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Most people associate Botox with treatment for wrinkles and droopy eyelids -- cosmetic therapy by dermatologists and plastic surgeons with good benefit for those who can afford it. In patients with a 6-month history of moderate to severe shoulder pain , the ability of Botox to provide meaningful relief when injected into the joint space suggests a novel form of pain therapy for osteoarthritis . Botox may prove beneficial at multiple sites, including knees, ankles and the small joints of the hands and wrists. Recent data from the November meeting of the American College of Rheumatology includes a report from the Minneapolis Veterans Administration Medical Center regarding use of botulinum toxin (Botox is the brand name) to manage shoulder pain caused by osteoarthritis. Dr. Singh studied a treatment group of 43 patients with moderate to severe shoulder osteoarthritis. Twenty-one patients received joint injection with Botox while 22 patients received a sham injection to the shoulder...
My shoulder hurts...is it osteoarthritis?
Osteoarthritis is a very common problem. Most people know someone who is dealing with arthritis of at least one joint. Spine, hips, knees, and hands are the most common places for osteoarthritis to cause symptoms. However, any joint can be affected and a common question I hear when a patient presents with shoulder pain is: Do I have arthritis?
First, a bit of anatomy -- the shoulder is composed of two separate joints:
(1) the acromioclavicular joint where the collarbone meets the shoulder bone (2) the glenohumeral joint where the ball of the humerus articulates with the shoulder blade (scapula). Both joints can be affected by osteoarthritis. It is relatively uncommon for osteoarthritis to develop in the glenohumeral joint without a history of trauma or previous injury. We'll discuss that in a minute. First, let's review the acromioclavicular joint.
Causes of Shoulder Pain Besides Arthritis The glenohumeral joint is the most mobile j...
Complex regional pain syndrome, or CRPS, can develop after an injury, but the cause isn't yet understood. Researchers do know that inflammation plays a role and previous studies have suggested that the body's reaction in CRPS can be similar to that of a burn. Researchers looking into burn treatment have found that giving high doses of vitamin C to burn patients helped reduced the amount of fluid they needed and reduced the swelling. With this in mind, the authors of this study wanted to see if giving vitamin C to patients with a new broken wrist would decrease their chances of developing CRPS. The study took place at 3 hospitals in the Netherlands and involved 416 women who had a total of 427 wrist fractures. The patients were randomly chosen to receive vitamin C (317 women, 328 fractures) or placebo , a sugar pill, (99 women, 99 fractures). Among the women taking vitamin C, 96 took 200 mg, 114 took 500 mg and 118 took 1500 mg, per day. The patients did not know if they were taking the ...
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