Notes

My Knock Knee Fix- practice Yoga Asanas and find a cure.

Knock knees refers to a condition that causes a person’s knees to bend inwardly, possibly touching one another, when they straighten their legs. This happens because of weakness in the person's abductor muscle muscles. These muscles are not located between the hips or thighs. You can straighten your knock knees with abductor strengthening exercises. The abduction involves many muscles, including the gluteus medius, tensor fascia and gluteus medius. This type is good for strengthening quadriceps, hips, and abductors. The patient must be able to stand straight with his feet in front and his arms behind him. He will need to move in a steady manner and take a large step to the left. When his foot touches ground, he will need to bend at the knees and push back his butt. When a strong contraction is felt on the hip and the other thigh, the foot should be brought back to its position and the same should be repeated on the other side. You can try holding a medicine bowl in front to your chest for even more resistance. This exercise requires a chair, or a weight bench. Start by standing with your right side facing towards the bench. The arms should be in front. Then, the right foot should be placed on the bench and the other foot should be pressed on the floor, the body should then be lifted slowly. This should be repeated for the other leg. With this method, a cable machine is used, to strengthen the outer hips and thighs. A cuff for the ankle should be placed at the lowest setting. The patient should be standing with his left shoulder facing towards the weight stack. The patient will do this by lying sideways on the ground. The left leg should be lifted at a 45 degree angle and should be held at the same position for some seconds. The leg should then be slowly lowered, and this should be repeated 10-12 additional times. It is also possible to do this on the other side. These exercises are great for patients who want to straighten their knock knees. One of my friends went for a ride on the bicycle with me. After an hour she started experiencing severe knee pain. I checked her lower extremities and discovered she had "knock-knees". Genu Valgum refers to "knock knees", which is a clinical term. Genu Varum or bowlegged would be the reverse. Genu Varum isn’t usually associated with pain or other problems so we’ll focus on Genu Valgum, my friend. However, both conditions are caused in part by the Q-angle.


In the frontal plane, the Q-angle can be determined by drawing lines from the anterior superior spine to the middle patella and another line from the middle patella to the tibial tubrosity. Normal quadriceps fimoris function Q-angles are usually between 10-14 and 15-17 degrees. Ruben Salinas, OCS, PT, PT says you need to "get out the box" when assessing the lower extremity. Ruben is a clinical director at Fortansce and Associates Physical Therapy. He lives in Arcadia. "Don’t fixate on the pain. Look at the whole picture. Remember that the lower extremity, especially when cycling, is a closed link. You'll often see pronation, flat feet, tight gastrocnemius, and sometimes trochanteric Bursitis. At the ankle, the body will try and compensate for the valgus stress at the knee (tensile forces on the medial side of the knee; compressive forces on the lateral side) by pronating. You have to dorsiflex your one ankle to be able to swing through with the opposite leg. If the client's stomach is tight, it won't allow them to dorsiflex. The foot will cave in. This will affect the knee, then the hip. Stretching will help lengthen the gastroc. Be sure that their foot doesn't cave while they stretch. If needed, support the inside of their foot with a wooden block so their foot won't pronate. Perform "windshield wipers" for the tibialis poster (which is inverter and crosses above the ankle). Put a small amount of weight on a towel. Place one's feet flat on the ground and have the other person slide the towel inwards towards the other foot. There are other methods to get the foot out but that's another article. My friend didn't complain about her feet. The pain was located on her outside knee. Due to excessive Q-angle, there will be greater compressive forces on one side of her knee and more tensile/distraction forces on the other. How do you fix it? Ruben Salinas states that "this topic is a gray area in the world of physical therapy." He is an expert about knees. VMO weakness or inability fire is a possible cause of patella – femoral dysfunction. Experts disagree. However, it's worth trying. To increase VMO activity, try quad sets in all directions or have your client put a small ball or rolled up towel between their legs when the perform leg extensions. Ask them to tighten their muscles or to flex at the top of each extension.


