Friday, January 19, 2018


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Knee Pain: Signs and Symptoms

What to consider or discuss with your doctor before getting a total knee replacement, always remember the 4R's:

  1. Remove: this type of procedure is the leastUsing a small camera, the orthopedic surgeon will evaluate the cause of her causes of the patient's knee pain and remove any damaged tissue.  This procedure helps patients with knee pain related to or torn meniscus or cartilage injury may greatly benefit from the removal technique.  Total recovery with physical therapy ranges from 2 to 6 weeks after surgery procedure.
  2. Realign: this type of procedure is for patients experiencing knee pain because their joint is not properlyIn proper alignment may contribute to poor joint function and pain.  To restore proper alignment, a surgeon may manipulate the bone, or may release or tighten soft tissues.  This surgical option may require longer recovery time because it takes time for tissue to heal and physical therapy after this procedure is typically required.  However the benefits may be best of all.  Re-alignment of the knee can decrease pain and prevent further damage to the joint.  Physical therapy will balance soft tissue and musculature to better regain range of motion and stabilize the joint for long-term functional outcome.
  3. Repair: some patients with knee pain may benefit from repair of diseased or damagedCartilage transplant can improve and/or restore normal joint function.  With this procedure, cartilage defects are repaired using tissue borrowed from other areas of the patient's own me or from a donor knee.  This repair procedure may be the best option for younger patients who are not ready for knee replacement.  Once again physical therapy would be very helpful in the recovery of this patient, the recovery time will vary based on what area of the knee and how much the knee has been repaired.
  4. Resurface: the resurface option refers to partial knee replacementThe femur, tibia and the patellar and a total knee replacement are all replaced and knee ligaments are removed.  With a partial knee replacement, only one or two of the parts are resurfaced or replaced and the ligaments are not removed.

When considering any knee surgery it is very important to remember your age, overall health, activity level and the gender into consideration for options.

Therefore some knee considerations may benefit from one, two or even three of the 4R's.  For this reason, it is most important that you pick an orthopedic surgeon wisely, we had many excellent orthopedic surgeons in this world but you need to pick one that will best evaluate and diagnose your knee or knees, but most importantly understand your lifestyle and expectations before determining what option is best for you.  I always recommend you get more than one opinion before making any decisions on surgery.

As the owner of Cross Keys physical therapy I have been trained in the Graston technique.  I personally will do a full evaluation and treatment and one of our locations.  The Graston technique is an innovative, patented form of instrument assisted soft tissue mobilization that enables clinicians to effectively breakdown scar tissue and fascial restrictions.  The technique utilizes specially designed stainless steel instruments to specifically detect and effectively treat areas exhibiting soft tissue fibrosis or chronic inflammation.