Bone on Bone Knee Relief: 13 Expert Tips to Avoid the Need for Surgery

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#elpasomanualphysicaltherapy #drdavidmiddaugh
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DISCLAIMER:
Any information available at this channel is intended for general guidance only and must never be considered a substitute for advice provided by a physician, medical provider or physical therapist. El Paso Manual Physical Therapy will not be liable for any injuries that happened due to performing any exercises or advice on this channel.
Always seek the advice of your physician or other qualified health care professional with questions about your medical condition or to diagnose any conditions.

[@izak4360]

Hi there, just wanted to thank you so much for your wonderful tips and advice. I cried when my doctor told me there is no cure and it only gets worse. I’m 50 years old and feel like you the only one who gave me some hope ❤

[@annmarielaurendeau7757]

Thank you for your consistent helpful informative content. I've following your channel ever since I was diagnosed with bone on bone knee arthritis (both knees). I'm over 60 and have been active my entire life. My dedication to staying fit (running & power yoga) left me with severe knee pain in my late 50's. Visits to 3 different doctors revealed double knee replacement was my only solution if I wanted to continue an active life. I refused when they told me I would never be as flexible or able to bend my knees the way I do now. By watching your video's I have full range of motion, lots of flexibility, and so far have been able to manage the pain by wearing the right footwear (nice shoes btw, just not crazy high heels!) and not standing too long, I continue to work on my glute strength as well. Most days I'm pain free. Knee replacement is not the answer for everyone, having one won't give you back the knees you had when you were 20. I truly wish more people would understand a lot of arthritis cases are a muscle imbalance that can be managed no matter what Dr's or X-rays may tell you. Keep the great content coming, you are helping a lot of people!

[@pathopewell1814]

Thank you for giving me confidence when reading your comments. I am eighty-five and have walked my labradors for miles every day. I sadly lost the last one in May, consequently I do not really walk now. My left knee is very painful and I am terrified of doctors surgeries. I am considering following your comments in order to ease the discomfort.

[@deenao]

I have been told I have bone on bone arthritis in my left knee, so six months ago I decided to get serious about taking care of myself. I've lost 50 pounds, exercise (gently) in the pool and I have watched many of your videos and have incorporated your suggestions into my daily routine. Strengthening the glutes has made the biggest difference. Thank you so much for your practical advice. My knee still acts up at times (when I've overdone it the day before) but otherwise I barely feel any pain.

[@fongshwei3822]

you are amazing and I admire your standing up to mainstream physiotherapists.

[@shivkumarpabba4089]

I must say, You are an excellent teacher!

[@buelan.6525]

I so love that you offer your time to explain WHY you recommend what you recommend. Your videos continue to help me and my friends who are suffering with joint pain. As an RN, I don’t know one of my coworkers who haven’t injured themselves in one, more often, several joints - knees, necks, backs, hips. Thank you.

[@kathym6603]

I'm sending this video to my friend who has tried everything for her knee except pain killers! She is on the verge of injections. If I was her I would be eternally grateful for this broad coverage of safe treatment for her osteoarthritic knee. Right now she walks until her knee hurts and keeps walking a little farther.

[@beverlypreston-lz5vm]

excellent explanation thank you so much

[@katrinabillings7011]

Thanks - really helpful.

[@asokagodawita3993]

Thank you Sir for your advice enlightening me.

[@poodles188]

excellent video, thanks

[@tonylennon7979]

Yes, what you are saying makes perfect logic .I've been using all the exercises you recommend for the past four years, and they have served me very well.

[@epmanualphysicaltherapy]

Hey Tony, that is awesome! Thank you for letting us know these recommendations have worked for you!

[@mtuli9679]

Thank you so much, all your videos are a blessing to us. God bless you ❤️

[@epmanualphysicaltherapy]

Hey there, you are very welcome! We are so glad that we were able to help you. We appreciate your kind words and support!

[@deborahharris793]

I respect your program so much . Thank you !

[@epmanualphysicaltherapy]

You are very welcome Deborah! We appreciate your support!

[@ratnoinamaew7822]

Great info very helpful, before my holiday my knees were starting to hurt could not figure out why, then on holidays in hot tropical Thailand my knees were in really bad pain, possibly more inflamed as I was on my feet all day in 35 degree heat. Tried to some stretches and even ibuprofen which helped but now back home in cooler weather doing these exercises and others has really helped and I like the bit you mentioned to don't stretch too hard but more often, that makes good sense and I am seeing good results, thanks so much for this valuable info and keep up the great work.

[@anilramnauth4531]

Very important advices to avoid knee replacement surgery.

[@badkitty1285]

Thank you-so helpful.

[@epmanualphysicaltherapy]

Hey there, you are very welcome! We are glad you found this content helpful!

[@user-gs2rv8sc1y]

From Australia thank U so much for your advise. So very helpful.😊

[@darcy2965]

Great tips I do some will add to my day. For my carnivore diet I've started drinking more water and I swear there's a huge improvement in knees and general leg pain/weakness. Thank you Dr I already shared this in my soc media

[@lirenchan]

Many thanks for this information.

[@epmanualphysicaltherapy]

You are so welcome!!!!! Have a great day Lirenchan.

