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Physical Therapy Versus Glucocorticoid Injection for Osteoarthritis of the Knee

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Physical Therapy Versus Glucocorticoid Injection for Osteoarthritis of the Knee 

Background: Both physical therapy and intraarticular injections of glucocorticoids have been shown to confer clinical benefit with respect to osteoarthritis of the knee. Whether the short-term and long-term effectiveness for relieving pain and improving physical function differ between these two therapies is uncertain.

Methods: We conducted a randomized trial to compare physical therapy with glucocorticoid injection in the primary care setting in the U.S. Military Health System. Patients with osteoarthritis in one or both knees were randomly assigned in a 1:1 ratio to receive a glucocorticoid injection or to undergo physical therapy. The primary outcome was the total score on the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) at 1 year (scores range from 0 to 240, with higher scores indicating worse pain, function, and stiffness). The secondary outcomes were the time needed to complete the Alternate Step Test, the time needed to complete the Timed Up and Go test, and the score on the Global Rating of Change scale, all assessed at 1 year.

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We work closely with you and your doctor to ensure the best possible care and recovery. Our certified hand therapists optimize surgical outcomes with compassion.

Rehab is more than just exercise. Often tissue has been injured or inflamed and it needs help to heal.

  • Restoring your hands fully for work, home, and recreation 
  • Educating you to help avoid future hand problems 
  • Treating Carpal Tunnel Syndrome
  • Tennis elbow or sore wrist
  • Arthritis

At Cranbrook PT, we believe that patient outcomes are better with orthopedic manual therapy. Human touch is essential in our treatment philosophy and techniques.

There are various symptoms that our physiotherapists can solve through integrated hands-on-therapy.  

  • Shoulder elbow or knee issues
  • Lower back pain injuries
  • Muscle tension and spasms
  • Neck pain
  • Pelvis 

We work to correct functional impairments of the musculoskeletal system, including bones, joints, ligaments, tendons, nerves, and muscles for children. It's youth orthopedics, pediatric physical therapy.   

We understand that kids are different from adults. Their muscles, joints, and bones are brittle, still growing, and require special care.

Our therapy sessions are fun, and your kids will feel like they are home away from home.  

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