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Knee Pain After Replacement

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Knee pain is so common in runners. I had an email last week from a relatively new runner asking who they should see for their knee pain. I asked if they twisted, fell, or jammed their knee or if it was just a wear and tear injury? They confided that as they increased their mileage and distance, their knee pain started to increase. New shoes helped, but didn't fix their nagging pain. Sounds like a biomechanical problem to me! But it could still be a traumatic injury they can't remember...especially if they were out dancing on tables on a Friday night ... Just kidding!



Seriously, mechanically induced knee pain is extremely common in runners. A good analogy is that if you need a tire realignment on your car, the struts can wear out. In fact, you may have no acute foot and ankle problems at all and they can still be the cause of your symptoms.

The best way to assess a runner's knee problem is to start with a sports medicine orthopedist who can rule-out a primary knee problem, like a tear in the meniscus (cartilage), ligaments or tendons. If a primary knee problem is ruled-out, but you just keep having this nagging pain; or if your tendonitis keeps recurring in spite of being compliant with physical therapy and rest; it's time to look elsewhere for the cause.

Your feet affect the function of all their contiguous structures or in English, everything they are connected to. Yes, your feet can even cause back and neck pain!

How? Your feet affect your postural control. Postural control is the ability to maintain the body's center of mass over the supportive foot, a.k.a. being able to keep your balance. Often, balance or proprioception is lost in patients with chronic foot and ankle instability from an underlying congenital foot type. This leads to lack of postural control which leads to knee, hip and back pain a.k.a. postural symptoms. Many studies have concluded that a functional orthotic reduces postural sway and improves stability, therefore reduces further injury in patients with congenital or acquired foot and ankle instability.

How is biomechanical knee pain treated? A complete biomechancial exam can help to assess how to realign your feet and lower extremities. Functional orthotics can be made to precisely fix your foot deformities and functional abnormalities.

Bottom line, if your knee pain is chronic and you have ruled out a primary knee problem, look to your support structures known as your feet.
Knee Pain After Replacement
Control your weight: Remember, your knees support almost all of your weight. Every extra cupcake and order of fries may seem to go to your belly or thighs, but in reality, the weight goes to your knees. Eat right and try to stay as close to your ideal weight as possible and keep the strain off of your joints, ligiments and tendons. Obesity can even lead to the development of osteoarthritis.

Get in shape: As a compliment to the previous suggestion, keeping your muscles strong and flexible is a great way to stave off the effects of chronic knee pain. Weak muscles are the leading cause of knee injuries, so instead of lounging in front of the TV, head to the gym for a workout or go for a brisk walk, your knees will thank you in the end. Also, try to incorporate flexibility into your workout regimen. Make sure you stretch before any workout, no matter how benign it might seem.

Exercise the right way: If you already have chronic knee pain or arthritis in your knees, you need to tailor your exercise regimen around your current situation. Remember, even if you have chronic knee pain, it's not an excuse to not be active, you just have to be active in a way that will help your situation, not hurt it. Things like swimming or water aerobics can be just as helpful and are low-impact compared to jogging, or playing a game of basketball. If you love a game of hoops, try playing less often and doing other low-impact activities more frequently. The most important thing is to stay active.

Know your shoe size: This one seems like a no-brainer, but a startling large amount of people don't wear the correct size shoes. Or they chose the wrong type of shoes for the activity they are participating in. Shoes designed for running aren't made for the sharp pivots and turns that are common in basketball, while shoes designed for tennis are. They say the shoes make the man, and in this case, the shoes can make or break the health of your knees.

Kneepads and braces: Make sure you utilize these joint-saving pads when you need them. If you're playing a sport that causes a lot of trauma to the knee, like basketball or volleyball, wear a knee brace. If you're on your knees hooking up a computer or laying carpet, wear knee-pads. And believe it or not, most shattered kneecap injuries happen in auto accidents, so wear a seatbelt, and protect your knees as well as your life.

Your body knows all: Plain and simple, if your knees hurt, relax and read a book. The likelihood of injuries to your whole body, knees included, rise dramatically when you're tired or if your joints are fatigued.

Remember, your knees can take a beating but you only get two. Treat them right and they will be there to treat you right.

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About Author
Both Dr Marybeth Crane & James Hughes are contributors for EditorialToday. The above articles have been edited for relevancy and timeliness. All write-ups, reviews, tips and guides published by EditorialToday.com and its partners or affiliates are for informational purposes only. They should not be used for any legal or any other type of advice. We do not endorse any author, contributor, writer or article posted by our team.

Dr Marybeth Crane has sinced written about articles on various topics from . Pain slowing down your run? Your feet are the most important part of your running body! Dr Marybeth Crane is a board certified foot and ankle surgeon and a veteran marathon running podiatrist. For a copy of her FREE BOOK or more information on running inj. Dr Marybeth Crane's top article . to your Favourites.

James Hughes has sinced written about articles on various topics from Arthritis Signs, Fitness. If you are looking for more ways to experience please go to. James Hughes's top article generates over 4400 views. to your Favourites.
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