[@tehminafareed4469]

I would be very thankful to you

[@sunflowersadie543]

Oh man, I am so glad my Dad recommended you. I'm a gardener and my quads and hammys get a lot of over use while working. I'm looking to retire in a few years and I want as much mobility as possilbe. Thanks!!

[@epmanualphysicaltherapy]

Hey Sadie, you are very welcome! We are so glad your dad recommended us as well! We have a lot of content available to help keep you as mobile as possible!

[@gloriajohnson6707]

Thanks for the help

[@epmanualphysicaltherapy]

Hi Gloria, you are welcome! Just in case you're interested, we have a knee arthritis help playlist. You can check it out here: “Knee Arthritis Pain Help” kzbin.info/aero/PLJVIPiFvv1maa9YF-WmKLF7oI4VoczH8i We'd love to hear how you are doing as you progress.🙌 Please take care!

[@mevenstien]

Thanks for the hope🙂

[@vivianlopez2651]

Exactly! 🥰

[@sujathasuvarna7667]

Thanks for information

[@epmanualphysicaltherapy]

Hey Sujatha, you are very welcome!

[@patriciahiggins9843]

You Are Excellent‼️‼️‼️

[@epmanualphysicaltherapy]

Hey Patricia, thank you so much for the kind words! We really appreciate it!

[@dr.lalbiakmawiakhiangte3195]

i got many benefits from your lectures...thanks a lot

[@epmanualphysicaltherapy]

Hey there, you are so welcome! Thank you for letting us know that you like our content!

[@shelac6830]

Thank you so much for sharing your knowledge and ecpertise. So helpful and beneficial. You are special

[@epmanualphysicaltherapy]

Hi Shela, it is our pleasure! We are grateful you found this information helpful. In case you are interested we have a knee arthritis help playlist you might find helpful. You can access it here: “Knee Arthritis Pain Help” kzbin.info/aero/PLJVIPiFvv1maa9YF-WmKLF7oI4VoczH8i We'd love to hear how you are doing as you progress.🙌 Please take care!

[@shelac6830]

I have been watching many of your knee videos and they have been so helpful and I have found concentrating on strengthening the glutes has been amazing. Couldn't have believed it but your explanations make so much sense and it's working. Thank you again for your generosity in making this information available to everyone. Bless you.

[@jeanettemarsden5136]

Thank you

[@epmanualphysicaltherapy]

Hey Jeanette, you are very welcome!

[@shivkumarpabba4089]

Thanks

[@epmanualphysicaltherapy]

Hey Shiv, you are very welcome! Thank you for your support! We really appreciate it!

[@rhianevans2911]

THANK YOU SO MUCH YOUR WONDERFUL X

[@epmanualphysicaltherapy]

Hey Rhian, you are so welcome! We are so glad that you like our content!

[@TO-ed7bg]

You are Angel Doctor ❤. I tried several of your techniques like massaging my tight thigh muscles and trying to strengthen my glute muscle by doing only a few seconds I already feel like I have no more knee pain. Hooray no need to go under the knife. Will work out more and do some biking, drinks more water and lost some weight 😁👍🏽. Thank you Doctor!! You are the BEST and always trying out to help people … for free ❤. Bless you and your growing family😘💝😊

[@felcyfernandes1807]

Good information

[@epmanualphysicaltherapy]

Hey Felcy, we are glad you found our information useful! Thank you for letting us know!

[@stellayarborough1860]

Thanks you

[@epmanualphysicaltherapy]

Hey Stella! You are so welcome, we than k you for finding our channel and hope that our videos have been helpful. Here are some additional resources that you might consider looking into if you deal with knee arthritis: “Knee Arthritis Pain Help” kzbin.info/aero/PLJVIPiFvv1maa9YF-WmKLF7oI4VoczH8i "Knee Arthritis Recovery Program" The Knee Arthritis Recovery Program is designed to help people have the best chance of avoiding unnecessary surgery, injections, or having to rely on pain medications. This course guides people through exercises and stretches that target key body parts that have the greatest potential to prevent or help with knee conditions like osteoarthritis, meniscus tears, ligament injuries, cartilage problems and other knee conditions. To learn more please click this link: epmanualphysicaltherapy.com/knee-arthritis-recovery-program We wish you the best on the road to recovery! 🙌

[@barbarayoung2053]

Thank you for such informative information. I have bone on bone ailment in my right knee. Your information is much appreciated. 😊

[@epmanualphysicaltherapy]

Hey Barbara! You are very welcome! We are so glad you have found our information useful.

[@tinainnca]

@@epmanualphysicaltherapy I’ve been told I have bone on bone, but what’s not bring figured out is why I can be walking, just simply walking, and my knee will all of a sudden feel like the top of my leg has gone over the bottom and It’s an excruciating pain with swelling. I then can’t put my foot to the floor for a couple days, then I can put the ball of my foot down but not the heel, then about day 3-4 I can step again. It’s happening with more frequency- about 1x a week now😢. What do I need to push in asking to be looked at?

[@ladyujano9851]

Thank you for this information that you shared with us who have athritis frm Philippines

[@epmanualphysicaltherapy]

Hey Lady, you are very welcome! Thank you for checking in and letting us know where you are from! We love to hear from people all over the world!

[@jennifergreenberg6503]

I cannot believe how much your recommendations have healed my knee ! Thank- you. I twist that knee every day. The do the footslide. !

