Since Osteoarthritis is such a ubiquitous annoyance, the number of treatments available in various forms for knee osteoarthritis to avoid total knee replacement is increasing in numbers day by day and scientific evidences for all the treatments modes are subjected to prove its effectiveness by the scientific community and the patients undergoing the treatment.
In this blog we will analyze and evaluate the evidence for common treatments for knee osteoarthritis short of total knee replacement surgery issued by The American Academy of Orthopedic surgeons (AAOS).
Diagrammatic Representation of Treatment Options Available for OA Knee
It is a scientifically proven fact that Exercises will help the patients with Knee OA and scientific evidences suggests strong effectiveness for reducing the pain, inflammation and stiffness in the knee joints. Wondering how exercises will help you in Knee OA and what exercises to be done? List of exercise regime mentioned will help you reduce and improve your knee. (Please give the link)
Obesity is considered as the major factor in the mechanism of cartilage damage and knee OA. Obesity limits the person’s ability to do his daily activities thereby increasing the chances of pain, inflammation, muscle weakness around the joints and stiffness of the joints. Scientific evidences prove that weight loss helps in the management of OA and it is moderately effective in managing the condition.
Check how four common dietary nutrients for OA will help you in managing your weight and plan your diet according to these nutrients to bring in a change in your pain management and life style.
The American Academy of Orthopedic Surgeons (AAOS) suggests that Acupuncture is strongly not recommended for patients with symptomatic OA of the knee. It states that the majority of the studies were not statically significant. Outcomes were associated with clinical but not statically significance. The strong denial in the recommendation of acupuncture was based on lack of efficacy and not potential harm.
4. Physical Agents (Transcutaneous Electrical Nerve Stimulation) :
The evidence was mixed regarding the efficacy of physical agents and electrotherapeutic modalities because of contradiction in findings in larger groups and AAOS states its effectiveness is Inconclusive due to lack of compelling evidence. None of the treatments were associated with statistically significant effects on pain, physical mobility, or ambulation time at four, 12, or 26 weeks suggesting that the evidences are inconclusive.
5. Hyaluronic Acid Injections:
The patients with OA usually lack a critical substance in their synovial fluid called Hyaluronic acid. Hyaluronic acid breaks down in the synovial fluids and loss contributes to the joint pain and stiffness. It is to be noted that according to AAOS hyaluronic acid injections are not recommended strongly since pain score, functions, stiffness subscales scores never met the minimum clinical improvement thresholds. It is also clear that oral diet supplements certainly also don’t have a chance in improving the conditions since Injections are not recommended by the surgeons.
6. Intraarticular Corticosteroid Injections:
Usage of Intraarticular corticosteroid injections and its effectiveness is inconclusive as the results in the patients varied. The pain score function score and stiffness score varied amongst the patients, and results were inferior to hyaluronic acids and needle lavage in some patients and in some patients it was found superior.
Flowchart of Stages of OA and Conventional Treatment Options
1. Arthroscopy with Lavage and Debridement:
The clinical benefit of arthroscopy is very limited and it is not effective in patients with symptomatic OA of the knee. It is also stated that potential risk of patients having anesthesia , infection, venous thrombosis are associated with the procedure and increased risks from surgery is reported.
Nonsteroidal anti-inflammatory drugs are used to relieve some symptoms caused by knee OA. However these drugs can’t cure OA and they will help you in getting relieved from pain only as long as one continues to take them. It is also stated that It can also interfere with proper healing and associated with many side effects, danger and risk.
We at Unistem Biosciences offer a comprehensive and innovative scientific therapy for people suffering from Osteoarthritis/ Sports Injury, Knee Joint Pain. The benefits of our scientific therapy includes: Relief from pain, Improvement in quality of life, prevention from Knee/ Hip replacement. Since introducing this treatment regime, patients ranging from celebrities, key government officials, athletes to those who have suffered for decades with chronic pain have been successfully treated. We have seen no adverse events associated with the procedure and the treatment is very safe and it can be repeated in the joints to obtain optimal results as the disease is a progressive.
To know more about the treatment of OA, Kindly call us to get your queries answered.