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Osteoarthritis

Rheum Chapter Notes (4.26.2024)

Dr. Jack Cush reviews this past week’s news and journal articles from RheumNow.com.

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Self Acupressure in Knee Osteoarthritis

A clinical trial has shown that self-administered acupressure (SAA) is effective in relieving knee osteoarthritis (KOA) patients.

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World Congress on OP, OA & MSK Disorders

EurekAlert!

Bone and musculoskeletal disease researchers and physicians from around the world will meet today in London, UK for the opening of the largest scientific event in the field, the World Congress on Osteoporosis, Osteoarthritis and

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CBD Products Disappointing for Pain

EurekAlert!

There is no evidence that CBD products reduce chronic pain, and taking them is a waste of money and potentially harmful to health, according to new research led by the University of Bath in the UK.

CBD (short for cannabidiol) is one of many chemicals found naturally in the cannabis

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>25% of elderly fall each yr; falls are leading cause of injury-related death in > 65 yrs. PT & Functional exercises to improve leg strength and balance are recommended for fall prevention in @risk populations & show 20-30% less risk overall https://t.co/IPQoS4dUpS https://t.co/qUEwLX0KEq
Dr. John Cush @RheumNow( View Tweet )
Wrist pain differential diagnoses beautifully demonstrated 👍 Remamber that radial-sided wrist pain is more common that ulnar-sided wrist pain. https://t.co/3Ite2FsYtl
Dr. OMID BANDARCHI @OBandarchi( View Tweet )
Chronic MSK Pain and Earlier Retirement Frequent musculoskeletal pain is linked with an increased risk of exiting work and retiring earlier, according to a new study published in the journal PLOS ONE. https://t.co/wRKYjmtaAX https://t.co/n5HzbDNmGz
Dr. John Cush @RheumNow( View Tweet )

19% Arthritis Prevalence in the USA

According to the National Health Interview Survey (NHIS), in 2022, the prevalence of diagnosed arthritis in adults was 18.9% (women 21.5%, more than men 16.1%). These numbers are down since the CDC's MMWR report of 2019–2021, where is was estimated 21.2% of U.S. adults (53.2 million) had

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Early-onset Osteoarthritis is a Growing Health Problem,

Data from the Global Burden of Diseases Study 2019, suggests that early-onset osteoarthritis (OA) (before age 55 yrs) is an emerging health issue that parallels societal problems of obesity. 



Researchers used data from the Global Burden of Diseases Study 2019, and examined the

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Australian study shows self-reported difficulties w/ ambulation (limited<=1 km) had a higher risk of hip and spinal fractures (32% to 219% more)/ Included 239 000 adults >45 yrs https://t.co/IWvKmPc2t8 https://t.co/CDYDzhMUoa
Dr. John Cush @RheumNow( View Tweet )
Congratulations to Drs. David Felson Tuhina Neogi of Boston University in being awarded a U19 5 yr grant to fund Novel Insights into Osteoarthritis, Pain and Function: The Multicenter Osteoarthritis (MOST) Study. https://t.co/fGU9Zk2ECs https://t.co/dtT0hu7aA1
Dr. John Cush @RheumNow( View Tweet )

Immunosuppression Increasing (2.23.2024)

Dr. Jack Cush reviews the news and journal reports from the past 2 weeks on RheumNow.com; but begins with a discussion of what constitutes "immunosuppression" and how it applies to our patients.





  1. 2021 NHIS Survey data suggests the prevalence of immunosuppression in the USA

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No clear link between weather and MSK symptoms

EurekAlert!

There is a longstanding belief that changes in weather conditions, such as impending rain or temperature, can trigger or worsen muscle and joint pain but Australian researchers have found no clear pattern between the two.



The research found that high temperatures and low humidity may

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Could Weight-Loss Drug Improve Hip Replacement Outcomes? The antidiabetic/weight-loss drug semaglutide either does or does not help patients undergoing THA avoid complications and other poor outcomes, according to 2 retrospective studies presented here. https://t.co/bB2E4T2aiI https://t.co/EWVcQ01GuL
Dr. John Cush @RheumNow( View Tweet )
Greek study finds 251/1264 #RA pts (20%) had difficult to treat RA (D2T). D2T Predictors were Younger age, fibromyalgia, OA, no change in DAS28-ESR in 1st 6mos b/ts-DMARD Rx. Mental-/pain-/metabolic-Dz contributed to LT worsening https://t.co/A5bfth79L2 https://t.co/f5AOvFW9Yu
Dr. John Cush @RheumNow( View Tweet )
Is non-alcoholic fatty liver dz assoc w/ osteoarthritis? Study of 2633 pts - 317 (12.8%) w/ OA& 1140 NAFLD(41.5%); NAFLD was positively correlated with OA (OR = 1.72; 1.26–2.34). https://t.co/whWX2XIu3d https://t.co/sGXQYSFcH3
Dr. John Cush @RheumNow( View Tweet )
Diet and Osteoarthritis Pain Knee osteoarthritis (OA) pain was worse with a pro-inflammatory diet, an observational study suggested. https://t.co/GHSd9SzNav https://t.co/MiCj9gE4Kj
Dr. John Cush @RheumNow( View Tweet )

Aging Brain Increases Pain in Older Women

EurekAlert!

A new study has found that the brain system enabling us to inhibit our own pain changes with age, and that gender-based differences in those changes may lead females to be more sensitive to moderate pain than males as older adults.

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Outcomes of Acute, Subacute and Persistent Low Back Pain

EurekAlert!

Low back pain is a major cause of disability around the globe, with more than 570 million people affected. In the United States alone, health care spending on low back pain was $134.5 billion between 1996 and 2016, and costs are increasing.



"The good news is that most

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Diet and Osteoarthritis Pain

MedPage Today

Knee osteoarthritis (OA) pain was worse with a pro-inflammatory diet, an observational study suggested.



Scores on a proprietary "Dietary Inflammatory Index" (DII) were significantly associated with standard knee pain scores among patients over nearly 11 years of follow-up (β=0.21

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Sodium Channels, Carbemazepine and Osteoarthritis Progression A study published in Nature suggests that therapies affecting sodium channels could be employed to treat osteoarthritis. https://t.co/hmzKsgb3gA https://t.co/WVgk8nD4ne
Dr. John Cush @RheumNow( View Tweet )
2023 EULAR Non-pharmacological Management of Hip and Knee Osteoarthritis: 2023 update EULAR has published the 2023 updated recommendations for the optimal non-pharmacological management of hip and knee osteoarthritis (OA). https://t.co/OjmdAnRWtl https://t.co/gfWYopEgtt
Dr. John Cush @RheumNow( View Tweet )

2023 EULAR Non-pharmacological Management of Hip and Knee Osteoarthritis: 2023 update

EULAR has published the 2023 updated recommendations for the optimal non-pharmacological management of hip and knee osteoarthritis (OA).



Non-pharmacological treatments for OA are as important and impactful at improving pain, function and quality of life in OA. These EULAR

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Sodium Channels, Carbemazepine and Osteoarthritis Progression

A study published in Nature suggests that therapies affecting sodium channels could be employed to treat osteoarthritis.



Osteoarthritis (OA) affects 528 million people worldwide and yet there are no uniformly effective treatments - other than joint replacement.  The ideal

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Heritability of Osteoarthritis A Swedish study examine the genetic contribution to various rheumatic/musculoskeletal diseases (RMDs) and showed that osteoarthritis (OA) had a large heritability compared with other RMDs. https://t.co/KbQDQ1mB53 https://t.co/opLrlRit2W
Dr. John Cush @RheumNow( View Tweet )