[@epmanualphysicaltherapy]

Hey Jennifer! You are very welcome! We are so happy that we have been able to help you heal your knee!

[@linadimech7866]

H​@@epmanualphysicaltherapy

[@twobraincells4364]

Great stuff....I guess no matter how big the quads get, one should make sure the glutes are even bigger and stronger by orders of magnitude.

[@krishnasdevotee7014]

I am 37, detected with Stage IV bone on bone osteoarthritis, left knee is fused and right has 90 degree motion. Doctors say I have to make peace with whatever is left, practically. Cannot have any surgery because I have grafted skin on my legs. Your videos, and the excercises you've recommended are like Krishna's blessing... Thank you so very much for sharing such potent information, and hope at the same time. God bless you!! Your videos have been like

[@epmanualphysicaltherapy]

Hey there, you are very welcome! We are so glad that we were able to help you! Keep up the good work and we would love to hear an update in the future!

[@srcelestin6616]

Same situation here with me

[@msmchll1]

Thank you again for teaching practical exercise. Tomorrow a good friend Dr is going to inject hyaluronic acid into my knee. I told him I WILL NOT HAVE a knee replacement. Your excersizes have been more helpful. I'm happy I have a table (have had it for many years) Thank you again for you simple suggestions. The glute excersizes are excellent. Have a great day!

[@kathyclark3714]

​@@msmchll1, hi. Did the injection help?

[@msmchll1]

@@kathyclark3714 Not really...and I only had 1. It may have a bit noticable after 2 days. The glute exercises are awesome for this!

[@laurieannerodriguez5946]

Amen! Finally some one who agrees with me! Thank you so very much! Do you provide medical transportation? I live in Houston.

[@shamnarinepersaud1942]

Nice will try thrm

[@shamnarinepersaud1942]

Them

[@Spectre2434]

Any suggestions for spastic paraplegia and cooccuring knee pain

[@annerandolph6000]

I use a cane constantly now and it has made such a difference!!!! 1:49

[@armandoavila7079]

What is your thought on Celluma for pain?

[@carlaryan3018]

what do you think of using a rebounder

[@id9139]

Hey Doc, what do you think of castor oil packs? And lard? I have used both. Your thoughts?

[@andv3004]

Thanks Doctor. What about infrapatellar cystic lesion 40x30x20 (approx 13cc). Operation suggested. Your opinion solicited

[@sadhanamangaldas1842]

V good gydance..and about exercise too .. hope no need to knee surgery.. thanks..🙏

[@epmanualphysicaltherapy]

Hey Sadhana! We hope we can help you avoid knee surgery if possible! Here is a link to our knee arthritis playlist that contains all of our content on knee arthritis in case you would like to learn more: “Knee Arthritis Pain Help” kzbin.info/aero/PLJVIPiFvv1maa9YF-WmKLF7oI4VoczH8i We also have an in-depth, step-by-step knee arthritis recovery program that was specifically designed to help people heal knee arthritis and avoid unwanted surgeries and injections. In case you are interested in learning more about this, here is a link with more information: Knee Arthritis Recovery Program The Knee Arthritis Recovery Program is designed to help people have the best chance of avoiding unnecessary surgery, injections, or having to rely on pain medications. This course guides people through exercises and stretches that target key body parts that have the greatest potential to prevent or help with knee conditions like osteoarthritis, meniscus tears, ligament injuries, cartilage problems and other knee conditions. To learn more please click this link: epmanualphysicaltherapy.com/knee-arthritis-recovery-program

[@sadhanamangaldas1842]

@@epmanualphysicaltherapy thank a lot Dr..Sir.. Namaskar..

[@bsinsight3097]

do you have a video on subluxation with osteoarthritis? i am told i need a knee replacement and i need to drop 30lbs. i would really to know what you think about subluxation ... btw, i love your videos! thank you!!

[@ivettecresporamos1721]

Hola. Hi. Very good. I want to avoid it, ( surgery).

[@daveparsons7756]

Can you work the quads if you keep them flexible and we’ll “kneaded”?

[@eiffeljacques5426]

Where can I find the upright walker

[@bakajon]

Hi, I messaged you a few months ago and as to your advice have been doing some glute exercises. Its tough as I am so used to using the thigh muscles.. I catch myself doing that. One question I have is about the tailgate exercise. It seems that everytime I do that, I feel like the sides of the knees seem to tire very quickly. Whats the cause and how to avoid that?

[@kathyturner1357]

I need to get cardio exercises . What can I do without damaging my knee further?

[@rockinroofer]

Your thought's on knee swings with added weight and shorter swings. Both my knees are bad and my hamstrings so tight they knot up instantly trying to do anything. I have been walking thimking I was doing the right thing, but after this I will take some time off and work on my lazy gluts. Thanks for the video!

[@epmanualphysicaltherapy]

Hey There, we also have a great video available that can help you with walking in case you are interested in learning more. Here is a link: “Does Walking Help Knee Pain?” kzbin.info/www/bejne/aaXXp2lsntlsrpY

[@laurimcclish212]

​@@epmanualphysicaltherapy20:18

[@amyli8636]

Will glut exercises you suggest also help with strengthening my knees when I’m standing? I don’t have pain in knees with arthritis i just notice I can’t stand too long without my knees start to bend in stead of my knees straight. Please help . Thank you

[@neva2late1]

I don’t see the link for you showing us what to do

[@luciomartinez6271]

I have it in two keen what to do

[@TheTwsa]

I seen 10 sec and have myself patella mi... that stuf with a pcs. of cartilage halfway torn off kneecap, it once got stuck but somehow managed to get free. I kind of know where it is at at the patella. Anyway, all his vids reg. kneecap are somehow relevant so I allso see this one and will respond with answer to this comment how relevant it actually is for my situation.

