Saturday, September 25, 2010

Joint Space Narrowing

When looking at a knee X-ray a doctor will often comment on joint space narrowing.

This is a sign of arthritis. Our joints are in contact with each other but every joint is covered by a smooth layer of articular cartilage. This cartilage covering does not show up on an x-ray. It appears as a gap. A healthy knee has an easily identifiable gap between the bones (that appear whites ni on x ray).

When the knee has osteoarthritis, the cartilage cover is worn and the gap is decreased or disappears altogether. An arthritic knee like this is not only a source of pain but also disability.

For the average person a knee x ray is hard to understand. It becomes even more difficult when there are signs of osteoarthritis

Understanding the signs of arthritis is a more difficult proposition.

If you are concerned,consult your doctor.

 

 

Wednesday, September 22, 2010

Glucosamine and Chondroitin Use Not Supported By Evidence

There are many different treatment types for osteoarthritis and supplements are one of these.

Despite being a multi million dollar industry, there is little evidence supporting the use of either glucosamine or chondroitin (or a combination of both).

Another study was recently published that found no benefit in the use of these supplements.

http://www.nhs.uk/news/2010/09September/Pages/osteoarthritis-supplements-of-n...

There are many treatments that have good supporting evidence such as weight loss and exercise but they require more effort than taking a pill.

This is probably one of the reasons why the Unloader Knee Brace is becoming more popular. They are quick and easy to apply and don't require a lot of will power.

They are worth a try for anyone with an arthritic knee and can help achieve the other goals of less weight and more activity

Tuesday, September 14, 2010

Guided Home Exercise For Knee Osteoarthritis

More Osteoarthritis News...........

 

http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1807-593220100008...

 

This study from Brazil looks at the use of a home exercises program that was guided by physical therapists and included a written exercise manual.

The program was found to be effective at controlling pain, increasing strength and decreasing and functional limitations.

Exercises for knee osteoarthritis have a good amount of evidence behind them. This study shows that with a bit of planning they can be extremely cost effective.

There are 3 simple treatments that combined can make a big difference:

Weight Loss

Exercise

Unloader Knee Braces

All of them are safe, non-surgical and effective.

Monday, September 6, 2010

Knee X-Rays - Need Help To Understand Them?

Another common area of confusion after visiting a surgeon is the knee x-ray.

When the doctor is pointing out the signs of arthritis most people just nod their head and say "oh yes, I can see it" when really they have no idea.

Here is a little help.

Two articles on knee x-rays, one on the normal knee for those with no arthritis (read this one first so you have something to compare)

And one one the signs of arthritis.

Both have simple descriptions and examples of the different views used to assess the arthritic knee

 

Next time you will be able to honestly say you can see the signs of osteoarthritis.

Types of Arthritis Pain

Pain intensity if obviously important if you suffer from osteoarthritis, but the type of pain you have may also have a large say in how it affects your life.

Pain is described differently be each person but common terms keep being used. "Burning", "Stabbing", Throbbing" are all common.

A recent article looked at the type of pain as well as how strong it was and found that the quality of the pain dictated the amount of sleep disruption and disability it caused, over and above the actual intensity of the reported pain.

See details here at Osteoarthritis News

Knee compartments - What exactly are they?

After a visit to a surgeon many people come out wondering what they were talking about. Medical jargon can make understanding a doctor even more difficult. An example of this is the term "compartments" of the knee. This article explains nicely what they are, how many there are and why they are relevant.

Compartments of the Knee

Unless you are an expert on knee osteoarthritis, it helps to read articles like this.

Thursday, September 2, 2010

Knee Angle Increases Arthritis Risk

This article:

http://www.healthcentral.com/rheumatoid-arthritis/news-533188-98.html

details how the angle through the knee can affect the risk of osteoarthritis.

A valgus deformity (knock-kneed) did not increase the risk but a varus deformity (bowlegged) did.

By a factor of around 1.5 times normal.

It should be remembered that this angulation does not guarantee that you will end of with an arthritic knee, but it does make it more likely.

Those concerned about the angle through their knee and future (or current) osteoarthritis should consider investigating an unloading knee brace, a non-surgical treatment for knee arthritis.