Source: Gulf Coast News Today
There was a time when, for those dealing with a sports injury or arthritic pain, their only option was an invasive surgical procedure with an often painful recovery. For many, surgery is still the only option, but for others, replacement therapies such as platelet-rich plasma (PRP) and bone marrow aspirate (BMA) are becoming increasingly common.
Across the United States, the number of neck and back pain sufferers is increasing, steadily pushing doctors to identify out-of-the-box solutions to treat spine conditions that don’t require surgery. In recent years, one of the most predominant breakthroughs within the orthopedic industry is a nonsurgical treatment called stem cell therapy.
Source: The Charlotte Observer
In Charlotte, a few orthopedic practitioners, who offered PRP even before that Steelers moment, have been low-key about it, careful not to over-promise on results. But in the past year and a half, PRP – and a newer injection therapy using stem cells – have taken on a higher profile in Charlotte.
Among patients with atraumatic rotator cuff tears, shoulder activity was not associated with severity of the tear, but was affected by patients’ age, sex and occupation, according to study results.
Researchers prospectively enrolled patients with an atraumatic rotator cuff tear on MRI in the Multicenter Orthopaedic Outcomes Network shoulder study of nonoperative treatment. Patients were asked to complete a previously validated shoulder activity scale; 434 patients completed the scale and were included in the analysis. Mean patient age was 62.7 years.
The researchers performed a regression analysis to assess the association of shoulder activity level to rotator cuff tear characteristics, including tendon involvement and traction, as well as patient factors such as age, sex, smoking and occupation.
Shoulder activity was not associated with severity of the rotator cuff tear, according to the researchers. However, shoulder activity was negatively associated with age and female sex. According to the regression model, 69-year-old patients with rotator cuff tears were 1.5 points less active on the 20-point scale vs. identical 56-year-old patients; female patients were 1.6 points less active vs. similar male patients. Occupation was also a significant predictor of shoulder activity level, with unemployed patients predicted to be 4.8 points less active compared with employed patients.
Although arthroscopic capsular release is a known treatment for shoulder stiffness, posterior extended capsular release might not be necessary in arthroscopic surgery, according to study results.
Researchers enrolled 75 patients who underwent arthroscopic capsular release for shoulder stiffness. The patients were randomly assigned to one of two groups: those in whom capsular release, including release of the rotator interval and anterior and inferior capsule, was performed (n = 37), and those in whom capsular release was extended to the posterior capsule (n = 38).
The researchers used American Shoulder and Elbow Surgeons scores, Simple Shoulder Test, VAS pain scores and range of motion (ROM) for evaluation before surgery, at 3, 6 and 12 months postoperatively, and at the last follow-up. Mean follow-up was 18.4 months.
ROM increased significantly among both groups at the last follow-up compared with preoperative scores (P < .05). However, there were no statistical differences between the two groups in American Shoulder and Elbow Surgeons scores, Simple Shoulder Test and VAS pain scores at the last follow-up (P > .05), according to the researchers.
Anatomic features associated with the severity of atraumatic rotator cuff tears are not associated with pain level, according to a study published in the May 21 issue of The Journal of Bone & Joint Surgery.
The impact of being overweight has far reaching health implications — implications that may be taking a toll at an earlier age.
In a new study, researchers found that packing on the pounds may be setting the stage for total knee or hip replacement at increasingly younger ages.
Further, the scientists found that being overweight or obese had a greater impact on the knee than the hip.