My Knock Knee Fix- Practice Yoga Asanas to find a cure.Posted by Ernstsen Nissen on July 12th, 2021 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. Abductor strengthening exercises are a great option to straighten knock knees. Many muscles like the tensor fascia lata, gluteus medius, etc... are involved in the abduction. This type of exercise can provide a workout for quadriceps muscles, hamstrings, and abductors. Here, the patient will have to stand with his feet hip-width apart and arms in front of his chest. In a stable movement, he will have to take a big step crossways to his left. When his foot reaches the ground, he will have to bend his knees and will have to push his butt backwards. If a strong contraction occurs on one side of the hip or the other thigh area, the foot should return to its original position. The same procedure should be done on the opposite side. You can try holding a medicine bowl in front to your chest for even more resistance. For doing this exercise, a chair or a weight bench will be required. Start by standing with your right side facing towards the bench. The arms should be in front. Next, place your right leg on the bench. Place the other leg on the ground. Lift your body slowly. Repeat the process with the second 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 person should stand with his left shoulder facing the weight stack. This is done by lying on the floor in side position, where the patient should lie on his right side with his legs stacked. You should lift your left leg at a 45-degree angle. Keep it there for a few seconds. Then, the leg should slowly be lowered and the same should be repeated 10-12 times. It is also possible to do this on the other side. These exercises will be of great use to patients, who want to straighten knock knees. A friend of mine went cycling with me. She began to feel severe pain in her knees after about an hour. I discovered that she had "knock knees" after checking her lower extremities. The clinical term for "knock knees" is Genu Valgum. Genu Varum is the opposite. Since Genu Varum isn't normally associated with pain or problems, we'll concentrate on my friend with Genu Valgum. Both conditions are the result of the Qangle. The Q-angle is determined in the frontal plane by drawing a line from the anterior superior spine of the ilium to the middle of the patella, and a second line from the middle of the patella down to the tibial tuberosity. The normal quadriceps function Q-angle is between 10-14 degrees and 15-17 degrees for males. Ruben Salinas, OCS,PT, PT, OCS states that you must "get out of your box" to evaluate the lower extremity. Ruben is a clinical director at Fortansce and Associates Physical Therapy. He lives in Arcadia. "Don’t be focused on the pain. See the whole picture. Remember, the lower extremity is a closed chain, especially in cycling." You'll often see pronation, flat feet, tight gastrocnemius, and sometimes trochanteric Bursitis. The body compensates for the valgus stress on the knee by pronating at the ankle. This is due to the compressive forces on one side and tensile forces in the other. You must dorsiflex one foot in order to swing the other leg. If your clients gastroc is tight, they won't be able to dorsiflex, which will cause the foot to cave in. This will indeed affect the knee and then the hip. Stretching will help lengthen the gastroc. Be careful to insure their foot doesn't cave in while stretching. Support their foot with a block of wood to prevent them from pronating. Perform "windshield wipers" for the tibialis poster (which is inverter and crosses above the ankle). Lie a light weight on a towel. Lay one of your feet flat on the flooring. Then, slide the towel towards your other foot. There are other ways of helping the foot out, but that's a whole other article. My friend wasn’t complaining about her foot pain, it was the pain in her lateral knee. An excessive Q angle will cause more compressive force on the lateral side and greater distraction or tensile forces at the medial side. So how do you fix that? Ruben Salinas states that "this topic is a gray area in the world of physical therapy." He is an expert on knees. VMO weakness and inability to ignite have been suggested as possible causes of patella - Femoral dysfunction. The experts still can't agree. But it is worth the effort. For increased VMO activity, you can do quad sets. Or have your client wrap a towel or a ball between their legs as they perform leg extensions. Have them squeeze tightly or adduct at the top of the extension. Another method Ruben suggests is Bio-feedback. Have the client put their hands on both the Vastus lateralis and Vastus Medialis, then have them contract their leg. They should feel which side contracts first by putting their fingers together. It is important to get them "fire" the inner (vastus medianlis) first. Though it would be great if there were some surface EMG's around, we're only trainers. The hip will often have weak external rotators. It almost seems like the head of your femur is moving inward and forward. When this happens, the greater trouchanter begins to hit a bursa. This could eventually lead into bursitis. The external rotators of your hip are the key here. The gluteus maxims are the key. Remember, the medius acts as an internal rotator. Do not forget about the external rotators. External rotation, with a cable/tuning attached around the ankle will strengthen the quadratus foemoris, superior and lower gemellus, obturator externus, internus, and the piriformis. 