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Modalities for knee pain

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https://www.readbyqxmd.com/read/29762121/friction-syndromes-of-the-knee-the-iliotibial-band-and-anterior-fat-pads
#1
Robert D Wissman, Stephen J Pomeranz
As participation in sporting activities increases among the general population, the incidence of overuse injuries continues to rise. Friction syndromes of the knee are common and are often clinically diagnosed without the need for imaging. However, clinical symptoms may overlap with other joint abnormalities, and physical examination may be limited in individuals with excessive pain. Magnetic resonance imaging has remained the modality of choice for the evaluation of internal derangements of the joints and is a useful aid in the diagnosis of friction syndrome of the knee...
2018: Journal of Surgical Orthopaedic Advances
https://www.readbyqxmd.com/read/29730615/how-does-exercise-dose-affect-patients-with-long-term-osteoarthritis-of-the-knee-a-study-protocol-of-a-randomised-controlled-trial-in-sweden-and-norway-the-swenor-study
#2
Tom Arild Torstensen, Wilhelmus J A Grooten, Håvard Østerås, Annette Heijne, Karin Harms-Ringdahl, Björn Olov Äng
INTRODUCTION: Osteoarthritis (OA) of the knee is characterised by knee pain, disability and degenerative changes, and places a burden on societies all over the world. Exercise therapy is an often-used modality, but there is little evidence of what type of exercise dose is the most effective, indicating a need for controlled studies of the effect of different dosages. Thus, the aim of the study described in this protocol is to evaluate the effects of high-dose versus low-dose medical exercise therapy (MET) in patients with knee OA...
May 5, 2018: BMJ Open
https://www.readbyqxmd.com/read/29722769/alternatives-to-biologics-in-management-of-knee-osteoarthritis-a-systematic-review
#3
Fadi Hassan, William D Murrell, Andrew Refalo, Nicola Maffulli
BACKGROUND: Knee osteoarthritis (KOA) is a common condition encountered by physicians. KOA is addressed by a wide array of modalities including a number of nonbiological treatments. METHODS: PubMed, ISI Web of Science, and SPORTDiscus were searched for level 1 to 4 studies published from inception to August 2017. RESULTS: A total of 18 studies were evaluated and results demonstrated moderate supporting evidence for prolotherapy and limited evidence for botulinum toxin type A, sodium bicarbonate and calcium gluconate, and low-molecular weight fraction of 5% human serum albumin...
June 2018: Sports Medicine and Arthroscopy Review
https://www.readbyqxmd.com/read/29696230/willingness-of-older-adults-to-participate-in-a-randomized-trial-of-conservative-therapies-for-knee-pain-a-prospective-preference-assessment
#4
Hannah M Kerman, Bhushan R Deshpande, Faith Selzer, Elena Losina, Jeffrey N Katz
Background: In preparation for a trial of physical therapy (PT) for patients with degenerative meniscal tear and knee osteoarthritis, we conducted a prospective preference assessment -- a methodology for estimating the proportion of eligible subjects who would participate in a hypothetical randomized trial. Methods: We identified patients seeking care from the practices of five orthopedic surgeons. Patients completed a survey asking about their willingness to participate in a hypothetical trial, their treatment preferences, their knee pain, and demographic variables...
March 2018: Contemporary Clinical Trials Communications
https://www.readbyqxmd.com/read/29686957/retroperitoneal-knee-pain-an-unusual-case-report-and-review-of-an-ancient-schwannoma
#5
Ibrahim M Hanif, Nilesh H Pawar, Wing Yan Mok, Melvin Chua
Schwannomas are nerve sheath tumors that occur in Schwann cells. They are usually benign, but malignant transformation can occur. Symptomatology depends on the involvement of the surrounding tissues or the mass effect of the tumor. We describe a case of a 28-year-old man who initially presented with right iliac fossa pain associated with radiating pain over the anterior and lateral aspect of his right knee. Following subsequent investigations, we found a retroperitoneal schwannoma of the right lateral femoral cutaneous nerve...
