Navigation Links
Keep Moving to Ease Pain of Knee Arthritis: Review
Date:11/6/2012

By Kathleen Doheny
HealthDay Reporter

TUESDAY, Nov. 6 (HealthDay News) -- Adults with painful osteoarthritis of the knee should turn to exercise -- aerobic, aquatic or strength training -- as a good nonsurgical way to ease their pain and improve their functioning, a new review suggests.

To reach this conclusion, Dr. Tatyana Shamliyan, a senior research associate at the University of Minnesota, and her colleagues reviewed 193 studies that were published between 1970 and 2012.

"Several guidelines recommend nondrug treatment, including exercise, electrical stimulation, tai chi and esthetics," Shamliyan said. Her team analyzed the evidence and came up with results that were sometimes at odds with those guidelines.

They looked at how the therapies affected pain, functioning and disability.

"Based on the analysis, we can't conclude sustained benefit with tai chi, manual therapy or massage, or transcutaneous electrical [nerve] stimulation," she said.

The electrical stimulation reduced pain, she found, for very short time periods, less than six weeks. Over time, the pain actually got worse, she noted.

The investigators found few physical therapy interventions worked to reduce pain or improve functioning or levels of disability.

Shamliyan said it's important for those with knee pain from osteoarthritis -- the "wear-and-tear" form -- get a prescriptive exercise program of aerobics, aquatics or strength training from a physical therapist.

The research is published in the Nov. 6 issue of the Annals of Internal Medicine.

In the analysis, the researchers also found that perseverance counted. "We found some evidence that adherence, compliance with the exercise recommended was associated with better outcomes," she said.

However, the study authors did not find good evidence that more intense exercise was any better than moderate exercise.

The U.S. Agency for Healthcare Research and Quality funded the research.

Osteoarthritis of the knee affects about 28 percent of those older than 45 in the United States, the study authors said, and 37 percent of those over 65.

Nonsurgical treatments are aimed at reducing or controlling pain, helping physical functioning, preventing disability and improving quality of life.

The findings are no surprise to Dr. Benjamin Bengs, an assistant professor of orthopedic surgery at UCLA Medical Center, Santa Monica, and the University of California, Los Angeles, David Geffen School of Medicine.

"There is evidence to show that physical therapy, aerobic and aquatic exercise and strength training all improve quality of life," he said.

The researchers also showed that certain therapies were not effective, Bengs noted, although he would not discount them so quickly. "Given the potential for placebo effect, I would not rule out these [other treatments]," he added.

Often, Bengs said, his patients will be convinced a treatment that has no science to back it up is helping them. If it does, and it's not harmful, he doesn't see a problem.

He did suggest that some of the nonsurgical treatments work better when done in tandem with surgery.

And, Bengs agreed that people do better when they adhere to the exercise program prescribed for them.

Both Bengs and Shamliyan also advised maintaining a healthy weight to improve knee pain.

More information

To learn more about knee pain, visit the U.S. National Library of Medicine.

SOURCES: Benjamin Bengs, M.D., assistant professor, orthopedic surgery, UCLA Medical Center, Santa Monica, University of California, Los Angeles, David Geffen School of Medicine; Tatyana Shamliyan, M.D., M.S., senior research associate, Minnesota Evidence-Based Practice Center, division of health policy and management, University of Minnesota, Minneapolis; Nov. 6, 2012, Annals of Internal Medicine


'/>"/>
Copyright©2012 ScoutNews,LLC.
All rights reserved  

Related medicine news :

1. New surgical technique for removing inoperable tumors of the abdomen
2. Moving 3D computer model of key human protein is powerful new tool in fight against cancer
3. Exergames Can Help Inactive Folks Get Moving: Study
4. Moving targets
5. Keep moving and have fun
6. Moderate Drinking May Cut Womens Odds for Rheumatoid Arthritis: Study
7. Omega-3 Supplements No Help Against Repeat Heart Trouble: Review
8. AADR comments on review that validates association between oral health and heart health
9. IUDs Work as Emergency Contraceptive: Review
10. ICU stays for worst asthma drop 74 percent, review finds
11. Antiretroviral treatment for preventing HIV infection: an evidence review for physicians
Post Your Comments:
*Name:
*Comment:
*Email:
Related Image:
Keep Moving to Ease Pain of Knee Arthritis: Review
(Date:6/25/2016)... ... June 25, 2016 , ... Dr. Calvin Johnson has ... he has implemented orthobiologic procedures as a method for treating his patients. The ... first doctors to perform the treatment. Orthobiologics are substances that orthopaedic surgeons use ...
(Date:6/24/2016)... ... ... Those who have experienced traumatic events may suffer from a complex set of ... or alcohol abuse, as a coping mechanism. To avoid this pain and suffering, Serenity ... event. , Trauma sufferers tend to feel a range of emotions, from depression, guilt, ...
(Date:6/24/2016)... , ... June 24, 2016 , ... Global law firm ... 2016 Legal Elite. The attorneys chosen by their peers for this recognition are considered ... Seven Greenberg Traurig Shareholders received special honors as members of this year’s Legal Elite ...
(Date:6/24/2016)... Plano, TX (PRWEB) , ... June 24, 2016 , ... ... taking part in Genome magazine’s Code Talker Award, an essay contest in which patients ... for an award to be presented at the 2016 National Society of Genetic Counselors ...
(Date:6/24/2016)... Maryland (PRWEB) , ... June 24, 2016 , ... ... Angels is actively feeding the Frederick area economy by obtaining investment capital for ... over the past 2½ years that have already resulted in more than a ...
Breaking Medicine News(10 mins):
(Date:6/24/2016)... Research and Markets has announced the addition of ... report to their offering. ... The World Market for Companion Diagnostics covers the world market ... the report includes the following: , World ... Region (N. America, EU, ROW), 2015-2020 , World IVD ...
(Date:6/24/2016)... Tenn. , June 24, 2016  Arkis ... providing less invasive and more durable cerebrospinal fluid ... in funding.  The Series-A funding is led by ... Lighthouse Fund, and other private investors.  Arkis, new ... neurosurgical instrumentation and the market release of its ...
(Date:6/23/2016)... Research and Markets has announced ... Type (Organic Chemical (Sugar, Petrochemical, Glycerin), Inorganic Chemical), Functionality ... - Global Forecast to 2021" report to their ... global pharmaceutical excipients market is projected to reach USD ... in the forecast period 2016 to 2021. ...
Breaking Medicine Technology: