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Proper Cane Use

February 8, 2017

How to safely use a cane on level surfaces:
  1. The cane should be held on your “good”  side to support the “bad” side.
  2. Step first with the “bad” leg, bringing the cane forward at the same time.
  3. Lean on the cane as needed.


cmc-arthritis-brace

The CMC Arthritis Thumb Brace is a great solution for people with thumb arthritis who work on a keyboard all day.  The thumb brace provides pain relief while allowing a full range of mobility.

It is a low profile thumb brace, so it doesn’t interfere with typing or data entry.  This brace is easy to clean and easy to wear.

Cut down on your pain medication and try a non-invasive solution for your thumb pain.



The Global Knee Brace

December 27, 2016

global-knee

Overview

  • For Bi-Compartmental OA
  • For Tri-Compartmental OA
  • Range-of-Motion Hinges
  • Provides Stability
  • Assists in Mobility

 

Description

The Global Knee addresses pain, provides stability, and assists in mobility.  There is often a significant amount of time that passes from when a patient is told they need to have their knee replaced and the actual surgery.  This knee brace helps patients during that time.

The Patella Sling controls the patella with an inferior to superior directional pull.  There are adjustable struts that can be molded with bending irons (not included) to accommodate swollen knees and apply a varus or valgus force.  There’s a removable buttress that can be adjusted for each patient’s needs.

Reinforced hinge pockets provide durability and double as a built-in pull-up assist.  The Global knee is constructed of breathable lycra urethane laminate and spacer fabric.  The range-of-motion hinges are slightly offset to accommodate inflamed bulbous knees.

Indications

  • Arthritis
  • Global Knee Pain
  • Bi-Compartmental OA
  • Tri-Compartmental OA

 

Sizing

Take two measurements.

Measure the circumference of the leg at the calf and thigh.

Size                    Calf Circumference       Thigh Circumference

X- Small                  11″ – 13″                             15″ – 17″

Small                    12.5″ – 13.5″                        16″ – 18″

Medium                13.5″ – 15.5″                        17.5″ – 19.5″

Large                    14.5″ – 16.5″                        18.5″ – 20.5″

X Large                 16.5″ – 19″                           19.5″ – 22″

2X Large               18″ – 20.5″                           20.5″ – 23″

3X Large               19″ – 22″                               24″ – 27″



Ice Pack Wrap

December 14, 2016

cold-therapy-wrap

Ice packs are an effective treatment option for knee osteoarthritis for several reasons.  Ice will decrease swelling in the knee.  Also, cold therapy will slow the release of chemicals within the body that cause pain and inflammation.  Cold also reduces that ability of nerve endings to conduct pain impulses.  Ice will also limit the ability of muscles to reduce spasms.

An ice pack wrap is an effective means of delivering cold therapy to an arthritic knee.



Get Up and Walk

December 7, 2016
Lifestyle Modification

    Walking Helps the Knees

Walking can hurt. However, it doesn’t cost much, can be done most places, and can be quite helpful.  Walking allows the knee to move through a normal range of motion with low impact on joints. You only need time and effort to go for a walk – this can also help you lose weight.  Your knee arthritis isn’t going to get better by itself.

Walk on an even surface like a track or treadmill.  Shopping malls provide stable walking conditions, as well as heat or air conditioning. Increase your distance or time as your knee grows stronger.  One step a t a time….



Thumb Arthritis

November 29, 2016

thumb pain

Why does the thumb always get the arthritis??  Because thumbs get used a lot, more than any other finger.  Thumb arthritis, basal joint arthritis, CMC arthritis…call it what you want.  The cartilage that protects your bones around the thumb erodes.  This joint is the carpometacarpal joint.

Swelling and hand pain are common.  Also weakness and a decreased range of motion will make it hard to type, use a mouse, or open a jar.

Advanced cases of CMC arthritis can require surgery and medication, while a thumb splint or a CMC Thumb Brace are recommended for milder cases.



 

Knee OA

                             Knee Pain

Learn about magnetic therapy.

Effects of static magnets on chronic knee pain and physical function: a double-blind study.

Hinman MR, Ford J, Heyl H.

Department of Physical Therapy, University of Texas Medical Branch, Galveston, USA.

CONTEXT: Static magnets have become an increasingly popular alternative therapy for individuals with musculoskeletal pain despite limited scientific evidence to support their efficacy or safety.

OBJECTIVE: To determine the effects of static magnets on the pain and functional limitations associated with chronic knee pain due to degenerative joint disease.

DESIGN: Double-blind, randomized, controlled clinical trial.

SETTING: Pretests and posttests were conducted in an academic health science center.

PARTICIPANTS: Forty-three ambulatory subjects with chronic pain in 1 or both knee joints who were recruited from outpatient clinics or who volunteered to participate.

INTERVENTION: Subjects wore pads containing magnets or placebos over their painful knee joints for 2 weeks.

MAIN OUTCOME MEASURES: Self-administered ratings of pain and physical function using the Western Ontario and Mc Master Universities Osteoarthritis Index (WOMAC) and a timed 15-m (50-ft) walk.

RESULTS: Multivariate analysis of covariance revealed significantly greater improvements in the group wearing magnets (P=.002). Univariate analyses indicated that comparative changes in self-rated pain and physical function (P=.002 and .001, respectively) were greater than changes in gait speed (P=.042).

CONCLUSIONS: The application of static magnets over painful knee joints appears to reduce pain and enhance functional movement. However, further study is needed to determine the physiological mechanisms responsible for this analgesic effect.

Alternative Therapies in Health and Medicine. 2002 Jul-Aug;8(4):50-5.

Learn about a magnetic knee brace.

