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Knee Pain


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Knee pain is a very common condition. Traditional measures only address symptoms while the underlying cause is still present. Find out why and what additional steps need to be taken. …

Knee pain is a very common condition. Traditional measures only address symptoms while the underlying cause is still present. Find out why and what additional steps need to be taken.

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  • 1. Knee PainandFaultyFoot MechanicsIs there a connection?
  • 2. Knee Pain Facts
  • 3. Knee pain is one of the top reasonsfor visits to emergency rooms andprimary care physicians.
  • 4. Fifteen million (15,000,000) peoplea year visit anorthopedic surgeonfor a complaint about knee pain.
  • 5. 1 out of 3 adultsolder than 45 yearsreports some type of knee pain
  • 6. Typical cost for ACL reconstruction is$20,000 to $50,000.
  • 7. Treatment options
  • 8. Pills don’t fix anything.
  • 9. Physical therapy is not the cure.
  • 10. Potential Risks of Knee Surgery• Deep vein thrombosis/blood clot• Infection of the prosthesis• Loosening of the prosthesis• Formation of heterotopic bone• Bone fracturing during the operation• Dislocation of the prosthesis• Difference in leg length• Additional or more rapid loss of bonetissue
  • 11. There are more than1,500,000 arthroscopic surgeriesperformed a year.
  • 12. In 2007 there were more than1,000,000 knee replacement surgeries.
  • 13. Did you know that unicompartmentreplacement lasts 7-12 years.
  • 14. ANDa total knee joint replacementonly lasts 10 – 15 years.
  • 15. There are greater than 22,000knee joint replacement revisions a year.
  • 16. Even with the best medicaladvancements…
  • 17. …the numbers are on the rise.
  • 18. Hey, we are doing the best we can!
  • 19. Why is it thatthis conditionjust gets worseand the numberof bad knees areescalatingout of control?
  • 20. We have to determinewhat is the underlying cause.
  • 21. Otherwise we are justmasking the symptoms.
  • 22. What is the #1reason forknee pain
  • 23. TRAUMA
  • 24. Nope,you can do better than that!
  • 25. GoutLupusMetabolic problemsTumorsGenetic DeformityTendonitisBursitis
  • 26. Really!Is that the best you can do?
  • 27. “Wear & Tear”
  • 28. “Things just wear out after awhile”
  • 29. Yes, you got it.“Wear and Tear”is the #1 reasonfor knee disease.
  • 30. How come knees “wear-out” for somepeople and not others?
  • 31. It’s a mechanical thing.
  • 32. Knee Mechanics - NormalA balanced tibia-femur jointfunctions as it was designed
  • 33. Equal distribution of forces acting onthe ligaments, meniscus, and articularcartilage.
  • 34. Good Alignment
  • 35. Abnormal Knee MechanicsUnbalanced joint leads to excessive unevenstrain to the ligaments, meniscus, andcartilage.
  • 36. Due to the excessive twisting, theligaments and tendons are damagedleading to further instability anddestruction within the knee.
  • 37. How do we end up with faultyknee mechanics?
  • 38. The answer lies at the bottom of themusculoskeletal chain.
  • 39. That’s right
  • 40. Our feet serve as thefoundation to our body.
  • 41. If ourhind-foot isaligned
  • 42. then most likely our knee willalso be properly aligned.Aligned Not aligned
  • 43. Hind-foot AnatomyTibiaAnkle bone/talusFibula
  • 44. TIBIATALUSCalcaneusThink of these boneslike a set ofdynamic building blocks.
  • 45. The ankle bone (talus)moves on top of theheel bone (calcaneus).
  • 46. The movement of theleg bones (tibia/fibula)is affected by themotion of the ankle bone.
  • 47. If the talus slips off the calcaneus,this drops the inner aspect of the tibia.
  • 48. Normal to abnormalhind-foot alignmentNormal Abnormal
  • 49. The partial dislocation of the anklebone on the hind-foot bones is not agood thing.
  • 50. NormalHind-foot to fore-foot alignment
  • 51. Abnormal hind-foot alignment
  • 52. A dynamic displacementof the ankle on the heelbone creates amechanical disadvantagethisdirectly impacts the knee.
  • 53. Every step taken leads to abnormalexcessive “wear & tear” to theknee joint structures.
  • 54. Walking is the second most commonconscious function of the body.
  • 55. The Average Person takes:Nearly 7,000 steps a day2,555,000 steps a year25,550,000 steps every ten years
  • 56. Average number of steps taken for theaverage, non-sportive, person.• 10 years of walking = 25,550,000 steps• 20 years of walking = 51,100,000 steps• 30 years of walking = 76,650,000 steps• 40 years of walking = 102,200,000 steps• 50 years of walking = 127,750,000 steps• 60 years of walking = 153,300,000 steps• 70 years of walking = 178,850,000 steps
  • 57. Each step leads to excessive“wear & tear” until thecritical point is reach and theknee becomes symptomatic.
  • 58. I think thismakes a lot of senseand also gives a greatexplanation as to whyit seems like thiscondition will justnever go away.
  • 59. You can keep cutting a weed at thesurface, but it will continue to grow.Or, you can pull it out at its root andeliminate it once and for all.
  • 60. So how can werealign the foundation.
  • 61. simple
  • 62. We have to transform and maintain
  • 63. and
  • 64. We can try external measures
  • 65. There are a lot of limitations withthat option.
  • 66. I only ask you:How can something on the bottom ofthe foot stabilize the ankle bonelocated on top of the heel bone?
  • 67. or
  • 68. We can chooseinternal correctionfor thisinternal deformity
  • 69. Internal Correction
  • 70. Extra-Osseous TaloTarsal Stabilization“EOTTS”
  • 71. 2 Weeks Post-OpThe Knees
  • 72.“Changing Lives, One Step at a Time”For more information about this conditionand as well as an internal solution pleasevisit: