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Treatments > Alternative and Natural Therapies > Massage and Bodywork > Electrical Stimulation for Knee Osteoarthritis
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Electrical Stimulation for Knee Osteoarthritis

Studies examine use of neuromuscular electrical stimulation on knee osteoarthritis

First there was transcutaneous electrical stimulation (TENS) – a form of electrical stimulation for relieving pain. Now, the broad category of electrical stimulation also involves stimulating muscle tissue, to strengthen muscle tissue that supports a joint in addition to relieving pain in and around the joint. This newer category is called neuromuscular electrical stimulation (NMES), and a number of studies in recent years have shown the effectiveness of NMES in electrical knee treatment, specifically on the symptoms of knee osteoarthritis (OA).

In a recent study published the journal Clinical Rheumatology, Turkish researchers found that a four-week program of electrical stimulation was just as effective as a four-week exercise program in relieving pain and stiffness and improving physical function (including walking time and ability to go up and down stairs) in a group of 50 women diagnosed with osteoarthritis of the knee.

The researchers concluded that electrical stimulation is a useful option for treating knee osteoarthritis, particularly in patients who are unable to perform an exercise program.

Two earlier studies by researchers in Baltimore also documented the effectiveness of electrical stimulation: knee pain reduced and quadriceps muscle strength increased in older people with osteoarthritis of the knee.

In the first of the two studies, 34 adults over age 60 with confirmed knee osteoarthritis were randomized to either NMES three days a week for 12 weeks plus education or education only. The group receiving NMES plus education showed a nine- to 11-percent increase in quadriceps strength by a number of measures, while the group who received only education saw, by some measures, a seven-percent reduction in strength over the 12-week study.

In the second study, researchers examined the short- and long-term effects of a home-based, 12-week program of NMES on knee OA pain in older adults. In this study, 38 people were assigned to one of two groups: one receiving NMES plus education, the other receiving education only. The researchers measured pain in both groups at baseline and at weeks 4, 8 and 12. Participants receiving NMES also completed a pain diary 15 minutes before and 15 minutes after each treatment.

While no significant difference in pain was seen between the groups over the course of the study, people in the NMES group did experience immediate, short-term relief, reporting There was a significant 22 percent decline in pain 15 minutes after as compared with immediately before each NMES treatment an average 22 percent decline in pain 15 minutes after treatment compared to 15 minutes before.

Electrical stimulation may ease pain and strengthen the quadriceps muscles supporting the knee. It also may delay total knee replacement.

In a recent clinical study conducted at 23 centers across the U.S., 48 men and 109 women, ranging in age from 31 to 88, with moderate-to-severe knee OA wore an FDA-approved electrical stimulation device for six to 10 hours daily (usually while sleeping). Compared to a control group of 101 patients who did not use the device, results showed that 62 percent of the people who used the electrical stimulation device postponed replacement of their knee joint for four years. Only seven percent in the control group did so.

Dr. Rich Roth
26 Nov 2011, 19:19
OA occurs due to a mechanical malfunction of the joint involved. When it does not move properly, it cannot get rid of waste nor draw in nutrients. Since there is no direct blood supply to any joint, it must get it's nutrients through pressure gradient changes via normal movement. The causes of joint mechanical problems are 3-fold and are 1. stress, 2. trauma and 3. chemical imbalances. Since we all get exposed to those factors, we will all be susceptible to their ill effects. However, if joint motion integrity is maintained, OA can be minimized.

If the OA is already in process, the above-mentioned treatments can be helpful. However, if the joint mechanics are not addressed, the problem will either recur or never fully go away. Also, if the cartilage is deteriorated severely, ie. bone on bone, options may be somewhat limited. Other treatment options are cold laser therapy, knee decompression, physical therapy etc. Although some devices are available to the public, it is important to know proper application or results can be disappointing.

I am not very familiar with Bionicare, though it's basic premise seems very logical and appears to be worthwhile to investigate. I hope this information is helpful.
josephine chetter
20 Nov 2011, 00:24
I play a lot of tennis and walk 4 miles daily, but my knees are constantly sore, can you recommend an electonic devise I can use to help this pain, if so how do I get it and how much will it cost.

thank you

josephine
Erika
14 Nov 2011, 21:26
You can find an NMES and TENS combination unit at http://www.queenwestphysio.ca/products/tens/twinstim-ems-tens-unit
joan smith
15 Sep 2011, 11:20
i work in retail all day will the bionicare wrap help me work with no pain .
Ethel Putthoff.
13 Sep 2011, 15:56
I have a TENS unit. Would this be helpful for osteoarthritis of the knee?
Kim
08 Aug 2011, 08:29
Can you site the actual studies?
Barbara Miley
04 Aug 2011, 16:55
I would like to purchase one of the knee stimulators. Can you please tell me how to go about doing this?
Geri O'Leary
22 Jun 2011, 17:44
COuld Dr. Agarwal please contact me or tell me where I can purchase th NMES. Is it different from the Russion Electric stimulator? Thank yu
maria s limon
21 Jun 2011, 14:55
I"ll like to purchase the NMES, and also find information as to were to place the elctrodes pads for knees, as well as lowe back and shoulders. I had not been able to find information in google.
Dr. Rahul Agarwal
14 Jun 2011, 03:57
Hello,

Anyone who need NMES can contact me. It is an FDA approved machine.
Nafla Al Hokail
31 May 2011, 13:44
Hi there,

I would like to ask where can i find NMES? I want to purchase the device.

