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10 Little Known Secrets about Healthy Knees

September 8, 2010 by drburt

healthy knees Healthy Knees and 10 Little Known Secrets

It is impossible to keep your knees healthy and in perfect shape even when you are getting older. What’s important is that you know the secrets in maintaining healthy knees. Prevention is really better than cure so if you are still not suffering from any knee problem, you must already start to follow these tips in keeping your knees healthy.

First tip is to warm up before doing any type of activity. It is very simple and it allows the synovial fluid to flow through your joints so you won’t experience more friction while working out. Remember, as you jump or run or do squats, your knee is absorbing a lot of the force and in time, it can deteriorate.

2nd, stay in shape and maintain a healthy weight. The more weight you carry around the more your knee joints get stressed.

3rd maintain good ankle mobility. Exercise your ankles to increase its mobility as the ankle’s function affects the health of the knee. Start by standing with your feet just a short distance (a few centimeters) away from the wall then keep the heels on the ground while trying to touch the wall with your knee. Repeat this several times while stepping back a little each time. Calf stretching is also necessary if you are feeling some tightness.

4th, improve hip function. Try some glut exercises to improve your hip function as this will ease the knees. Your hips can absorb more impact thus decreasing the stress on your knees.

5th, increase hip mobility. This is similar with improving the ankle mobility. If your hip moves well, you can squat in the right position without having your knees absorb the most weight and stress.

6th, diet supplements! If you’re an active athlete or perhaps you carry weights or go to the gym, most probably you are putting more stress to your knees than normal. This can deteriorate the knees but this can be prevented by taking supplements. Fish oil supplements have great benefits and also have anti inflammatory effects on your joints. Glucosamine and Chondroitin are also great diet supplements to keep your bones and joints healthy and strong.

7th, stop when it starts to hurt.  If you’re suffering from knee pain and it hurts when you do a certain action then you should stop it. Whatever is causing you pain could further add more damage and degeneration to the knee. Try to slowly integrate the action as you figure out the problem. If you are injured, doing the action won’t do you any good but this doesn’t mean you should stop it forever.

8th, stretch! Stretching is great for relaxing your muscles after an activity. Your muscles should recover after an activity to prevent fatigue.

9th, cycling for rehabilitation. If you do suffer from knee pain or injury, cycling is a great exercise to improve joint mobility. It is a knee friendly exercise with very low impact.

10th, muscle endurance is important. By increasing the endurance of your muscles, they won’t get into fatigue quickly. Low impact cardiovascular activities would do the trick. Improving muscle endurance during knee rehabilitation will also speed up the healing process.

Question: Was this information helpful? Please leave a comment. Thank you

Filed Under: Knee Tagged With: anterior cruciate ligament reconstruction, injured knees, injuries, knee, knee brace, knee injuries, knee pain, knee rehabilitation, knee treatment, knees, ligament, ligaments, massage, medicine, orthopedic surgery, osteoarthritis, pain, running, sprain, sprained knee, strain, surgery, swelling of the knee, treatment options

Injured Knee Pain, Sprained Knee Ligaments and Knee Treatment Options

September 5, 2010 by drburt

Knee pain is one of the most common orthopedic problems encountered and its rehabilitation depends on the history of its injury. The knee pain can either be chronic or caused by a sudden injury. Runners usually experience pain due to sprain after they run or jog. If it’s a sharp and sudden pain, this could be caused by a torn ligament and this needs an immediate medical response. Other times though, the injury is caused by strain and the treatment for this can start right at home. For strained knee, resting is the first step to take the strain off. Then, apply ice on the area for short intervals at a time, 15 minutes on and 45 minutes off for every waking hour. Do not apply ice for longer then 15 minutes as it could damage your skin and create a reverse effect. After icing the affected area, wrap it with a bandage for compression. Then, elevate the injured area as you rest it. These 4 steps are called the RICE or Rest, Ice, Compression & Elevation method. If following the RICE method does not work, you must see a medical professional for proper knee rehabilitation.

If the knee injury is not caused by strain, it can be caused by rheumatoid arthritis, osteoarthritis, or an injured ligament. If ever you notice stiffness after running, you may need to speak to a medical professional for a proper diagnosis. He will then perform physical examination and perhaps an x-ray or an MRI to see what’s really causing the problem.

If the pain is caused by an injured ligament, you will be prescribed to take proper rest and wearing of a brace. The knee brace is useful as it helps in preventing further injury to the knee which could definitely worsen the problem. The brace would be providing you with support that can reduce your discomfort while doing activities such as walking or while exercising for its rehabilitation. Brace is also used by professional athletes even when there’s no injury as this will prevent them from having the injury in the first place.

Osteoarthritis is unfortunately incurable. Anyone can suffer from this and it is similar to arthritis but affects the knee’s cartilage which then weakens the articulate surface. Treatment for this condition ranges from taking anti-inflammatory drugs to wearing of a knee brace and even surgery. Of course the severity of the condition is greatly considered before going to the last resort which is surgery.