[@vijayasakthisasiharan2873]

What is Arthrose. Please tell me Thank God bless

[@simonchow8984]

@deenao, I'm like you, can show me how to do exercise in the pool. Tq

[@RoxanneRobinsonSelf]

Thank you for your videos! I almost have my husband convinced we need to relocate to El Paso so you can be my therapist. I have a near complete root tear of my lateral meniscus, that sadly responded quite poorly to surgery. I've barely been able to walk for two years .I am so quad dominant it's like none of my other muscles exist. I was in PT for six months strengthening my leg muscles! I've started following your quad exercises, and hopefully I'll be able to balance out some.

[@epmanualphysicaltherapy]

Hey Roxanne, hopefully you mean you will be working on your glutes! And if so, we would love to hear how that goes for you!

[@RoxanneRobinsonSelf]

Yes, sorry! Definitely my glutes. :)

[@DWMtukwila]

I have been a bike road racer, coach, and now avid cyclist for decades. All of this time I have been doing this on a totally inadequate/weak left knee and lower left leg due to a serious motorcycle accident at 17 years old that all but avulsed my leg. I have developed a form of riding that is incredibly efficient and low stress on the knee. My junior riders became vey good at time trials using my methods. It does focus on using the glutes, shorter crank length and keeping forces very smooth with much less stress during all but the highest intensity. I wish you were nearby so I could show you.

[@peeduwee]

Hi, I'm a very keen cyclist recently diagnosed with osteo arthritis, pain in my knees but really worried that the thing I love doing most, road cycling, will make it worse - any advice you can give would be very much appreciated.

[@DWMtukwila]

As I mentioned in the comment, shorter cranks could help by reducing the amount of travel your joints go through and also reducing angles. This will also help with reducing peak loads which, for a fragile knee, are important. You can search for this video by an engineer and cyclist how this works "Bicycle Crank Length Debunked: Position and motion analysis using 4-bar linkage" Certianly peak loads are sometimes difficult to manage (steep hills). I imagine your seat height is correct as I am sure you are really experienced. Always work on keeping your body relaxed as possible. When I ride I ask myself which are the muscles that should be working and which should be relaxed. That goes for the entire body. That includes keeping your back flat and stress off the shoulders. I also maintain the right gear. I never want to push too big of a gear or spin too fast (that really hurts) As I shift to a lower gear and find the same effort I go faster then I know that is a better gear. I had to adjust my cadence somewhat as I used to spin slower with larger cranks. This may seem like a lot of constant attention but for me it is something I enjoy. I love to get more efficient with better form. I can look at all kinds of "rules" to be a better cyclist, but it really gets down to constant attention. When I ride it is often like meditation.

[@pearlwray3250]

Thank you I will doing these exercise My knees are very painful

[@epmanualphysicaltherapy]

Hey Pearl! You are very welcome! We have a lot of great content that you can check out in case you are interested in learning more. Here is a link: “Knee Arthritis Pain Help” kzbin.info/aero/PLJVIPiFvv1maa9YF-WmKLF7oI4VoczH8i We also have a great knee arthritis recovery program available that was designed to help heal an arthritic knee and avoid unwanted surgeries and injections. Here is a link with more information in case you are interested in looking into it: Knee Arthritis Recovery Program The Knee Arthritis Recovery Program is designed to help people have the best chance of avoiding unnecessary surgery, injections, or having to rely on pain medications. This course guides people through exercises and stretches that target key body parts that have the greatest potential to prevent or help with knee conditions like osteoarthritis, meniscus tears, ligament injuries, cartilage problems and other knee conditions. To learn more please click this link: epmanualphysicaltherapy.com/knee-arthritis-recovery-program

[@barbaragaona7785]

I can't believe you sent this video today! 2 nights ago I went to stretch my left leg in bed and felt pain. I took it easy yesterday and feel much better today. Thank you for these tips that I needed to review again. 🙏 💪 ♥ Also, I believe the problem was due to me walking on lush, high grass Wed afternoon. I try not to walk on grass because it tends to be uneven. Can you address that sometime? Does it make a difference?

[@epmanualphysicaltherapy]

Hey Barbara, you are very welcome! We are so glad we were able to help!

[@barbaragaona7785]

@@epmanualphysicaltherapy btw, I'm 71 years old! Still working as a lunch/recess supervisor, but took 2 days off to recup. I share your videos with others and have learned alot from them. 🙏 💪 ♥

[@avisfraser9204]

What about when you have torn cartilage in both knees. Yes all of the above are very good but, must you ultimately be doomed for surgery?

[@susancazier8244]

Great video. Im a former dancer and runner and my right knee has deteriorated to the point where my lower leg veers to the right. Also when sitting and strengthing glutes, i noticed that when i squeeze my body rises a bit making it noticeable that im doing just glutes. So with lower leg angled out, any suggestions? Oh, i also get deep tissue massage every two weeks and am 73 years young.