Ruben also suggests Bio-feedback. Have the client put their hands on both the Vastus lateralis and Vastus Medialis, then have them contract their leg. You should feel which side contracting first. Ask them to "fire the inside" (vastus medialis). Though it would be great if there were some surface EMG's around, we're only trainers. At the hip, you'll often find weak external rotators. It is almost like the head and femur have rolled inwards and forwards. This can lead to the greater trochanter smashing against a bursa, which could eventually lead to bursitis. These are the external rotators in your hip. Concentrate on the gluteus maxims and not the gluteus medius. Remember, the medius rotator is internal. The deep external rotators are also important. By performing external rotation with a cable or tubing attached around the ankle, you will strengthen the piriformis, superior and inferior gemellus, obturator externus and internus as well as the quadratus femoris. This will stabilize your hip and prevent bone from smashing against bone. Osteoarthritis, which is the most common type of arthritis, affects the knee joint the most in India. Joint replacements are a permanent option for those suffering from this chronic and painful condition. This will improve their quality life and eliminate the disabling pain. However it is increasingly common to see many young people also suffer from the earlier manifestations of the disease. Alternate solutions are recommended for this group due to the increasing demands on work and sports participation. Young women and men cannot easily have joint replacements. Osteoarthritis occurs when the cartilage covering the end of the long bone in a joint becomes worn down with age. It is smooth, elastic, shining tissue. It is responsible for lubrication as well as shock absorption and pain-free movements. It has no blood supply or nerve supply, so unlike other tissues in the body, its ability to regenerate and repair is limited. The arthritis knee suffers from a reduced repair capacity as a result of aging. It can cause stiffness and pain, which may lead to medication or surgery. To receive more information on My Knock Knee Fix please discover more here . Certain conditions, both generalized and localized, can lead to early cartilage loss. These conditions can be either biological, chemical or mechanical. Occupations, obesity, mal-alignment, and structural damage may all lead to cartilage damage. Ligaments and menisci stabilise the knee. Menisci dissipate stresses, help in lubrication, increase joint conformity and confer additional stability. The cruciate ligaments are the ligaments within the joint. These can be torn from many sports or two-wheeler accidents. ACL injuries are the most common form of ligamentous injury. ACL injuries that are not treated can lead to more menisci tear and, in some cases, osteoarthritis. Meniscal tears can happen in any combination. The importance of the Menisci was recognized and arthroscopic surgical became popular. It is possible to only remove the damaged area and leave the rest. However, it is not always possible to do so as the damage is beyond repair and a total or subtotal Menisectomy is necessary. Such knees are also predisposed to develop secondary osteoarthritis (occurring in younger persons at an earlier age) cf Primary osteoarthritis which occurs in the elderly.


Some people have deformities around the knee. These could be located in the thigh bone, or the leg bone. Normaly, when standing, there should never be any gap between the ankle joint on the inner side and the knee. If there is a gap in between the knees then the person will have bow legs (Genu Varum). If there are gaps between the ankles then the legs can become disoriented at the ankle causing knock knees. These two deformities could lead to arthritis in one knee or one side of your knee. There are surgical options available to treat or prevent early arthritis. These procedures can reduce the discomfort of arthritis-related knee pain. These knee reconstructive procedures aim to restore the anatomy and function of the joint. They do not require the replacement of a joint. ACL reconstruction at the knee - ACL reconstructions can be performed through small key-hole incisions. Graft may be taken from the patient or an allograft donor. This tendon graft is threaded through bony tunnels in the leg and thigh bones and is fixed with screws, buttons or other devices. If the meniscus is in a good position, this procedure attempts to suture it. ACL reconstruction is also required if the ligament has been damaged. This is done through arthroscopic surgery. This procedure will be available in the near future. This menisci is taken from the limbs of brain dead or non-heartbeat donor donors. These are preserved and then grafted in the damaged knee. You can save cartilage defects in the local area and stop them from progressing to severe involvement. These are microfracture wherein small holes are made in the raw area to generate a super clot and in growth of fibro cartilage. In mosaicplasty, cartilage plugs are harvested from non weight bearing portion of the knee and re-implanted into the lesions. An osteotomy (division bone) can correct misaligned joints. The stresses in a joint will be distributed evenly after this surgery. Additionally, excess wear from one end of the joint can be reduced. This helps to prevent osteoarthritis progressing quickly and delays the need for a replacement. These options are available in Chennai for young patients suffering from painful knees and to prevent arthritis progression. You can save natural cartilage and delay or eliminate joint replacement by using these alternate surgical procedures when they are necessary.

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