Is there a reason why patients stop kneeling after a partial knee replacement (PKR)? If there is, doctors and physical therapists haven't been able to find it. And without the ability to kneel, daily activities can become quite restricted. In this study, physical therapists describe how to regain this skill. According to preoperative tests, many patients were unable to kneel before knee surgery. Even more had to give it up after surgery. The patients gave many different reasons for the inability to kneel. These included placement of the scar, loss of knee (or other joint) motion, pain, and skin numbness. The therapists decided to try a six weeks postoperative intervention to improve or restore kneeling after PKR. They included education, advice, reassurance, and specific instructions on kneeling. All patients were seen one time for a follow-up intervention visit approximately six weeks after the PKR operation. Everyone had the Oxford® Partial Knee Replacement from Biomet Orthopedics. Thi...
Human beings are well designed for many things. We have large brains for poetry and quantum mechanics; we are good long distance runners, and of course have these awesome opposable thumbs. Unfortunately, some parts are not designed very well for our 21st century lifestyles. The low back , or lumbar spine, is first on my list for sending back (or forward?) to the engineers. A close second though might be the " knee cap " or patellofemoral joint.
The "knee cap" or patella is an ovoid shaped bone whose main purpose is to act as a fulcrum that big muscle on the front of your thigh, the quadriceps. (I'll wait while you grab your high school physics book). There are plenty of folks who do not have patellae, but because this causes the quad muscle to work inefficiently, few of these folks can run or climb stairs well. The design issue with the patella is that it articulates, or rubs up against, the end of the femur bone (thus the "patellofemoral" joint). For those of us who have pa...
Hello, I have recently been suffering from severe headaches that originate behind my left eye, behind my ear, to the base of my neck. It hurts to cough, sneeze, or even bend over to pick something up. I had a CT of the sinuses and it turned up nothing. My doctor put me on 800 mg ibuprofen, but I'd rather get to the root cause and not just the symptoms. Any ideas on what it can be? Sylvia.
The symptoms you describe are often symptoms of Migraine, but not always. That said, nobody can diagnose via the Internet, so you definitely need to find a doctor who understands Migraine and headaches . If you have trouble finding a doctor, there's a link below to our listing of patient recommended specialists.
One thing you can do to help you and your doctor determine what's going on is to keep a Migraine and headache diary. You can download a free diary workbook from our article Your Migraine and Headache Diary .
Good luck, John Claude ...
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