[@epmanualphysicaltherapy]

Hey Susan, great question! This may be part of your normal anatomy. If this is your comfortable alignment, then it is not a problem.

[@OutdorsDanny]

Just had total hip replacement and the swelling has mostly been in my knee. I have a lot of atrophy on that leg ang it feels like my bones are doing all the work instead of the muscles. No loss of motion just impact pain. I doubt this gets read but any advice would be helpful.

[@arielle7557]

Have no knee cartilage left will I need knee replacement

[@tehminafareed4469]

You are highly intelligent and helpful for many people. My question is that from last four years my joints are giving sound whenever I stand up after sitting 2 or 3 hours and in the morning also now I feel fatigue and slightly pain in my knees. Doctors said vitamin d deficiency is there so take supplements I for 3 months but I couldn't recover that sound and still there is crunchy sound and sometimes pain what I should take please recommend someone supplements or food.

[@epmanualphysicaltherapy]

Hey Tehmina, we have a great playlist of videos that review supplements in case you are interested. Here is a link: “Vitamins & Supplements For Joint Health” kzbin.info/aero/PLJVIPiFvv1mYQFXG0TxdLTJm0yunOpXEJ

[@dazzlingpumppouches]

I had a right knee replacement 6 weeks ago. My rom is 70 and flexion is not straight. Doc says a build up of scar tissue which doing MUA procedure next week. Anyway my left knee wasn’t as bad as the right but now after 6 weeks of my other knee taking the brunt of the weight for all those weeks, my knee is now cracking at times and painful. No way can I go through another knee replacement. I do have a brace from physical therapy which has the hinge and a good quality one from insurance. Oddly the brace was made for the wrong knee at the time 3 years ago so I never had to wear it since it wasn’t the problem knee but now it is. Would wearing this brace save me at this point? Also since my knee isn’t straight for the moment until this procedure, should I be continuing with the walker most of the time to take weight off this other knee? I’m seriously scared as now I’m hobbling around with two bad knees and I’m still not comfortable with the cane although I use it when out

[@camillecruzfit]

Trekking poles give better posture than leaning into a Walker or putting the force in on one side of the shoulder like a cane. They’re also better for the cardio vascular circulation aren’t they? 4 pts of balance …adjust shorter for incline, longer for decline. They look more fit and allow for loading the glutes more smoothly with a longer stride.

[@epmanualphysicaltherapy]

Hey Camille, Thanks for chiming in about trekking poles! You've made some excellent points about how they can improve posture, balance, circulation, and muscle engagement. It's true that trekking poles can offer these benefits, but it's also important to recognize that what works for one person might not work for someone else. Your perspective is really helpful, especially for those who are thinking about giving trekking poles a try. The fact that they can be adjusted for different terrains and help engage the glutes with longer strides is definitely worth noting. Thanks for adding to the conversation! Your insights could be super helpful for others who are considering adding trekking poles to their fitness routine.

[@Kodak718]

I was told i have patellofemoral syndrome that in the xray my knee looks good but i that i have misalignment in my knee caps. I have good range of motion just pain when bended and laying down for long periods. I used to experience most irritation when walking and bending, but now it's when i lie down. If i stand up it relives. Any thoughts on why that may be? I've been to specialists with no help.

[@Kodak718]

Watched a number of your videos and havent seen yet come accross one where you discuss knee braces or insoles for arch support. Could you please share your thoughts on these? (Apologies if you alreasy discussed this somehwere)

[@nancyh.570]

Which one of your programs would be best for bone on bone after meniscus surgery, I swear it set me up for knee replacement after they removed it. I already have one knee replacement o don’t want another. Thank you for your videos… ☺️

[@epmanualphysicaltherapy]

Hello, Nancy!! We are sorry you had to deal with knee meniscus surgery, but it doesn't need to happen again! With the appropriate care and program we can help you get on the right path to heal your knee. If you want to learn more about our Knee Meniscus Recovery Program, you can click the link right below: "Knee Meniscus Recovery Program" www.epmanualphysicaltherapy.com/meniscus-recovery

[@tvmankinglazson1160]

Show us some of theses stretches for the new...would be halpful

[@epmanualphysicaltherapy]

Hey, Laszon!! Absolutely!! Here is a playlist with videos and tips on stretches for knee pain relief: “Knee Pain Exercises, Stretches, Advice, & Tips Playlist” kzbin.info/aero/PLJVIPiFvv1mY02hvFckRQO55HfAqDtWrM We hope this helps!!!

[@marypolzin5641]

Thank you my doctor did exactly what you said X ray and nothing else except you need a knee replacement

[@epmanualphysicaltherapy]

Hey Mary, sorry to hear that you were immediately recommended a knee replacement :( Hopefully our content can help to avoid that! We have a great playlist of videos for this if you are interested. Here is a link: “Knee Arthritis Pain Help” kzbin.info/aero/PLJVIPiFvv1maa9YF-WmKLF7oI4VoczH8i We also have a structured, in-depth knee arthritis recovery program available that was designed to help people avoid knee replacement surgeries. In case you are interested in a more step-by-step approach to healing, here is a link with more information: The Knee Arthritis Recovery Program is designed to help people have the best chance of avoiding unnecessary surgery, injections, or having to rely on pain medications. This course guides people through exercises and stretches that target key body parts that have the greatest potential to prevent or help with knee conditions like osteoarthritis, meniscus tears, ligament injuries, cartilage problems and other knee conditions. To learn more please click this link: epmanualphysicaltherapy.com/knee-arthritis-recovery-program

