Biomechanical Footwear for Osteoarthritic Knee Pain
To the Editor Dr Reichenbach and colleagues reported that among participants with knee pain from osteoarthritis, use of biomechanical footwear compared with control footwear resulted in an improvement in pain after 24 weeks of follow-up. There are several issues regarding the trial that are worth considering.
Condition: Knee Osteoarthritis Interventions: Device: Sustained Acoustic Device with 2.5% Diclofenac Patch; Drug: 1% Diclofenac Topical Gel Sponsor: ZetrOZ, Inc. Recruiting
Condition: Osteoarthritis, Knee Intervention: Procedure: Cooled versus thermocoagulant Radiofrequency Ablation in pain relief of knee osteoarthritis Sponsor: Assiut University Not yet recruiting
This study aimed to perform linguistic and cross-cultural adaptation to establish a Polish version of the Lower Limb Functional Index (LLFI) as well as an evaluation of the psychometric properties. This was a two-stage, cross-sectional study. The first stage—linguistic and cultural adaptation, complied with the International Society for Pharmacoeconomics and Outcomes Research guidelines to produce the Lower Limb Functional Index, Polish version (LLFI-PL). The subjects were recruited to the second stage of the study from a sample of convenience (n = 125, age x- = 52.86 ± 19.53 years, 56% female, symptoms durati...
The optimal surgical management of glenohumeral osteoarthritis in young patients remains an unsolved problem. Humeral resurfacing hemiarthroplasty and stemmed hemiarthroplasty using metallic heads are two surgical options that avoid the complications of loosening or wear of the glenoid component seen in total shoulder arthroplasty. Despite the potential benefits, improvement in survivorship has not been demonstrated from joint registry or other studies at mid-term follow-up. This is due predominantly to glenoid erosion and pain that occurs when the metal resurfaced head articulates with the native glenoid.
AbstractOsteochondral lesions (OCLs) of the talar dome consist of a multifactorial pathology of the articular cartilage and subchondral bone and can result in persistent ankle pain and osteoarthritis (OA). Along with a physical examination and clinical history, an imaging evaluation plays a pivotal role in the diagnosis of these lesions and is fundamental for making treatment decisions and determining prognosis by providing information regarding the size, location, and cartilage and subchondral bone statuses as well as associated lesions and degenerative changes. Multiple surgical techniques for OCLs of the talar dome have...
The majority of our knowledge of chronic pain in the general population comes from self-report studies. During the last three decades most of these population-based surveys have found that 20% to 35% of the general population suffer from chronic pain [4,6,10,22,23,25,27]. Globally, it is estimated that low back pain, migraine, neck pain, other musculoskeletal disorders, osteoarthritis, and tension type headache are rank numbered 1, 2, 6, 7, 12, and 28 with respect to causes of years lived with disability and that respectively 650, 850, 350, 250, 240, and 1560 million people worldwide suffer from these pain-related disorders .
This study included 37 patients with unilateral ankle osteoarthritis (grade 2 or 3 according to the Takakura classification) who did not respond to previous pharmacological treatment.
CONCLUSIONS FEA revealed that main loading at the knee joint shifted from medial tibial cartilage to the lateral tibial cartilage after PFO. Additionally, the stresses on each cartilage were redistributed across a wider and more peripheral area. FEA also demonstrated that the Von Mises stresses of the tibial and talar cartilages of the ankle joint increased after PFO. Key words: knee pain, osteoarthritis, osteotomy, finite element analysis, axial loadings.PMID:34534062
This study aimed to investigate the intermediate-term efficacy of non-osteotomy approaches in the treatment of early to intermediate stage ankle osteoarthritis. Forty-two patients received treatment for early to intermediate stage ankle osteoarthritis with non-osteotomy approaches were reviewed. The surgical satisfaction was evaluated at 1 year after surgery and the last follow-up period; the American Orthopaedic Foot and Ankle Society (AOFAS) scale and Visual Analog Scale (VAS) were employed for the evaluation of function and pain, respectively, and the stage of ankle osteoarthritis was determined.
Background: The driving force behind osteoarthritis (OA) pathogenesis is an anabolic-catabolic (a/c) imbalance. Melatonin (MT) is a key player in maintaining a/c stability and mitigates OA pathogenesis, but mechanisms underlying its effects remain poorly understood.Objectives: We performed a systematic review analyzing the experimental data that support the clinical applicability of MT in the treatment of OA pathogenesis, placing particular emphasis on the regulation of circadian rhythms and a/c balance.Methods: Major electronic databases and grey literature were used to identify related original articles. Methodological q...