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Hyaluronic Acid Injections May Delay Total Knee Replacement in Osteoarthritis

8/7/2019

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 At Physioimpulse we provide therapeutic injections in conjunction with Physiotherapy treatment to optimise recovery from injury and reduce pain in degenerative conditions such as Osteoarthritis.

Injection therapy can benefit the following conditions:
  • Osteoarthritis of the Knee, Shoulder, Thumb, Wrist or Ankle
  • Frozen Shoulder
  • Shoulder Impingement
  • Bursitis

Injections are performed by our Clinical Specialist Physiotherapist Matt Shepherd who has undertaken extensive Post Graduate training in order to carry out injections at our Bath Physiotherapy Clinics.

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We are receiving some great feedback on the pain relieving effects of our Ostenil Plus injections which enable people to return to their normal activities of daily living with greatly reduced reports of pain.
The study below outlines the benefits of these injections in delaying the need for major knee surgery

If you would like to know more about these injections read our Injection Therapy page or email matt.shepherd@physioimpulse.co.uk

​01225 683007

The use of intra-articular hyaluronic acid (HA) injections in patients with osteoarthritis (OA) of the knee has shown efficacy in delaying total knee replacement (TKR) surgery in a recent retrospective, longitudinal study published in PLoS One.

The investigators sought to compare the delay from diagnosis to TKR surgery in patients with knee OAwho received intra-articular HA injections vs those who did not. All patients studied were treated in France between 2006 and 2013. A second objective of the study was to compare direct medical costs associated with ambulatory care between the 2 groups.

A total of 14,782 patients were treated for knee OA (ages ≥50 years; mean age, 68±10 years; 67% women). Annual incidence rates of knee OA were estimated to be 0.52% in women and 0.92% in men. Of the 14,782 patients, 1662 individuals (11.2%) underwent TKR surgery before the end of 2013.

At each point evaluated, restricted mean survival time without TKR surgery was higher in the HA treatment vs no injection group (from 51 days at 1 year after diagnosis to 217 days at 7.5 years, respectively; P <.001). In the year before TKR, the means for total direct medical costs were similar between the 2 treatment groups (€744 for HA vs €805 for control). Intra-articular injections accounted for <10% of the total costs.
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This is the first retrospective longitudinal study involving patients with knee OA that used medico-administrative databases in France. The investigators concluded that “the results support the effectiveness of [HA] injections in delaying [TKR] surgery and show that patients treated with [HA] have similar direct medical costs for ambulatory care compared to patients treated with corticosteroids only.” Further cost-effective analyses are warranted to explore the ability of HA injections to delay TKR surgery for a longer period of time.


Reference

Delbarre A, Amor B, Bardoulat I, et al. Do intra-articular hyaluronic acid injections delay total knee replacement in patients with osteoarthritis – A Cox model analysis. PLoS One. 2017;12(11):e0187227.


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Returning to running after having a baby

6/7/2019

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Our top pilates trained physiotherapist Renu has put together this fantastic guide for postnatal runers.
Download and read the whole presentation below!
Having problems getting back to full strength and activity post partum? Renu specialises in getting you back to full health!
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Running Guide
File Size: 1207 kb
File Type: pdf
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    Physioimpulse Chartered Physiotherapists

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  • Physio Home
  • Services
    • Physiotherapy >
      • Womens Health Physiotherapy
      • Cancer Rehabilitation
      • Neurological Physiotherapy
    • Chiropractic >
      • Bath Chiropractor FAQs
    • Osteopathy
    • Gait Analysis & Orthotics >
      • Fitting Your New Orthotics
    • Sports Massage
    • Shockwave Therapy
    • Injection Therapy
    • Pilates
    • Running Analysis
    • Podiatry & Chiropody >
      • What is MSK podiatry
      • What are Orthotics
    • Acupuncture
  • CPD Courses
    • The Complete Manual Therapy Course
    • The Complete Manipulation Course - 2 Days
    • MSK Assessment Day
    • Online CPD Courses
  • About Us
    • Rehabilitation Exercises
    • Injury Guide
    • FAQ's
    • Vacancies
  • Contact Us
    • Online Booking
  • Prices
  • Blog
  • Self Help Page