[@TheTwsa]

@@epmanualphysicaltherapy Hi, my name is Carsten Nielsen, you once remembered my name from another comment. When a doctor recommends replacement vs. training, then that may be due to, that it is allmost impossible for the doc to know how much and how correct you actually do the training, so a kneereplacement is a more safe recommendment, cause what if the person train enough, wrongly or slight wrong, then that person may accuse the doc for bad advice. If the person have a not optimal physio, then that is yet another variable the doc have to evaulate the situation in light of. More variables make it more unsafe, espc. these are both dynamic or unknown (who is the physio?) It is impossible to standardise how much a certain person trains correct even with help from a physiopt. Studies for physio is highly with many diff. outcome or succes, I guess...?! The nonworking cases then need replacement. I above asked how much nonoperative kneecartilage problem can engage in martial arts training, not sparring even. That also is highly individual and so more a subjective evalution. I will ofcourse take care of not going too hard with the injuried knee, but when is it too hard....?! A highly subjective case this is. But if pain can be used as lead, then that may be a very good indicator. Pain may not come gradually though, so when it is too hard? When this, being too hard, is the case, then it may do damage and tear of more cartilage?! You see the problem in subjective approach? What is not subjective is when doctors can use.... legal support from a big pharma supporting their operative components into the knee and that the evidence and approval clears this and them from payouts for problems and failed operations.

[@nasirahmad9010]

My Dr also said me the same,Replacement of knees.

[@virginiabaer1110]

Three orthopedic surgeons have said the same thing after doing their own X-rays of my left knee. That they recommend knee replacement surgery. Unfortunately, years ago I ruptured my ACL and went through that surgery repair so that I wouldn’t face a knee replacement, but that surgeon, perhaps didn’t realize my cartilage would wear down and I do have genetic osteoarthritis in most of my joints due to genetics. But I am going to look at your videos on strengthening my gluteal muscles. I’ve always had rather weak glutes.

[@patc135]

I have a torn and macerated meniscus in my left knee. Would this be the same as "bone on bone" arthritis and be also helped by these exercises and hints ?

[@epmanualphysicaltherapy]

Hello, Patc135! A torn and macerated meniscus can absolutely be helped with the proper treatment and management. We have an entire playlist with videos that can guide you to recover from your torn knee meniscus! You can find the link right below: “Knee Meniscus Help” kzbin.info/aero/PLJVIPiFvv1mZ9Vh4eRH3UlmMeqOUtB-6a We also offer a Knee Meniscus Recovery Program. You can find the link to the program here: "Knee Meniscus Recovery Program" www.epmanualphysicaltherapy.com/meniscus-recovery

[@belinabergendahl4665]

Great tips for bone on bone knee arthritis, which I have. What about bone on bone on hip? What can you advise? Thanks tho for the first. Best and God bless!

[@catherineramsey5375]

Thanks for the info. Any suggestion for a good therapist in Ontario Canada?

[@epmanualphysicaltherapy]

Hey Catherine, unfortunately we do not have a suggestion for you :-( We do have a knee arthritis recovery program available if you are interested in getting our recommendation for how to rehab bone on bone knees. Here is a link with more information if you would like to learn more about it: Knee Arthritis Recovery Program The Knee Arthritis Recovery Program is designed to help people have the best chance of avoiding unnecessary surgery, injections, or having to rely on pain medications. This course guides people through exercises and stretches that target key body parts that have the greatest potential to prevent or help with knee conditions like osteoarthritis, meniscus tears, ligament injuries, cartilage problems and other knee conditions. To learn more please click this link: epmanualphysicaltherapy.com/knee-arthritis-recovery-program

[@virginiabaer1110]

I wish you had therapists like you in Green Bay, Wisconsin, here they treat after surgery or to prep you for surgery.

[@Louisianna321]

The top of my right fibula gets sore at the end of the day. why does that happen?

[@KarenBeckerPhoto]

do you have link for the walker?

[@epmanualphysicaltherapy]

Hey Karen! Yes we do you can purchase it here: "OasisSpace " - tidd.ly/3sBHbHy You can check out the review that Dr. David made on it here: "OasisSpace Upright Walker - Honest Physical Therapist Review" kzbin.info/www/bejne/e36tamuDpJ6Aq7M Hope this helps! 😄

[@instakid05]

Tens unit will help chondromalacia patella pain?

[@epmanualphysicaltherapy]

Hey Instakid05! The TENS unit may help temporarily with pain. But it won't solve the root of chondromalacia patella problems. You can get more information about chondromalacia from this playlist: "Knee Cap Pain Help" kzbin.info/aero/PLJVIPiFvv1mYRotMXuS6F94UZkGAIxsb2 By the way, Dr. David has a video review of a TENS unit right here: "NueMedics TENS Unit - Honest Physical Therapist Review" kzbin.info/www/bejne/aGjXc2B9bbWXhas

[@dh4283]

Do you have an online program to avoid hip replacement surgery?

