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Research Articles
Cadaver Cartilage Grafts Prove Promising for Large Cartilage Tears of the KneeA recent review of the most up-to-date research found that large cartilage tears at the knee joint are best repaired with ...more
Physicians are changing how they manage meniscal tears, according to a recent study that reviewed treatment methods over a seven year period. Often when new evidence shows a better way to treat a pro ...more
Researchers at the University of Michigan (Ann Arbor) have performed a systematic review and meta-analysis on ways to prevent anterior cruciate ligament (ACL) injuries. This is important because so ma ...more
As more and more aging Baby Boomers start to develop knee osteoarthritis, researchers are focusing on the whys and wherefores of this condition. Studies have already shown that removing a torn meniscu ...more
Many studies show the benefit of exercise for people with knee osteoarthritis. But pounding the pavement (walking) can increase pain. Aquatic therapy in a pool of warm, supportive water is one way to ...more
It is a well-known fact that women athletes are at greater risk for knee injuries compared with men. In particular, anterior cruciate ligament (ACL) injuries seem to plague female athletes much more o ...more
For many years, surgeons have worked to improve and perfect reconstructive surgery for anterior cruciate ligament (ACL) ruptures. Athletes eager to get back to full sports participation were grateful ...more
Strength training and aerobic exercise reduce pain and improve function when knee osteoarthritis (OA) causes pain.There are very few reasons why patients with knee OA should not exercise.Exercise ther ...more
There is no cure for chronic pain caused by knee osteoarthritis. But there are ways to help reduce the pain and improve function. Physical Therapy modalities such as diathermy, interferential current, ...more
Regenerative medicine is a relatively new term you may start hearing more about. It refers to finding ways to help the body heal itself at the cellular level. For example, tissue from an uninjured par ...more
Fewer days in the hospital after a total knee replacement usually means lower costs. But how do you accomplish that? One way is to begin Physical Therapy within the first 24 hours after surgery. And m ...more
Some people in the medical field say there are no such things as "accidents." There are always reasons why people get sick or are injured. And this idea may be very true when it comes to ruptures of t ...more
You may be surprised to find out that the number of knee replacements in adults ages 45 to 65 tripled in the last 10 years. What could account for this increase? Researchers at Brigham and Women's Hos ...more
Anyone facing the prospect of anterior cruciate ligament (ACL) reconstructive surgery will be faced with one major decision. And that is: what type of graft should be used? In some cases, surgeons may ...more
After surgery to repair or reconstruct a torn or ruptured anterior cruciate ligament (ACL), patient and Physical Therapist diligently work to restore normal knee range-of-motion. Why is this so import ...more
Physicians use knowledge of risk factors to assess which patients might respond best to each treatment approach available for many problems. In this study, German surgeons take a closer look at factor ...more
If athletes decide to have reconstructive knee surgery for a deficient anterior cruciate ligament (ACL), then is return-to-sport a measure of success for that surgery? Short-term (12 month) studies sh ...more
Pain along the outside (lateral) knee is sure to get anyone's attention but especially the active athlete preparing for competition. There are a half dozen problems that can cause this type of symptom ...more
Orthopedic surgeon Robert A. Arciero from the University of Connecticut Health Center says that repairing damaged ligaments in the knee is "doomed to fail" if injury to the posterolateral corner remai ...more
Knee replacements have been around long enough now that their track record is clear. Ninety per cent of these implants last 15 to 20 years without problems. Patients experience a pain free return to n ...more
Surgeons are always looking for ways to improve surgical technique in hopes of better outcomes for their patients. In the case of anterior cruciate ligament (ACL) reconstruction, there's been a slight ...more
Complete knee dislocations don't just occur in athletes or as a result of a traumatic injury. For some people, knee dislocation occurs during daily activities. Knee dislocations have been reported whe ...more
Many people in need of a knee replacement hold off much longer than they should. The reason? They've heard horror stories about how painful the knee will be after surgery. They are told that it's a di ...more
Athletes who continue to suffer pain and loss of knee function from patellar tendinopathy can benefit from surgery. Significant pain relief and return to full sports participation is possible. These a ...more
Athletes who want to get back into action after an anterior cruciate ligament (ACL) tear are often advised to have surgery as soon as possible. But is this advice really warranted? Do players with def ...more
Many people with knee injuries want to wait before having surgery to repair a torn anterior cruciate ligament (ACL). And there is evidence to support this decision for some patients. But in many cases ...more