Rheumatoid arthritis is not like the other forms of arthritis. This is caused by a disease in the auto immune system as the body attacks itself. Just like osteoarthritis, anyone can suffer from this, even children. It can be a hereditary disease and kids suffering from knee stiffness after running should consult a doctor. Treatments for this condition are with the use of a support and/or taking of medication.

At my clinic I use PT modalities (Electric Stimulation and Moist Heat combination, Ultrasound, Erchonia PL 5000 Cold Laser, Elastic Wrap, CMT (Certified Massage Therapy) and Manual Chiropractic Adjustment when applicable). Electric Stimulation helps to bring the pain level down in the first couple of week of the therapy and heat brings more blood to the injured area as well as allows it to be more relaxed for the next step. Next modalities are Ultrasound or Erchonia PL5000 Cold Laser. I alternate them with every other session. Next patient sees my CMT for 15 minutes only if there is mucle strain around injured knee. My massage therapist breaks the scar tissue down and moves injured knee through its natural Range of Motion. After massage I adjust knee’s patellar if tendonitis is present and wrap the knee with elastic wrap for a better support.

If you are diagnosed with any of the conditions above, your doctor would go for the most conservative treatment first. This means proper rehabilitation is the first option before they consider surgery. It is a last resort and cannot even guarantee success all the time.

Below is 3D MEDICAL ANIMATION  – It is one of the best presentatons on Youtube.

Knee joint is the most complex articulation of the human body. It supports almost the entire body’s weight, while allowing wide flexion and extension movements together with rotation when the knee is in flexion. To accomplish these functional features it has a very complex anatomical structure.

Question: What did you do when you had knee injury?  Was the treatment helpful?

Filed Under: Knee Tagged With: anterior cruciate ligament reconstruction, injured knees, injuries, knee, knee brace, knee injuries, knee pain, knee rehabilitation, knee treatment, knees, ligament, ligaments, massage, medicine, orthopedic surgery, osteoarthritis, pain, running, sprain, sprained knee, strain, surgery, swelling of the knee, treatment options

Back Packs Safety – Back to School and 14 Helpful Tips

September 2, 2010 by drburt

It is not a secret that heavy back (BP) packs for school children are the leading cause of lower back and shoulder pain. I have seen too many children in my almost ten years of my practice suffering from this problem unnecessary. About 40,000,000 students go to school every day. It is crucial that every child carries their schoolpacks properly in order to avoid neck, lower back and shoulder pain.

Make sure the backpack is the right size for your child. The proper size is equal to 75% of your child’s back, meaning the space between the waste and the shoulder blades.
* A child’s back pack weight should never exceed 15% of their body weight according to The Congress of Chiropractic State Association. So this little chart should be helpful.
50 pound child carrying copacity should be no more than 7.5 pounds
80 pound child carrying copacity should be no more than 12 pounds
100 pound child carrying copacity should be no more than 15 pounds
130 pound child carrying copacity should be no more than 19.5 pounds
150 pound child carrying copacity should be no more than 22.5 pounds
* Choose a backpack with padded shoulder straps that sit on both shoulders. BP with one strap such as messenger bags distribute all the weight on one shoulder instead of evenly on both shoulders. Also, bak pack without padded shoulder straps can cause pressure on the nerves that surround the child’s armpits.
Safety tips on how to avoid backpack injuries

  1. Wear both shoulder straps evenly to properly distribute BP weight.
  2. Get the correct size BP for your child.
  3. The BP should not extend below the lower back. Bigger is not better.
  4. Lighten the load and put the heaviest items in the BP first keeping them the closest to the body.
  5. Lift the BP with your legs and not with your back and place it on one shoulder strap at a time.
  6. Do not leave BP on the floor to avoid someone tripping on them.
  7. Choose a quality BP that has wide well-cushioned shoulder straps with a lumbar support/padding.
  8. Talk to teachers about reducing the need to bring home textbooks or if at all possible have an extra set for home use.
  9. Bend at the knees.
  10. Using both of your hands, check the weight of the BP.
  11. Never sling the BP onto one shoulder and avoid swinging the BP.
  12. Use both shoulder straps at all times. Make them snug but not too tight. Carrying on one shoulder can cause long-term neck, shoulder, back, and postural problems.
  13. Use the stabilizing waste strap if the BP has one present.
  14. Look for signs that BP is poorly fitted or overloaded on a daily basis. A couple signs that the BP is overloaded or not being worn properly is pain, red marks from the  straps, or poor posture.

Being a Safe Backpack Advocate

School’s authorities and children’s  parents must work together in resolving heavy BP issue. The following things can be done by school’s authorities:

  1. allowing students more time in between classes to use lockers
  2. purchasing paperback books
  3. implementing school education programs about safe backpack use
  4. purchasing books on CD-ROM or putting some curriculum on the school’s website, when possible

Adjustment of the backpack would be necessary if one of the following things happened:

  1. Your child struggles to get the BP on or off have back pain and  lean forward to carry the BP
  2. If your child has back pain or numbness or weakness in the arms or legs, talk to your family doctor, chiropractor or physical therapist.

