All posts related to "knee"

Decreased rate of joint replacement for RA patients on biologics

Knee with osteoarthritis

Image courtesy of yodiyim at FreeDigitalPhotos.net

A study published in the European League Against Rheumatism Annual Congress last month shows that the incidence of knee and hip replacement declined after the introduction of biologics to national rheumatoid arthritis (RA) treatment guidelines.

The study looked at 30,868 patients diagnosed with RA at the rheumatology department between 1996 and 2011 and compared them with 301,527 controls from the general population. The baseline total knee replacement (TKR) incidence rate per 1,000 person-years was 5.87 for RA versus 0.42 for the controlled group. Prior to 2002, the incidence of total knee replacement increased among RA patients, but started to decrease after the introduction of bDMARDs and their associated guidelines in 2003. In February of 2007, the rate of TKR changed to 1.8 TKRs/1,000 person. Over the study period, the incidence of total knee replacement and total hip replacement increased among the general population controlled group. In contrast, there was a downward trend among RA patients.

Lene Dreyer, MD, from the Center for Rheumatology and Spine Diseases in Denmark, is one of the author the study. Dreyer explained: “Our findings show a clear downward trend in these two operations in RA patients in Denmark since the additions of [biologic disease-modifying anti rheumatic drugs] bDMARDs to treatment protocols. Also, the overall pattern of our findings is in line with those recently reported from England and Wales.”

Below is a video examining the quality of rehabilitation care, specifically in hip and knee replacements: Continue reading

What is an ACL injury?

Knee anatomy

Picture from orthoinfo.aaos.org

An ACL injury is the tear or sprain of an anterior cruciate ligament – one of the major ligaments in your knee. The cruciate ligaments are found inside your knee joint and combined, the anterior and the posterior cruciate ligaments control the back and forth motion of your knee. An ACL injury is one of the most common knee injury and often occur in athletes who play physically demanding sports like soccer, football, and basketball.

According to the American Academy of Orthopaedic Surgeons, injured ligaments are considered “sprains” and are graded on a severity scale, as listed below:

  • Grade 1 Sprains – The ligament is mildly damaged in a Grade 1 Sprain. It has been slightly stretched, but is able to help keep the knee joint stable.
  • Grade 2 Sprains – A Grade 2 Sprain stretches the ligament to the point where it becomes loose. This is often referred to as a partial tear of the ligament.
  • Grade 3 Sprains – This type of sprain is most commonly referred to as a complete tear of the ligament. The ligament has been split into two pieces, and the knee joint is unstable.

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FIFA 11+ : Preventing osteoarthritis by preventing injuries in youth

FIFA 11+ Team

Photo from: http://f-marc.com/11plus/home/

FIFA 11+ : Preventing osteoarthritis by preventing injuries in youth

The FIFA Women’s World Cup™ is here in Canada and causing excitement across the country. Our youth will see the best female soccer players in the world take their places on the field to play the “beautiful” game. Soccer in Canada has one of the largest participation rates in youth. However, there is a downside – injury – especially of the knee and ankle. Knee and ankle injury rate in soccer are significant for both boys and girls, with girls up to 8 times more likely to have an injury. Injuries cause pain and disability and can lead to long-term consequences – osteoarthritis (OA). Sports injuries are one of the leading causes of developing osteoarthritis later in life which results in daily pain and suffering for millions of people across Canada. Many people with OA can remember the injury that started their knee or ankle problems. Continue reading

ROAR 2014: Joint Involvement – Hips-Knees-Hands-Feet

ROAR 2014: Joint Involvement – Hips-Knees-Hands-Feet

ROAR postcardJoin us at an interactive public forum hosted by the Arthritis Patient Advisory Board of the Arthritis Research Centre of Canada.

Patients, researchers and healthcare providers will be discussing the latest research on quality hip and knee replacement rehabilitation, bone changes in early rheumatoid arthritis and more.

What is ROAR?

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Do you have arthritis in your knee?

knee xrayOsteoarthritis is a form of arthritis that can affect any joint, but the hands and weight-bearing joints – including the spine, hips and knees – are most often affected. This type of arthritis is commonly known as wear and tear arthritis, a disease that involves the wear and tear of the natural cushioning lining the joints. A common form of osteoarthritis is knee arthritis. Do you know what the symptoms of knee arthritis are? Below are some warning signs of knee arthritis.

1. Gradual increase in knee pain

Arthritis pain in the knees does not occur overnight, but slowly and gradually. You experience pain in your knees when you climb stairs, stand, kneel, or even sit down. If your knee pain is preventing you from a good night’s sleep, be weary that it could be arthritis.

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Rocker-sole shoes an option for those with knee OA?

One shoeA recent research study report that, compared with standard walking shoes, rocker-sole shoes significantly reduced the load going through the knee (without a significant immediate impact on walking pain), which may help patients living with knee osteoarthritis (OA). The study collaborator include the Centre for Health, Exercise and Sports Medicine at the University of Melbourne, Elizabeth Madden, a senior lecturer in podiatry, and Dr. Crystal Kean from Exercise and Sports Science.

Shoes with rocker soles have bottoms that are shaped like a boat, with rounded edges at the front and back of your foot. The logic is that the rocker-bottoms are less stable, requiring you to constantly adjust to the instability and work on your balance; therefore, making your muscles work. According to Ryn rocker sole technology, the benefits of rocker-sole shoes are:

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