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Knee
Pain
The knee is the largest and
one of the most complex joints in the body. It is also one of the most
common joints to suffer injury and cause disability. Problems with the
knee can be classified as 1) poor mechanics 2) trauma and overuse, and 3)
arthritic changes. Problems 2 and 3 are closely linked with number 1.
Nearly all knee problems revolve around mechanical issues which put
abnormal amounts of stress to soft tissues (tendons, ligaments, and
cartilage) of the knee. Common examples of abnormal mechanics include
subluxation (knee, sacroiliac, lumbar spine, or foot), muscular imbalance
(especially quadriceps which can cause patellar mistracking), muscular
tightness, and foot problems (pronation, flat arches, high heels, etc.).
Trauma to the knee many times initiates mechanical problems which, if left
uncorrected, will lead to problems. Degenerative arthritis is a classic
example. Years of poor biomechanics will cause knee cartilage to wear out
and bones will begin to rub
upon
one another causing bone spurs, pain, and sometimes even knee surgery.
Recently, arthroscopic knee surgery for osteoarthritis (performed 200,000
times per year) has been shown to be no more effective than sham surgery.
Gonstead Chiropractic and Knee Pain
The Gonstead doctor addresses aspects of the knee which are many times
overlooked. Subluxations in the sacroiliac joints, lumbar spine (which
affect spinal nerves to the knee) and foot must be addressed to ensure
proper knee function. Gonstead chiropractic adds adjustments to the knee
itself (if indicated) to help restore motion and release tissues that may
be pinched or caught between the bones. Muscular imbalances are also
important and are positively affected by removing subluxations. Studies
have shown that muscular inhibition (a common cause of anterior knee pain)
is improved by adjusting the sacroiliac joint. Many Gonstead doctors are
equipped to prescribe orthotics when indicated or can refer to an
appropriate health care provider.
What Gonstead patients are saying:
“Pain is much less, gone at times. Can walk much more.”
> Elsie A. who was
recommended for knee replacement, but did not.
“The pain in my knees was extreme. Now I can move more freely with less
pain and have more energy. I’ve started taking long walks again which I
enjoy so much and gain a new perspective on life.”
> Virginia A.
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Moseley, JB, et al.,
“A controlled trial of Arthroscopic Surgery for Osteoarthritis of the
Knee” NEJM, Vol. 347, No.2, July 11, 2002.
Kerrigan, DC, et al., “Knee osteoarthritis and high-heeled shoes” Lancet,
April4, 2001, Vol 351, Issue 9113, pg 1399.
Suter E, McMorland G, Herzog W, Bray R, “Conservative lower back treatment
reduces inhibition in knee-extensor muscles: a randomized controlled
trial.” J Manipulative Physiol Ther. 2000 Feb;23(2):76-80.
Kuhn DR, Yochum TR, Cherry AR, Rodgers SS. “Immediate changes in the
quadriceps femoris angle after insertion of an orthotic device.” JMPT 2002
Sep;25(7):465-70.
Polkinghorn BS. “Conservative treatment of torn medial meniscus via
mechanical force manually assisted short lever chiropractic adjusting
procedures.” JMPT 1994 Sep;17(7):474-84.
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