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Archive for the ‘Osteoarthritis Treatments’ Category

Stage 2 – Mild

Stage 2 is where symptoms start to develop.  A knee may start to get achy if a person sits for a long time, walks too much, or spends the whole day on their feet.  Stiffness and joint pain are common complaints.

Bone lumps and thinning cartilage can be seen on X-rays or MRIs.  The joint space will remain normal and the bones are not rubbing or scraping against one another.

Exercise and weight loss are still the primary treatment options.  Arthritis knee braces are also recommended.  An arthritis knee brace can help stabilize and protect the knee joint.

 

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Knee Exercises

Exercise and stretching can help prevent and relieve knee pain associated with osteoarthritis.  When done regularly stretches, low-impact aerobic exercise, and strengthening exercise can provide many benefits.

Increase Function and Range of Motion – Exercise and stretching will keep the muscles surrounding the knee joint limber.  The more you stretch the greater your knee’s range of motion.  The easier it is for your knee to move, the easier it will be to exercise.

Pain reduction – An unstable knee joint will do much better when supported by strong muscles.  The knee can be protected from repetitive impacts, like walking, by strengthening the muscles that surround the knee.  The hamstrings and quadriceps should be the primary focus.  Exercise also releases the body’s natural pain relievers, endorphins.

 



Global Knee Brace

Weight loss and exercise are two of the best treatment options for knee osteoarthritis.  There are certainly drugs, injections, hyaluronic acid, and surgeries – all with their associated risks.  However weight loss and exercise are free – no insurance companies, no doctors, no pharmacies…just get up and walk.  However it can be a catch 22.  If your knee hurts, how can you walk?  A knee brace can be a great solution.  There are different types of knee braces for osteoarthritis.  Some knee braces require a prescription, some can be purchased in a sporting good store.  Some knee braces will be covered by your health insurance, and some won’t.  Check with your doctor about which knee brace is right for you.

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Global Knee Brace

March 14, 2017

Global Knee Brace

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″



Arthritis Knee Brace

February 27, 2017

Arthritis Knee Brace

  • Hinged Knee Brace
  • Circumferential Straps
  • Knee Cap Control Buttress
  • Multi-Position Hinges
  • Pull Up Loops
  • Open Patella
  • Covered Hinges

Description

This support brace is constructed of 1/8″ neoprene, to provide warmth and compression. This increases blood flow to your arthritic joint. The knee support is constructed with a felt buttress designed to control and protect your knee cap. The aluminum hinges work in conjunction with the neoprene to help stabilize and protect your knee joint.  People with arthritis in the knees often have arthritis in their hands.  This is a knee brace that is easy to take on and take off – a blessing for people with arthritic fingers.

Indications

  • Pre and Post-Operative MCL/LCL Care
  • Knee Arthritis
  • Moderate ACL/PCL Sprains & Strains
  • Knee Pain
  • Knee Instability

Sizing

Measure the Circumference at Knee Center with the Leg Fully Extended

Extra Small:      12″ – 13″
Small:                13″ – 14″
Medium:           14″ – 15″
Large:                15″ – 16″
Extra Large:      16″ – 18″
2X Large:          18″ – 20″
3X Large:          20″ – 22″
4X Large:          22″ – 24″



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.


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″



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….



 

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.