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bibliography * The PainScience Bibliography contains plain language summaries of thousands of scientific papers and others sources, like a specialized blog. This page is about a single scientific paper in the bibliography, American Academy of Orthopaedic Surgeons 2013.

A major, comprehensive report on treatments for knee arthritis

updated
American Academy of Orthopaedic Surgeons. Treatment of Osteoarthritis of the Knee – 2nd Edition. AAOS.org. 2013.
Tags: treatment, arthritis, knee, running, patellar pain, scientific medicine, aging, pain problems, leg, limbs, exercise, self-treatment, overuse injury, injury

PainSci summary of this paper?This page is one of thousands in the PainScience.com bibliography. It is not a general article: it is focussed on a single scientific paper, and it may provide only just enough context for the summary to make sense. Links to other papers and more general information are provided at the bottom of the page, as often as possible. ★★★★☆?4-star ratings are for bigger/better studies and reviews published in more prestigious journals, with only quibbles. Ratings are a highly subjective opinion, and subject to revision at any time. If you think this paper has been incorrectly rated, please let me know.

A major, comprehensive report on treatments for knee arthritis. Exercise, weight loss, and regular painkillers are praised as effective. Particularly ineffective treatments include acupuncture, glucosamine, chondroitin, “lube jobs” (injection of joint lubricant), and surgical lavage and debridement. Homeopathy is left out (presumably considered beneath contempt). The report is notable for its integrity: written by an association of surgeons, it nevertheless denounces a profitable, common surgical treatment for osteoarthritis (athroscopic lavage and debridement, basically polishing joint surfaces). They tipped over their own cash cow! Dr. Harriet Hall:

Critics who claim doctors are just out to make money, take note: if they were the evil money-grubbers some make them out to be, wouldn’t these surgeons want to promote income-generating arthroscopic lavage and debridement? Wouldn’t they want to suppress information about conservative treatments and keep patients in pain until they were desperate enough to consent to expensive joint replacement surgery? Gee, do you suppose maybe they really are just trying to do what’s best for their patients?

~ Paul Ingraham

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This page is part of the PainScience BIBLIOGRAPHY, which contains plain language summaries of thousands of scientific papers & others sources. It’s like a highly specialized blog.