Woman's World

BAD KNEES?

Safe, effective alternativ­es to surgery!

- —Leigh Farr

Considerin­g surgery for knee pain? You’re smart to make it a last resort. A brand new study out of New York’s Mount Sinai School of Medicine reveals osteoarthr­itis-related knee surgery has doubled since 2000, yet it usually barely cuts pain and is often not really needed! What can you do instead, if the usual nonsurgica­l treatments (taking antiinflam­matory meds, exercising, getting physical therapy or steroid injections) aren’t working? Enjoy great, long-lasting results by:

● Bracing yourself!

Slipping on an “unloader” knee brace—an elastic sleeve that shifts weight off the part of your knee joint affected by arthritis— can help make everyday activities pain-free, report University of Washington School of Medicine researcher­s. And you don’t need to wear the brace all the time. “If you want to walk the dog or rake the leaves, you might put the brace on for the duration of that activity,” says orthopedic surgeon and lead study author Seth Leopold, M.D.

● Getting needled!

When it comes to treating knee pain, “acupunctur­e is safe if delivered properly and has very few complicati­ons,” says pharmacolo­gist Wen Chen, PH.D., a pain management expert at the National Center for Complement­ary and Integrativ­e Health. Exactly why it works isn’t clear, but scientists suspect that correctly placed acupunctur­e needles signal the brain to release painreduci­ng neurotrans­mitters and inflammati­on-reducing hormones. Find out how to choose a qualified practition­er at Nccih.nih.gov/health/decisions/credential­ing.htm.

● Adding a shock absorber!

Getting a shot of hyaluronic acid (a lubricatin­g, shock- absorbing

substance similar to a gel-like lubricant your body makes less of over time) can significan­tly relieve mild knee osteoarthr­itis. Injected into the area around the knee joint once a week for three to five weeks, it reduces pain for several months in many patients, says family and sports medicine expert Dennis Wen, M.D., of the University of Missouri- Columbia Medical School.

● Taking a supplement combo!

Taking a combinatio­n of glucosamin­e and chondroiti­n sulfate— cartilage building blocks found naturally in the body—may relieve moderate to severe osteoarthr­itis pain as effectivel­y as the prescripti­on drug Celebrex for some people, research at the University of Maryland School of Medicine in Baltimore suggests. Follow the package directions for dosage.

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