniscectomy (APM), the most common orthopedic procedure, offers little more than just placebo…

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Knee Scope vs Conservative Treatment

With respect to function, this review identified moderate-certainty evidence that knee arthroscopy results in a very small improvement (4.9 on a 100-point scale) in the short term and very small or no improved function up to 2 years. My treatment plans outperform arthroscopic surgery in the first 6 months according to my data.  You can download an…

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Steroid Injections May Increase Cartilage Breakdown

May be better for flares of osteoarthritis instead of long-term – Analyst: F. Perry Wilson, MD, MSCE by MedPage Today Staff May 16, 2017 A well-done trial comparing triamcinolone injections with placebo for knee osteoarthritisshowed the steroid doesn’t improve pain or function scores, and may increase cartilage breakdown. Does this spell the end of the…

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Arthroscopic Surgery No Better Than Exercise?

The British Medical Journal recommends against the use of arthroscopic surgery for patients with degenerative knee disease and that arthroscopy was no better than exercise therapy. 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…

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Arthroscopic Knee Surgery Increases Risk of Knee Replacement by Three-Fold

This study concluded that if you have had your knee operated on arthroscopically to remove part or all of a torn meniscus, you have a three-fold risk that you will have to have that knee replaced. Increased risk for knee replacement surgery after arthroscopic surgery for degenerative meniscal tears: a multi-center longitudinal observational study using data from…

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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…

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Recreational vs Competitive Running With Hip and Knee Arthritis

A recent article in the  Journal of Orthopaedic & Sports Physical Therapy concluded that the rate of arthritis of the hip and knee is increased in sedentary people as well as those in competitive sports.  The run of the mill recreational runner/athlete actually had a reduced rate of knee and hip arthritis.  Looks like moderation is…

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John’s Right Knee Responds To First Trigenics® Treatment [video]

John said he broke his right knee in high school football. He’s tried all the other treatments, and since he heard of Trigenics®, he wanted to give that a try. This is his response….

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Mark’s Knee Pain Responds To Treatment Using Trigenics® [video]

Mark has had knee pain for a year now. He has tried everything that his orthopedic surgeon recommended.  The last time Mark visited the orthopedic surgeon, the doctor said, “just let me know when you just can’t stand the pain anymore”. Mark wanted to try something more conservative to try to help with his pain. This is…

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Knee Popping and Grinding – The Knee Cartilage

A lot of patients in my clinic start by telling me their knee has pop or snap. This could be the symptom of a meniscus or cartilage tear.  Other noises are a grinding sensation we call “crepitus”. This comes from mechanical irritation of the cartilage. This is usually under the knee cap. So lets take…

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