In the double-blind, randomized placebo-controlled study, 34 patients used a
portable battery-operated device that emits a low-intensity pulsating
electromagnetic frequency and experienced more than 40 percent pain relief on
their first day.
"Our results show pulsed electromagnetic fields caused a significant decrease
in pain" says Fred Nelson, M.D., associate program director for research and
director of the Osteoarthritis Center, Department of Orthopaedics, Henry Ford
Hospital.
Dr. Nelson will present the results this week at the Orthopaedic Research
Society's annual meeting in New Orleans.
Dr. Nelson explains that in the laboratory, electromagnetic signals have been
shown to decrease calcium in cartilage cells. This sets off a series of chemical
events that can lead to reduced inflammation. Previously, the electromagnetic
fields have been used to control pain related to cosmetic surgery.
"We are really fine-tuning what we are doing to the cell environment with a
very specific pulse sequence and frequency," says Dr. Nelson.
Patients strapped the small, ring-shaped plastic device around their knees
for 15 minutes, twice daily for six weeks. The device was lightweight and
patients could position the device directly over clothing. All participants were
given a device with a coil that appeared to work but some were assigned active
coils and others were given non-active coils. The electromagnetic device was
developed by Ivivi Health Sciences of Montvale, New Jersey.
Osteoarthritis of the knee is a leading cause of disability and loss of
independence. It is a slow, progressively degenerative disease in which the
joint cartilage gradually wears away due to trauma, aging or infection. As the
cartilage thins, the surrounding bone thickens and often bones rub against one
another, causing additional wear. Normal activity becomes painful and
difficult.
Current treatments include drug therapies like anti-inflammatory medication
or pain relievers; physical therapy; support devices; health and behavioral
modifications such as weight loss; surgery and joint replacement.
Dr. Nelson explains that medications often have variable success and can
produce considerable side effects such as changes in kidney and liver function,
a reduction in the ability of blood to clot as well as abdominal pain, nausea
and indigestion.
"The exciting thing about this new approach is that it has been found to have
no side effects, it is relatively low-cost in the long-run and the onset of pain
relief is immediate," says Dr. Nelson. "We look at electromagnetic pulses as a
potential way to improve quality of life and independence for those who suffer
from osteoarthritis of the knee."
Dr. Nelson says researchers will continue to look at the consistency of the
relief, how long the pain relief lasts and if electromagnetic pulses might
affect other joints.
Funding for the study was provided by Ivivi Health Sciences.
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