A STUDY OF EFFECT OF PAIN REDUCTION IN OSTEOARTHRITIS KNEE PATIENTS BY MAGNETOTHERAPY.

Rajiv Kumar Nanda, Aiswarya Kar

Abstract


This trial aimed to test the effectiveness of a wearable Pulsed Electromagnetic Field (PEMF) device in the management of pain in knee Osteoarthritis (OA) patients. In this RCT, patients with radiographic evidence of knee OA were included. All were given PEMF(Actipatch)  for a period of 6 months. Forty patients were included and thirty seven completed the study. After 6 month, PEMF induced a significant reduction in Numeric Rating Scale ( NRS) pain . Twenty-six per cent of patients in the PEMF group stopped NSAID/analgesic therapy. No adverse events were detected. These results suggest that PEMF therapy is effective for pain management in knee OA patients .Future larger studies, including head-to-head studies comparing PEMF therapy with standard pharmacological approaches in OA, are warranted.


Keywords


Osteoarthritis, Pain, Magnetotherapy, NSAID.

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References


Martel-Pelletier J, Pelletier JP.” Is osteoarthritis a disease involving only cartilage or other articular tissues?” Eklem Hastalik Cerrahisi. 2010;21:214.

Felson DT. The epidemiology of knee and hip osteoarthritis. Epidemiol Rev 1998;10:128.

Elders MJ. The increasing impact of arthritis on public health. J Rheumatol 2000;60:68.

Palmieri B, Rottigni V, Iannitti T. Preliminary study of highly crosslinked hyaluronic acid-based combination therapy for management of knee osteoarthritis-related pain. Drug Des Devel Ther. 2013;7:7–12.

Assiotis A, Sachinis NP, Chalidis BE. Pulsed electromagnetic fields for the treatment of tibial delayed unions and nonunions. A prospective clinical study and review of the literature. J Orthop Surg Res. 2012;7:24.

Boopalan PR, Arumugam S, Livingston A, Mohanty M, Chittaranjan S. Pulsed electromagnetic field therapy results in healing of full thickness articular cartilage defect. Int Orthop. 2011;35(1):143–148.

Altman R, Asch E, Bloch D et al. Development of criteria for the classification and reporting of osteoarthritis. Classification of osteoarthritis of the knee. Diagnostic and Therapeutic Criteria Committee of the American Rheumatism Association. Arthritis Rheum 1986;29:103949.

Aaron RK, Boyan BD, Ciombor DM, Schwartz Z, Simon BJ. Stimulation of growth factor synthesis by electric and electromagnetic fields. Clin Orthop Relat Res. 2004;(419):30–37

Ciombor DM, Aaron RK, Wang S, Simon B. Modification of osteoarthritis by pulsed electromagnetic field – a morphological study. Osteoarthritis Cartilage. 2003;11(6):455–462.

Callaghan MJ, Whittaker PE, Grimes S, Smith L. An evaluation of pulsed shortwave on knee osteoarthritis using radioleucoscintigraphy: a randomised, double blind, controlled trial. Joint Bone Spine 2005;72:1505.

Thamsborg G, Florescu A, Oturai P et al. Treatment of knee osteoarthritis with pulsed electromagnetic fields: a randomized, double-blind, placebo-controlled study. Osteoarthritis Cartilage 2005;13:57581.

Shupak NM, Prato FS, Thomas AW. Human exposure to a specific pulsed magnetic field: effects on thermal sensory and pain thresholds. Neurosci Lett 2004;363: 15762.

Shupak NM, Hensel JM, Cross-Mellor SK et al. Analgesic and behavioral effects of a 100 microT specific pulsedextremely low frequency magnetic field on control and morphine treated CF-1 mice. Neurosci Lett 2004;354:303.


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