May 5, 2013 by Robert Wascher
Filed under A Cancer Prevention Guide for the Human Race, Arthritis, Arthroscopic Surgery, Knee Joint, Meniscal Tears, Meniscus, Osteoarthritis, Physical Therapy, Weekly Health Update, aging, health, physical activity
A new study finds that physical therapy may be just as effective as surgery for common knee ailments.
PHYSICAL THERAPY IS AS GOOD AS SURGERY FOR COMMON KNEE PROBLEMS
The knee joint is, perhaps, the most susceptible joint to injury in the human body. This joint is composed of an intricate combination of ligaments, cartilage and bone, and injury to any of these structures can cause pain and decreased mobility within the knee joint. Our knee joints also must bear almost the entire weight of our bodies, and so degenerative changes within this joint are very common as well. Osteoarthritis, meniscal tears, and ligamentous tears are common causes of knee pain and decreased joint mobility, and arthroscopic surgery is very commonly recommended for these knee joint ailments.
The meniscus is a cartilaginous structure within the knee joint that serves to cushion the knee joint, and to distribute the body’s weight evenly within the joint. When the cartilage that makes up the meniscus becomes worn or torn, knee pain, joint swelling, and “clicking” or “locking” of the knee joint can occur, and arthroscopic surgery is frequently performed in such cases.
A newly published prospective randomized clinical research study compares patient outcomes following arthroscopic surgery versus physical therapy, and the results of this study are likely to be surprising to many orthopedic surgeons. This clinical study appears in the current issue of the New England Journal of Medicine.
In this prospectively conducted study, 351 volunteers with meniscal tears and osteoarthritis of the knee joint were randomized to one of two groups. The first group underwent arthroscopic surgery, followed by standard postoperative physical therapy. The second group of study volunteers underwent physical therapy alone. All patients were evaluated at 6 and 12 months after they entered into this clinical study.
At both 6 months and 12 months after entry into this clinical study, there was no significant difference in knee joint symptoms between the two study groups. The findings of this important clinical study suggest that most patients with mensical tears and osteoarthritis of the knee joint tend to do as well with physical therapy alone when compared to patients who undergo arthroscopic surgery followed by physical therapy. There is one caveat to the findings of this study, however, and that is the fact that 30 percent of the patient who were randomized to receive only physical therapy in this clinical study ultimately went on to undergo arthroscopic surgery, which suggests that not all patients with meniscal tears and osteoarthritis of the knee joint will be able to avoid surgery. However, the great majority of patients in this clinical study fared equally well with surgery and postoperative physical therapy or with physical therapy alone.
Based upon the findings of this clinical research study, it would seem reasonable for most patients with meniscal injuries and osteoarthritis of the knee joint to first try a trial of physical therapy prior to considering arthroscopic surgery,
As I discuss in my bestselling book, A Cancer Prevention Guide for the Human Race, living an evidence-based cancer prevention lifestyle not only reduces your risk of dying from cancer, but also reduces your risk of dying from cardiovascular disease at the same time.
For a groundbreaking overview of cancer risks, and evidence-based strategies to reduce your risk of developing cancer, order your copy of my bestselling book, “A Cancer Prevention Guide for the Human Race,” from Amazon, Barnes & Noble, Books-A-Million, Vroman’s Bookstore, and other fine bookstores!
Within one week of publication, A Cancer Prevention Guide for the Human Race was ranked #6 among all cancer-related books on the Amazon.com “Top 100 Bestseller’s List” for Kindle e-books. Within three months of publication, A Cancer Prevention Guide for the Human Race was the #1 book on the Amazon.com “Top 100 New Book Releases in Cancer” list.
Additional Links for Robert A. Wascher, MD, FACS
Links to Other Breaking Health News
Dr. Wascher’s latest video:
At this time, more than 8 percent of Americans are unemployed. According to the Bureau of Labor Statistics, however, the unemployment rate for veterans who served on active duty between September 2001 and December 2011 is more than 12 percent. A new website, Veterans in Healthcare, seeks to connect veterans with potential employers. If you are a veteran who works in the healthcare field, or if you are an employer who is looking for physicians, advanced practice professionals, nurses, corpsmen/medics, or other healthcare professionals, then please take a look at Veterans in Healthcare. As a retired veteran of the U.S. Army, I would also like to personally urge you to hire a veteran whenever possible.
Disclaimer: As always, my advice to readers is to seek the advice of your physician before making any significant changes in medications, diet, or level of physical activity
Dr. Wascher is an oncologic surgeon, professor of surgery, cancer researcher, oncology consultant, and a widely published author
I and the staff of Weekly Health Update would again like to take this opportunity to thank the more than 100,000 health-conscious people from around the world who visit this premier global health information website every month. Over the past 12 months, more than 3 million pages of high-quality medical research findings were served to the worldwide audience of health-conscious readers. As always, we enjoy receiving your stimulating feedback and questions, and I will continue to try and personally answer as many of your inquiries as I possibly can.