At Clearwater Radiation Oncology, we are a state-of-the-art Radiation Therapy Center using low-dose radiotherapy to successfully reduce pain and discomfort for multiple noncancerous and benign conditions such as:
- Plantar Fasciitis
- Dupuytren’s Contracture
- Desmoid Tumor
- Achilles Tendinitis
- Tennis Elbow
- Rotator Cuff Syndrome
- And Gynecomastia to name a few
To see our specialists and have a patient-centered discussion about what options are best suited for your disease, call for a consult today at ……
Low Dose Radiotherapy for Osteoarthritis: An Alternative Noninvasive, Cost-Effective, Treatment with Great Therapeutic Results and Minimal Side Effects
Osteoarthritis (OA) is known to be a progressively debilitating disorder commonly presenting with symptoms of pain, loss of mobility, joint stiffness, and fatigue. It is the second leading cause of disability, the second-most costly health condition, and the fastest increasing medical condition in the United States. The incidence and prevalence of OA are expected to continuously rise parallel to an aging population, with 1 in 7 Americans living with a diagnosis of OA at present.
Currently, there is no definitive intervention for addressing early-stage OA given that the etiology is multifactorial, and the exact disease mechanism is still not completely understood. Since there are no universal guidelines for the specific sequencing or combination of therapies, interventions usually differ among patients. At first, conservative therapies are utilized, such as weight loss, physical rehab, and keeping up with moderate levels of physical activity. If OA is resistant to such approaches, Nonsteroidal anti-inflammatory drugs (NSAIDS) are then given as a trial for relief. However, long term NSAIDS are associated with their own complications, such as gastrointestinal bleeds, cardiovascular events, and possible renal failure.
Fortunately, low-dose radiotherapy (LDRT) has now positioned itself as an acceptable and effective therapeutic alternative for patients with OA, as seen in multiple clinical trials that have exhibited symptomatic pain relief in 63 to 90% of all irradiated patients. These same studies reveal very minimal to no acute or late side effects, with some publications showing only mild skin redness as a presenting symptom. In addition, LDRT has not shown to have a negative impact on the function of noninflamed joints, or is it a contraindication for a subsequent surgical intervention.
So, how can LDRT play a role for OA in patients today? Currently, LDRT is gaining utilization for refractory OA that has exhausted other first-line medical interventions, or even delivered before a more invasive procedure, such as a joint replacement. LDRT fills in the sweet spot for patients who are resistant to benign interventions, most likely require a more aggressive intervention, but would like to trial a more conservative treatment approach first. LDRT would also not be a burden to the patient’s life, since a RT course is usually consisting of only 2-3 treatments a week for a total of 2 weeks.
Have you had it with OA and the disability it causes? Is nothing working for your OA? Are you running out of therapeutic options, and do not want to pursue an aggressive intervention yet? If yes to any of the above, then Low-dose RT might be for you. It is a noninvasive, cost-effective, treatment with minimal side effects and good therapeutic results.
If you would like to learn more about LDRT for OA and consult with a local Radiation Oncologist, visit Clearwater Radiation Oncology at https://clearwaterradiation.com or call 727-966-HOPE (4673) and ask for Dr. Rahul Bhandari. He will be happy to shed more light on how LDRT can better help you and your Osteoarthritis.
RADIATION THERAPY FOR DUPUYTREN’S CONTRACTURE
Dupuytren’s Contracture (DC) is a benign disease, also known as Viking’s Disease, that affects the connective tissue of the fingers and palms. First presenting as simple knots on the hands, overtime they slowly progress to firm cords along the tendons and palm. When thickened, these cords then start contracting and causing flexion and deformations of the affected fingers. This will naturally cause discomfort, pain, and loss of function of the affected hand.
Radiation Therapy (RT), through growing publications and patient experiences, is proving to be an extremely effective treatment modality for the early stages of Dupuytren’s Contractures if it meets any of these criteria:
- There is less than 10 degrees of fixed finger bending. If more than 10 degrees of finger bending, surgical intervention is preferred
- The disease has become prominently worse over the previous 6-12 months
Why Choose Radiation Therapy for Dupuytren’s Contracture?
Even though radiation therapy is just recently becoming implemented as a successful treatment choice for Dupuytren’s Contracture here in the United States, it has been used safely and effectively in Europe for quite some time now. For example, in the United Kingdom, the National Institute for Health and Clinical Excellence in 2010 approved RT to treat DC. One landmark study showed 80% of patients improved and/or stopped progressing, while only 8% required surgery, eight years after completion of RT. On the other hand, 62% of patients who did not undergo RT had a disease progression and 30% of them needed surgery within 5 years.
Radiation Therapy Details:
Radiation Therapy is administered externally, so it is completely painless and noninvasive for the patient.
The radiation therapy is prescribed over two sessions, which are given 6-8 weeks apart. Each of the two sessions consists of 5 days of consecutive treatments lasting only approximately 15 minutes each.
Given that there are no vital organs or structures in or near the hand, radiation therapy is commonly well-tolerated with minimal side effects. Potential side effects include mild redness, dryness, or soreness of the treated area, which commonly resolve.
If your patient would like to learn more about Radiation Therapy for their diagnosis of Dupuytren’s Contracture and consult with a local Radiation Oncologist, visit Clearwater Radiation Oncology at https://clearwaterradiation.com or call 727-966-HOPE (4673) and ask for Dr. Rahul Bhandari. He will be happy to shed more light on how RT can better help these patients and their treatable disease.