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Pain and Arthritis Newsletter
April 21, 2008


In This Issue
• Gel Enables Severed Spinal Cord Fibers to Regrow
• Testosterone Therapy May Reduce Bone Loss in Older Men
• Health Tip: Treatment Options for Osteoarthritis
 

Gel Enables Severed Spinal Cord Fibers to Regrow


THURSDAY, April 10 (HealthDay News) -- A nano-engineered gel that inhibits the formation of scar tissue at the site of a spinal injury and enables severed spinal cord fibers to regenerate has been developed by researchers at Northwestern University in Chicago.

They noted that nerve fibers do have the ability to regrow after a spinal injury, but they're blocked by scar tissue that develops around the injury.

After the gel is injected as a liquid into the spinal cord, it self-assembles into a scaffold that supports new nerve fibers as they grow up and down the spinal cord and penetrate the site of the injury.

Six weeks after the gel was injected into mice with a spinal cord injury, the mice showed great improvement in the ability to use their hind legs and walk. The research was published in the April 2 issue of The Journal of Neuroscience.

"We are very excited about this. We can inject this without damaging the tissue. It has great potential for treating human beings," lead author Dr. John Kessler, a professor of stem cell biology at Northwestern's Feinberg School of Medicine, said in a prepared statement.

However, he added that it's "important to understand that something that works in mice will not necessarily work in human beings. At this point in time, we have no information about whether this will work in human beings."

"There is no magic bullet or one single thing that solves spinal cord injury, but this gives us a brand new technology to be able to think about treating this disorder. It could be used in combination with other technologies including stem cells, drugs or other kinds of interventions," Kessler said.

He and his colleagues are working on developing the nano-engineered gel to be approved as a pharmaceutical by the U.S. Food and Drug Administration. If they make good progress, a human clinical trial of the gel could begin in several years.

More information

The U.S. National Institute of Neurological Disorders and Stroke has more about spinal cord injury.


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Testosterone Therapy May Reduce Bone Loss in Older Men


MONDAY, April 7 (HealthDay News) -- Injections of testosterone appear to improve bone density and reduce bone loss in older men who have low testosterone levels and may help to prevent osteoporosis, a new study suggests.

Testosterone therapy has been used to improve bone strength and muscle mass in some men. However, the hormone treatment is controversial, because it has been associated with increasing the risk of prostate cancer and high levels of red blood cells. And other potential effects of long-term use of testosterone therapy aren't known.

"These preliminary data show beneficial effects of testosterone therapy on bone turnover markers in older men with low-to-normal testosterone concentrations using both continuous and monthly cycled testosterone replacement," lead researcher E. Lichar Dillon, of the Department of Internal Medicine at the University of Texas Medical Branch in Galveston, said in a prepared statement. "The effects of sex hormones on markers of bone formation are complex, but this is an important step in understanding how the process works."

Preliminary study results were expected to be presented April 7 at the American Physiological Society's annual meeting, during the Experimental Biology 2008 conference, in San Diego.

For the study, Dillon's team studied 13 men, ranging in age from 60 to 85. During the five-month trial, the men were either given weekly injections of testosterone, weekly injections of testosterone every other month, or a placebo.

The researchers found that men receiving testosterone had reduced bone turnover, compared with men on a placebo. While the effects of testosterone therapy over the long term aren't clear, the researchers said they believed the treatment would be beneficial by preserving bone mass and preventing osteoporosis.

One expert said the study was too small to prove or disprove the value of testosterone therapy in preventing bone loss and, perhaps, preventing osteoporosis.

"This small, short-term study indicates that men with low levels of testosterone respond to appropriate replacement as far as turnover markers indicate," said John Eisman, director of the Bone and Mineral Research Program at the Garvan Institute of Medical Research, in Sydney, Australia.

While calling the study "too small and too short to provide any insight into fracture-risk reduction or safety outcomes," Eisman said it does complement research he has done. "Our study showed that men with testosterone in the lowest quartile of the population had much higher risk of osteoporotic fractures," he said.

A large, long-term trial testing whether testosterone can prevent osteoporosis in men is needed to settle the question, Eisman said.

More information

To learn more about men and osteoporosis, visit the U.S. National Institute of Arthritis and Musculoskeletal and Skin Diseases.


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Health Tip: Treatment Options for Osteoarthritis


(HealthDay News) - Arthritis can cause pain, stiffness and swelling in the joints. It can make movement difficult and painful.

The American Academy of Orthopaedic Surgeons lists these potential options for treating arthritis:

  • Modifying your exercise routine to a lower-impact regimen that may include walking and swimming.
  • Making sure your body weight is in a healthy range.
  • Using non-steroidal anti-inflammatory (NSAID) medications, which can help reduce inflammation, pain and swelling.
  • Receiving corticosteroid injections in the joint from your doctor, which may also improve joint function.
  • Getting physical and occupational therapy, which can help strengthen muscles, bones and joints.
  • Undergoing surgery, if other forms of treatment don't help.

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