It's not surprising that a high-energy, traumatic injury to the knee can cause considerable damage. Ligaments like the anterior cruciate ligament (ACL) tend to go first. With greater intensity of forc ...more
Total knee replacements have been proven to last at least 15 years. But survival of the implant and knee function are too different things. And many total knee patients report persistent knee pain and ...more
Many different techniques have been developed to repair holes in the chondral (cartilage) surface of the knee joint. Studies have been limited to the results of these treatment approaches in adults. I ...more
In this study, orthopedic surgeons from the Shelbourne Knee Center in Indianapolis, Indiana take a look at the results of treatment for a different type of knee meniscus tear. Their focus is on the po ...more
Athletes aren't the only ones to develop knee pain from a condition called patellofemoral pain syndrome (PFPS). Many people of all ages in the general public develop this problem, too. You may be one ...more
Anyone working with athletes suffering from patellofemoral pain syndrome (PFPS) will be interested in the results of this study. Strengthening the hip muscles first before working on the quadriceps (t ...more
Use of Computers to Navigate Knee Replacement Surgery
So many people are getting knee replacements, it seems like a routine procedure any more. But there's really nothing routine about getting the im ...more
Many studies in adults have proven now the importance of the meniscus (cartilage) in the knee. It used to be common to have a torn meniscus just removed surgically. But years of investigation have sho ...more
Off-Road Motorcyclists Should Wear Knee Braces Just in Case
The just-in-case factor is one practice in sports that is hotly debated. Should I wear a knee brace "just-in-case" I might injure my knee? ...more
Applying an electrical current to the quadriceps muscle may be helpful after anterior cruciate ligament (ACL) reconstructive surgery. Rehab results can be speeded up by using an electrical impulse to ...more
You might not realize it, but the knee actually has corners. It may look like your leg is round on the outside but inside are complex bony and soft tissue structures in a location referred to as a cor ...more
Sixteen studies were deemed acceptable in quality and design to be included in a systematic review of osteochondritis dissecans (OCD) of the knee. The review was conducted by a panel of pediatric orth ...more
If you've watched any amount of sports, you may have wondered what those black or white straps around the athletes' knees are for. Those are a form of patellar orthotics (bracing) called infrapatellar ...more
Bursitis may be a word you only heard spoken by the elderly but, in fact, this condition can affect people of all ages. Older adults are the most likely to develop pain, swelling, and tenderness aroun ...more
Surgeons looking for ways to prevent infections in patients receiving a knee joint replacement will find this article of interest. Presented as an instructional course, the authors provide information ...more
How To Have a Speedy But Safe Recovery After ACL Surgery
Who would have thought that hopping on one leg could be so helpful? During our younger years, playing hopscotch was just fun. But thanks to th ...more
Knee arthritis affecting only one side of the joint is a common problem. It occurs as a result of uneven load and weight-bearing on the joint. This type of unicompartmental arthritis is the result of ...more
Focus On and Review of the Knee Medial Collateral Ligament
Every health care provider must review, study, and keep up with problems presented by patients in their practice. Orthopedic surgeons are no ...more
Surgeons treating patients with anterior cruciate ligament (ACL) tears are always advised to look for damage to other knee structures during the arthroscopic exam. Now there is one more thing to look ...more
Evidence-Based Treatment For First-Time Patellar Dislocations
The current trend in medicine is to study each medical condition looking for evidence to support specific treatments as being the best wa ...more
No Evidence That Modalities Alone Help With Patellofemoral Pain Syndrome
Patellofemoral pain syndrome (PFPS) affects one of every four young athletes. Pain along the front of the knee with activities ...more
Severe damage to the anterior cruciate ligament (ACL) of the knee often requires reconstructive surgery. The surgeon uses graft tissue taken from a donor bank (called an allograft) or harvested from t ...more
In the orthopedic world, Dr. Frank Noyes is an important name. He has been a front runner in developing new surgical techniques for a variety of orthopedic injuries. In this article, long-term results ...more
The timeline currently used for athletes after anterior cruciate ligament (ACL) surgery goes something like this. Rehab and recovery after surgery takes a good four to six months for everyone. Sports ...more
Knee replacements are great to have around but they don't last forever. Younger, active adults who experience degenerative arthritis of the knee may be too young for a knee replacement. It's likely th ...more
