Navigation Links
Sugar Injections for Knee Arthritis May Ease Pain: Study
Date:5/21/2013

By Steven Reinberg
HealthDay Reporter

MONDAY, May 20 (HealthDay News) -- Injections of a sugar solution appear to help relieve knee pain and stiffness related to osteoarthritis, a new study suggests.

The technique -- known as dextrose prolotherapy -- has been around for 75 years but is still considered an "alternative" therapy.

"Our study suggests very strongly that prolotherapy is a safe and appropriate therapy for people with mild to moderate knee osteoarthritis that hasn't responded optimally to other therapy," said lead researcher Dr. David Rabago, an assistant professor of family medicine at the University of Wisconsin School of Medicine and Public Health in Madison.

"We don't know exactly what the mechanism of action is," Rabago said. "One theory is the injections trigger a healing response at the point of the injection."

It's this lack of biological evidence that has kept prolotherapy from winning mainstream medical acceptance.

"Like a lot of complementary and alternative therapies, prolotherapy has existed mainly outside academia," Rabago said. "It's not something that's taught in med school."

Osteoarthritis is the most common form of arthritis, affecting nearly 27 million Americans, according to the Arthritis Foundation. Symptoms, which are related to wear and tear, usually start after age 40 and progress slowly. In the knee, arthritis causes pain, swelling and reduced motion.

For the study, published in the May/June issue of the journal Annals of Family Medicine, researchers assigned 90 patients with knee arthritis to either sugar injections, saline injections or exercise at home.

Patients who received injections got them at weeks one, five and nine, and at 13 and 17 weeks if needed.

After a year, patients given the sugar injections had less pain and better function as measured by test scores than those who were given saline or who only exercised, Rabago's group found.

On scores of function, the sugar-injection patients improved 16 points, compared to five points for saline patients and seven points for exercise patients. Individual knee pain scores also improved more in the prolotherapy group, the study found.

Most patients who received prolotherapy were satisfied, and no adverse side effects were reported, the researchers said.

Some experts, however, remain unconvinced of prolotherapy's benefits. Among them is Dr. Neil Roth, an orthopedic surgeon at Lenox Hill Hospital in New York City.

"I'm not a big believer in prolotherapy," he said. "Injecting sugar into the knee joint doesn't have an impact on osteoarthritis, which is an inflammatory process. I just don't see the connection there."

Any improvement associated with prolotherapy is probably a placebo effect, he said.

"If I were going to have an injection in my knee, I would much rather have something that's more mainstream -- something like cortisone," he said.

Exercise and anti-inflammatory medications are Roth's preferred treatment for arthritis of the knee, plus cortisone injections if needed.

Because prolotherapy is not used in common clinical practice, it is considered experimental and isn't covered by Medicare or most private insurance. The therapy can cost $200 and up for each injection, and costs vary widely by location and therapist, Rabago said.

Although the researchers limited the number of injections to five, in clinical practice patients can continue to receive sugar treatments if pain returns or worsens, Rabago said.

More information

For more information on osteoarthritis, visit the U.S. National Library of Medicine.

SOURCES: David Rabago, M.D., assistant professor, family medicine, University of Wisconsin School of Medicine and Public Health, Madison; Neil Roth, M.D., orthopedic surgeon, Lenox Hill Hospital, New York City; May/June 2013, Annals of Family Medicine


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

Related medicine news :

1. Sugary Sodas, Fruit Punches May Raise Kidney Stone Risk: Study
2. Novel study reports marijuana users have better blood sugar control
3. INH’s Essential BioNutrients Announces Launch of Blood Sugar Support Supplement – GlucoGold
4. High Blood Sugar May Add to Alzheimers Risk: Study
5. University Finds that Lifting Weights May Lower Blood Sugar Levels, Suggesting that Supplements Like Prescopodene May Assist By Creating More Energetic Exercise Sessions
6. Mother’s Mountain Sponsors 31st Annual Sugarloaf Marathon
7. Study shows so-called cougars, sugar daddies more myth than reality
8. Younger Men Biggest Consumers of Added Sugars: CDC
9. Probiotics’ Effect on Sugar Cravings Discussed in New Article by eProbiotics.com
10. 12 Ounces of Sugary Soda a Day Raises Diabetes Risk: Study
11. Could Coffee Bean Extract Help Control Blood Sugar?
Post Your Comments:
*Name:
*Comment:
*Email:
Related Image:
Sugar Injections for Knee Arthritis May Ease Pain: Study
(Date:5/24/2017)... ... May 24, 2017 , ... Myers Jackson is well known for ... to sell luxury homes anywhere on the planet. The luxury home market is alive ... to Houston city-scapes. A quick search of “11 Spyglass Hill Auction will enlighten you ...
(Date:5/24/2017)... Michigan (PRWEB) , ... May ... ... disease affecting the female reproductive tract in which the endometrial lining of ... structures causing inflammation and pain. Patients experiencing painful intercourse, painful periods, pelvic ...
(Date:5/24/2017)... TN (PRWEB) , ... May 24, 2017 , ... ... the addition of ExtraHop to its solutions portfolio. ExtraHop delivers an analytics-first approach, ... security of every IT system, from the datacenter to the cloud to the ...
(Date:5/24/2017)... ... May 24, 2017 , ... Adelberg-Montalvan Pediatric ... options for its patients on Long Island, New York. , Holistic dentistry ... and is one of the biggest trends in dentistry today. , Dentist ...
(Date:5/24/2017)... ... May 24, 2017 , ... The CFOs ... hospitals and health systems in the nation and help their organizations navigate the ... organizations and been instrumental in developing successful hospital and health system strategy. , ...
Breaking Medicine News(10 mins):
(Date:5/10/2017)... Global Health Intelligence (GHI), the leading healthcare data ... its 2017 ranking of the Best-Equipped Hospitals in Latin ... from GHI,s hospitals database for Latin America , which ... GHI database covers 86% of the hospitals in ... for each institution in key areas such as beds, medical ...
(Date:5/9/2017)... -- Demonstrating its commitment to representing research- based biopharmaceutical ... Research and Manufacturers of America (PhRMA) today approved ... have to meet new research and development (R&D) ... PhRMA. "By putting in place new ... message that being a member of PhRMA means ...
(Date:5/6/2017)... Provista , a proven leader in the supply chain industry ... Jim Cunniff as the company,s new president and CEO. ... Provista, including most recently serving as the president and CEO ... He assumed his new role with Provista on May 1, ... says Jody Hatcher , president, Sourcing and Collaboration Services ...
Breaking Medicine Technology: