Knee replacement: Life changing or a disappointment?

While there are more than 100 types of arthritis, osteoarthritis is by far the most common. It’s the age-related, “wear-and-tear” type of arthritis that affects almost everyone fortunate enough to live a long life, affecting up to 80% of older adults. Fortunately, symptoms may be mild. But for those in whom symptoms are severe, treatment can make a big difference. So what can be done for osteoarthritis? The available treatments for osteoarthritis include: Non-medication approaches, such as physical therapy, loss of excess weight, or use of braces or a cane Complementary and alternative treatments, such as acupuncture, massage, or tai chi Medications, such as pain relievers, anti-inflammatory medications, or cortisone injections Surgery, such as knee or hip replacement. Surgery is usually a last resort. But for severe osteoarthritis, it’s often the only option likely to make much difference. In the United States alone, more than 600,000 knee replacements and 300,000 hip replacements are performed each year; and predictions are that these numbers will rise dramatically in the coming decades. And just how good is joint-replacement surgery? Most articles about joint replacement surgery (and the surgeons who perform them) make statements such as: “The vast majority of patients who have their knees replaced are markedly improved” or “More than 80% of people who have their hip replaced are glad they had it done.” While these statemen...
Source: New Harvard Health Information - Category: Consumer Health News Authors: Tags: Arthritis Health Healthy Aging Managing your health care Osteoarthritis Pain Management Surgery Source Type: news

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Research links human ability to regrow cartilage to molecules that help amphibians sprout new limbsContrary to popular opinion, humans can regrow cartilage in their joints, researchers have found. Experts hope the research could lead to new treatments for a common type of arthritis.Osteoarthritis, in which joints become painful and stiff, is the most common form of arthritis and is thought to cause pain in about 8.5 million people in the UK alone. It is caused by a breakdown in the cartilage that protects the ends of the bones, as well as the growth of new bone around the joint as the body tries to repair the damage.Continue reading...
Source: Guardian Unlimited Science - Category: Science Authors: Tags: Osteoarthritis Science Medical research Health Source Type: news
We examined associations between patient (e.g., race, insurance), physician and practice factors (e.g., ownership, location) and treatment prescribed using multivariate logistic regression that accounted for complex sampling design. RESULTS: 2297 KOA-related physician visits (~67 (±4) million weighted-visits) were identified. For visits to orthopedists, PT and lifestyle recommendation rates declined (158/1000 to 88/1000 and 184/1000 to 86/1000, respectively), while NSAIDs and Narcotics prescriptions increased (132/1000 to 278/1000 and 77/1000 to 236/1000, respectively) overtime (p
Source: Pain Physician - Category: Anesthesiology Authors: Tags: Arthritis Care Res (Hoboken) Source Type: research
Abstract INTRODUCTION: Platelet-rich plasma (PRP) is a potentially efficacious treatment for ankle osteoarthritis (OA), but its use has not been examined in high-quality studies. Systematic reviews show that PRP injections significantly decrease pain and improve function in patients with knee OA. Ankle OA is more common than hip or knee OA in the young active population; with a prevalence of 3.4%.PRP injections in ankle OA are shown to be safe and improve quality of life over time, but no randomised controlled trial has been conducted. Our randomised controlled trial will evaluate the efficacy of PRP injections fo...
Source: Pain Physician - Category: Anesthesiology Authors: Tags: BMJ Open Source Type: research
This study confirmed that the benefit of a joint unloading device in the management of young patients with medial knee OA is maintained over 2 years. This trial was registered with ClinicalTrials.gov (NCT02711254). PMID: 31579106 [PubMed]
Source: Clinical Medicine Insights: Arthritis and Musculoskeletal Disorders - Category: Orthopaedics Tags: Clin Med Insights Arthritis Musculoskelet Disord Source Type: research
Conditions:   Osteoarthritis;   Arthritis, Rheumatoid;   Arthritis, Psoriatic Interventions:   Drug: Naltrexone;   Drug: Placebo Sponsors:   Brigham and Women's Hospital;   VA Boston Healthcare System Not yet recruiting
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
In 1975, researchers from Yale investigated an epidemic of 51 patients with arthritis who lived near the woodsy town of Lyme, Connecticut. The most common symptom was recurrent attacks of knee swelling. A few had pain in other joints, such as the wrist or ankle. Many had fever, fatigue, and headache. Some remembered a round skin rash before the onset of knee swelling. We now know that Lyme disease is an infection acquired from tick bites, caused by a spiral bacterium named Borrelia burgdorferi. After a tick bite, Borrelia bacteria wriggle through the skin away from the bite site. This leads to a circular red rash, known as...
Source: Harvard Health Blog - Category: Consumer Health News Authors: Tags: Arthritis Bones and joints Infectious diseases Source Type: blogs
Authors: Tavassoli M, Janmohammadi N, Hosseini A, Khafri S, Esmaeilnejad-Ganji SM Abstract BACKGROUND: Platelet-rich plasma (PRP) and hyaluronic acid have been shown to be useful in the treatment of knee osteoarthritis. However, investigations comparing the efficacy of these two drugs together are insufficient. AIM: To compare the outcomes of PRP vs hyaluronic acid injections in three groups of patients with bilateral knee osteoarthritis. METHODS: This randomized controlled trial study involved 95 patients. Thirty-one subjects received a single injection of PRP (group PRP-1), 33 subjects received two inject...
Source: World Journal of Orthopaedics - Category: Orthopaedics Tags: World J Orthop Source Type: research
Osteoarthritis (OA) is a common condition of the hip. Patients with hip OA often report nocturnal pain, yet little is known how it affects sleep quality. The purpose of this paper was to assess how hip arthritis affects sleep quality. We hypothesized that hip pain caused by hip OA affects sleep quality in adult patients. This is a prospective, cross-sectional study of patients who were diagnosed with hip OA. Patients were evaluated using Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), hip outcome score (HOS), and modified Harris hip score (mHHS). Sleep quality was assessed using Pittsburgh Sleep Qu...
Source: Medicine - Category: Internal Medicine Tags: Research Article: Observational Study Source Type: research
Objective The aim of this study was to examine which analgesics are used by patients with osteoarthritis (OA)–related pain and how the analgesics are used in the preceding month. In addition, their beliefs about (pain) medication and the rationale of those declining to use analgesics were explored. Methods An online cross-sectional survey was sent to 1521 patients participating in the panel of the Dutch Arthritis Foundation. Descriptive analyses and logistic regression were used to analyze data. Results Of the 842 participants (56%) with OA that responded, 70% had generalized OA, 26% had concomitant fibromyal...
Source: JCR: Journal of Clinical Rheumatology - Category: Rheumatology Tags: Original Articles Source Type: research
We have plenty of fairy tales about shoes that work magic in people’s lives: glass slippers that brought love to Cinderella, and sparkly red heels that gave Dorothy powers in MGM’s version of The Wizard of Oz. In real life, footwear magic is limited to “unloading” shoes that may help relieve knee pain from osteoarthritis. These unloading shoes have stiffer soles, and slightly tilted insoles that reposition the foot, intended to reduce (or unload) strain on the knee. But a study published online July 12, 2016, in Annals of Internal Medicine suggests that unloading shoes are no better than a good pair...
Source: New Harvard Health Information - Category: Consumer Health News Authors: Tags: Exercise and Fitness Health Osteoarthritis Pain Management Source Type: news
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