People who suffer one patellar (kneecap) dislocation after another search for ways to prevent this from happening. The obvious first question is: what is causing this to happen? Most often the patella ...more
Sometimes surgery to reconstruct a ruptured anterior cruciate ligament (ACL) in the knee doesn't give the expected results. Either the patient continues to have a painful, unstable knee that gives out ...more
There are many different ways to approach the problem of an anterior cruciate ligament (ACL) injury of the knee. A partial tear may respond well to conservative (nonoperative) care. But if rehab doesn ...more
Young athletes (children and teens) who have stabilization surgery for repeated dislocations of the patella (knee cap) have a 93 per cent success rate following the procedure. "Success" means their pa ...more
For the patient who has a total knee replacement, knee stiffness can be very disappointing and limiting. Imagine not being able to go up stairs foot after foot (that requires 83 degrees of knee flexio ...more
By far more patients have a total knee replacement (TKR) over a unicompartmental knee arthroplasty (UKA). The risk of having additional surgery after a unicompartmental implant may be the driving fact ...more
Adults who have a total knee replacement often ask their surgeons, "How soon before I can drive?" Even more than the patient who has a total knee replacement, concerned family members want to know, "I ...more
Knee injuries resulting in anterior cruciate ligament (ACL) tears are fairly common -- especially in athletes and sports participants. With full tears, ACL reconstruction is usually required. Most ath ...more
The patella (more commonly known as the "kneecap") moves up and down in front of the knee joint along a built-in track called the patellofemoral groove. It is held in place by several ligaments on eit ...more
Injuries to the anterior cruciate ligament (ACL) of the knee are all too common in athletes. But they can also occur in older, active adults. What type of tissue graft works best? Should it be an auto ...more
The number of surgeries to replace part or all of the knee joint has tripled in the last 10 years. Along with that increase has come many changes in the way reconstructive knee surgeries are done. In ...more
How Does Autologous Chondrocyte Implantation Stack Up Against Other Treatment These Days?
Treatment of holes in the articular cartilage of the knee has taken a decided turn in the last 15 years. Surg ...more
There's a lot of confusion right now about the best treatment for tears of the knee meniscus. For sure, we know that removing this C-shaped cartilage in the knee is a bad idea. That just leads to dege ...more
Predicting Who Will Respond Positively to McConnell Taping for Knee Pain
Knee pain from patellofemoral pain syndrome (PFPS) can be helped with a simple taping treatment. But not everyone gets pain re ...more
Are you thinking about having a knee replacement? Wondering whether to stick with the standard surgical procedure or go for the minimally invasive technique? The results of this study concur with othe ...more
In this review article, orthopedic surgeons from around the country bring us up to date on the latest research and evidence on the management of knee osteoarthritis in young, active adults. This patie ...more
There are many ways to measure the results of surgery for a torn anterior cruciate ligament (ACL). Pain, stability of the knee, and range-of-motion are commonly used. In this study, quality of life (Q ...more
If you enjoy participating in sports but need surgery to repair or remove a damaged meniscus, this report may interest you. Experts in the surgical treatment of meniscal tears compared the effect of a ...more
Studies show that a torn anterior cruciate ligament (ACL) that isn't repaired can leave the knee unstable and at risk for gradual degeneration of the joint. Surgery to reconstruct the ligament and rep ...more
Injuries, defects, lesions, or tears of any kind in the joint cartilage can end a sports athlete's career. Today, there are improved ways to treat cartilage injuries, especially in the knee. One of th ...more
People with knee osteoarthritis are encouraged to maintain an active lifestyle and to exercise those arthritic knees. But that seems counter intuitive -- if your knees hurt, why would you move and exe ...more
Even though half a million knee replacements are done each year in the United States, there are other treatment options for some patients. If one side of the joint has worn down from problems with ali ...more
It's clear now that damage to the meniscus (cartilage) of the knee should be repaired whenever possible. But there's another type of cartilage in the knee called the articular cartilage. This is the c ...more
Knee injuries can really lay an athlete low. Those injuries affect the medial side of the knee most often (the side closest to the other knee). The soft tissues involved are first the superficial medi ...more
A knee replacement has become so common any more we tend to forget that it is still major surgery and a fairly complex one at that. With so many aging adults in America, the number of total knee repla ...more
Attention Peak Physical Therapy clients who have had or are considering having 'autologous chondrocyte implantation' for their knee (the worn cartilage replaced by their own healthier cartilage.) This ...more
