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A User's Guide to Healthy Knees

Image of seniors running.

Healthy knees require continuous motion. However, our generally sedentary lifestyles are at odds with the maintenance of robust knee joint architecture. Left motionless throughout large portions of the day, over time knee cartilage will break down and knee ligaments will become lax. These chronic changes are frequently associated with other degenerative alterations in knee joint architecture often resulting in pain in one or both knees. Increasing discomfort may cause a person to become even more inactive, creating a feedback loop of lower levels of activity and higher levels of knee pain. Paradoxically, the solution to many of these knee problems is to begin a program of progressive and rehabilitative activity that incorporates repetitive knee motion.

Continuous passive motion is a primary modality used in rehabilitation of knee mechanics following total joint replacement. Importantly, similar rehabilitative concepts may be applied in the management of many painful knees. The primary principle followed by such rehabilitation is "use it, or lose it." Healthy knees require a continuous flow of synovial fluid throughout the joint structure. This lubricating substance provides oxygen and nutrition to the knee joint, aids in shock absorption, and reduces joint friction. Inactive knees have diminished flow of synovial fluid throughout the joint structure, ultimately resulting in deterioration of joint surfaces and painful arthritis. Thus, surprisingly, chronic knee pain results from insufficient physical activity.

As is the case with every physiological process, activity creates a demand for nutrients. Biomechanically, increased motion increases blood flow, which provides oxygen and nutritional building blocks that are required for bearing weight and movement. Increased circulation also facilitates removal of metabolic waste, the byproducts of physical work. The entire process increases the robustness of the local system. Specifically, in the case of knee joints, increased workloads improve the capacity of the knees to do work, creating a new, positive feedback loop. As your knee joints adapt to increased activity, the physiological momentum shifts, in a sense, from a trend toward painful arthritis to a trend toward improved function, greater tolerance for physical loads, and diminished pain.

Beginning a daily walking routine will launch this entire process of knee rehabilitation. Start gradually, at a slow, comfortable pace, and walk for 10 minutes. After a few days, your body will begin to adapt and you will be able to gradually increase the duration of your walks. Add a minute or two every few days until you're walking a total of 30 minutes. Then gradually increase your pace, over a period of 3 or 4 weeks, until you're able to walk briskly for 30 minutes. Doing a brisk 30-minute walk 5 times per week will provide you with a substantial baseline from which to begin to pursue additional forms of exercise. Overall, for most of us physical activity is the best method for returning to good health.

Regular chiropractic care will provide significant assistance in your return to peak levels of health and physical performance. By detecting and correcting sources of nerve irritation and spinal joint dysfunction, regular chiropractic care helps ensure that your body is functioning at maximum capacity and protects your ability to get the most out of your exercise activities. In this way, regular chiropractic care helps you and all the members of your family obtain and enjoy ongoing health and well-being.

Sources:

Fransen M, et al: Exercise for osteoarthritis of the knee. Cochrane Database Syst Rev. 2015 Jan 9;1:CD004376. doi: 10.1002/14651858.CD004376.pub3

Ferber R, et al: Strengthening of the hip and core versus knee muscles for the treatment of patellofemoral pain: a multicenter randomized controlled trial. J Athl Train 50(4):366-377, 2015

Gilbert AL, et al: A randomized trial of a motivational interviewing intervention to increase lifestyle physical activity and improve self-reported function in adults with arthritis. Semin Arthritis Rheum 2017 Oct 5 doi: 10.1016/j.semarthrit.2017.10.003

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Millar Chiropractic Clinics -
Appointment Center (All Clinics)

Huntsville, Madison, and Jones Valley Alabama

Book an Online Appointment Here

Local Phone: (256) 830-0000
Toll Free: 1-800 Go Chiro (1-800-462-4476)

Millar Chiropractic Clinics - Corporate Office

Millar Chiropractic Associates, Inc.
PO Box 21157
Huntsville, Alabama 35813

Millar Chiropractic Clinics - Corporate Office

Operations, Billing, Human Resources, Purchasing, Act Payable, Marketing

Phone: (256) 519-3550

Email Us at [email protected]

Millar Chiropractic-Madison AL

Dr. Justin Walbom, DC
1908 Slaughter Rd
Madison AL 35758
(256) 430-2700

Millar Chiropractic-Huntsville AL (Jones Valley)

Dr. Jessica Davis, DC
2124 Cecil Ashburn Dr SE, Ste 150
Huntsville, AL 35802
(256) 713-1830

Millar Chiropractic-Huntsville AL (Downtown)

Dr. Jack Langston, DC
2021 Clinton Ave W, Ste A
Huntsville, AL 35805
(256) 539-2000

Millar Chiropractic Functional Medicine (Williams Ave)

Dr. Greg Millar, DC CCEP
303 Williams Ave SW, Ste 133
Huntsville, Alabama 35801
(256) 539-7077

Neuropathy Laser Center Huntsville

Dr. Greg Millar, DC CCEP | Dr Bonnie Sims, ND
303 Williams Ave SW, Ste 135
Huntsville, Alabama 35801
(256) 830-4545
1-800 Why Hurt

Alabama Laser Spine Decompression

Dr. Greg Millar, DC CCEP & Dr. Bonnie Sims, ND
303 Williams Ave SW, Ste 134
Huntsville, Alabama 35801
(256) 539-1000

American Spine & Rehab

2021 Clinton Ave W, Suite E
Huntsville, Alabama 35805
(256) 519-6800

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Each clinic independently owned and operated. Each clinic practices as a separate group practice from the other Millar Chiropractic Clinics and their respective companies. Millar Chiropractic Associates, Inc. is the management and marketing company for Millar Chiropractic and Millar Chiropractic Clinics. See Notices & Disclaimers and Terms of Use

Free* Consultation - A Free consultation is just that. A 15-20 minute meeting to talk about your problems and our possible solutions. No Exams preformed. No Chiropractic treatment given. Should the person receiving the Free* services as outline above be accepted as a patient of Millar Chiropractic Clinics then additional regular charges for treatment will be incurred in individual cases as needed for related services. It is up to YOU to determine if you can receive Free* services. This offer only to new consultations and does not apply to existing patients,, personal injury, or workers comp consultations. For all services, results vary in individual cases. Cash value of Free* consultation $0.01. Cash value of Free Massage $0.01.