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The Top New York City Knee Osteoarthritis Treatment: Exercise

March 05, 2024

Knee pain…the chance that you experience or will experience knee pain or know someone who suffers with knee pain is above average. Knee pain caused by osteoarthritis is a familiar condition around the world. Rosenberg Wellness Center promotes exercise to our our New York City chiropractic knee pain patients. We are well aware that we sound like a broken record when it comes to exercise, but exercise is still ‘king’ when it comes to knee pain care! And other new knee pain studies tout a few new treatment methods to try, too.

OSTEOARTHRITIS

Osteoarthritis (OA) is a disease of degenerated cartilage or wear and tear harm to cartilage resulting in disability and other health problems impacting over 500 million adults globally. Hip OA and knee OA are two of the most common types with knee OA being the most common. The objective of treatment of OA is management and reduction of symptoms, not cure. Drug approaches consist of NSAIDs while non-drug approaches include exercise (walking), aerobic exercise, weight loss, diet, hot/cold therapy, electrotherapy to enhance muscle strength and lessen joint pain. Surgery (arthroscopy and joint replacement therapy) was described as a last treatment option. The authors of this report emphasized that precautions to keep joints healthy and disease-free were suitable and necessary. (1) Those are wished for goals.

DESIRED RESULTS OF TREATMENT FOR KNEE OA

How do you determine if an intervention is of value to your condition? Your desired outcome is the most important. For osteoarthritis, one of the main diseases that hinders us humans, walking for pleasure was documented by data collected for the Genome Wide Association Study (GWAS) to be statistically significant for managing knee osteoarthritis at the genetic level. (2) Today’s researchers are also establishing a definition of just what “minimal clinically important change” is, what the minimum improvement a patient like you would see as making the treatment worthwhile to have undergone. For patients with osteoarthritis who went through non-surgical treatments, the amount of knee flexion they could do after treatment was from 3.8 to 6.4 degrees. Other pertinent information researchers uncovered from the 72 studies they examined was that an increase in flexion was linked to decreased pain and increased function. (3) These are positive outcomes!

…AND WHAT ABOUT PLASMA-RICH PLATELET THERAPY?

In the non-surgical realm of treatment for knee osteoarthritis, platelet rich plasma (PRP)  injection has grown in availability alongside traditional exercise for knee OA pain. A randomized control trial contrasted three treatment combinations PRP injection alone (three weekly injections), exercise alone (6 weeks program/12 sessions of strengthening and functional exercise), and PRP with exercise. At 24 weeks post treatments, the PRP didn’t change pain in mild-to-mode knee OA patients weighed against exercise alone. Actually, the exercise alone group outcomes were clinically superior for function and health related quality of life. Even though the PRP increased cost to the combined treatment, it did not prove to be superior to exercise alone either. The researchers ended their paper with the statement that exercise alone was recommended to reduce pain and enhance function. (4) Certainly, more studies will continue to reveal the impact of such treatments as PRP.

CONTACT Rosenberg Wellness Center

Listen to this PODCAST on Osteoarthritis of the Knee with Dr. Luigi Albano on The Back Doctors Podcast with Dr. Michael Johnson as he shares the effective gentle, adapted protocols of The Cox® Technic System of Spinal Pain Management in treating the osteoarthritic knee! A helpful, relieving treatment approach to incorporate with exercise!

Make your New York City chiropractic appointment now. From what we read, it looks like exercise is still ‘king’ when managing osteoarthritis of the knee. We can help you find the right exercises and even incorporate some distraction to help your knee.

New York City knee osteoarthritis