Has your Doctor or Physical Therapist at Peak Physical Therapy diagnosed your knee with a meniscal tear? This article provides an up-to-date review of the types of treatment being used for your injury ...more
Is your 'quad" injured? Peak Physical Therapy clients suffering from quadriceps injury may find this article of interest, which explains the conservative and surgical treament options for quadriceps i ...more
Have you sustained a traumatic knee dislocation? This is likely the first systematic review of case studies of treatment of knee dislocation and compares timing of surgery and outcomes in terms of sta ...more
Research has shown that corticosteroids injected into the joint work for reducing knee pain caused by osteoarthritis. But how long does the effect last? Osteoarthritis is a chronic problem, so long-te ...more
Six risk factors for patellofemoral pain syndrome (PFPS) in young athletes have been identified in this study. Some of them are modifiable, which means they can be changed. And that means this painf ...more
The verdict is in on the subject of meniscectomy (removal of the meniscus) -- don't do it unless it's absolutely necessary. And sometimes there is no way around it. But whenever possible, surgeons rep ...more
Injuries of the anterior cruciate ligament (ACL) of the knee are common among adults of all ages. Athletes seem to be the primary patient population but they are not alone. Adults of all ages but espe ...more
Knee replacements are common among older adults with painful joint arthritis. It has been assumed that the decrease in pain after recovery from joint replacement surgery translates into improved mot ...more
In this article, the American Academy of Orthopedic Surgeons (AAOS) presents a Clinical Practice Guideline for the nonoperative treatment of knee osteoarthritis. Guidelines like this help all health c ...more
Japanese researchers may have an answer to the problem of osteochondritis dissecans (OCD). This painful knee condition affects teens and young adults who are usually still growing. That means the grow ...more
It's clear now that unrepaired anterior cruciate ligament (ACL) injuries are often accompanied by damage to other soft tissue structures of the knee. Patients are advised to have surgery sooner than l ...more
Parents of teens with osteochondritis dissecans (OCD) and any adult who ever had OCD as a teenager will find this review of interest. Diagnosis, prognosis, and treatment of OCD are the key features. A ...more
If you have painful knee arthritis, exercising the knee may be the last thing on your To Do list. But studies like this one show that knee flexion and extension exercises do help. They improve strengt ...more
In some countries with universal or nationalized health care, a joint replacement is considered an elective procedure. That means the person chooses to have the operation but it's not an emergency pro ...more
Long-term results after anterior cruciate ligament (ACL) surgery aren't always perfect. But for the majority of patients, the outcome is favorable and patients are happy with the results. In this stud ...more
Have you ever heard someone say they tweaked their knee? Has that ever happened to you? You take a step wrong or move in just a way that causes a sudden, sharp pain along the inside (medial side) of t ...more
Little by little, total knee implants have been improved over the years. But it hasn't happened by magic. Makers of the implants sponsor studies like this one to evaluate what works, what doesn't, and ...more
Highly active people who injure their anterior cruciate ligament (ACL) in the knee are often faced with an important treatment decision: surgery or no surgery? Wouldn't it be great if there was a test ...more
Over the years, surgical technique for the repair of a ruptured or deficient anterior cruciate ligament (ACL) has evolved and changed. Most recently, in the 1990s, surgeons went from using a two-incis ...more
Cartilage injuries in the knee can be a big problem. Healing is very slow, if it happens at all. That's because the cartilage in the knee doesn't have much of a blood supply. Getting athletes with a f ...more
Physical Therapists provide rehab and retraining for patients after severe leg injuries. Regaining normal motion and motor control, improving strength, and restoring kinesthetic awareness (sense of po ...more
Degenerative joint disease (also known as osteoarthritis or OA) is a common problem in the aging adult. Two out of 10 people over the age of 60 develop OA. Knee arthritis is especially common. Pain an ...more
Physical Therapists faced with patients who have knee pain must make sure the problem is really coming from the knee. This is true for all musculoskeletal problems, whether it's back, neck, shoulder, ...more
Tearing or rupturing the anterior cruciate ligament (ACL) is a common knee injury, especially in people who participate in certain sports. And, as more people become active, surgeons are performing mo ...more
Is there a reason why patients stop kneeling after a partial knee replacement (PKR)? If there is, doctors and Physical Therapists haven't been able to find it. And without the ability to kneel, daily ...more
The treatment of meniscus injuries has progressed and changed over the years. Meniscectomy (removing the meniscus) was the first procedure used. But long-term studies showed degeneration of the joint ...more
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