Akshay M. Nimje

Knee osteoarthritis (OA) is a usual disorder depicted as discomfort and loss of functional performance, including decreased proprioceptive acuity. Symptoms of this condition include stiffness, pain, swelling, joint disproportion, functional incompetency, and muscle atrophy, which may reduce the well-being of the patient. This report highlights the case of a 41-year-old female patient who complained of right knee pain, which was persisting for a month, and was treated with the McKenzie Technique (MT) along with electrotherapy modalities. Following 12 days protocol, there was a substantial reduction in pain, improvement in functional ability and knee muscle strength, and reduced walking time. Various other physiotherapy approaches and techniques were inculcated in the management of OA, which involved a soft tissue approach, therapeutic training, and manual method. Hence, this case report highlights the pragmatic effect of lower limb MT in grade 1 knee OA patients, which may improve the patient’s well-being.

We aimed to analyze the influence of preoperative piroxicam, diclofenac, paracetamol, tramadol, and placebo tablets as measured in the time required for rescue analgesia for postoperative pain relief after the extraction of impacted mandibular third molar. Forty-four patients who needed extraction of impacted mandibular third molar were arbitrarily categorized into four groups namely, piroxicam, diclofenac, paracetamol with tramadol, and placebo. The test medicine was given one hour preoperatively before the surgical removal. The pain was assessed using visual analog scale (VAS) and verbal rating scale (VRS) scores preoperatively and at the third and 24^th hours. The time required for escape analgesia was measured. The mean VAS and VRS scores showed significant differences across the groups after 24 hours. The mean score was lowest for the patients taking piroxicam (1.30+1.95) and highest for patients taking tramadol + paracetamol (4.50+2.59). As far as escape analgesia is concerned piroxicam group was by far superior. The pain scores and the rescue analgesic requirement suggested that piroxicam analgesic significantly reduced pain; moreover, it is a safe as well as an efficacious substitute to the conventional non-steroidal anti-inflammatory drugs (NSAIDs) for mandibular third molar impactions.