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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Sham Knee Surgery as Good as the Real Thing

No difference in outcomes for patients with degenerative meniscal tears and no osteoarthritis! by Judy George, Contributing Writer, MedPage Today May 28, 2017 After 2 years of follow-up, arthroscopic partial meniscectomy (APM) was no better than sham surgery for patients with degenerative medial meniscal tears and no evidence of knee osteoarthritis, reported Finnish researchers in Annals of the Rheumatic Diseases.…

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Some Benefit for Turmeric/Curcumin in Knee Osteoarthritis

– Reduced knee pain, improved quality of life versus placebo; less so than ibuprofen FRIDAY, May 26, 2017 (HealthDay News) — Curcuminoids seem beneficial for knee osteoarthritis (OA), although they are less effective for pain relief than ibuprofen, according to a review and meta-analysis published online May 4 in the International Journal of Rheumatic Diseases. Igho…

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Fiber-rich diet linked to lowered risk of painful knee osteoarthritis

Date: May 23, 2017 Source: BMJ Summary: A fiber-rich diet is linked to a lowered risk of painful knee osteoarthritis, finds the first study of its kind. A fibre-rich diet is linked to a lowered risk of painful knee osteoarthritis, finds the first study of its kind, published online in the Annals of the Rheumatic Diseases.…

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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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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…

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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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