HOPE FOR KNEE AND HIP OSTEOARTHRITIS:
Distraction and Patient Education and Exercise
Osteoarthritis of the knee and hip are known
and growing concerns as our society gets older…around the world. Currently
in 2021, Canada is reviewing the “Good Life with Osteoarthritis
in Demark” (GLAD) program for knee and hip
osteoarthritis. The program incorporates manual therapy,
exercise and patient education. (1) One GLAD study had patients attend 2-3 patient education classes and 12
supervised exercise sessions in 8 weeks, patients’
pain intensity got better by 26-33%, walking speed got better
by 8-12%, chair standability improved 18-30%,
and joint-related quality of life got better by 12-26%. (2) (Another
study used MRI to determine the thickness of
knee joint cartilage after distracting the knee joint
to find that it thickened with treatment bringing
about significant short- and long-term cartilage regeneration
up to 10 years post-treatment. (3) This was done
with young people, but there is hope!) Back in 2017, a Canadian
chiropractor published a paper describing his application of Cox® flexion-distraction-principle-based
distraction to the osteoarthritic knee, and the success he has witnessed
in his patients. Inclusively (acute and chronic patients combined),
patients reported a mean visual analog scale score decrease
from 7.7 to 1.8 in 3 weeks and 5.3 visits. Acute knee OA
patients’ scores reduced from 8.1 to 1.1 in 4.8
treatments in 2.4 weeks. Chronic patients’ scores reduced
from 7.5 to 2.2 in 3.3 weeks and 5.4 treatments. (4) Chiropractors like yours
at Poulin Chiropractic of Herndon and Ashburn are ahead of the curve with their modified Cox® Technic
principles-based-flexion-distraction-approach to knee osteoarthritis. New
protocols for use in hip OA are also in development. Let’s talk
today about how distraction treatment may help you with Ashburn
osteoarthritis of the knee and hip!
HOPE FOR DEGENERATED
DISCS: Chondroitin Sulfate
Back pain treatment
approaches from
surgery to manual therapy to exercise to nutrition flourish while
back pain continues. Injecting hyaluronic acid hydrogel is demonstrating
some promise as it is shown to suppress
the loss of disc height, stimulate tissue hydration for disc
repair, and lower inflammation and innervation to ward
off more disc degeneration. (5) The nutritional approach continues
to show promise for back pain sufferers as the disc matrix
components are identified, two central components
being chondroitin sulfate proteoglycan and hyaluronan. Making chondroitin sulfate
available to the disc as well as controlling the
hydrostatic pressure of the disc is helpful.
(6) Cox® Technic is documented to drop intradiscal
pressure, so mixing it with chondroitin sulfate may be, too. Are
you including it in your daily supplements? Consider adding a disc supplement that
has chondroitin sulfate to your routine after we
talk. Poulin Chiropractic of Herndon and Ashburn is ready!
Listen to this PODCAST with Dr. James Cox
on The Back Doctors Podcast with Dr. Michael
Johnson as he discusses the
role of chondroitin sulfate in the health,
degeneration and potential regeneration of the intervertebral disc
and in the Cox® Technic System of Spinal Pain
Management.
CONTACT Poulin Chiropractic of Herndon and Ashburn
Schedule your next Ashburn chiropractic appointment
with Poulin Chiropractic of Herndon and Ashburn. See you then!
"This information and website content is not intended to diagnose, guarantee results, or recommend specific treatment or activity. It is designed to educate and inform only. Please consult your physician for a thorough examination leading to a diagnosis and well-planned treatment strategy. See more details on the
DISCLAIMER page. Content is reviewed by
Dr. James M. Cox I."