In Motion Chiropractic

43 Main Street #1

Dover, NH 03820 US

603-516-0990

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  • A User's Guide to Healthy Knees

A User's Guide to Healthy Knees

  • Created in Newsletter Library, Back, Body & Joint Pain
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

  • About Chiropractic Care
    • What is Chiropractic
    • How Does it Work
    • Who is Chiropractic For
    • Vertebral Subluxation
    • Wellness Resources
  • Common Conditions Treated
    • Auto Accident Injuries
    • Back and Shoulder Pain
    • Body Pain
    • Chronic Condition Relief
      • Conditions Affecting Women
      • Headaches
    • Herniated Discs
    • Improved Health
    • Pediatric Ailments
    • Repetitive Use Injuries
    • Respiratory Function
  • Health & Wellness
    • Healthy Thinking
      • Get Positive
      • Relaxation Techniques
    • Life in Motion
    • Wellness Lifestyle Tips
      • Treat Yourself Well
      • Treat Others Well
      • Eat Well
    • Wellness Essentials
      • At Home
      • At Work
      • Exercise
      • Nutrition
      • What You Wear
    • Wellness Perspectives
      • Mental
      • Spiritual
      • Social
      • Physical
  • Therapies & Techniques
    • Techniques
    • Therapies
  • Newsletter Library
    • Back, Body & Joint Pain
    • Healthy Tips
    • Exercise & Fitness
    • Injury Rehab & Prevention
    • Kid's Health
    • Illness Prevention
    • Chronic Conditions
    • Nutrition & Healthy Eating
    • Breaking Bad Habits
    • Senior Health
    • Weight Loss
    • Pregnancy & Parenting
    • Wellness
    • Mind-Body Connection
    • Stress & Anxiety
    • Life-Work Balance
    • Staying Young
    • Staying Motivated
  • Wellness4Kids
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Office Hours

Our Regular Schedule

Office Hours

Monday:

8:00 am - 12:00 pm

3:00 pm - 6:00 pm

Tuesday:

8:00 am - 12:00 pm

3:00 pm - 6:00 pm

Wednesday:

8:00 am - 12:00 pm

3:00 pm - 6:00 pm

Thursday:

8:00 am - 12:00 pm

3:00 pm - 6:00 pm

Friday:

8:00 am - 12:00 pm

3:00 pm - 5:00 pm

Saturday:

8:00 am - 11:00 am

Two per month

Sunday:

Closed

Office Hours - Portsmouth

Monday:

Closed

Tuesday:

8:00 am-12:00 pm

3:00 pm-6:00 pm

Wednesday:

8:00 am-12:00 pm

3:00 pm-6:00 pm

Thursday:

8:00 am-12:00 pm

3:00 pm-5:00 pm

Friday:

8:00 am-12:00 pm

3:00 pm-5:00 pm

Saturday:

Closed

Sunday:

Closed

Laser Hours

Monday:

Monday 3-6 (Dover)

Tuesday:

Tuesday 8-12 (Portsmouth), 3-6 (Dover)

Wednesday:

Wednesday 8-12 (Dover)

Thursday:

Closed

Friday:

Friday 3-5 (Dover)

Saturday:

Closed

Sunday:

Closed

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Testimonials

Reviews By Our Satisfied Patients

  • "Although I still have the occasional headache, the daily and sometimes debilitating ones have subsided. I highly recommend In Motion Chiropractic to anyone that is looking for that personal touch that has pain or is just looking to maintain their health."
    Stacey L.
  • "First time in about 16 years that my jaw joint has been in alignment. No more clicking. Even if it takes years to retrain my bite, this was an unexpected fabulous surprise that came from my treatment."
    Sarah
  • "This team is exceptional in every way! They’re so committed to their clients’ overall health and experience. I’ll never go any where else!"
    Christine
  • "After starting treatment here in October, my rheumatologist recently told me he’d see me in a YEAR - and NO MORE MEDS. I’ve been fighting Lupus/Psoriatic Arthritis for 13 years, so this is huge for me.

    Brian and Cassie are fantastic (props to Stacy too!) They have also treated my 2 year old and now my husband has an appointment. THANK YOU IN MOTION!!

    If you are prenatal start now...I wish I had known how safe and helpful it is through pregnancy and beyond."
    Andrea

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