Yes the ACL can ‘heal’. Start w exercise therapy and delay the decision on surgery for at least 4-6 months.

Placebo injections in chronic low back pain patients works well (78% responders, effect size 1.85!), especially if patients have high expectations. Great study with placebo-super star Fabricio Benedetti as senior author.
journals.lww.com/painrpts/fullt…

#1 Numerous health-care professionals view osteoarthritis as a minor issue attributed to gradual 'wear and tear', leading to an inevitable need for joint replacement surgery.

Time to shift this perspective 🥸

🧵Thread

Thank you Dr. Peterson for being stubborn and conducting your PhD on an “un-researchable subject” as your department chair termed OA back in the nineties. For me, your leadership, support and advice helped form me and my career in a very positive way 🙏

Martin Englund Ewa Roos OARSI Early Career Investigators OARSI Fantastic team! Well done- especially for all of us suffering from OA

One of the benefits in academia, long-standing relations and collaborations!

Three ”generations” after #OARSI2024
Stefan (PhD 1976) supervised Ewa to her PhD (1999). Both of them supervised me to my PhD (2004). Now we are here 20 years after my defense (2024) at Vienna airport, an impressive 48 years after Stefan’s PhD!
Ewa Roos OARSI Early Career Investigators OARSI

Is progressive resistance exercise more effective than neuromuscular exercise in improving pain, function and quality of life in patients with hip #osteoarthritis ?
The short answer is NO.
Great work by Troels Kjeldsen et al published in Annals of Int Med here acpjournals.org/doi/10.7326/M2…

Don't miss the inaugural OARSI Post-Traumatic OA (PTOA) Discussion Group meeting at #OARSI2024 in Vienna

Follow this link for more information & to express your interest (even if you can't attend in person) bit.ly/3U5rBlz

🚨 #BJSMBlog 🦵

Concern for knee joint damage should not influence the choice of treatment strategy in young patients with meniscal tear ⚡️

Is early surgery or a strategy of exercise and education with optional delayed surgery superior?

READ ➡️ bit.ly/493INgC

Not all ACL tears need surgery. We showed equal clinical outcomes after exercise +\- surgery almost 15 yrs ago nejm.org/doi/full/10.10…
Now it’s catching on, paradigm shifts take time 😏, and improved structural outcomes (“healing”) are actually often possible!

It is worth trying patient education and exercise therapy to delay joint replacement surgery. Those with greater improvement immediately after GLA:D had a lower likelihood of hip and knee replacement at 2 years. Just published: acrjournals.onlinelibrary.wiley.com/doi/10.1002/ac…

Neuromuscular exercise with and without strength training seems to reduce intermuscular fat by 21-25% and increase quadriceps muscle cross-sectional area and muscle strength in people with knee osteoarthritis. Great work led by Pætur Mikal Holm

Non-surgical treatments may be as effective as surgery for most musculoskeletal (MSK) conditions. 🆓

Yet, with higher-quality RCTs in the future, this conclusion could potentially change.

Help patients to take an informed decision.

🧵

Looking forward to presenting on KOOS this Thursday at 4pm CET. More than a hundred have signed up already, I think there is room for more if you are interested in suggestions and discussion on its use 😏
PS. Unfortunately you have to type in the link below to register

We are looking forward to sharing the #OPTIKNEE consensus with everyone #Sportskongres #sportskongres2024 on Friday.

If you want to explore the recommendations, publications or language translations in prep just follow this link bit.ly/OPTIKNEEconsen…

This may come in handy to take an informed decision on whether to undergo surgery or not for MSK conditions 👇

This is our line-up for the upcoming #Sportskongres

We simply cant wait and are super excited to share and learn 😀💪💥🧠

’MSK diseases were underfunded, with neck pain being the most underfunded at only 0.83% of expected funding. Low back pain, osteoarthritis, and rheumatoid arthritis were also underfunded at 13.88%, 35.08%, and 66.26%, respectively.’
…And no change in sight. 🧐

🧵 Interested in treatment of young patients with meniscal tears?

1/ 🌟 Here are some intriguing insights from a series of studies from our research group about meniscal tears and the best treatment strategy for young, active adults with meniscal tears. 🤔