Prolotherapy May Help with Knee Osteoarthritis Pain
A controversial approach to knee arthritis next
Prolotherapy May Help Ease Pain From Knee Osteoarthritis, Review Suggests
Lisa Rapaport writing fro Reuters reported that a review suggests prolotherapy, “an alternative medicine approach to joint pain that typically uses injections of sugar or sodium, may be worth trying for knee osteoarthritis after traditional approaches fail.” Investigators looked at data from 10 studies. The data suggested that “prolotherapy may be a safe way to help ease pain from knee osteoarthritis.” However, “the evidence on the effectiveness of prolotherapy isn’t strong enough to recommend it until after other treatments fail, said senior study author Dr. Nicola Maffulli.” The findings were published in the British Medical Bulletin.
Comment: Prolotherapy may work but the jury is still out.
A commonly used drug for sciatica… does it really work? Next
Pregabalin May Be No Better Than Placebo For Relieving The Leg Pain Associated With Sciatica, Study Suggests
Jia Naqvi writing in the Washington Post reported that research suggests pregabalin, which is “frequently prescribed for pain, is no more effective than a placebo at controlling sciatica.” The researchers at the George Institute for Global Health in Australia followed 209 sciatica patients in Sydney who were randomly assigned to receive either the drug pregabalin, more commonly known as Lyrica, or a placebo. The results showed no significant differences in leg pain intensity between the group on the placebo and that on Lyrica after eight weeks taking the drug or during the rest of the year on follow-up exams. Similarly, there were no differences for other outcomes such as back pain, quality of life and degree of disability.The findings were published in the New England Journal of Medicine.
Comment: Surprising results
Another danger of global warning… next
Global Warming May Result In 100,000 More Diabetes Cases In The Us Yearly, Analysis Suggests
Aren Kaplan writing in the Los Angeles Times reported that global warming causing a 1°C rise in environmental temperature could result in 100,000 additional cases of diabetes in American adults. Relying on recent studies linking insulin sensitivity to temperature, Dutch scientists and the Centers for Disease Control and Prevention gathered “data on the prevalence of diabetes in all 50 states” and their average temperatures “for each year between 1996 and 2013.” They “found that the higher the average temperature in a particular time and place, the higher the age-adjusted incidence of diabetes.”
Comment: Surprising and disturbing.
Here’s some promising bizarre news for back pain sufferers…
Spinal Underwear May Relieve Lower Back Pain
Dr. Para Pullen reported in the Rheumatologist that Yoshihiro Hagiwara, MD, PhD, assistant professor in the Department of Upper Limb Organ at Tohoku University School of Medicine in Japan, and colleagues published a study in the Journal of Occupational Health.¹ Although the study included healthcare workers, medical assistants and physical therapists, the majority (81%) of the participants were nurses, all of whom had low back pain. The experimental group wore special underwear at all times except while bathing and sleeping. Unfortunately, the investigators did not have actual sham underwear, so they could not create a double-blind experiment.
The individuals in the experimental group wore the Spinal Underwear for three months, and the control group remained on the waiting list for three months. The same blinded examiner evaluated both groups at the beginning and end of treatment. The investigators found the Spinal Underwear was able to reduce low back pain in healthcare workers, as measured by VAS. It also reduced Somatosensory Amplification Scale (SSAS) scores, as well as increasing lumbar spine range of motion and reducing neck pain.
Comment: They ought to combine these with Depends. Now that would be a product!
A heart medicine for pain? Next
Beta blocker use associated with less joint pain and opioid use in osteoarthritis
Ajai Raj writing in Pain Medicine News reported on a study published in Arthritis Care and Research. A University of Nottingham trial looked at 873 patients with osteoarthritis of the hip or knee. From their prospective observational study they concluded that beta blockers, drugs used commonly for patients with cardiac disease and hypertension helped reduce arthritis related pain. In addition the use of opioids was also reduced. They proposed a randomized trial would better assess these findings.