February 21, 2018: Curēus
https://www.readbyqxmd.com/read/29685141/sinew-acupuncture-for-knee-osteoarthritis-study-protocol-for-a-randomized-sham-controlled-trial
#6
Kwok Yin Au, Haiyong Chen, Wing Chung Lam, Chiu On Chong, Andrew Lau, Varut Vardhanabhuti, Kin Cheung Mak, Fei Jiang, Wing Yi Lam, Fung Man Wu, Hiu Ngok Chan, Yan Wah Ng, Bacon Fung-Leung Ng, Eric Tat-Chi Ziea, Lixing Lao
BACKGROUND: Sinew acupuncture is a new modality of acupuncture in which needles are inserted into acupoints, ashi points or spasm points of sinew and muscles along the meridian sinew pathway. A previous observational study revealed that sinew acupuncture has immediate analgesic effects on various soft tissue injuries, including knee injuries. However, no rigorous trials have been conducted. This study aims to examine whether sinew acupuncture can safely relieve pain and symptoms of knee osteoarthritis (KOA) and improve patients' functional movement and quality of life...
April 23, 2018: BMC Complementary and Alternative Medicine
https://www.readbyqxmd.com/read/29626612/genicular-radiofrequency-ablation-for-the-treatment-of-post-traumatic-knee-pain-a-case-presentation
#7
Jonathan D Carrier, Michelle Poliak-Tunis
This is the first reported case presentation utilizing cooled genicular radiofrequency ablation (C-RFA) for the treatment of post-traumatic knee pain. The patient is a 29-year-old male who sustained open right femoral and tibial fractures following 2 motor vehicle collisions. He was deemed too young to undergo total knee arthroplasty by orthopedic surgery. It was recommended he trial diagnostic genicular nerve blocks followed by C-RFA. The procedure provided a >50% reduction in average pain with an increase in activity tolerance lasting 9 months...
April 5, 2018: PM & R: the Journal of Injury, Function, and Rehabilitation
https://www.readbyqxmd.com/read/29578473/medial-collateral-ligament-bursitis-in-a-patient-with-knee-osteoarthritis
#8
Hakan Nur, Ayca Aytekin, Erdal Gilgil
BACKGROUND: Medial collateral ligament (MCL) bursitis has been described as a distended and inflamed bursa between the superficial and deep portions of the MCL. It is a rare but important cause of medial knee pain. CASE DESCRIPTION: A 65-year-old woman with knee osteoarthritis (OA) presented with severe pain and swelling in her left knee. She didn't have a traumatic injury. After a clinical examination, a slight decrease in the range of motion of the left knee, and a painful swelling and tenderness over the medial side of the knee and proximal tibia were detected...
March 16, 2018: Journal of Back and Musculoskeletal Rehabilitation
https://www.readbyqxmd.com/read/29565947/fluoroscopic-guided-radiofrequency-of-genicular-nerves-for-pain-alleviation-in-chronic-knee-osteoarthritis-a-single-blind-randomized-controlled-trial
#9
Eman H El-Hakeim, Abdelraheem Elawamy, Emad Zarief Kamel, Samar H Goma, Rania M Gamal, Abeer M Ghandour, Ayman M Osman, Khalid M Morsy
BACKGROUND: Nowadays, pain and disability due to chronic knee arthritis is a very common problem in middle aged people. A lot of modalities for management are available, including conservative analgesics and up to surgical interventions. Radiofrequency ablation of genicular nerves is assumed to be an effective less invasive and safe pain alleviation modality. OBJECTIVES: To evaluate the efficacy of fluoroscopic guided radiofrequency neurotomy of the genicular nerves for alleviation of chronic pain and improvement of function in patients with knee osteoarthritis...
March 2018: Pain Physician
https://www.readbyqxmd.com/read/29543576/effectiveness-of-valgus-offloading-knee-braces-in-the-treatment-of-medial-compartment-knee-osteoarthritis-a-systematic-review
#10
Chetan Gohal, Ajaykumar Shanmugaraj, Patrick Tate, Nolan S Horner, Asheesh Bedi, Anthony Adili, Moin Khan
CONTEXT: Knee osteoarthritis affects 9.3 million adults over age 45 years in the United States. There is significant disability associated with this condition. Given the potential complications and the significant cost to the health care system with the dramatic increase in total knee arthroplasties performed for this condition, assessment of the efficacy of nonoperative modalities, such as offloading knee braces, is essential as part of optimizing nonoperative treatment for this condition...
