Response to the blog ‘Brain-targeted treatment in people with painful knee osteoarthritis in tertiary care: was it feasible?’

This is a very good summary and commentary regarding the osteoarthritis (OA) and brain training research project [1] that dominated several years of my life. I work full-time as a clinician in the Osteoarthritis Hip and Knee Service (OAHKS) of Northern Health in Melbourne; hence I assess about 20 people each week with varying degrees of OA … [Read more...]

Brain-targeted treatment in people with painful knee osteoarthritis in tertiary care: was it feasible?

Knee osteoarthritis (OA) is a complex disorder that commonly results in diminished physical function, poor quality of life, and reduced life expectancy [1]. While several treatments such as exercise therapy [2] (Pilates, strength, flexibility, conditioning training) have been effective at reducing pain in people with knee OA, unfortunately, the … [Read more...]

The disconnect between tissue pathology, load and pain: implications for clinicians

For at least two decades, we have known that for chronic pain conditions there is discrepancy between tissue damage seen on clinical imaging and clinical presentation. You can have a severely osteoarthritic X-ray with no pain, or a completely normal X-ray with severe pain. Despite this disparity, imaging findings, such as meniscal tears, rotator … [Read more...]

Chronic pain following total knee replacement

Approximately 20% of patients following total knee replacement (TKR) suffer from chronic postsurgical pain. Numerous non-modifiable risk factors for the development of chronic postsurgical pain have been identified in the literature, for example female gender. Potentially modifiable risk factors have also been identified such as psychosocial … [Read more...]

Medical exercise therapy breaks the chronic pain cycle, even in the longer term, in patients with persistent anterior knee pain

In general there is a lack of long-term success in treating people with persistent musculoskeletal pain and long-term anterior knee pain or patellofemoral pain syndrome (PFPS), is no exception [1].  It is reported that approximately 25% of patients with PFPS continue to have pain and dysfunction one year or more after physiotherapy, the most … [Read more...]

What are the factors for knee pain

Many people experience pain in their knees and subsequently visit a physician to get a diagnosis of the problem. At a certain age (above 50) with additional complaints such as joint stiffness and functional disabilities the physician might arrive at a diagnosis of osteoarthritis; a progressive joint disease. An x-ray can confirm this … [Read more...]