Monday, July 1, 2013

Synvisc (hyaluronate), glucosamine, chondroitin,arthroscopy, BMI and arthritis

Treatment of Osteoarthritis of the Knee, 2nd Edition SUMMARY OF RECOMMENDATIONS

The American Academy of Orthopaedic Surgeons recently published clinical practice guideline on osteoarthritis (OA) of the knee.  These guidelines seem, in large part, to be applicable to osteoarthritis of the shoulder as well:
(1) Participate in self-management programs, exercises, and physical activity.
(2) Weight loss for patients with BMI ≥ 25
(3) Recognize that the evidence does not support the use of acupuncture
(4) Recognize that the evidence does not support the use of glucosamine or chondroitin
(5) Recognize that the evidence does not support the use of hyaluronic acid (Synvisc) injections
(6) Recognize that the evidence does not support arthroscopic lavage and debridement

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