March 1, 2018: Sports Health
https://www.readbyqxmd.com/read/29514362/impact-of-intravenous-acetaminophen-on-lengths-of-stay-and-discharge-status-after-total-knee-arthroplasty
#11
John W Barrington, Ryan N Hansen, Belinda Lovelace, Elaine A Böing, Morad Chughtai, Jared M Newman, An T Pham, Anton Khlopas, Nipun Sodhi, Assem A Sultan, Michael A Mont
Postoperative pain remains difficult to control after total knee arthroplasty (TKA). While various modalities have been used, they have been associated with several side effects. For example, opioids have many side effects including: sedation, dizziness, nausea, vomiting, constipation, respiratory depression, and can lead to dependency. Recently, intravenous (IV) acetaminophen has been introduced as a method to manage postoperative pain. Therefore, the purpose of this study was to compare the postoperative outcomes of TKA patients who received oral acetaminophen versus IV acetaminophen...
March 7, 2018: Journal of Knee Surgery
https://www.readbyqxmd.com/read/29439307/ultrasound-combined-transcutaneous-electrical-nerve-stimulation-ultratens-versus-phonophoresis-of-piroxicam-php-in-symptomatic-knee-osteoarthritis-a-randomized-double-blind-controlled-trial
#12
Jariya Boonhong, Phitsanu Suntornpiyapan, Apatchanee Piriyajarukul
BACKGROUND: Ultrasound combined with transcutaneous electrical nerve stimulation (UltraTENS) and phonophoresis of piroxicam (PhP) are combined modality therapy that frequently used in musculoskeletal pain including knee osteoarthritis (OA). But it is lack of a good clinical trial to prove and compare their effects. OBJECTIVE: To compare the effects of UltraTENS with PhP on mild to moderate degree of symptomatic knee OA. METHODS: Sixty-one patients (55 women), mean age of 63...
February 2, 2018: Journal of Back and Musculoskeletal Rehabilitation
https://www.readbyqxmd.com/read/29426006/effectiveness-of-an-ayurveda-treatment-approach-in-knee-osteoarthritis-a-randomized-controlled-trial
#13
C S Kessler, K S Dhiman, A Kumar, T Ostermann, S Gupta, A Morandi, M Mittwede, E Stapelfeldt, M Spoo, K Icke, A Michalsen, C M Witt
OBJECTIVE: Ayurveda is commonly used in South Asia to treat knee osteoarthritis (OA). We aimed to evaluate the effectiveness of Ayurvedic treatment compared to conventional conservative care in patients with knee OA. METHOD: According to American College of Rheumatology (ACR) criteria knee OA patients were included in a multicenter randomized, controlled, open-label trial and treated in 2 hospital clinics and 2 private outpatient clinics in Germany. Participants received either a multi-modal Ayurvedic treatment or multi-modal conventional care with 15 treatments over 12 weeks respectively...
May 2018: Osteoarthritis and Cartilage
https://www.readbyqxmd.com/read/29424236/home-based-pre-surgical-psychological-intervention-for-knee-osteoarthritis-happiknees-a-feasibility-randomized-controlled-trial
#14
Roshan das Nair, Jacqueline R Mhizha-Murira, Pippa Anderson, Hannah Carpenter, Simon Clarke, Sam Groves, Paul Leighton, Brigitte E Scammell, Gogem Topcu, David A Walsh, Nadina B Lincoln
OBJECTIVE: To determine the feasibility of conducting a trial of a pre-surgical psychological intervention on pain, function, and mood in people with knee osteoarthritis listed for total knee arthroplasty. DESIGN: Multi-centre, mixed-methods feasibility randomized controlled trial of intervention plus usual care versus usual care. SETTING: Participants' homes or hospital. PARTICIPANTS: Patients with knee osteoarthritis listed for total knee arthroplasty and score >7 on either subscales of Hospital Anxiety and Depression Scale...
February 1, 2018: Clinical Rehabilitation
https://www.readbyqxmd.com/read/29423252/extracapsular-local-infiltration-analgesia-in-hip-arthroscopy-a-retrospective-study
#15
Matthew T Philippi, Timothy L Kahn, Temitope F Adeyemi, Travis G Maak, Stephen K Aoki
Many hip arthroscopy patients experience significant pain in the immediate postoperative period. Although peripheral nerve blocks have demonstrated efficacy in alleviating some of this pain, they come with significant costs. Local infiltration analgesia (LIA) may be a significantly cheaper and efficacious treatment modality. Although LIA has been well studied in hip and knee arthroplasty, its efficacy in hip arthroscopy is unclear. The purpose of this retrospective study is to determine the efficacy of a single extracapsular injection of bupivacaine-epinephrine during hip arthroscopy in reducing the rate of elective postoperative femoral nerve blocks...