Some  Facts were taken from The Founders of  Backpack Safety America International TM. Visit them at www.backpacksafe.com

The International Chiropractic Pediatric Association (ICPA) endorses the use of Air Pack brand backpacks which are available at www.airpacks.com

Please Leave some comments with your favorite back to school story!

Filed Under: Children, Chiropractic, Posture Tagged With: back packs, back to school, backpack, backpack weight, backpacking, backpacks, child carry, children backpacks, chiropractic, clothing, education, fashion, helpful tip, helpful tips, hiking equipment, luggage, medicine, messenger bag, pack safety, packing, safety, safety tips, school child, shoulder pain, shoulder problems, shoulder strap

Chiropractic Rehabilitation and 4 Stages of Soft Tissue Healing

August 20, 2010 by drburt

The healing process is divided into four broad stages which are not mutually exclusive and overlap considerably.

1. Initial vascular reaction – Active Swelling

2. Inflammatory response – Passive Congestion

3. Proliferative phase – Repair

4. Remodeling 

Wound healing refers to the body’s replacement of destroyed tissue by living tissue (Walter & Israel 1987). It comprises of two essential components whose differentiation is based on resultant tissue: Regeneration and Repair.

TISSUE INJURY CAUSES RESTRICTION OF MOTION DUE TO:

  1. Inflammation & Swelling
  2. Pain
  3. Muscle Spasm 

THE MAJOR GOALS OF CHIROPRACTIC CARE:

  1. Relieve Pain
  2. Promote Full Healing
  3. Restore & Maintain Full Function
  4. Reduce the Likelihood of Re-Injury
  5. Prevent Accelerated Degeneration 

Chiropractic Care Should Continue Throughout the Repair Stage. It Take Longer For Tissues to Heal & Normal Function to be Restored Than it Takes for Pain Relief. Pain Relief is not the Only Goal.  Chiropractic Helps:

  1. Restore Normal Motion, Function & Biomechanics
  2. Improve Alignment of New Connective Tissue
  3. Prevent Shortening of Scar Tissue & Chronic Stiffness
  4. Restore & Maintain Flexibility of Ligaments & Muscles
  5.  Restore Normal Muscle Tone
  6. Promote Quicker, More Effective Healing
  7. Restore & Maintain Normal Sensation
  8. Reduce the Risk of Re-Injury and Degeneration 

STAGES OF SOFT TISSUE HEALING

 

STAGE I: ACTIVE SWELLING

  1. Swelling Occurs for 12 to 72 hours
  2. Motion is lost and pain increases 

Goals of Care: Minimize pain and swelling

Care:

  1. Rest & Support of Injured Area
  2. Ice to Block Swelling, Pain, and Spasm 

STAGE II: PASSIVE CONGESTION   

Fluid trapped in tissues restricts motion, causes pain, & delays healing. Begins by second to fourth day

Goals of Care for Passive Congestion:

  1. Remove fluid
  2. Pain Relief
  3. Begin to restore range of motion 

Care:

  1. Chiropractic Adjustments Help
  • restore motion
  • block pain
  • restore normal sensation
  • relax tight muscles
  • remove swelling
  • accelerate healing
  1. Heat and Cold to Remove Fluid
  2. Controlled Motion Exercises
  3. Physical Therapy helps in Some Cases
  4. Acupuncture Can Help With Pain Control 

STAGE III: REPAIR

Beginning 5 days after injury, scar tissue is made for up to 6 weeks. 

Lack of motion causes excess scar tissue in dense patterns disrupting normal function causing:

  1. Excess Scarring
  2. Chronic Stiffness
  3. Limited Range of Motion
  4. Poor Biomechanics
  5. Chronic Pain
  6. Weak Muscles & Ligaments
  7. Loss of Normal Sensation
  8. Poor Nutrition
  9. Increased risk of Re-Injury
  10. Accelerated Degeneration 

If Motion is Restored & Maintained, Tissues Heal in a Much More Functional Way.

Coals of Repair Stage:

  1. Restore Normal Range of Motion
  2. Restore Sensation
  3. Promote Full Healing
  4. Relieve Pain 

STAGE IV: REMODELING 

Connective tissue remodels for better strength & flexibility. This often takes 3 to 14 week but may take up to 1 year with severe injury. 

Chiropractic Helps Achieve these Goals:

  1. Improve & Maintain Motion & Flexibility
  2. Restore & Maintain Function
  3. Reduce Chronic Pain
  4. Reduce Risk of Re-Injury & Degeneration

This Post was based on Dr. Malik Slosberg’s Research.

Filed Under: Auto Accidents, Carpal Tunnel Syndrome - CTS, Chiropractic, Low Back Pain, Neck Pain, Personal Injury, Shoulder, Soft Tissue Injury, Spine Tagged With: alternative medicine, biology, chiropractic, Chiropractic Care, chiropractic rehabilitation, connective tissue, healing, manipulative therapy, medicine, pain, pain relief, physiology, rehabilitation, relieve pain, scar tissue, soft tissue, spinal adjustment, stages, stages of soft tissue healing, tissues, traumatology, wound healing

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15200 Hesperian Blvd #104

San Leandro, CA. 94578

(510) 481-2225

drburt@burtchiropractic.com

 

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