Navigation Links
Therapy as Good as Surgery for Some With Torn Knee Cartilage
Date:3/19/2013

TUESDAY, March 19 (HealthDay News) -- Physical therapy is comparable to surgery in improving movement and reducing pain for some patients with knee arthritis and torn knee cartilage, new research finds.

Many middle-aged and older adults have severe knee pain due to a tear in the meniscus, a crucial support structure in the knee that is often damaged in people with knee osteoarthritis.

Each year in the United States, more than 450,000 arthroscopic surgeries are performed to treat meniscal tears, but scant data exist to help doctors determine if physical therapy or surgery is the best treatment for a patient, according to the researchers at Brigham and Women's Hospital in Boston.

Their study of 351 patients -- all over age 45 with knee pain, meniscal tear and knee osteoarthritis -- suggests that physical therapy may be equal to surgery for some patients.

Participants were randomly assigned to be treated with either arthroscopic surgery or physical therapy. When they were assessed six and 12 months later, both groups had substantial and similar improvements in movement.

The study was scheduled for presentation this week at the annual meeting of the American Academy of Orthopaedic Surgeons, in Chicago, and published online March 19 in the New England Journal of Medicine.

"Since both the patients who received physical therapy and those who received surgery had similar and considerable improvements in function and pain, our research shows that there is no single 'best' treatment," principal investigator Dr. Jeffrey Katz said in a hospital news release.

However, the release noted that some of the original physical therapy patients did eventually opt for surgery.

"Patients who wish to avoid surgery can be reassured that physical therapy is a reasonable option, although they should recognize that not everyone will improve with physical therapy alone. In this study, one-third of patients who received physical therapy ultimately chose to have surgery, often because they did not improve with [physical therapy]," added Katz, who is director of the Orthopedic and Arthritis Center for Outcomes Research at Brigham and Women's Hospital, and a professor of medicine and orthopedic surgery at Harvard Medical School.

One expert agreed with those conclusions.

"The article reinforces the standard that if a patient suffers a degenerative meniscal tear related to mild to moderate osteoarthritis then the first line of treatment is typically physical therapy," said Dr. Leon Popovitz, an orthopedic surgeon at Lenox Hill Hospital in New York City.

"If patients do not improve, then arthroscopy is a viable option to improve their symptoms," he added.

More information

The U.S. National Library of Medicine has more about meniscus tears.

-- Robert Preidt

SOURCES: Leon Popovitz, M.D., orthopedic surgeon, Lenox Hill Hospital, New York City; Brigham and Women's Hospital, news release, March 19, 2013


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

Related medicine news :

1. KRAS gene mutation and amplification status affects sensitivity to antifolate therapy
2. Antibody therapy prevents gastrointestinal damage following radiation exposure in mice
3. Chemotherapy proves life-saving for some leukemia patients who fail induction therapy
4. Immunotherapy for elderly cancer patients finds new promise in drug combination
5. Therapy exploits addiction of leukemia cells
6. Intensity Modulated Radiation Therapy optimal for localized prostate cancer
7. Adding drug to standard chemotherapy provides no survival benefit for older lung cancer patients
8. Study Casts Doubt on Value of Pricey Prostate Cancer Therapy
9. 19th century therapy for Parkinsons disease may help patients today
10. New Psoriasis Drugs Not Much Better Than Standard Therapy, Study Finds
11. Xenotransplantation as a therapy for type 1 diabetes
Post Your Comments:
*Name:
*Comment:
*Email:
Related Image:
Therapy as Good as Surgery for Some With Torn Knee Cartilage
(Date:1/23/2017)... ... January 23, 2017 , ... Wooden and plastic balance boards have been around since at least ... Kumo Board is the first and only balance board to use a patent-pending design ... rigid at the same time as well as skill-level adjustable for all ages and abilities. ...
(Date:1/23/2017)... ... January 23, 2017 , ... Sharon Kleyne, America’s leading water researcher, advocate ... about the benefits of making new water infrastructure a number one priority. “As we ... we expect water infrastructure to become a top priority of our new political change ...
(Date:1/23/2017)... ... 2017 , ... Zachary Cattell, President of the Indiana Health ... expert at the 2017 Sector Summit hosted by Ivy Tech Community College on ... Dick, will feature an employer and an association representative from five of Indiana’s ...
(Date:1/23/2017)... ... January 23, 2017 , ... ... applications. However, choosing the right method is paramount to success. Selecting an inappropriate ... in situations where multiple persons use the same equipment. Rare or expensive substances ...
(Date:1/23/2017)... (PRWEB) , ... January 23, 2017 , ... "ProRandom is a set of camera tools ... create dynamic looks in Final Cut Pro X," said Christina Austin - CEO of Pixel ... to two layers of text with video footage. ProRandom works by using a virtual ...
Breaking Medicine News(10 mins):
(Date:1/23/2017)... The American Pharmacists Association (APhA) is excited ... Medically Underserved Areas Enhancement Act (H.R. 592) ... was previously introduced in the 114 th session ... through pharmacists and their patient care services. ... (R-KY), G.K. Butterfield (D-NC), Tom ...
(Date:1/23/2017)... , January 23, 2017 Ahead of ... to see how they have fared at the close: Kite Pharma ... Inc. (NASDAQ: OVAS ), and Regeneron Pharmaceuticals Inc. (NASDAQ: ... Biotechnology shares were relative laggards on Friday, January 20 th , ... our complimentary research reports on these stocks now at: ...
(Date:1/23/2017)... Longer life expectancy and rising healthcare expenditure in developing countries are factors ... BCC Research reveals in its new report that markets in developing ... strong growth due to rising government healthcare spending, increased levels of healthcare ... Reading ... BCC ...
Breaking Medicine Technology: