CategoriesKnee Pain Knee Replacement Surgery

What You Need To Know About Knee Replacements and Hip Surgery

What many people fail to recognize until it is too late is that they are slowly destroying their hip or knee joints from not moving enough or moving very poorly. At first they don’t have any pain just some slight awkwardness or weakness but after doing this for so long eventually they hit 40, their joints have become so stiff to protect them from more damage that they can barely move. Resting and use of NSAID’s or cortisone injections are regularly used to get rid of the pain and reduce the inflammation. However while these methods might actually achieve that goal they do not address the weakness and instability that was causing the pain in the first place. (See the article about cortisone injections for more detail on this.) For many surgery may seem like the best solution, and perhaps it is if the problem has become so great they cannot move. Yet I have met several people in their late 40’s and early 50’s who could have tried exercise intervention but chose to have a knee replacement instead only to be left in more pain than they had before the operation. Or worse still, developed other injuries and complications as a result of the surgery! In this article we look at the reasons behind chronic problems at the hip and the knee and what you can do about it and try to avoid surgery if you can. Sometimes it may be all you can do, but it should be the last resort and the only option left after all alternatives have been tried first.

CategoriesKnee Pain

Stop Treating Symptoms Of Knee Pain & Address These Four Factors

When the body is challenged with a movement it will do anything it can to find the path of least resistance and most importantly avoid pain. The site of pain is very rarely the cause of the pain, it is merely the effect of a problem created somewhere else in the body. Vladimir Janda a pioneer in the development of postural correction and movement assessment states, that “these two anatomical systems cannot be separated functionally”. Therefore, the term “sensorimotor system” is used to define the functional system of human movement. In addition, changes within one part of the system will be reflected by compensations or adaptations elsewhere within the system because of the body’s attempt at trying to maintain optimal homeostasis. Nowhere in the body is this more accurately seen than with the knee. In this article, I will explain what the most common culprits of knee pain are so you can either prevent future injury or be able to address the source of the problem if you already have a knee problem.

CategoriesBackwards Walking Knee Pain Walking

How Good Is Backwards Walking For Treating Knee Pain?

One question I am regularly asked about knee pain is, how good is walking backwards for strengthening your knees? In recent years this type of exercise has grown in popularity on the internet and also among many therapists as an exercise to prescribe their patients with for strengthening of the knees. I can see how it appeals to so many people with knee pain as it requires no equipment, minimal skill, and can be done almost anywhere. The big question is how effective is it really when it comes to strengthening the knees to get rid of pain? While there are some positive benefits to using this, there are several problems I believe are overlooked that would be better resolved with other exercises. In this article, I explore this exercise in more detail and challenge my bias to see if it is something that I may be underestimating.

CategoriesCycling Knee Pain

Is Cycling Good For Getting Rid Of Knee Pain?

Cycling can be a great way to help rebuild strength into your legs if you have knee pain but it must be used in combination with other methods. Cycling is in fact a key part of the early stages of an ACL rehabilitation program after surgery and many elite cyclists like former Australian professional Simon Gerrans who started cycling after a serious knee injury. However, it is not the real solution to your problem and in some cases cycling can even be the reason you have knee pain! In this article, I will discuss the value of using cycling for treating knee pain and how it can be a great tool if used wisely.

CategoriesChronic Pain Surgery

Do We Rely Too Much On Scientific Research & Surgery To Fix Chronic Injuries?

One thing that has been a constant problem for me over the years is explaining to medical practitioners our methods for helping people to overcome serious injuries and regain their life. The very first thing they say is that there is no scientific research to support your findings. There has been several great books and articles that have explored this topic before which I will share in this article but I have posed this question as it relates more specifically to our training studio based in Melbourne Australia. Even though many of our programs and methods are based on research papers and studies, and we have hundreds of testimonials and even case studies that have proven these to work for a long time (over 20 years now), we are still looked upon as something of a rogue and not validated due to a lack of medical qualifications. Even Google rates my articles very poorly even when I can prove it works. Google has a hard time understanding how a particular injury can relate to so many things as they prefer to have an algorithm that gives a specialist answer. And unfortunately it is not just Google who thinks like this as this is the thinking applied by most people and is supported by research that also uses this same reasoning. I must make it clear we use scientific research all the time and most of our programs are based upon this, however, it is through practical application that all of our best solutions have been discovered. This article I wish to explain how we currently use research and the danger we place by relying too much on what science has to say.