January 2018: Journal of Hip Preservation Surgery
https://www.readbyqxmd.com/read/29421838/knee-pain-and-the-use-of-various-types-of-footwear-a-review
#16
Morad Chugthai, Jared M Newman, Samuel Akil, Anton Khlopas, Assem A Sultan, Nipun Sodhi, Anil Bhave, Steven F Harwin, Michael A Mont
Knee pain is a highly prevalent condition in the United States with multiple etiologies, with two of the most common sources being osteoarthritis (OA) and patellofemoral pain (PFP). These conditions can lead to reduced physical function and a poor quality of life. Various modalities have been used to decrease the amount of knee pain that individuals' experience; however, they are not always successful and can be expensive. Several studies have reported on specialized footwear for symptomatic alleviation of conditions that affect the knee, this is because it has been theorized that certain footwear can alter the forces placed by muscles on lower-extremity joints, and can potentially alleviate pain by reducing the load placed on the joint...
February 8, 2018: Journal of Knee Surgery
https://www.readbyqxmd.com/read/29380511/content-analysis-of-consumer-information-about-knee-arthroscopy-in-australia
#17
Rachelle Buchbinder, Allison Bourne
BACKGROUND: Despite the availability of consistent guidelines recommending against arthroscopic treatment for people with symptomatic knee osteoarthritis, Australian data indicate continued use of this treatment modality. A paucity of easy to understand and reliable consumer information about knee arthroscopy may be one explanatory factor. The aim of this study was to determine whether consumer information about knee arthroscopy available in Australia is adequate to inform evidence-based decision-making for people with symptomatic osteoarthritis...
April 2018: ANZ Journal of Surgery
https://www.readbyqxmd.com/read/29379312/intra-articular-ozone-or-hyaluronic-acid-injection-which-one-is-superior-in-patients-with-knee-osteoarthritis-a-6-month-randomized-clinical-trial
#18
Seyed Ahmad Raeissadat, Seyed Mansoor Rayegani, Bijan Forogh, Porya Hassan Abadi, Mahsa Moridnia, Shahram Rahimi Dehgolan
Purpose: Knee osteoarthritis (OA) is a common disease, imposing a great burden through pain and decreased function. There are many therapeutic modalities including non-pharmacologic choices and oral, topical, and intra-articular medications. New studies have shown promising results for ozone application in knee OA. Our aim was to compare the effects of ozone therapy versus hyaluronic acid (HA) intra-articular injection in knee OA patients. Methods: In this randomized clinical trial, a total of 174 patients with more than 3 months of chronic pain or swelling in the knee joints along with consistent imaging findings were enrolled and randomly allocated into two groups of HA and ozone, which were planned to undergo 3 weekly injections of HA (Hyalgan®) and 10 mL of a 30 μg/mL ozone solution, respectively...
2018: Journal of Pain Research
https://www.readbyqxmd.com/read/29369100/successful-treatment-of-plantar-hyperkeratosis-in-the-form-of-recurrent-corns-with-split-thickness-sole-skin-graft
#19
Chi-Yu Wang, Chun-Kai Chang, Chang-Yi Chou, Chien-Ju Wu, Tzi-Shiang Chu, Hao-Yu Chiao, Chun-Yu Chen, Tim-Mo Chen, Yuan-Sheng Tzeng
INTRODUCTION: Plantar hyperkeratosis, such as corns and calluses, is common in older people and associated with pain, mobility impairment, and functional limitations. It usually develops on the palms, knees, or soles of feet, especially under the heels or balls. There are several treatment methods for plantar hyperkeratosis, such as salicylic acid plaster and scalpel debridement, and conservative modalities, such as using a shoe insert and properly fitting shoes. METHODS: We present an effective method of reconstructing the wound after corn excision using a split-thickness sole skin graft (STSSG)...
February 2018: Annals of Plastic Surgery
https://www.readbyqxmd.com/read/29320786/imaging-of-ligamentous-structures-within-the-knee-includes-much-more-than-the-acl
#20
Kara Gaetke-Udager, Corrie M Yablon
Ligamentous structures of the knee are numerous and complex, including the anterior and posterior cruciate ligaments, medial and lateral collateral ligaments, ligaments of the posteromedial and posterolateral corners, and the anterolateral ligament. Clinical assessment after a knee injury is paramount and can direct both the clinician's choice of imaging study and the radiologist's interpretation. Imaging is crucial in that it provides additional information for diagnosis, management, and surgical planning...
February 2018: Journal of Knee Surgery
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