Another treatment for osteoarthritis of the knee
Another treatment for osteoarthritis of thekneeé MRGuided Focused Ultrasound for the Managementof Osteoarthritic Knee Pain A Japanese study published in BMC MusculoskeletalDisorders and reported in Medscape showed that local bone denervation by MRguided focusedultrasound has been demonstrated as a promising tool for pain relief of bone metastases. Eightpatients with medial knee pain and eligible for total knee replacement were included.MRguided focused sonication treatments were applied the target sites. The pain intensityduring walking was assessed on a 100 mm visual analog scale (VAS) before and after treatment.Six patients showed immediate pain alleviation
after treatment, and four of them demonstratedlonglasting effect at 6month follow up. There were no adverse side effects or complicationsduring and after treatment. Comment: This therapy is promising and innovative.It's a pretty small sample size though.
Knee Osteoarthritis balneotherapy knee oa
Bath Time for Patients with Knee OsteoarthritiséBill Schu writing in HCP Live reported that patients with knee osteoarthritis (OA) mightfind balneotherapy (mineral baths) combined with physical therapy may be more effectivethan physical therapy alone. A new Turkish study, published in Archivesof Rheumato indicates that bathing in thermal and mineral waters can improve the range ofjoint muscles, relieve muscle spasms, and maintain or improve functional mobility forknee OA patients. In the study, 46 patients with knee OA weregiven either physical therapy alone (hot pack, transcutaneous electrical nerve stimulation,and ultrasonography for the knee region, 45
minutes per day, five days a week for threeweeks), or the same physical therapy protocol combined with daily 20minute balneotherapysessions five times per week for three weeks. In both groups, significant improvements wereobserved for all of the measured variables. The group receiving the combination therapyhad significantly superior improvements in all of the parameters compared to the patientswho received physical therapy only. Importantly, socioeconomic factors were similar acrossboth groups, and both groups were under similar social and environmental conditions. Accordingto the study authors, the effectiveness of balneotherapy can be explained by the thermal,mechanical, and chemical effects, which increase
blood flow and vasodilatation, resulting infresh blood supply and the removal of nociceptive elements and free oxygen radicals. â€œIn addition,â€� the authors noted, â€œhotbath causes elevation of betaendorphin and stress hormone levels, exerting a direct analgesiceffect. Heat induces sedation and muscle relaxation and increases mobility.â€� Comment: In Europe, balneotherapy is useda lot. Not so in the U.S.