{"id":11793,"date":"2024-08-09T10:09:36","date_gmt":"2024-08-09T10:09:36","guid":{"rendered":"https:\/\/magazines.uthscsa.edu\/mission-new\/?p=11793"},"modified":"2024-11-14T22:44:29","modified_gmt":"2024-11-14T22:44:29","slug":"non-invasive-treatment-provides-relief-for-osteoarthritis-pain","status":"publish","type":"post","link":"https:\/\/magazines.uthscsa.edu\/mission\/non-invasive-treatment-provides-relief-for-osteoarthritis-pain\/","title":{"rendered":"Non-invasive treatment provides relief for osteoarthritis pain"},"content":{"rendered":"

Patricia Abrego\u2019s journey to a clinical study using radiation therapy to relieve osteoarthritis joint pain began when she was 10 years old.<\/p>\n

Like most children living in a state where snowy winters were a norm, Abrego was doing what most kids do: playing.<\/p>\n

\u201cThe leaves were covered with snow, and they made good bumps to skid on,\u201d she said. \u201cI skidded on one and tore my meniscus in my left knee,\u201d said the 69-year-old semi-retired nurse and amateur artist.<\/p>\n

Rather than visiting a doctor, her mother helped her relieve the swelling, and the pre-teen went on with her active life. At 12, during a softball game, she was picking up a ground ball, and the already injured meniscus tore further.<\/p>\n

The meniscus is two C-shaped pieces of cartilage that provide cushion between the shinbone and the thighbone. According to the Centers for Disease Control and Prevention, tearing the meniscus is one of the most common injuries to the knee.<\/p>\n

For the next 34 years, Abrego lived with the pain and discomfort of the tear. At 46 years old, she underwent a complete knee replacement on the left knee. However, Abrego said that her right knee was damaged by taking over the work of the injured left knee. In 2016, she underwent a complete knee replacement of the right knee.<\/p>\n

\u201cBut that one never worked correctly,\u201d she said. \u201cSo I\u2019ve been dealing with pain for a long time.\u201d<\/p>\n

She tried various prescription and over-the-counter drugs to relieve the pain. After briefly using hydrocodone for pain relief, she chose to wean herself off the opioid and began a drug regimen of 1,000 milligrams of ibuprofen three times a day. Then, one of her physicians told her about a study by a colleague, Neil Newman, MD<\/a>.<\/p>\n

Newman, a radiation oncologist\u00a0for\u00a0Mays Cancer Center, home to UT Health San Antonio MD Anderson Cancer Center<\/a>, joined a national study on the use of radiation to relieve joint pain and eliminate the use of pain medications.<\/p>\n

\u201cWe are studying the use of very low doses of radiation, which is not invasive, to stop some of the inflammatory pain,\u201d he said. \u201cWe are including patients who are 50 or over and have a pain score of at least four out of 10 and above.\u201d<\/p>\n

Newman said most patients with osteoarthritis, a degenerative joint disease impacting more than 33 million adults across the country, use over-the-counter anti-inflammatory medications to relieve pain. As the disease progresses, however, treatment can include opioids or steroid and gel injections.<\/p>\n

\u201cBut those injections must be repeated multiple times and can be quite an unenjoyable experience,\u201d he said.<\/p>\n

Newman said the use of radiation to treat joint pain is nothing new. It was used in the 60s and 70s in the United States, but was replaced by medications and steroid injections.<\/p>\n

\u201cI think, culturally, the use of radiation, unfairly, had a negative connotation. I think it led to a big fear that we should use radiation for cancer only, even though it does have some benign uses,\u201d he said.<\/p>\n

While doctors in the U.S. stopped using radiation as a treatment for joint pain, European doctors continued to use it, especially in Germany, Newman said.<\/p>\n

\u201cWhat is great about that is now we have a lot of data for at least 30 years proving two key points. No. 1 is that radiation can help with pain, take people off pain medications, and provide relief,\u201d he said. \u201cAnd, most importantly, we know that low doses of radiation in an older population will not increase the risk of a secondary cancer from radiation.\u201d<\/p>\n

Newman said the dose of radiation used during treatment is 40 times lower than he would use with a patient he\u2019s treating for cancer. During the treatment, patients receive six seconds of radiation treatment on the joint two to three times per week on nonconsecutive days. Then, patients have follow-up visits for six months. The treatment can be done on joints in the knees, hips, elbows, shoulders, fingers and ankles.<\/p>\n

After receiving treatment, Abrego said the pain in her right knee did improve.<\/p>\n

\u201cI\u2019ve noticed that at three months, my pain was at a five, but it had gotten down to a two or one. The left knee is at a four,\u201d she said, referencing the 0-10 pain scale frequently used in health care. \u201cI\u2019m not taking high doses of ibuprofen. I\u2019m only taking 1,000 milligrams of ibuprofen a day, and some days, I don\u2019t take it at all.\u201d<\/p>\n

Newman said that while Abrego and others are participating in the study, receiving the treatment is not contingent on participation. However, Abrego highly recommends participating.<\/p>\n

Abrego said her younger sister, who would have turned 65 this year, passed away at 47 years old after a diagnosis of chronic myelogenous leukemia\u00a0with the Philadelphia-chromosome. With very little hope of survival, her sister chose to participate in a clinical trial for Imatinib, a medication now commonly used to treat the cancer.<\/p>\n

\u201cIt bought her seven years. She left a 10-year-old daughter behind instead of a three-year-old. I consider her my hero,\u201d she said.<\/p>\n

 <\/p>\n","protected":false},"excerpt":{"rendered":"

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