Majority of Knee, Hip Replacements Last 25 Years

Nicola M. Parry, DVM February 15, 2019 The majority of knee and hip replacements can be expected to last 25 years, according to two new studies. Jonathan T. Evans, MRCS, Bristol Medical School, Southmead Hospital, United Kingdom, and colleagues conducted both studies. Their findings were published online February 14 in the Lancet. Overall, approximately 82% of primary total…

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Questions Linger About Steroid Injections and Knee Arthritis

Janis C. Kelly February 08, 2019 Patients with mild to moderate knee osteoarthritis (KOA) who used intra-articular corticosteroids (IACs) experienced substantially faster disease progression than those in a matched group who had not received IACs. However, experts caution that the difference in progression rates might reflect underlying differences that influenced the decision to treat with IACs. Thus,…

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Two Outcome Trajectories Identified After Knee Replacement

Clinicians have been reporting about 20% poor outcomes in knee replacements for decades. This report demonstrated for the first time with a scientifically defensible method that they were right all along.  This article also discuss why some people have good results and why some don’t. Janis C. Kelly January 31, 2019 Two characteristics that can be…

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Questions Growing on Knee-Replacement Surgery Outcomes

By Elaine Goodman Knee replacement is an increasingly common surgery for treatment of osteoarthritis, but recent research is raising questions about the procedure’s effectiveness in relieving pain and improving function. “Most patients have a very good clinical outcome after knee replacement, but multiple studies have reported that 20% or more of patients do not,” Professor…

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Why Sleepless Nights Can Mean More Painful Days

Being able to sleep is a very important factor in relieving someone’s pain.  If they can’t sleep, they can’t heal.  This is why I sometimes insist on very frequent treatments for people that are in pain that can’t sleep through the night because of their pain. ~ Dr. Broussard By Alan Mozes HealthDay Reporter TUESDAY,…

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One Fourth of Knee Arthritis Patients Take Opioids

Osteoarthritis and Cartilage — Thorlund JB, et al. | January 24, 2019 In this study, researchers quantified opioid use in patients with knee and hip osteoarthritis (OA), and calculated the proportion of opioids in the population attributable to patients with OA. Study participants included 751,579 inhabitants of southern Sweden aged ≥ 35 years (in 2015). Between November 2013 and…

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Strengthening The Quadriceps Muscle Reduces Pain and Improves Function In Knee Osteoarthritis

This article reported that strengthening of the thigh muscles has an effect on pain reduction and improvement of function. These knee exercises provided muscle strengthening, pain reduction, and improved function while combination with other electrotherapy modalities or combination with Russian electrical stimulation had superiority to alone strengthening thigh muscle training.  If your knees hurt too…

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Home Therapy for Knee Arthritis Patients

11.08.2018 by Julie Maurer Contributing Writer, MedPage Today Treatment for knee pain in osteoarthritis patients doesn’t just take place in the physician’s office, as patients are often sent home with a list of exercises to do on their own time. “Many people who develop knee pain change their gait, and if that goes on for…

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Guidelines for Patellofemoral Pain

By Jack Cush, MD | 07 November 2018 New recommendations have been published in the Journal of Athletic Training on the management of patellofemoral pain (PFP). Risk factors for PFP include excessive hip adduction and internal rotation during dynamic tasks (e.g., running, jumping), weak quadriceps, greater vertical peak force to the lateral heel and 2nd…

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Pain Medication: Sometimes More Isn’t Better

By Lorraine L. Janeczko October 24, 2018 NEW YORK (Reuters Health) – Patients with osteoarthritis who start opioid treatment at higher doses tend to have higher treatment-failure rates, according to an industry-sponsored study. The findings were presented in a poster September 13 at the International Association for the Study of Pain (IASP) World Congress on…

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