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Physical therapy may not improve hip arthritis, studies find

Stephen Ryneberg
Health Day Reporter

Wednesday, May 21, 2014 (HealthDay News)- arthritis Doesn’t help relieve lower back pain pain Or, a new study by Australian researchers suggests that it improves function over fake treatment.

Kim Benel, lead author, a research physiotherapist at the University of Melbourne, said:

However, other experts say that physiotherapy is for some patients, especially Overweight And inactive.

Kind of arthritis What the researchers saw Osteoarthritis.. According to the Arthritis Foundation, this is the most common form of arthritis, affecting 27 million people in the United States. Osteoarthritis It occurs when the cartilage between the bones wears down and the bones rub against each other.

Treatment guidelines recommend physiotherapy. However, the authors of the study pointed out that the cost of physiotherapy can be significant. They also pointed out that previous studies did not conclusively show that physiotherapy was effective for arthritis, according to the background information of the study.

For physiotherapy sessions for hip arthritis, motion, Manual therapy-joint manipulation, etc. Massage And Ultrasound Therapy-education, home exercise instruction, and, if needed, walkStudies show that canes and the like.

This study, funded by the Australian National Council for Health Medicine Research, was published in the May 21 issue. Journal of American Medical Association..

For this study, Benel’s team randomly assigned 102 hip patients. Osteoarthritis Physical therapy and up to 10 sessions at home motion And walk, Or fake treatment.Includes fake treatment Ultrasound Instructions for treatment with an inert device and home use of gels without active ingredients.

Twenty-four weeks after treatment, people in the physiotherapy group continued to go home motion, While the fake group continues to apply the gel three times a week.

After 13 and 36 weeks of treatment, the researchers found a statistically significant improvement pain Physical function of both groups. According to the report, those who actually received physiotherapy did not perform as well as those who received quackery.

In addition, patients in the physiotherapy group reported significantly more adverse side effects, even though they were relatively mild, the study authors said.

“This is not what we expected, as we predicted that the” real “physiotherapy group would show greater improvement. pain Physical function more than a fake group. “

This suggests that people can benefit pain According to Benell, all you have to do is meet a physiotherapist.

The findings cast doubt on the value of certain components of physiotherapy, including: motion She said manual therapy.

Integrated Director, Dr. Houman Danesh Pain management Anesthesiology assistant professor at Mount Sinai Hospital in New York City said physiotherapy can help, but it depends on the cause of the pain.

“It depends on whether the patient has problems walking, is wearing the wrong type of shoes, or has muscle imbalances,” he said. “If you have Hip pain Since the knees are not rattling, treating the lower back does not help. “

treatment of Hip pain Includes injections of your own platelets to help tissue regeneration, as well as steroid injections. If the joints get worse and the pain is severe, Hip arthroplasty According to Danesh, this is an option.

Using a cane and wearing cushioned shoes may also help Hip pain, He added.

Dr. Natalie Hazard, Associate Professor of Medicine and School of Medicine Rheumatoid arthritis “We have found that the benefits of physiotherapy vary greatly from patient to patient and from illness,” said the NYU Langone Medical Center in New York City.

Hazard said physiotherapy usually does not help with hip arthritis. She said injections of steroids and painkillers were more effective.



Question

the term arthritis Refers to the stiffness of joints.
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She added that physiotherapy tends to help people who are not physically active or who have balance or other gait problems.

For some people, physiotherapy may not be recommended at all. Specifically, physiotherapy can exacerbate a person with a torn hip cartilage (called a hip lip laceration), Hazard said.

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References

Source: Kim Bennell, Ph.D. , A research physiotherapist at the University of Melbourne, Australia. Natalie Azar, MD, Associate Professor of Medicine, Department of Medicine and Rheumatology, New York University Langone Medical Center, New York City. Houman Danesh, MD, Director, Integrated Pain Management, Associate Professor, Anesthesiology, Mount Sinai Hospital, New York City. May 21, 2014, Journal of American Medical Association



Physical therapy may not improve hip arthritis, studies find

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