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Health and Wellness Newsletter

A User's Guide to Healthy Knees

Healthy knees require continuous motion. However, our generally sedentary lifestyles are at odds with the maintenance of robust knee joint architecture. Left motionless throughout large portions of the day, over time knee cartilage will break down and knee ligaments will become lax. These chronic changes are frequently associated with other degenerative alterations in knee joint architecture often resulting in pain in one or both knees. Increasing discomfort may cause a person to become even more inactive, creating a feedback loop of lower levels of activity and higher levels of knee pain. Paradoxically, the solution to many of these knee problems is to begin a program of progressive and rehabilitative activity that incorporates repetitive knee motion.

Continuous passive motion is a primary modality used in rehabilitation of knee mechanics following total joint replacement. Importantly, similar rehabilitative concepts may be applied in the management of many painful knees. The primary principle followed by such rehabilitation is "use it, or lose it." Healthy knees require a continuous flow of synovial fluid throughout the joint structure. This lubricating substance provides oxygen and nutrition to the knee joint, aids in shock absorption, and reduces joint friction. Inactive knees have diminished flow of synovial fluid throughout the joint structure, ultimately resulting in deterioration of joint surfaces and painful arthritis. Thus, surprisingly, chronic knee pain results from insufficient physical activity.

As is the case with every physiological process, activity creates a demand for nutrients. Biomechanically, increased motion increases blood flow, which provides oxygen and nutritional building blocks that are required for bearing weight and movement. Increased circulation also facilitates removal of metabolic waste, the byproducts of physical work. The entire process increases the robustness of the local system. Specifically, in the case of knee joints, increased workloads improve the capacity of the knees to do work, creating a new, positive feedback loop. As your knee joints adapt to increased activity, the physiological momentum shifts, in a sense, from a trend toward painful arthritis to a trend toward improved function, greater tolerance for physical loads, and diminished pain.

Beginning a daily walking routine will launch this entire process of knee rehabilitation. Start gradually, at a slow, comfortable pace, and walk for 10 minutes. After a few days, your body will begin to adapt and you will be able to gradually increase the duration of your walks. Add a minute or two every few days until you're walking a total of 30 minutes. Then gradually increase your pace, over a period of 3 or 4 weeks, until you're able to walk briskly for 30 minutes. Doing a brisk 30-minute walk 5 times per week will provide you with a substantial baseline from which to begin to pursue additional forms of exercise. Overall, for most of us physical activity is the best method for returning to good health.

Regular chiropractic care will provide significant assistance in your return to peak levels of health and physical performance. By detecting and correcting sources of nerve irritation and spinal joint dysfunction, regular chiropractic care helps ensure that your body is functioning at maximum capacity and protects your ability to get the most out of your exercise activities. In this way, regular chiropractic care helps you and all the members of your family obtain and enjoy ongoing health and well-being.

Sources:

Fransen M, et al: Exercise for osteoarthritis of the knee. Cochrane Database Syst Rev. 2015 Jan 9;1:CD004376. doi: 10.1002/14651858.CD004376.pub3

Ferber R, et al: Strengthening of the hip and core versus knee muscles for the treatment of patellofemoral pain: a multicenter randomized controlled trial. J Athl Train 50(4):366-377, 2015

Gilbert AL, et al: A randomized trial of a motivational interviewing intervention to increase lifestyle physical activity and improve self-reported function in adults with arthritis. Semin Arthritis Rheum 2017 Oct 5 doi: 10.1016/j.semarthrit.2017.10.003


Nutritional Counseling


 

Nutritional counseling is a type of assessment made which analyzes various health needs in regard to diet and exercise. A nutritional counselor helps people to set achievable health goals and teaches various ways of maintaining these goals throughout their lifetime. Nutrition is an important part of a healthy lifestyle. Without proper nutrition, one does not have enough energy to make it through the day.
This type of counseling assists all ages, ranging from pregnant women, to vegetarians, to the elderly and people with different medical complications. Those who may benefit include those with:
Diabetes; Osteoporosis; Poor nutrition and eating patterns; Eating disorders (some of which may require eating disorder treatment); Digestive complications; HIV; Cancer; Hypertension; Nausea; Nutritional questions; Allergies; Organ problems; Obesity; Hypoglycemia; Menopause; Fitness goals; Heart diseases

Spinal Decompression (IDD Therapy)

The Accu-SPINA is one of the most scientifically advanced back pain treatment systems available today. Designed to non-surgically relieve disc pressure, this device employs force delivery techniques which mimic physical therapy approaches to spinal dysfunction. The Accu-SPINA™ system has the ability to target specific segments of the lumbar spine for treatment. Over the course of a full treatment regimen, this system enables the treating specialist to distract the intervertebral space by a distance of 5 to 7 millimeters, thus significantly decreasing pressure inside the disc.
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Spinal Decompression (IDD Therapy) Testimonials
"I endured neck pain for so long, due to two herniated discs. I could not find a comfortable position. My sleep was constantly disturbed. After the treatment, I was back to normal and pain free. I can now sleep through the night without pain. Thank You!" - P.R.
"I had sever pain down my right leg and around the knee area. I'm 62 and I felt like I was 85! Since starting IDD therapy, there has been steady improvement. I was pain free after all of my treatments! I strongly recommend this therapy for anyone with bulging discs and leg pain." - A.E.
Call us now at 908-522-8989 for a complimentary consultation to learn more about the benefits of IDD therapy and how it can help you.


Physical Therapy

Our Physical Therapists are Licensed Certified Professionals with extensive knowledge and training in anatomy, physiology and the biomechanics of the body. Physical therapy is a branch of rehabilitative health that uses forms of exercise and equipment which are specifically designed to assist people to either regain or improve their physical abilities. Physical therapy helps to restore a person's best ability to function through minimizing physical impairment, disability-related congenital and acquired conditions, and functional limitations.
The type of physical therapy treatment a person receives is dependent upon their condition. Complete physical therapy treatment can include some different elements. Pain reduction might include the use of ice, heat, relaxation, massage, joint mobilization, stretches, or the use of electrical stimulation or ultrasound.

Acupuncture

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We have on staff Jeff Aleski, Board Certified Acupuncturist who specializes in back pain, tendonitis, carpal tunnel, pain management, irritable bowl syndrome, infertility, face lift rejuvenation, sinus pain and more. The goal of this dynamic and integrated 5,000 year old health care system is to activate the natural, self-healing abilities of the body. Acupuncture is safe, natural, drug-free and effective.
Ten key benefits of acupuncture include:
Improved Health and Quality of Life; Stress Reduction; Pain Reduction; Improved and Faster Recovery from Injury, Illness and Surgery; Emotional Balance; Respiratory Health; Insomnia Relief; Strengthening Your; Immune System; Premenstrual (PMS) and Menopausal Symptom Relief; Reduction of Side Effects of Chemo and Radiation Therapies

We hope to see you soon. Remember, for a better tomorrow, do something about it today!
Do not forget to stop by for a spinal checkup and an adjustment.
Please remember that everyone needs to be free from pain so bring your friends and loved ones for a spinal checkup.