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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...
If you are getting older, then you might want to read about how to prevent knee pain. Since none of us are getting any younger, I guess everyone should read this; our knees are just getting older like the rest of our parts. Here are a few tips to help you avoid knee pain.
Keep Your Legs Strong: Those big thigh muscles really do support the knee when you’re walking, lifting, climbing and squatting. A simple but effective exercise is simply doing a short-arc knee extension while your knee is supported on a pillow; ankle weights are optional.
Be Kind to Your Knees: The days of old when you could pound the pavement are gone. Now, as you are getting older, there is less cushioning in your knees. Runners might need to switch to biking or swimming. Tennis players might need to switch to playing doubles or find a different more knee-friendly sport.
Wear Good Shoes: Time and time again, someone complaining of knee pain is wearing flip-flops, a shoe that is in the Hall of Sham...
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