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. To improve their quality and alleviate disabling pain, the elderly who are affected by this chronic pain disease must have joint replacements. It is becoming more common for young people to also be affected by the early manifestations of the disease. In this group alternate solutions have to be recommended considering the age, increased demands like participation in sports and work. Young women and men cannot easily have joint replacements. Osteoarthritis can be caused by age and is covered by Articular cartilage, which is the outermost part of long bones in a joint. It is smooth, elastic and shiny tissue. It's responsible for pain-free movement, shock absorption and lubrication. It is not like other tissues and has limited ability of repair and regeneration. This reduces the ability to repair and causes arthritis knee depletion. The result is pain and stiffness that can be fatal. To gather further information on My Knock Knee Fix please visit this website. Some conditions can predispose you to early cartilage destruction. These conditions can be either biological, chemical or mechanical. Occupations and obesity can lead to cartilage loss. 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 are torn in many sports, or two wheeler accidents. The most common ligamentous injury is an ACL injury. ACL injuries that aren't repaired quickly can cause more tears to the menisci. Both of these conditions can also lead to osteoarthritis. Meniscal tear can occur either in isolation or in combination with other injuries. Since the importance of menisci emerged, arthroscopic surgery has been in fashion. It allows the surgeon to remove the affected portion and keep the rest. Unfortunately, it's not always possible. If the damage is severe enough, a complete or sub-total Menisectomy will be required. Secondary osteoarthritis can also develop in these knees. This is a condition that occurs in older people. Some people have deformities around the knee. These deformities may be located in the leg bone, thigh bone, and/or leg bone. When standing, there should be no space between the inner knee and the ankle joint. If the gap is between the knees, it's called bow legs (Genu Varum) and if the gap is between the ankles, it can cause the legs to diverge at the ankles, which can result in knock knees or Genu valgum. Both of these conditions can lead to one-sided wear of one knee joint or arthritis in the other half. Early arthritis can be treated or prevented with surgical procedures. These options can be used to alleviate arthritis-related knee pain. These knee reconstruction procedures are biological in nature and aim to restore the joint's anatomy. They do not require the replacement of a joint. ACL reconstruction of the knee ligament- ACL reconstruction can be done through very small key-hole incisions (arthroscopic). Graft may be taken from the patient or an allograft donor. The tendon graft goes through the bony tunnels between the legs and thighs and is then attached with screws, buttons, or any other device. This is a procedure where a surgeon attempts to fixate a torn meniscus, provided that it is placed in a safe position. If this ligament is injured, it is necessary to perform ACL reconstruction. This is done with arthroscopic surgeries. This procedure is to be introduced shortly. These menisci are taken from the knees of non-heart beating donors or brain dead donors. These are preserved, and then grafted to the affected knee. You can save cartilage defects in the local area and stop them from progressing to severe involvement. These are microfracture. In these cases, tiny holes are made into the cartilage to form a super clot. A mosaicplasty involves the extraction of cartilage plugs, which are taken from the non-weight bearing area of the knee and reintroduced 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 again prevent rapid progression of osteoarthritis and can postpone the need for a replacement. These alternative surgical options in Chennai can be used to treat young people's painful knees. By availing these alternate surgical procedures where one is indicated, one can preserve and continue with natural cartilage and postpone or avoid joint replacement by a decade or more.Like it? Share it! |