Do You Have Any Of The Following Conditions?
- Knee Pain
- Cartilage Damage
- Torn Meniscus
- Bone on Bone
- Crunching & Popping Sounds
Living With Knee Pain
Living with knee pain can lead a poor quality of life. Let’s face it, your knees aren’t as young as they used to be. And playing with the kids or grandkids isn’t any easier either. Maybe your knee pain prevents you from walking, going up and down stairs or doing extended standing.
For some people, they had to give up their favorite hobbies (like golf, bowling or playing in their garden). Nothing’s worse than feeling great mentally, but physically being held back from life because your knee hurts and the pain just won’t go away.
The immobility caused by chronic knee pain can ruin one’s quality of life. Simple things like going to the grocery store, running errands, traveling, going up and down the stairs, housework, maintaining your property, cooking, yard work, and being able to engage in projects becomes troublesome to impossible. For some people, they feel they need to find a close parking spot when they go out to eat (to minimize the number of steps they have to walk). For others, it feels like their independence is being stripped away.
The Medical Standard of Care
When you go to a medical physician for your knee pain, the most common treatments offered are NSAIDs (non-steroidal anti-inflammatory drugs), cortisone shots or a referral to an orthopedic surgeon. Drugs do not fix or cure chronic knee pain. They only mask the symptoms. There are also a lot of undesirable side effects. The pills can be damaging to the liver, kidneys, stomach and brain. And the cortisone can cause an increase in blood pressure, an increase in blood sugars (critically important to diabetics), and suppresses the immune system.
Surgery is invasive, risky, very painful and can have a 6 – 18 month duration of recovery and down time. It also only works 50% of the time.
“My doctor sent me to physical therapy and even did cortisone injections. Nothing was working and I didn’t want knee replacement surgery. A friend of mine told me about Dr. Smith and his unique approach to treating chronic knee pain. I gave Dr. Smith’s knee pain program a try and I’m very glad I did. His therapies are painless and they work! Since going to see Dr. Smith, I am 100% pain free and can do anything. I can walk, run, ride a bike, play golf – even go dancing with my wife. If you have knee pain, you need to see Dr. Smith. Going to him was the best choice I ever made. Thank you Dr. Smith!”
David C., Bethel Park
The knee is one of the largest and most complex joints in the body. The knee joint is a hinged, bicondylar type synovial joint, which mainly allows for flexion and extension (and a small degree of medial and lateral rotation). It is formed by articulations between the femur, tibia and patella. The shape of the knee joint means that it is relatively weak, and so it relies on muscles and ligaments to ensure stability.
There are muscles which control extension (the quadriceps on the front of the thigh), muscles which control flexion (the hamstrings on the back of the thigh) and one special muscle (the popliteus) which unlocks the knee. For optimal function, these muscles need to be strong and appropriately stimulated by the nervous system.
Control of The Knee
The most common cause of chronic knee pain is a disruption of neurological control of the muscles which control flexion and extension. Muscles don’t just contract on their own. They rely on neurological impulse from the peripheral and central nervous system for this to occur. When the muscles don’t work right, the knee joint becomes sloppy. This then causes arthritis, wear and tear on the meniscus, bursitis, tendonitis all resulting in knee pain!
The first thing we need to do is to gather some information about your problem. During the consultation, we will review your medical history, and explore all of the parameters regarding your condition. We’ll review the quality and severity of your problem, and discover if there are any additional issues that need to be considered.
Examination & Diagnosis
To determine the severity, extent and type of your knee pain problem, we need to do an examination of your knee(s). Orthopedic, neurological, functional range of motion, and muscle testing are all done. After that, the Doctor will be able to diagnose the problem, give you a prognosis and determine what would be the most appropriate course of care.
The most effective therapies and treatments for chronic knee pain will be prescribed based on the results of the consultation and examination. Some of these treatments may include:
The number of treatments you will need will be determined based on the severity of the problem, your age and any complicating factors.