
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 ages…around the world. Today, Canada is evaluating the “Good Life with Osteoarthritis
in Demark” (GLAD) program for knee and hip
osteoarthritis. The program includes manual therapy,
exercise and patient education. (1) In one
GLAD study in which patients attended 2-3 patient education classes and 12
supervised exercise sessions in 8 weeks, patients’
pain intensity improved 26-33%, walking speed got better
by 8-12%, chair standability got better by 18-30%,
and joint-related quality of life improved 12-26%. (2) (Another
study utilized MRI to determine the thickness of
knee joint cartilage after knee joint distraction
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 performed
with young people, but it is hopeful!) Back in 2017, a Canadian
chiropractor published a paper describing his treatment using Cox® flexion-distraction-principle-based
distraction to the osteoarthritic knee, and the success he has seen
in his patients. Overall (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 decreased from 8.1 to 1.1 in 4.8
treatments in 2.4 weeks. Chronic patients’ scores decrased
from 7.5 to 2.2 in 3.3 weeks and 5.4 treatments. (4) Chiropractors like yours
at Paulette Hugulet, DC, LLC are ahead of the curve with their modified Cox® Technic
principles-based-flexion-distraction-approach to knee osteoarthritis. Novel
protocols for use in hip OA are also in development. Talk with us
today about how distraction treatment may help you with La Grande
knee and
hip osteoarthritis!
HOPE FOR DEGENERATED
DISCS: Chondroitin Sulfate
Back pain treatment
approaches from
surgery to manual therapy to exercise to nutrition abound while
back pain continues. Injecting hyaluronic acid hydrogel is showing
some promise as it seems to suppress
the loss of disc height, stimulate tissue hydration for disc
repair, and decrease inflammation and innervation to ward
off more disc degeneration. (5) The nutritional approach continues
to hold hope for back pain sufferers as the disc matrix
components are known, two key 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 valuable.
(6) Cox® Technic is shown to drop intradiscal
pressure, so combining it with chondroitin sulfate may be, too. Are
you taking yours? Consider including a disc supplement containing chondroitin sulfate to your schedule after we
talk. Paulette Hugulet, DC, LLC is ready!
Listen to this PODCAST with Dr. James Cox
on The Back Doctors Podcast with Dr. Michael
Johnson as he presents research on the
part chondroitin sulfate plays in the health,
degeneration and potential regeneration of the intervertebral disc
and in the Cox® Technic System of Spinal Pain
Management.
CONTACT Paulette Hugulet, DC, LLC
Schedule your next La Grande chiropractic appointment
with Paulette Hugulet, DC, LLC. 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."