[@epmanualphysicaltherapy]

Hey there, unfortunately we do not have one yet! We are working on expanding that into our programs though! For now, we have this great playlist of videos available that may be able to help if you are interested: “Hip Arthritis Help” kzbin.info/aero/PLJVIPiFvv1mbICbP6qlXUZwMyAJlKD1dt

[@retiathomas4825]

Mine is stiff and sore and it’s bone on bone.

[@manojdivatia]

I have 4 category KNEE OA since last several years. I am 80 yrs old and had one knee joint replaced. I walk without stick and after my surgery 4 yrs ago , my walking speed has decreased since I could not walk during Covid 19 for about a year as 5e Garden was closed during lockdown down. I used to walk around four rounds after surgery in about 30 mints ( approximately 3km ) Now since I walk for same half distance ( two rounds or 1.5 Km ) in 20 minutes Every time when I walk for initial 4. - 5 minutes I feel very mild pain in lower back and both knees which gets REDUCED later and I walk and complete two rounds after which I feel tired and hence I return home. I feel less pain after cold water on both knees and back and I do physical exercises suggested by my physiotherapist , which I understand are for strengthening leg muscles. I will try your Butt strengthening exercises

[@epmanualphysicaltherapy]

Hey Manoj, thank you for sharing your story! We would love to hear from you after you have worked on your glutes more! We have a great video available that instructs how to walk with your glutes in case you are interested in learning more. Here is a link: “Does Walking Help Knee Pain?” kzbin.info/www/bejne/aaXXp2lsntlsrpY

[@tessmartinez9446]

Is squatting exercise good for the knees that have some moderate pain?

[@epmanualphysicaltherapy]

Yes Tess!!! Squating is great !! It needs to be done correctly. Check out our video to give you some tips. “Squat Advice & Tips” kzbin.info/aero/PLJVIPiFvv1mZaJafOJxuZ2CrWTiL0qsbF

[@jillethelturner]

How about the walking poles?

[@epmanualphysicaltherapy]

Hi Jill, walking poles are great to help offload the joint. 🧡

[@oyekanalaba4627]

Pls how can I work on the stiffness on my knee. My movement is been stricted when am walking because of the stiffness.

[@epmanualphysicaltherapy]

Hi Oyekan! You can address stiffness in your knees with some exercises: "Tailgate Swinging" kzbin.info/www/bejne/bHmnm4ydf5mkqJo This exercise improves mobility and circulation around your knee joint. You can do this for up to one minute every hour during the day. Make sure you're gentle. Next, here is a playlist with exercises to improve your mobility and symptoms: “Knee Arthritis Pain Help” kzbin.info/aero/PLJVIPiFvv1maa9YF-WmKLF7oI4VoczH8i Hope this helps!

[@instakid05]

I have chondromalacia patella pain, so I did ankle weight lifting exercises. Now, my knee pain is almost gone, but I'm now experiencing pain and dullness in my thigh and hamstring. Can I use a thigh support, and will it help reduce my thigh pain and weakness?"

[@epmanualphysicaltherapy]

Hey there, glad you found something that helped your knee pain! If you are talking about a brace, it may help with some of the pain. For chondromalacia patella, we recommend some other exercises in case you are interested in learning more. We also have some content for sciatica that may be able to help with your thigh pain. Here are some links in case you would like to check them out: “Knee Pain Exercises, Stretches, Advice, & Tips Playlist” kzbin.info/aero/PLJVIPiFvv1mY02hvFckRQO55HfAqDtWrM "Sciatica Pain Exercises and Stretches" kzbin.info/aero/PLJVIPiFvv1maZPQPPtirn4oxj8oCPuIMR

[@marypolzin5641]

How about using an inversion table

[@epmanualphysicaltherapy]

Hey Mary, using an inversion table can be good to help relieve some pain in the knees. In case you are interested, Dr. David released a video giving a review on an inversion table if you would like to check it out. Here is a link: kzbin.info/www/bejne/oGeUeqB9hsl5iq8

[@vernarosauer474]

​@@epmanualphysicaltherapypmin

[@yashduggal918]

Hi, I am 40 and have had multiple meniscus tears in the right knee and have had three arthroscopic surgeries. How can I reach you online to create a personalised exercise plan as I still have knee pain with osteoarthritis. I saw you have an online program. Should I get that? If yes, which one? If no, can I reach out via your website for a personalised exercise plan? Thanks.

[@epmanualphysicaltherapy]

Hey Yash, the knee meniscus program would likely be perfect for you! This program is very in-depth and concentrates on the root problems that lead to meniscus tears in the first place. Here is a link to the program with more information in case you are interested: Knee Meniscus Recovery Program The Knee Meniscus Recovery Program is designed to help people have the best chance of avoiding unnecessary surgery, injections, or having to rely on pain medications. This course guides people through exercises and stretches that target key body parts that have the greatest potential to prevent or help with meniscus tears or trouble after meniscus surgery. To learn more please click this link: www.epmanualphysicaltherapy.com/meniscus-recovery

[@nancyh.570]

Will these work if you have bone on bone after meniscus removal?

