Yes, there is a connection between Knee pain, Knee replacement and the advance of brain decline and Alzheimer’s Disease

Platelet rich plasma injections for meniscus tears

Ross Hauser, MD and Katherine L. Worsnick, MPAS, PA-C

Are you worried about Alzheimer’s and brain decline? Then you should worry about your knee pain and you should re-examine your thinking on knee replacement or any procedure that requires general or regional anesthesia especially if you are over 60.

This is not Caring Medical issuing these warnings, it is Caring Medical reporting on new research on how NOT treating knee pain, or taking or not taking painkillers, OR getting a knee replacement can lead to cognitive decline and possibly Alzheimer’s disease.

See our main page, Prolotherapy for knee pain to learn more about our regenerative treatments for knee instability.

Are you at greater risk for Alzheimer’s disease if you have a knee replacement surgery after the age of 60? Research says yes.

A study published earlier this year (February 2018) in the Journal of Alzheimer’s Disease,(1) by University of Florida researchers, found that 23 percent of adults age 60 and older who underwent a total knee replacement experienced a decline in activity in at least one region of the brain responsible for specific cognitive functions. Fifteen percent of patients declined across all brain networks the team evaluated.

In a research summary issued by the Journal of Alzheimer’s Disease, the following points were made:

This research was not the first to seemingly make a connection between cognitive decline and knee replacement surgery. In the December 2016 issue of the journal Medicine, research led by a team from Seoul National University made these observations on Postoperative cognitive dysfunction.

The researchers found their evidence concerning enough that they suggest that some patients should be given more extensive neurological testing before knee replacement surgery.(2)

Over 65? Living in an adult community? What painkillers may or may not do to your brain

University researchers in Israel visited people, over age 65, who lived in an adult community. What they wanted to explore was how many of these 65+ people lived with chronic pain and what the chronic pain was doing to their health. Among the things that the researchers looked at was how chronic pain affected cognitive function.

These are the findings they published in the June 2018 issue of the Journal of Pain Research.(3)

The cognitive function connection: The use of painkillers – does it make cognitive function better or worse?

What do you do then if memory and cognitive function is a concern?

What these and other studies show is that there is a connection between knee pain, knee pain treatments and cognitive decline and Alzheimer’s disease. In our office, we utilize non-surgical, non-narcotic pain medication applications to assist our patients to solve their knee pain issues. Send us your questions about your knee pain.

Prolotherapy Specialists

Get Help & Information on your knee pain

Danielle Steilen-Matias, PA-C | Katherine Worsnick, PA-C | Ross Hauser, MD | David Woznica, MD

 

1 Huang H, Tanner J, Parvataneni H, Rice M, Horgas A, Ding M, Price C. Impact of total knee arthroplasty with general anesthesia on brain networks: cognitive efficiency and ventricular volume predict functional connectivity decline in older adults. Journal of Alzheimer’s Disease. 2018 Jan 1;62(1):319-33. [Google Scholar]

2 Jeon YT, Kim BG, Park YH, Sohn HM, Kim J, Kim SC, An SS, Kim S. Postoperative cognitive changes after total knee arthroplasty under regional anesthesia. Medicine. 2016 Dec;95(52). [Google Scholar]

3 Liberman O, Freud T, Peleg R, Keren A, Press Y. Chronic pain and geriatric syndromes in community-dwelling patients aged ≥65 years. Journal of Pain Research. 2018;11:1171-1180. doi:10.2147/JPR.S160847. [Google Scholar]

 

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