CategoriesChronic Pain

Why You Need To Experience Some GOOD Pain To Eliminate BAD Pain

We have published numerous articles before about CHRONIC PAIN and what strategies and methods you can use to prevent it and rehabilitate an injury. One of the more interesting concepts we discuss is the difference between “good pain” and “bad pain”. Many people suffering from chronic pain are looking for a remedy or a solution to remove the pain and suffering. But the big problem with this is, that removing the pain is rarely addressing the real problem, WHY the pain was there in the first place. We have been taught to see pain as a real inconvenience and that there must be some kind of pill, tablet or medical intervention to make it go away. Often when there is pain there is significant stiffness and tight muscles that will require some “good pain” via massage, stretching and exercise to restore the body back to balance. Without this “good pain” being implemented nothing will change. And unfortunately this is the cycle most people are stuck in as they are just seeing to get rid of symptoms and not address the true cause of the problem. In this article, I am going to help you see how to approach your problem in a different way.

CategoriesKnee Pain VMO

How To Strengthen The Glutes and The VMO Simultaneously To Stabilize The Knee

One of the most controversial and confusing muscles to discuss is the vastus medialis oblique, otherwise known as the VMO. We know that this muscle plays a critical role in providing stability of the knee and prevents the onset of patella tracking problems that are so common among people of all ages. However, there is so much conflicting research and information about the best way to strengthen this muscle that many people are confused as to where to start. The problem with most of the research is that it looks at strengthening the muscle in isolation, ignoring the role of other anatomical factors contributing to the VMO weakness. Factors such as tibial torsion, valgus knee collapse due to poor hip muscle control, poor foot stability creating over-pronation, and ankle stiffness inhibiting quadriceps strength need to be addressed if you truly want to strengthen the VMO and stabilize the knee. And arguably the best way to do this is using what are referred to as “reactive neuromuscular training” exercises, where you use creative methods to isolate a specific muscle within an integrated movement. It sounds complicated, but really it is very simple when you understand how the body uses compensation to avoid pain. In this article, I will show you several versions I like to use to help stabilize the knee.

CategoriesDecline Squat Knee Pain

How The Decline Board Squat Strengthens The Quadriceps After A Knee Injury

When planning to start the long process and break up the progressive stages of a knee rehabilitation program, an understanding of what can influence movements from a mobility and stability perspective is critical. Many of the best exercises to develop strength into weak areas are not necessarily the best option in the early stages as the body compensates and adapts to the pain and injury. Using various tools and drills to “retrain” the brain and nervous system is very important in being able to restore efficient functional movements of the body. The quadriceps can be a real problem in the beginning as they may have contributed greatly to creating the injury in the first place, and are often left with excessive tightness and weakness. This makes it very difficult to strengthen without creating more pain, and also more dysfunction. In this article, I am going to explain the role of using the Decline Board Squat to overcome this problem. I will show you how to gradually progress to heel plate squats, to eventually floor based squats and pain free movement. The purpose of the decline squat is to improve the overall strength of quadriceps while maintaining muscle balance and optimal movement pattern of squatting.

CategoriesSquat technique

Is It Okay To Let Your Knees Go Over Your Toes When You Squat?

One movement that has a lot of confusion and controversy surrounding the “correct technique” to use is the squat. For a long time people have been told to keep their knees behind their toes or it will cause serious knee damage. This teaching is still used in many gyms and fitness centers today, yet the basis and logic for this instruction is more likely to cause harm and dysfunction than prevent it. If you watch elite weightlifters competing you will see their knees always go over their toes, and the taller they are, the further forward they go. And not only do they not have knee pain, they have legs stronger than most people on the planet. What causes knee pain has more to do with hip and foot mechanics combined with poor movement strategies that were either taught or learned from an early age. In this article, I will explain the theory behind the squat and help clear up what the correct movement you should be striving to achieve really is.

CategoriesBack Pain Knee Pain Lower Back Pain Tight Hips

Are Your Tight Hips The Cause Of Your Back Pain & Knee Pain?

Anybody who has had back pain, hip or groin pain before will know how frustrating this type of injury can be to shift. Apart from the frustration of re-occurrence if the underlying cause is not found and resolved, there is a stack of other injuries that are likely to follow if intelligent changes are not made. This article is intended to show you our most effective rehabilitation and injury prevention methods (injury tests, best stretches and exercises) that we have used successfully with many clients (see testimonials) for over 20 years working as Rehabilitation specialists in Melbourne. Our goal is to address the whole problem of your pain or injury, looking closely for the source of the problem so we can help you attain long term balance and optimal function. The hip joint, along with the ankles, is a joint we find where most of the troubles originate. It is also often missed in diagnosis of injury, as it may not present with pain, instead it will show stiffness and a lack of mobility. The hips are designed to be very mobile, having to withstand both direct loading stresses and large rotational forces with weight-bearing activities. It is especially vulnerable to injury in sports that involve pivoting or twisting movements, such as soccer, football, tennis and golf. Because the muscles around the hip joint attach directly on to the joint capsule, they have a large influence on the range of movement. And why we need explosive rotation in sports and even in some daily activities, these forces place tremendous strain on your ligaments, tendons and muscular structures designed to protect the joint. The failure to adequately control these forces can lead to chronic pain and a lifetime of restricted movement!