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.
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!
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.
So… does the fact you’re a night owl affect your eating habits… next
Morning People May Eat Healthier Diets Than Night Owls
Nicholas Bakalar writing for the New York Times reported on a study published in the journal Obesity that found that “morning people may instinctively choose a healthier diet than night owls.” The study was conducted by Finnish researchers who “tracked the diets of 1,854 men and women ages 25 to 74” and used “a well-validated questionnaire” to classify the participants as “morning people” or “night owls.”
One simple task you can do to prevent rheumatoid arthritis
Brush And Floss To Prevent Rheumatoid Arthritis
Ruth Kava writing for the American council on Science and Health reported recent research published in Science Translational Medicine suggests how good dental care might well be an important factor in preventing the onset of RA.
The investigators, led by Dr. Maximilian Koenig from the Johns Hopkins University School of Medicine, explained that a bacterium associated with periodontal disease — Aggregatibacter actinomycetemcomitans (Aa) — could be the initiator of the autoimmune feature of RA. The investigators noted that Aa, of all the other identified microbes, was the only one known that could produce the spectrum of antigens found in the joints of individuals with RA.
To investigate this possibility, they collected fluid from the gum regions of people with periodontal disease and from those of controls and analyzed them for the presence of altered proteins which are known to be immune system targets. In sum, people with periodontitis are more likely to have the Aa bacterial toxin and thus more likely to produce targets for the immune system. This in turn, links periodontal disease and rheumatoid arthritis.
Comment: An interesting finding that confirms the research of others.