Not much is known about kneeling for patients with a total knee replacement (TKR). Is it safe to kneel? Will the joint implant wear out sooner if you kneel? Does the new joint work the same way when kneeling as when squatting or climbing stairs? These are questions researchers at the University of Vermont are trying to answer. X-rays were taken in three positions for 20 patients with TKRs who could kneel and stand easily. The researchers looked for contact points for two types of knee implants in two kneeling positions. The results were compared to the contact points while standing with the knee straight. The authors report that patients who had trouble kneeling were more likely to report back pain or scar pain as the reason. They found that kneeling with 90 degrees of flexion was the same as deep flexion during squatting and climbing stairs. There was a little more movement in one of the two implants. Neither type was in danger of dislocating. After TKR, many patients want to resume act...
Patellofemoral pain syndrome (PFPS) is a common problem among military soldiers in training. In fact, it's the main reason soldiers are given a medical discharge. PFPS is also common among runners. PFPS causes pain behind the kneecap during running, squatting, and stair climbing. Even though PFPS is common, we still don't know exactly what causes it. Researchers suggest factors such as muscle weakness, loss of muscle control, and changes in the foot and ankle. How do we treat something when we don't know what causes it? What works for one person may not work for everyone. In this study, physical therapists in the military looked at the use of a shoe insert for PFPS. The insert is called a foot orthotic . They used an off-the-shelf and ready-to-use orthotic. It's a premolded full-length insole that fits inside the shoe. It has a firm arch support and heel cushion. The shoe insert was combined with a modified training program. Forty-five men and women with PFPS were examined before wearing ...
I was applying pressure this morning to something an had the sharpest pain shoot from the back to side side of the right side of my head. I stopped for a minute then continued what I was doing and it happened again. All I could think about was an Aneurysm. Could this be and what should I do I am scared? Joanne.
Statistically, it's unlikely to be an aneurysm, but you certainly don't want to find yourself on the wrong end of those statistics. Any unexplained head pain should be investigated. Please see your doctor as soon as possible.
Good luck, John Claude Krusz and Teri Robert
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