Play “D”fence before you Replace That Knee

written by Dr. Carl Freeman The Lower the “D” the Higher the Risks (Vitamin D and Knee Replacement) Knee patients who are vitamin D deficient ninety days before having a total knee replacement have a 69% higher rate of manipulations under anesthesia (MUA), a 76% higher rate of infection, and a three-fold higher risk of prosthesis…

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Diclofenac tied to increased risk of heart problems

Reuters Health News | September 24, 2018 The commonly used painkiller diclofenac may be linked with an increased risk of heart problems, a large Danish study suggests. Diclofenac is a nonsteroidal anti-inflammatory drug (NSAID) that’s often used to treat arthritis and other painful joint conditions. In many countries, it’s available without a prescription. Researchers found…

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Are Invasive Procedures Effective for Chronic Pain?

There is little evidence for using invasive procedures in chronic pain. A moderate amount of evidence does not support the use of invasive procedures as compared with sham procedures for patients with chronic back or knee pain. Are Invasive Procedures Effective for Chronic Pain? A Systematic Review Wayne B Jonas, MD Pain Medicine, pny154, https://doi.org/10.1093/pm/pny154 Published:…

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Risks and Complications of Total Knee Replacement Surgery

Medically reviewed by William Morrison, MD on October 23, 2017 — Written by Samuel Greengard Knee replacements have emerged as a mainstream surgery. According to the Agency of Research and Quality (AHRQ), over 600,000 procedures were performed in 2009. That number is expected to grow into the millions by the year 2030. According to the…

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Surgery vs Physical Therapy For Knee Menisucs Tears

This study shows that physical therapy is just as good as arthroscopic surgery for  meniscus tears that don’t cause locking of the knee joint, however, surgery is still frequently performed. ~ Dr. Broussard Effect of Early Surgery vs Physical Therapy on Knee Function Among Patients With Nonobstructive Meniscal Tears October 2, 2018 The ESCAPE Randomized…

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Platelet-Rich-Plasma Shots For Knee Pain

This paper shows that PRP injections not only help reduce pain, but they help improve function, improve the synovium, circulation and reduces fluid on the knee. ~ Dr. Broussard International Journal of Rheumatic Diseases — Ahmad HS, et al. | June 01, 2018 Authors compared the effectiveness of platelet-rich plasma (PRP) and hyaluronic acid (HA)…

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Keep Leg Muscles Strong For Knee Arthritis

For women mostly, if you can keep your leg muscles nice and strong, you have a better chance that any knee arthritis my not get any worse for you. Lower Quadriceps Rate of Force Development Is Associated With Worsening Physical Function in Adults With or at Risk for Knee Osteoarthritis: 36-Month Follow-Up Data From the…

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Knee Alignment’s Role In Arthritis Prevention

Knee alignment is important in the development of arthritis.  This study found that the hip and thigh muscles are important in knee alignment, and stretching these muscles may prevent overuse injury or early arthritis. ~ Dr. Broussard Relationship between knee alignment in asymptomatic subjects and flexibility of the main muscles that are functionally related to…

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Quad Strengthening Helps Knee Pain

This paper concluded that strengthening the muscles in the front of the leg (quadriceps) helps people with pain in the front of the knee and around the kneecap (patellofemoral syndrome). ~ Dr. Broussard Effects of Physical Therapist—Guided Quadriceps-Strengthening Exercises for the Treatment of Patellofemoral Pain Syndrome: A Systematic Review Journal of Orthopaedic & Sports Physical…

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Knee Osteoarthritis Responds To Soft Knee Brace

This article suggests that people with knee arthritis may respond favorably to a soft knee brace.  The soft knee brace used in this study was the GENUTEX A2, Human I, Bleiswijk, The Netherlands.  ~ Dr. Broussard The immediate effect of a soft knee brace on dynamic knee instability in persons with knee osteoarthritis Rheumatology —…

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