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Knee Treatment Archives » Physical Therapy Clinic | CA | ReVITALize Rehab Club

Tag: Knee Treatment

  • ACL 101: How to Be The Last One Standing (ACL Rehab)


     

    “Pop” and your knee swells up.  You are worried because you have never felt this before to your knee.  Your knee does not feel right and it hurts to put weight on it.  The worst thoughts run through your head a mile a minute.  Do I need surgery?  What just happened and will I be okay?  Let me reassure you that this knee experience is all too common and things will be okay.  The medical lab scientists and clinicians are so intrigued with the ACL, such that there are tons of research studies advancing the care of this popular knee ligament.   This article is a continuation of “ACL 101: the Breakdown of How Not to Break Down (The What?!)”  and will dive into the self care of an ACL rehabilitation after surgery. Are you ready to get “science nerdy” to master your ACL?

    4356861_f248How to know if you have an ACL tear?

    The are two simple tests: the anterior drawer test and Lachman test.  Both tests are done by cupping the shin bone and shifting it forward.   One test the knee is at 90 degrees and other at 30 degrees, respectively.  The goal is to feel if there is any difference to the uninjured knee.  These tests are used after injury and during rehab care to understand the sturdiness of the ACL. (more…)

  • Staying Active: Exercise and Recreation after a TKR

    If you’ve had a total knee replacement, you might be worried about missing out on all of your favorite sports and activities. If you’re someone that likes to stay active, it might feel like you’re suddenly “grounded”.

    Fortunately, you don’t have to feel that way.

    There are many active physical sports and activities that you can still participate in, even if it means making a few alterations for your physical limitations. Some of them can help with rehabilitation and keeping your knees healthy!

    If you want to know all about exercise and recreation after a total knee replacement, keep reading.

    Initial Recovery Period

    Immediately after a total knee replacement, you’ll probably be feeling pretty sore and unwilling to do a whole lot of movement. The first few days are just for recovery, so you should keep movements simple and essential. 

    You’ll likely be in the hospital during this time, so it’s important to listen to the guidelines and instructions set up by your doctors and physical therapists. They’re there to ensure that you’re able to reach mobility again. It might be frustrating to limit yourself, but the limitations are there to protect you.

    (more…)
  • 3 Knee Arthritis Exercises Prescribed by a Knee and Sports Medicine Rehab Specialist

    As the only Holistic Orthopedic and Sports Medicine Physical Therapist in Long Beach, I marvel at the simplicity of our knee design.  The knee architecture is deceiving in my journey of helping people stay active when dealing with arthritis in knee.  This article will summarize my favorite 3 knee arthritis exercises that I prescribe to many who are successfully avoiding or delaying a total knee replacement at my clinic.

    Although the knee is simple in design it relies on your whole body to capture the functionality of the knee.   What I mean to say is that the knee is a victim of how you use your whole body: ankle/foot, hips, pelvis, spine, shoulder, head/neck, and inner ear system.

    Here are three quick examples to help you see the big picture.

    There are more options and hope to counteract the stress to your knee. We understand that when you have been told to have an unchangeable fact of having knee arthritis, mensicus tear or bad alignment, it is very hard to believe that you can still function and stay active. Here is a list of people that we have helped over and over again.

    • If you cannot feel the ground well, how can you expect your knee to know how to help you to walk, navigate stairs or run?
    • If we put you on a rocky raft where you definitely will have balance issues (many do not know they have this until tested), you will automatically try to stay low to the ground to stay safe.  Your knee muscles are compressing your meniscus and arthritic knee joint to protect you from stumbling.
    • Did you know that there is a sensory nerve called the saphenous nerve that gets tugged and tensed when you have digestive disorder?  This nerve mimics medial (inside) knee pain.

    Consumer Report recently wrote an article that says having knee surgery is too risky.  There is a recent research article that demonstrated having knee meniscus clean-up has the same result as a sham surgery?  Sham surgery is where they open up to portal incision and stitch them back up without doing anything inside.

    The article supports what the recent Orthopedic and Physical Therapy research have been talking about for the past 10 years, but not publicized enough.  A top surgeon can fix a knee design but it is the whole body that drives how you make of your “surgically-fixed” knee.  You can improve your chances of having less knee pain, even when diagnosed with arthritis or meniscus injury if you read along.

    I have been a Sports Physical Therapist and Fitness Performance Specialist for 13+ years and clinical frustrations came when I use to chase after all the fancy exercises and therapy techniques.  When I would ask the gurus of knee surgery and rehab, I would get a sense that everyone talked a nice game but had the same struggles as me.  Reassuring for me but didn’t help me solve the difficulties of helping a small portion of people in pain.

    (more…)
  • Diagnosis: Knee Banger Part 2 (The Fix)

    Knee Sport Injury

    So you fell on your knee and you want to know how to help yourself to become reVITALized.  Part 1 of this series helped you to understand how the knee works and the relationship to your knee pain. Today, I will write about self-treatment techniques.  Let’s get technical and dive into the medical science.

    The pulley system was discussed in relationship to the patellofemoral (knee cap) joint.  Our main goal is to obtain normalcy of the pulley including the user itself.  If you analyze a pulley system, the condition of the groove and rope with its direction of pull impacts the mechanics of the pulley.  The size of the circular shape pulley and the strength of the user determines the effectiveness of the pulley.  I just laid out four variables to control, the condition, direction of pull, size of the pulley and the user.
    (more…)