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

Exclusive Offer Free Consultation.

Call today to schedule a brief complimentary consult with Dr. Steinarsson to discuss how you can experience the Gonstead difference in Chiropractic.

Office Hours

Our Regular Schedule

Monday:

8:00 am-6:00 pm

Tuesday:

8:00 am-6:00 pm

Wednesday:

8:00 am-6:00 pm

Thursday:

8:00 am-6:00 pm

Friday:

8:00 am-12:00 pm

Saturday:

Closed

Sunday:

Closed

Location

4601 Military Trail #209 Jupiter, FL, 33458, US

Testimonials

Reviews By Our Satisfied Patients

  • "Fixed my neck and shoulder in 2 sessions, he's a miracle worker. Very proffesional, nicest guy you'll ever meet! Compassionate, knowledgeable and pedagogical. Highly recommended!"
    Robert B. Jupiter, FL

Featured Articles

Read about interesting topics

  • Asthma and Chiropractic

    Have you ever wondered if there was a more natural way to curb your asthma? Chiropractic may be the answer. ...

    Read More
  • Foods for Joint Pain

    Can your diet affect your joint pain? Learn more about how what you have in your refrigerator can help improve or exacerbate your joint pain. ...

    Read More
  • Can Chiropractic Help Alleviate Anxiety?

    Can chiropractic care help relieve the effects of anxiety and depression? Check out this article to find out. ...

    Read More
  • What Is TMJ Syndrome and How Can Chiropractic Help?

    Can chiropractic, which corrects the spine, really affect the pain occurring from TMJ? Read on to learn more. ...

    Read More
  • ACL Injury and Chiropractic

    You may not think of your knee and back being related, but chiropractic treatment can actually help prevent and care for injury to your ACL. ...

    Read More
  • Back Friendly Yard Work Tips

    Do you love to garden or engage in home improvement activities? Do so safely with these back-friendly tips. ...

    Read More
  • Chiropractic Care for the Young and the Young at Heart

    Children and adults are the same but different. Most kids want to play all the time, but they also are required to go to school. Most adults would prefer to play all the time – relax, go to the gym, read a book, watch TV, or get together with friends – but most adults need to go to work at least ...

    Read More
  • Ice Capades

    In the depths of winter, adults, as well as children, exert themselves to engage in enjoyable outdoor activities that will keep them warm and provide both excitement and entertainment. Cross-country skiing, downhill skiing, sledding, ice hockey, figure skating, and speed skating all have their enthusiasts. Many ...

    Read More
  • Being a Change Agent

    Being a Change Agent For most of us, change happens slowly, if at all. But as the recent holiday season fades into the distance, many of us wish to be increasingly proactive this year and take real action on the numerous New Year's resolutions that we made in regard to our health and well-being. Back ...

    Read More
  • Holiday Cheer

    In early winter, whether we're celebrating Hanukkah or Christmas, both or nothing at all, families and friends gather to share food and drink and give thanks for a year successfully completed. We send up a rousing holiday cheer and share delicious holiday cheer in celebration of our accomplishments and ...

    Read More

NEWSLETTER SIGNUP

Sign up for more articles