Background and Purpose: Electrotherapeutic Point Stimulation (ETPS) is a novel modality for chronic pain relief. The purpose of this case series is to report ETPS outcomes in physical therapy. Methods: This case series includes 7 patients... more
Background and Purpose: Electrotherapeutic Point Stimulation (ETPS) is a novel modality for chronic pain relief. The purpose of this case series is to report ETPS outcomes in physical therapy. Methods: This case series includes 7 patients (mean age = 31 years, two females) with chronic knee pain. Five patients received ETPS and exercises while two patients received exercise alone. Outcomes were Numeric Rating Scale (NRS) for pain and Lysholm Knee Scale for function. Findings: The mean within session NRS change for ETPS was 2.2 with 4 ETPS patients exhibiting an immediate clinically meaningful improvement. Over 3 weeks, all ETPS patients achieved a clinically meaningful pain improvement and 3 ETPS patients achieved a clinically meaningful function improvement. Clinical Relevance: This paper supports ETPS use for short-term pain relief in chronic knee pain. Conclusion: Electro-therapeutic point stimulation use in physical therapy is supported; however, future randomized trials are nee...
Objective: Treatment of joint pain with injection of amniotic membrane has not been adequately studied. This study retrospectively reviewed Visual Analog Scale (VAS), Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC),... more
Objective: Treatment of joint pain with injection of amniotic membrane has not been adequately studied. This study retrospectively reviewed Visual Analog Scale (VAS), Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), and analgesic usage data from patients treated with the injection of cryopreserved amniotic membrane (CAM) in their knees to determine the impact of treatment on patients' pain, quality of life, and analgesic usage. Methods: Chart review was conducted on 40 patients. Institutional Review Board (IRB) approval was obtained prior to initiation of the project. The membrane was utilized as per the FDA guidance of 21CFR1271. Retrospective data, including demographics, medical history, pain score, quality of life score, analgesic usage and adverse events, were collected from their medical records for each consenting patient through 6 months after CAM injection. Results: A total of 40 patients were considered in the final analysis. Mean VAS for pain level improved from 7.0 to 2.6 (p<0.001). WOMAC daily activity function score improved from a mean score of 52 to 28 (p<0.001). Opioid and non-steroidal anti-inflammatory drug (NSAID) usage decreased from 97% to 25% (p<0.001). No adverse events were reported. Conclusion: Mean values for VAS and WOMAC scores significantly improved at all time points and the number of patients who used analgesics decreased as compared to baseline. CAM injection into painful knee joints decreases pain, improves physical function, and decreases the use of analgesics in the absence of adverse events.
Knee Pain is a common physical complaint. There can be many reasons for knee pain from injury –sprain, ligament, or torn cartridges. There are medical reasons for knee pain such as arthritis, gout, and infections. Depending on the... more
Knee Pain is a common physical complaint. There can be many reasons for knee pain from injury –sprain, ligament, or torn cartridges. There are medical reasons for knee pain such as arthritis, gout, and infections. Depending on the intensity and type of knee pain you may need self-care measures, medical treatment, physiotherapy, and surgical intervention.
As you grow older the frequency and intensity of knee pain can worsen. The risk of knee pain increases if you are overweight.
