understanding Knee pain
Knee pain is an epidemic and seems to be on the rise with the number of total knee replacements performed doubling in the past decade, with a disproportionate increases in younger adults. With the knee being a heavily load bearing joint, it’s no surprise that people often experience pain when standing, walking, or engaged in activity. Stiffness in the knee is another problem that many people suffer from especially after staying in one position for an extended period of time. Many therapies for knee pain focus on the knee. While this is important, its also necessary to make sure the foot and ankle and the hips and pelvis are moving optimally to take pressure off of the knee.
Below are some articles about knee pain that you might find helpful.
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Estimating the Burden of Total Knee Replacement in the United States
Authors: Alexander M Weinstein 1,*, Benjamin N Rome 1,*, William M Reichmann 1, Jamie E Collins 1, Sara A Burbine 1, Thomas S Thornhill 1, John Wright 1, Jeffrey N Katz 1, Elena Losina 1
J Bone Joint Surg Am
. 2013 Mar 6;95(5):385–392. doi:10.2106/JBJS.L.00206
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Short Summary:
Total knee replacement is highly prevalent among older U.S. adults, nearly matching rates of congestive heart failure and far exceeding rheumatoid arthritis. Over 1.5 million individuals aged 50–69 with primary total knee replacements face risks of costly revision surgeries and risk of complications.
Effectiveness of Manual Physical Therapy and Exercise in Osteoarthritis of the Knee: A Randomized, Controlled Trial
Authors: Gail D. Deyle, MPT, Nancy E. Henderson, PhD, MPT, Robert L. Matekel, MPT, Michael G. Ryder, MPT, Matthew B. Garber, MPT, and Stephen C. Allison, PhD, MPT, ECS
Publication: Annals of Internal Medicine
Volume 132, Number 3
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Short summary:
Combining manual physical therapy with exercise offers significant benefits for people suffering from knee osteoarthritis, especially in terms of pain relief and improved function. The research highlights that this combined approach can be more effective than standard treatments, such as medications or just exercise alone, in reducing pain and enhancing physical mobility.
Physical Therapy versus Glucocorticoid Injection for Osteoarthritis of the Knee
Authors: Gail D. Deyle, D.Sc., Chris S. Allen, D.Sc., Stephen C. Allison, Ph.D., Norman W. Gill, D.Sc., Benjamin R. Hando, D.Sc., Evan J. Petersen, D.Sc. https://orcid.org/0000-0002-1106-2843, Douglas I. Dusenberry, M.S., and Daniel I. Rhon, D.Sc.Author Info & Affiliations
Published April 8, 2020
N Engl J Med 2020;382:1420-1429
DOI: 10.1056/NEJMoa1905877
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Short Summary:
Physical therapy was more effective than glucocorticoid injections in improving pain and physical function for patients with knee osteoarthritis. Specifically, patients who received physical therapy had better long-term outcomes in terms of pain reduction and mobility compared to those who received a single injection of glucocorticoids.
Physical therapies for improving balance and reducing falls risk in osteoarthritis of the knee: a systematic review
Sumaiyah Mat, Maw Pin Tan, Shahrul Bahyah Kamaruzzaman, Chin Teck Ng
Age and Ageing, Volume 44, Issue 1, January 2015, Pages 16–24,
Published:
22 August 2014
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Short summary:
Physical therapy that includes exercise, balance training, can improve balance and reduce the risk of falls in individuals with knee osteoarthritis. Incorporating these interventions into treatment plans for the older population dealing with knee osteoarthritis is important