Treatment of Bone Marrow Edema of the Talus with Pulsed Electromagnetic Fields

Patients with subchondral BME at midterm follow-up after microfracture for OLTs had worse clinical outcomes than those without subchondral BME. In addition, the degree of subchondral BME at midterm follow-up was correlated with clinical outcomes. However, at short-term follow-up, there were no significant differences in clinical outcomes based on both the presence and degree of BME, and no correlation was found between clinical outcomes and the degree of BME. The current study suggests that BME at short-term follow-up is a normal physiological reaction. However, BME at midterm follow-up after microfracture for OLTs may be pathological and is associated with poorer clinical outcomes.

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“…4,16 Other modalities such as pulsed electromagnetic fields have been used to reduce BME in the talus, but the evidence remains limited. 21…”

Section: Discussionmentioning

confidence: 99%

The Presence and Degree of Bone Marrow Edema Influence Midterm Clinical Outcomes After Microfracture for Osteochondral Lesions of the Talus

et al. 2018

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“…In the literature, 40 Hz magnetic field was used for wound healing, bone marrow edema and diabetic neuropathy for treatment purposes, and positive results have been reported. 2 , 3 , 4 In another study, the rats were exposed to pulsed magnetic field of 50 Hz for 3 times a day for 4 h and it was found to reduce necrosis in urethral cells. 22 For almost 50 years various forms of EMFs have been used to promote bone formation after fractures as well as for the treatment of osteoporosis.…”

Section: Discussionmentioning

confidence: 97%

“…Exteremely Low and Low frequency pulsed magnetic field is recently and frequently been used in many treatments like neuropathy therapy, bone marrow edema, promoting bone formation after fractures and wound healing in different departments. 2 , 3 , 4 , 5 High Frequency electromagnetic waves are the radio waves which are used in mobile communications. 6 , 7 …”

Section: Introductionmentioning

confidence: 99%

The effect of very low dose pulsed magnetic waves on cochlea

Tuhanioğlu

Erkan

Gürgen

et al. 2019

Brazilian Journal of Otorhinolaryngology

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“…All patients had been managed by the same treatment protocol: PEMFs applied to the lateral side of the knee (8 h at night for 30 days with voltage pulses of 1.3 ms, 75 Hz) [ 19 , 20 ], oral anti-inflammatories (ibuprofen 600 mg, twice daily for 15 days), oral vitamin D3, vitamin K2, and calcium supplements (5 g sachets, once daily for 20 days), intramuscular bisphosphonates (clodronic acid 200 mg/4 mL, 1 daily injection for 10 days, then 1 injection on alternate days for 20 days), and oral analgesics (paracetamol 1000 mg, as needed) [ 21 ].…”

Section: Methodsmentioning

confidence: 99%

Is Primary Bone Marrow Edema of the Knee Associated with Thyroid Disorders? A Retrospective Clinical Study

Berardinis

Qordja²,

Farinelli³

et al. 2022

JCM

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Primary bone marrow edema (BME) of the knee is still an elusive condition. This retrospective study was undertaken to gain insight into its characteristic features. The records of 48 patients with primary BME of the knee diagnosed by magnetic resonance imaging were reviewed. Demographic data, medical history, current medications, pain type, smoking and drinking habits, allergies, occupation, sports practiced, environmental factors, and life events predating symptom onset were examined. Data analysis demonstrated that 56.3% of patients had experienced a stressful event before BME pain onset and that 50% suffered from thyroid disorders. Standard conservative treatment resulted in pain resolution irrespective of the use of anti-inflammatories. However, most patients reported new persistent symptoms: dysesthesia/hypoesthesia on palpation in the skin area overlying the previous edema and a reduced ipsilateral patellar reflex. To our knowledge, this is the first study characterizing a substantial cohort of patients with BME. We found that middle-aged, sedentary, and slightly overweight women smokers are the typical patients with primary BME of the knee. The appearance and persistence of cutaneous dysesthesia/hypoesthesia at the site of the earlier lesion and ipsilateral patellar hyporeflexia implicate an autonomous nervous system dysfunction in BME pathogenesis and warrant further investigation.

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Treatment of Bone Marrow Edema of the Talus with Pulsed Electromagnetic Fields

Abstract: A significant reduction in BME area was associated with a significant decrease in pain within 3 months of beginning treatment.

Cited by 13 publications

References 28 publications

The Presence and Degree of Bone Marrow Edema Influence Midterm Clinical Outcomes After Microfracture for Osteochondral Lesions of the Talus

The Presence and Degree of Bone Marrow Edema Influence Midterm Clinical Outcomes After Microfracture for Osteochondral Lesions of the Talus

The effect of very low dose pulsed magnetic waves on cochlea

Is Primary Bone Marrow Edema of the Knee Associated with Thyroid Disorders? A Retrospective Clinical Study

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