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Bone Marrow Lesions - A New Solution
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Monday, June 22, 2015


FOREST T. HEIS, MDMillions of Americans suffer from chronic knee pain. Often, the culprits are bone marrow lesions (BMLs) - areas of microscopic fractures resulting from weakened bone in the knee joint.

In the past, there hasn't been an ideal way to treat BMLs, says Dr. Forest Heis. However, a new procedure called Subchondroplasty offers an effective and minimally invasive solution.

When patients complain of chronic, non-acute knee pain that's been lasting for a few weeks, the first course of treatment will be common sense things such as ice, elevation, anti-inflammatory medications and avoiding activities that exacerbate the pain, Dr. Heis says.

Long-standing pain that isn't responding to more conservative treatments typically leads the physician to order an MRI. An MRI may reveal issues with the knee such as a torn meniscus, but sometimes it may reveal that the patient has areas of BMLs.

In addition to pain, BMLs are associated with a much greater risk for developing osteoarthritis. Further patients with BMLs tend to require knee replacement surgery at much higher rates and at a younger age than those who don't have BMLs.


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