 



magnetic knee braces

Double-blind placebo-controlled trial of static magnets for the treatment of osteoarthritis of the knee: results of a pilot study.

Wolsko PM, Eisenberg DM, Simon LS, Davis RB, Walleczek J, Mayo-Smith M, Kaptchuk TJ, Phillips RS. Division for Research and Education, Harvard Medical School, Boston, MA, USA.

CONTEXT: Outpatient clinical studies of magnet therapy, a complementary therapy commonly used to treat osteoarthritis (OA), have been limited by the absence of a credible placebo control.

OBJECTIVE: Our objective was to assess the feasibility and promise of studying static magnetic therapy for knee OA and determine the ability of a new placebo-magnet device to provide concealment of group assignment.

DESIGN: Randomized, double-blind, placebo-controlled clinical trial.

SETTING: Academic teaching hospital in Boston. PARTICIPANTS: We enrolled 29 subjects with idiopathic or post-traumatic OA of the knee.

INTERVENTIONS: Subjects received either high-strength magnetic (active) or placebo-magnetic (placebo) knee sleeve treatment for 4 hours in a monitored setting and self-treatment 6 hours daily for 6 weeks.

MAIN OUTCOME MEASURE Primary outcomes were change in knee pain as measured by the WOMAC Osteoarthritis Index Pain Subscale at 6 weeks and extent of group concealment at study end.

RESULTS: At 4 hours, VAS pain scores (+/- SE) on a 5-item scale (0-500, 500 worst) decreased 79 +/- 18 mm in the active group and 10 +/- 21 mm in the placebo group (P < 0.05). There were no significant differences in any primary or secondary measure of efficacy between the treatment groups at 6 weeks. Despite widespread testing for magnetic properties, at study end, 69% of the active group and 77% of the placebo group (P > 0.2) believed that they had been assigned to the active treatment group.

CONCLUSION: Despite our small sample size, magnets showed statistically significant efficacy compared to placebo after 4 hours under rigorously controlled conditions. The sustained efficacy of magnetic therapy for knee osteoarthritis could be assessed in an adequately powered trial utilizing an appropriate control such our new placebo-magnet device.

Alternative Therapies in Health and Medicine. 2004 Mar-Apr;10(2):36-43. PMID: 15055092

Learn more about magnetic knee supports.



magnetic knee sleeve

Effect of magnetic knee wrap on quadriceps strength in patients with symptomatic knee osteoarthritis.

Chen CY, Chen CL, Hsu SC, Chou SW, Wang KC. Department of Physical Medicine and Rehabilitation, Chang Gung Memorial Hospital, Keelung, Taiwan.

OBJECTIVE: To determine the effects of magnetic knee wrap on isokinetic quadriceps strength in patients with painful knee osteoarthritis (OA).

DESIGN: Randomized, double-blinded, placebo-controlled and before-after trial.

SETTING: Rehabilitation clinic in a tertiary hospital.

PARTICIPANTS: Eligible patients (N=50) (mean age+/-SD, 66.0+/-8.6 y) with mild to moderate knee OA were recruited from the outpatient department and 37 (74%) completed the trial. Only 3 (6%) withdrew due to study-related adverse effects.

INTERVENTIONS: Wearing the active (n=24) or sham (n=26) magnetic knee wrap for 12 weeks.

MAIN OUTCOME MEASURES: The primary outcome measure was isokinetic quadriceps strength. Secondary outcome measures included the Health Assessment Questionnaire Disability Index (HAQ-DI) and the Health Assessment Questionnaire (HAQ) Pain Scale.

RESULTS: Using intention-to-treat analyses, the peak isokinetic quadriceps strength increased significantly in the treated leg at 30 degrees/s (P=.007) and 60 degrees/s (P=.022) after wearing the magnetic knee wrap. Compared with baseline, the median strength increase for the treated leg in the study group significantly exceeded that in the control group at week 4 (.05 Nm/kg vs -.09 Nm/kg at 60 degrees/s, P=.038) and week 12 (30 degrees/s, .09 Nm/kg vs .04 Nm/kg, P=.044; 60 degrees/s, .17 Nm/kg vs .02 Nm/kg, P=.031). The HAQ-DI and HAQ Pain Scales improved significantly in both groups. Compared with baseline, the improvement at week 12 in terms of the HAQ-DI in the study group significantly exceeded that in the control group.

CONCLUSIONS: Magnetic knee wrap may significantly facilitate isokinetic quadriceps strength in patients with mild to moderate knee OA (osteoarthritis).

Chen CY, Chen CL, Hsu SC, Chou SW, Wang KC (Dec 2008). “Effect of magnetic knee wrap on quadriceps strength in patients with symptomatic knee osteoarthritis.” Archives of Physical Medicine and Rehabilitation. 89(12):2258-64. PMID: 18976982



magnetic-therapy

 

Magnetic therapy has been used worldwide for centuries and is ideal for pain relief. Back pain, knee pain, arthritis, tendonitis, or even migraines can be helped with magnets.  Magnets are a safe, easy and effective method for achieving natural pain relief. In most cases, magnets are placed directly over the painful area.

Magnets can affect ion channels which can reduce and/or block nerve pain signals. Ions are electro-chemicals that have either a positive or negative charge. Their movement through cellular gateways, called ‘ion channels’, controls pain signals, muscle contraction, and nearly all other biological processes. Ion channels can be affected chemically with drugs, manually with electrical stimulation, and naturally with magnets.

Using magnets for pain relief offers a huge advantage, because they’re safe, non-invasive, they last a long time, and have no side effects. Research studies show that magnetic therapy can be used as often as needed.  When high quality magnets are properly applied, they can be effective up to 90% of the time.

Learn more about magnetic knee braces.

Learn more about magnetic back braces.