Thanks
luci
19 May 2011, 00:48


The Doctors tv show was on today 5/19 re the brace they discussed for the knee...please tell me the name of the brace.
Luci
19 May 2011, 00:45
On tv show The Doctors today 5/18 they mentioned a brace that parts the knee so that cartilage grows back and bone on bone is gone.You wear this brace for 3 months...what is the name of that brace? Please help.
Andrew
05 Nov 2010, 12:26
My mother-in-law is caring for her husband who has many ailments. She underwent a knee replacement years ago and for two reasons wants to avoid this for the other knee. 1) It was a tough recovery with less than perfect results and 2) she has to care for her husband so she can't afford the downtime.
While searching for an alternative treatment, she learned of BioniCare which is from VQ OrthoCare. Her treatment is two part: 1) She got an unloading brace called OActive from VQ OrthoCare that provided immediate relief and 2) she started using the BioniCare system which sends a signal through the knee joint that reduces pains and has shown long term gains. Users have been able to return to full function and no longer require the brace or BioniCare after about 9 months. After two months, my mother-in-law has cut the pain medications by 75% and is able to shop, take her dog on long walks and do things she has not done in years. With BioniCare there is no going backwards to go forwards (no surgery), no serious adverse reactions and since this is medication free, she is safe to drive.
Everything you need to know is on www.bionicare.com
Michelle
05 Nov 2010, 11:23
This article discusses two types of electrical stimulation. One is NMES, short for neuromuscular electrical stimulation. Several studies have shown that it can increase strength in the quadriceps (thigh) muscle, which is helpful to osteoarthritis because patients often decrease their activity due to the pain. Less activity means less strength, which compounds the problem by providing less support for the joint. NMES stimulators can be found on a simple internet search. Many companies manufacture them

The second type of stimulation mentioned, which has been shown to defer a total knee replacement, is called BioniCare. This is a different type of stimulation that improves the overall health of the joint rather than stimulating the muscles for strengthening. Four clinical studies show that this stimulation, which you do not feel, improves pain, range of motion and morning stiffness, as well as decreases medications and can improve the overall health of the knee. More information can be found at www.bionicare.com.
Virginia M Mooe
01 Oct 2010, 16:48
Need more information and where to obtain the
"Electrical stimulation for knee osteoarthritis." Thank you.
Graz
05 Aug 2010, 11:54
Hello to all ,
I have RA, and I refuse medication, so I'm always looking for alternatives. One such thing is a MIGUN bed. It's a massage bed, with infra red lights, acupuncture, oxygenation and detoxification benefits. It takes time to see the results but it's well worth it. In most cases you will not have to have any surgeries or take any medications. It relieves all kinds of pain. I had injections done to my knees because I had hard time walking and standing. I have been going for the massages 5 times a week for the last 5 months and my knees are doing great. Go under www, migun.com.
Also In the last month I tries another therapy called FSM, microcurrents, it also seems like a winner. But since I just had it done I do not want to sound overly confidant.
Like all therapies - not everything thing woeks for everybody, but it's worth trying.
info.@csiofmi.com or www.csiofmi.com
I also heard that oxygenation therapy is also a winner. I haven't tried it yet, but that would be my next step if needed. My RA doctor said she heard of it and to go for it.
Good luck!!
Anel
13 Jun 2010, 09:47
Im 30 and from south africa i have been suffering with osteathritis from the age of 13. I have had a few opperations but it made things worse. Im supose to get knee replacements and cant realy walk now. I would like to know where i could find this product please im realy desperate.
Mahmood Alam
16 Dec 2009, 03:18
I have been sufering from O.A. for the last 3 years in my both knees. severe pain and inflammation is confronted. I feel rather becomes difficult to walk even a half farlong. it becomes so stiff even i keep standing for about 15 / 20 minutes.
Please advise me for medicines and other activities to be performed in order to get rid of this suffering.
Christopher Adebayo
26 Nov 2009, 09:44
I am very interested in this treatment. My acupuncturist can acquire the NMES equipment for me to use at home. Where does one find the information for placement of the stimulant pads for knee OA? I have run several Google searches but to no avail.
Please email me at cbadebayo@yahoo.com
Parwez Rao
11 Nov 2009, 11:23
I am 65 years of age and suffering from knee, elbow and finger joint pains for the last 7 years. The doctors told me that it was due to storage of excessive uric acid. Some have prescribed medicines but I avoid taking medicines. May I have alternative treatment to eliminate the problem.Thanks
ken
29 Sep 2009, 03:45
Hi there. I am 68 years old and i have been having pain in my shoulder/elbow and knee joints for about a year now.this is first time i have heard about this electrical treatment for this condition.Is it available in South Africa if so where would i be able to get it
Lorraine Clark
27 Jul 2009, 14:03
I came across a fantastic device for pain relief. I have never experienced side effects from using it - just no pain afterwards! It's a form of electro-therapy. All my friends and family have had a go with it for all their aches and pains and they all think it's great too, so I'm happy to recommend it to you. www.enart.co.uk
Good luck!
Shari McCormick
16 Jul 2009, 09:21
Started with a torn ACL and now osto/a. Total knee replacement has been recommended, but my doctor says I "will be a challenge" due to my hyper-mobility. Tried Physical therapy, but therapist said "don't know how you are held together, you're so limber." Would electrical stimulation help delay replacement or improve the pain?
Norma West
07 Jul 2009, 12:27
I am very interested in this treatment. My acupuncturist can acquire the NMES equipment for me to use at home. Where does one find the information for placement of the stimulant pads for knee OA? I have run several Google searches but to no avail.
Mary Hansen
20 May 2009, 07:25
I would like to know if a person was told to have knee surgery would this work. I have ra and osto/a. I am sure it is because of my genes. My aunts all had it and one was so severe that she had the neck surery to kill the pain, died at the age of 52years. Is this covered by insurance or is there a study out there for this. Is there any side effects from this.

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