[@epmanualphysicaltherapy]

Hi there, Nancy! Thank you for your question! Yes! Especially mechanical offloading such as using a cane. Also, we have an entire playlist on help for knee meniscus for you on this channel. You can find the link right below! Check it out: “Knee Meniscus Help” kzbin.info/aero/PLJVIPiFvv1mZ9Vh4eRH3UlmMeqOUtB-6a You might also want to learn about our Knee Meniscus Recovery Program: "Knee Meniscus Recovery Program" www.epmanualphysicaltherapy.com/meniscus-recovery

[@stellayarborough1860]

Can you take arthritis Tylenol for your knee pain

[@epmanualphysicaltherapy]

Hey Stella! Many people use Tylenol for arthritis pain. It is an effective method of pain management but may cause complications. It would be best to discuss this with your primary care doctor.

[@user-vc4gt3nh8h]

HI DOC EL PASO IM WATCHING FR OSAKA JAPAN I HAD AN OSTEOARTHRITIS LEFT AND RIGHT KNEE BOTH MY KNEE THERES NO CARTILAGE ALREADY CAN YOU ADVICE ME HOW TO DO THE RIGHT EXERCISE FOR MY KNEE HOW ABOUT THE POOL IT IS GOOD OR BAD HOW LONG CAN I WALK In THE POOL HOW ABOUT LITTLE WALKING IN THE PARK ITS GOOD OR BAD PLEASE DOC EL PASO I NEED YOUR ADVICE BECAUSE IDONT LIKE SURGERY REPLY PLEASE.

[@epmanualphysicaltherapy]

Hey there! We have a lot of great content for how to do the proper exercises for your knees. Walking in a pool or the park can be good for your knees if you are using your glutes as the main form of muscular control in the motion. If you are using your quads too much, then you are putting a lot of muscular force through your knees. Here is a playlist of videos that may be able to help with exercises: “Knee Arthritis Pain Help” kzbin.info/aero/PLJVIPiFvv1maa9YF-WmKLF7oI4VoczH8i We also have an outstanding knee arthritis recovery program available that is designed to help people avoid surgery if possible. If you are interested in something like that, here is a link with more information: Knee Arthritis Recovery Program The Knee Arthritis Recovery Program is designed to help people have the best chance of avoiding unnecessary surgery, injections, or having to rely on pain medications. This course guides people through exercises and stretches that target key body parts that have the greatest potential to prevent or help with knee conditions like osteoarthritis, meniscus tears, ligament injuries, cartilage problems and other knee conditions. To learn more please click this link: epmanualphysicaltherapy.com/knee-arthritis-recovery-program

[@revathik9225]

Hi Doctor. I have OA in both knees as well as other joints like lower back, right shoulder, right elbow. Do you have any online program which can help me with avoiding surgery despite multiple affected joints? I am taking glucosamine+chondrotin, gelatin powder and Omega 3 capsules on a daily basis. I dont yet have an XRay or MRI done. Can i join your online program, or is Xray/MRI necessary before that? Please advise.

[@epmanualphysicaltherapy]

Hye Revathi! Xray/MRI is not necessary. We have a few great programs available and you may be able to benefit from more than one. For the knee arthritis we have our knee arthritis recovery program available that is designed to help arthritic knees heal and avoid unwanted surgery. We also have a 28-day back health and wellness program that may be able to help your back. Here are the links to these 2 programs in case you would like to check them out: Knee Arthritis Recovery Program The Knee Arthritis Recovery Program is designed to help people have the best chance of avoiding unnecessary surgery, injections, or having to rely on pain medications. This course guides people through exercises and stretches that target key body parts that have the greatest potential to prevent or help with knee conditions like osteoarthritis, meniscus tears, ligament injuries, cartilage problems and other knee conditions. To learn more please click this link: epmanualphysicaltherapy.com/knee-arthritis-recovery-program 28-Day Back Health & Wellness Program The 28 Day Back Health & Wellness Boost Program is designed to help people have the best chance of avoiding unnecessary surgery, injections, or having to rely on pain medications. This course guides people through exercises and stretches that target key body parts that have the greatest potential to prevent back conditions like sciatica, herniated disc, spinal stenosis, arthritis and other back problems. To learn more please click this link: www.epmanualphysicaltherapy.com/back-health

[@revathik9225]

@@epmanualphysicaltherapy Thank you, Doctor. I will check out these links and be in touch.

[@evelevrae1]

What about boswella?

[@epmanualphysicaltherapy]

Hey Eve, we have not looked too much into Boswellia. What we do know is that it has been used in alternative medicine for many years and is supposed to have anti-inflammatory effects.

[@TheTwsa]

Is it better for potential serious engagement (selfdefence), not nessesarily competetive sport vhere kicks and legmovement is heavily required? If engagement in training, not sparring or comp. of martial arts is nonpainprovoking, is it then ok to kick (with the other leg maybe and what about when cartilage is damaged and cause of the not optimal kneecaphealth - can I kick and kneehit with damaged knee if painfree)?

[@epmanualphysicaltherapy]

Hey there, it is very difficult to compete in combat sports without causing yourself pain. If you can focus on using your glutes more often, you can help to eliminate some of the possible muscular imbalances that create pain. However, it is still likely due to the nature of the sport that you will end up getting pain.

[@007OrlyOK]

Tip number 14••!!🫡

[@Happy2bme2dae]

Love your ways. You're truly easy to listen to and learn from. Some of these videos, I'm in for a minute and say adios.🤪🤣 Not with yours🥰🙏👍

[@epmanualphysicaltherapy]

Hey BD, thank you so much for the kind words and support! We really appreciate it and are glad to hear that you enjoy our content!