Early Intervention In Knee Arthritis Helps Control Pain, Disability and Work Loss

“Nonpharmacologic modalities conditionally recommended for knee arthritis included medial wedge insoles for valgus knee arthritis, subtalar strapped lateral insoles for varus knee arthritis, medially-directed patellar taping, manual therapy, walking aids, thermal agents, tai chi, self‐management programs, and psychosocial interventions,” Marc C. Hochberg and the other authors of the paper stated.  The American College of Rheumatology also…

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Physical Activity Reduces Pain and Improves Quality of Life In People With Knee Arthritis

People with knee or hip arthritis who participate in physical activity equivalent to the 2008 Physical Activity Guidelines for Americans have less pain and improved quality of life compared to people who are more sedentary.  Some of the recomendations are 150 minutes per week of moderate intensity exercise in bouts of about 10 minutes.  Here’s…

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Pain Management Best Practices Report – 2019

In  this official final report on pain management best practices by the Department of Health and Human Services US Government, they included complementary and integrative health.  Specifically, they recommend acupuncture, massage and manipulative procedures, mindfulness-based stress reduction, Yoga, Tai Chi, and spirituality. ~ Dr. Broussard May 9, 2019 PAIN MANAGEMENT BEST PRACTICES INTER-AGENCY TASK FORCE…

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Balance Better Than Strength Training For Knee Arthritis

This article suggests that proprioceptive training reduces knee arthritis pain, and should be included in rehab programs.  Here is an example of a simple proprioceptive exercise, and this guy shows more advanced proprioceptive exercises. ~ Dr. Broussard J Athl Train. 2019 Apr;54(4):418-428. doi: 10.4085/1062-6050-329-17. Epub 2019 Apr 17. Proprioceptive Training and Outcomes of Patients With…

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Knee Arthritis Pain Relief Peaks Early With Non-Steroidal Anti-inflammatory Drugs

This article is suggesting that NSAIDs like ibuprofen and naproxen don’t help knee arthritis after about 26 weeks.  They also point out that there is a 42% chance of experiencing an adverse event involving the gastrointestinal and/or cardiovascular system taking these drugs. ~ Dr. Broussard Don’t expect relief to last beyond a few months by…

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Exercise For The Non-Operated Knee Helps The Operated Knee

By doing balance exercises on the non-operated knee, you can help improve the function on the operated side. ~ Dr. Broussard Cross-over Effect of Balance Training After Knee Surgery: A Pilot Study Layci J. Harrison, PhD, LAT, ATC; Lindsey K. Lepley, PhD, ATC; Dana K. Fuller, PhD; Jennifer L. Caputo, PhD, CSCS, MX Athletic Training…

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Corticosteroid injections: Do they really work for knee arthritis?

March 25, 2019 LAS VEGAS — Although corticosteroid injections appear to offer short-term benefits regarding pain and function for patients with knee arthritis, a presenter here noted no guidance is available in the terms of frequency and dosage. In his presentation at The Knee Society Specialty Day at the American Academy of Orthopedic Surgeons Annual…

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Exercise May Help Prevent Cartilage Degradation in the Knee

Osteoarthritis Cartilage. 2019 Jul;27(7):1064-1074. doi: 10.1016/j.joca.2019.03.003. Epub 2019 Mar 25. Fu S, Thompson C2, Ali A, Wang W, Chapple JP, Mitchison HM, Beales PL, Wann AKT, Knight MM. Abstract OBJECTIVE: Physiological mechanical loading reduces inflammatory signalling in numerous cell types including articular chondrocytes however the mechanism responsible remains unclear. This study investigates the role of…

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Weight Loss Slows Knee Cartilage Degeneration

Weight loss regimen in obese and overweight individuals is associated with reduced cartilage degeneration: 96-month data from the osteoarthritis initiative Osteoarthritis and Cartilage — Gersing AS, et al. | March 01, 2019 In this investigation, researchers studied changes in the composition of knee cartilage in overweight and obese participants with constant weight vs those with…

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Knee Pain and Weak Abdominal Muscles

Diagnostic ultrasound shows that women with pain in the front of the knee have smaller abdominal muscles than women with non-painful knees. This may help explain why improving trunk muscle strength helps people with knee pain…. ~Dr. Broussard J Ultrasound Med. 2019 Feb 27. doi: 10.1002/jum.14973. [Epub ahead of print] Lower Trunk Muscle Thickness Is Associated…

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