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Recent News and Articles on the Keywords: kneecap pain + relieve pain + pain  Related to the article below (Last Update: 5/5/2008)

Tribune Media Services
Chicago Tribune, United States - Apr 7, 2008
Kneecap pain usually results from the patella not aligning properly in that groove, causing stress between the patella and the femur. ...
A Pain in the Back is Heavy on the Wallet
Nurse.com, VA - Apr 21, 2008
The key elements in making an accurate diagnosis of back pain include patient history, symptoms, physical assessment, and additional imaging studies, ...
Computer-assisted total knee replacement to be shown live
News-Medical.net, Australia - Apr 21, 2008
Knee replacement surgery is for patients who have extreme knee pain and disabilities caused by congenital defects, trauma, osteoarthritis or rheumatoid ...
Source: Google News

The Etiology of Patellofemoral Pain in Young, Active Patients: A Prospective Study. -
JP Fulkerson - Clinical Orthopaedics and Related Research, 1983 - corronline.com
... and lateral tilting of the patella may further ... release in patients with patellofemoral
pain can probably be ... whether lateral release will relieve pain in the ...

Diagnosis and Treatment of Patients with Patellofemoral Pain -
JP Fulkerson - American Journal of Sports Medicine, 2002 - ajsm.highwire.org
... associated with rotational (tilt) malalignment of the patella. ... nonoperative treatment
fails to relieve patellofemoral pain, pain relief may be ...

[CITATION] Proximal" Tube" Realignment of the Patella for Chondromalacia Patellae.
J INSALL, PG BULLOUGH, AH BURSTEIN - Clinical Orthopaedics and Related Research, 1979
... syndrome is characterized by aching pain situated behind the knee cap, which is ... Devas"
reported pain relief after distal realign- ment of the patella in a ...

Efficacy and tolerability of lornoxicam versus tramadol in postoperative pain -
H Staunstrup - The Journal of Clinical Pharmacology, 1999 - jcp.sagepub.com
... using the patella bone-tendon-bone technique. Patients receiving a single dose of
lornoxicam 16 mg experi- enced significantly greater total pain relief than ...

Patellofemoral Pain Disorders: Evaluation and Management -
JP Fulkerson - Journal of the American Academy of Orthopaedic Surgeons, 1994 - Am Acad Ortho Surgeons
... Lateral release will relieve tilt and associated pain in the ... the tibial tubercle,
is necessary to control lateral tracking (sub- luxation) of the patella. ...

Effects of patella taping on patella position and perceived pain. -
K BOCKRATH, C WOODEN, T WORRELL, CD INGERSOLL, J … - Medicine & Science in Sports & Exercise, 1993 - acsm-msse.org
... 4) What is the mechanism of pain relief with McConnell taping? CONCLUSION Patella
taping as used in this study reduced perceived pain in AKPS patients ...

Medial subluxation of the patella as a complication of lateral retinacular release -
JC Hughston, M Deese - The American Journal of Sports Medicine, 1988 - ajs.sagepub.com
... the patella. Willnerl8 and Merchant and Mercer&dquo; modified ... Page 3. 384 Failure
of the operation to relieve pain is not a new finding. ...

Patients with lateral tracking patella have better pain relief following CT-guided tuberosity … -
MJF Diks, AB Wymenga, PG Anderson - Knee Surgery, Sports Traumatology, Arthroscopy, 2003 - Springer
... have better pain relief following CT-guided ... with luxation or subluxation of the patella
with anatomical ... These patients report instability, kneecap slipping, or ...

Patellofemoral Pain Syndrome: A Critical Review of the Clinical Trials on Nonoperative Therapy -
B Arroll, E Ellis-Pegler, A Edwards, G Sutcliffe - The American Journal of Sports Medicine, 1997 - ajs.sagepub.com
... apies were being used for treating patellofemoral pain syndrome. ... exercises guided
by electrical stimulation, 4) patella grind- ing (ie, rhythmical rotation and ...

Sources of anterior knee pain -
RM Biedert, V Sanchis-Alfonso - Clinics in Sports Medicine, 2002 - Elsevier
... or patella osteotomies can decrease the subchondral pressure and improve the articular
contact area in the PFJ [39 and 40]. Either technique can relieve pain. ...

Source: Google Scholar

Surgery doesn't relieve knee-cap pain

Last Updated: 2007-12-20 13:29:16 -0400 (Reuters Health)

By Amy Norton

NEW YORK (Reuters Health) - People who suffer chronic knee pain known as patellofemoral pain syndrome are unlikely to get any more benefits from surgery than from home-based exercises, a new study suggests.

Patellofemoral pain syndrome, involves chronic pain in or around the knee cap, also called the patella. When conservative treatments like rest, ice and exercise therapy fail, doctors may try arthroscopy.

Arthroscopy is a minimally invasive procedure that allows surgeons to examine the interior of the joint through a thin scope inserted through a small incision. If there is damage in the knee -- such as inflamed tissue or torn cartilage -- the surgeon attempts to repair it.

However, in the new study, Finnish researchers found no evidence that arthroscopic surgery benefited patients with patellofemoral pain syndrome any more than exercise alone.

The 56 patients were randomly assigned to either undergo surgery or to perform therapeutic exercises at home.

A physical therapist taught the exercise patients a series of lower-body strengthening and stretching exercises that they then performed at home every day, for about 30 minutes per day. Arthroscopy patients performed the same exercises for post-surgery rehabilitation.

Nine months later, both groups showed "marked improvement" in knee pain and mobility, but there was no significant difference between the groups, the researchers report in the online journal BMC Medicine.

The one difference was in healthcare costs and time off work, according to lead investigator Dr. Jyrki A. Kettunen of the ORTON Research Institute in Helsinki. Surgery patients took an average of nine days of sick leave, versus about one day in the exercise group.

The results suggest that, at least for adults like those in the study, surgery is unlikely to bring benefits beyond those of exercise, Kettunen told Reuters Health. All of the patients were non-athletes and younger than 40.

It's not known if the results might be different for older people or athletes, the researchers note.

It's not clear what should be done if the knee pain fails to improve with exercise therapy. According to Kettunen, other treatments, such as knee braces and anti-inflammatory medication, have been tried, but there is a lack of evidence on their effectiveness.

One thing all people with patellofemoral pain syndrome can do is try to modify any activity that tends to worsen their pain, the researcher noted.

SOURCE: BMC Medicine, online December 12, 2007.

Copyright © 2007 Reuters Limited. All rights reserved. Republication or redistribution of Reuters content, including by framing or similar means, is expressly prohibited without the prior written consent of Reuters. Reuters shall not be liable for any errors or delays in the content, or for any actions taken in reliance thereon. Reuters and the Reuters sphere logo are registered trademarks and trademarks of the Reuters group of companies around the world.

 
 
 
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