Pain Management in Knee Osteoarthritis

Background: Kinesio Taping® method is a nonpharmacological alternative for pain management in musculoskeletal disorders. However, the existing evidence is insufficient to assess its full effectiveness for pain management in knee osteoarthritis (KO). Our aim was to evaluate the effectiveness of the Kinesio Taping method in reducing knee pain for KO patients. Methods: In this randomized, double blind, controlled trial, we recruited 187 patients with grade I-III KO who were allocated to either the Kinesio Taping or control group. The study was carried out in outpatient facility. Either Kinesio Taping or nonspecific taping was applied on the affected knee area for 4 weeks. Pain evaluation was performed at baseline, after 1 month of taping and after 1 further month without taping. The data on usage of painkillers were collected; Numeric Pain Rating Scale; an algometer, and Knee injury and Osteoarthritis Outcome Scores (KOOS) pain subscale were used to assess pain. Tolerance and subjective opinions toward the effectiveness of taping were evaluated. The chosen level of significance was p < 0.05, ß ⩽ 0.2. Results: The majority (>70%) of both groups’ patients indicated that tapes reduced the knee pain. The reported use of painkillers decreased, in addition to self-reported increase in the KOOS subscale, thereby indicating pain alleviation. All self-reported improvement remained at the 1-month follow up ( p < 0.05). Significantly higher and clinically meaningful reduction of pain intensity was found in the Kinesio Taping group after the treatment month, in comparison with the control group ( p < 0.05). More pain reduction was reported in the daytime for participants in the Kinesio Taping group at the follow up ( p = 0.022). No changes in algometry results were observed. Conclusions: Elastic taping can safely relieve knee pain and reduce the need for pharmacological management in KO. A specific Kinesio Taping technique is clinically more beneficial for knee-pain alleviation in comparison with nonspecific taping. [ ClinicalTrials.gov identifier: NCT03076177.]

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The Effects of Collateral Meridian Therapy for Knee Osteoarthritis Pain Management: A Pilot Study

Journal of Manipulative and Physiological Therapeutics ◽

10.1016/j.jmpt.2012.12.003 ◽

2013 ◽

Vol 36 (1) ◽

pp. 51-56 ◽

Cited By ~ 7

Author(s):

Huei-Chi Horng ◽

Chang-Po Kuo ◽

Chen-Hwan Cherng ◽

Chun-Chang Yeh ◽

Ting-Chuan Wang ◽

...

Keyword(s):

Pain Management ◽

Pilot Study ◽

Knee Osteoarthritis ◽

Osteoarthritis Pain

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Relative effectiveness of non-surgical interventions for pain management in knee osteoarthritis: a protocol for a component network meta-analysis of randomised controlled trials

BMJ Open ◽

10.1136/bmjopen-2020-048298 ◽

2021 ◽

Vol 11 (9) ◽

pp. e048298

Author(s):

Trevor Thompson ◽

Bawan Ahmed ◽

Sharon Marie Weldon ◽

Orestis Efthimiou ◽

Brendon Stubbs

Keyword(s):

Quality Of Life ◽

Pain Management ◽

Knee Osteoarthritis ◽

Treatment Guidelines ◽

Meta Analysis ◽

Relative Effectiveness ◽

Controlled Trials ◽

Cochrane Central Register ◽

Therapeutic Goals

IntroductionKnee osteoarthritis is a chronic degenerative disease associated with significant chronic pain, disability and impaired quality of life and is the most common form of osteoarthritis. There is no cure for knee osteoarthritis, and the main therapeutic goals are pain management and improving quality of life. The objective of this study is to evaluate the relative efficacy and acceptability of available interventions using network meta-analysis (NMA) to provide a comprehensive evidence base to inform future treatment guidelines.Methods and analysisA comprehensive literature search of major electronic databases (MEDLINE, EMBASE, Cochrane Central Register of Controlled Trials) and clinical trial registries will identify randomised control trials (RCTs) of interventions listed in NICE guidelines for the treatment of knee osteoarthritis in adults. We will perform an NMA to estimate relative intervention effects across the whole treatment network. If any studies use multicomponent intervention packages, we will employ a component NMA model to estimate the contribution of individual components. The quality of evidence will be assessed using the Confidence in Network Meta-Analysis approach, which is based on the traditional GRADE framework adapted for NMA. Risk of bias (RoB) will be assessed using the revised Cochrane RoB 2.0 tool for RCTs.Ethics and disseminationThis study does not require ethical approval. Findings will be submitted to a peer-reviewed journal.PROSPERO registration numberCRD42020184192.

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