Physical Therapy is As Beneficial As Knee Surgery for A Torn Meniscus; Study Finds
A new study published by the New England Journal of Medicine Suggests that it makes more sense for patients with severe knee pain diagnosed with a torn meniscus and mild to moderate osteoarthritis to opt for physical therapy rather than surgery.
A team of doctors from the Orthopedic and Arthritis Center for Outcomes Research for Brigham and Women’s Hospital studied 330 patients over the age of 45 who had been diagnosed with crippling knee pain. All participants were diagnosed with a meniscal tear along with mild to moderate osteoarthritis of the knee. Half of the patients were assigned randomly to immediate arthroscopic knee surgery while the other half underwent physical therapy. The participants were assessed at 6 months and again 12 months into the study.
At the end of the study both groups showed the same amount of improvement. The group assigned to undergo arthroscopic knee surgery did not gain any more function or have less pain than their counterparts.
“The article reinforced the standard that if a patient suffers with a degenerative meniscal tear related to mild to moderate arthritis then the first line of treatment is typically physical therapy,” said Dr. Popovit an orthopedic surgeon at Lenox Hill Hospital in New York City.
Trying physical therapy first allowed patients to achieve the same level of pain relief and improvement in function without having to undergo surgery and risk the complications that arise from that option.
Unfortunately, arthroscopic knee surgery is a procedure where the surgeon goes into the knee and ‘cleans the knee out’. If the meniscal tear is due to arthritis then the surgeon usually has no choice but to smooth or cut out part of the meniscus.
Meniscus, is a rubbery piece of tissue that lies in between the cartilage to protect the cartilage from touching. If the meniscus or menisci are removed then the cartilage is more vulnerable and starts to rub together. This can create a ‘bone on bone’ situation over time and more arthritis sets into the knee joint. Meniscus tissue in the knee does not grow back so it is NOT advisable to ‘clean it out’ because over time removing part or all of the meniscus creates more problems in the knee joint.
“Patients who wish to avoid knee surgery can be reassured that physical therapy is a reasonable action,” stated Dr. Katy the director of the Orthopedic and Arthritis Center and professor of Medicine and Orthopedic Surgery at Harvard Medical School.
Dr. Schnee’s Cold Laser Knee Program™ is a type of physical therapy program that incorporates cold laser therapy and multiple forms of physiotherapy to help relieve pain and improve function; along with exercises and stretches to strengthen and improve the range of motion in the knee joint.
You can always undergo knee surgery but once it performed there is no turning back; good or bad you’re stuck with the outcome. Try non-invasive, non-surgical, conservative care first such as Dr. Schnee’s Cold Laser Knee Program™.
If you would like more information about Dr. Schnee’s Cold Laser Knee Program™ fill out the form on the right side of this screen to get your FREE report mailed to you entitled, Amazing Cold Laser Therapy the Missing Link to Knee Pain Relief!
Dr. Alexandra K. Schnee, DC- is an author, researcher and cold laser therapy knee doctor in Dallas, Texas. She practices at the Atlas Medical Center in Irving, Texas and specializes in cold laser therapy for the treatment of chronic knee pain. Dr. Schnee, D.C has developed cold laser knee treatment protocols that she uses as part of her Cold Laser Knee Program™. Since 2001, she’s helped hundreds of patients get pain relief and avoid unnecessary knee replacements and knee surgery. If you’d like to find out about her non-surgical program please visit http://www.HelpMyKneePain.com or call 214-596-1051.
“Helping People with Knee Pain and Joint Pain in the Dallas, Fort Worth and surrounding areas since 2001.”
©AKS 2013 All rights reserved.
Hip and Knee Replacements Do Not Benefit All, Study Finds
According to a study by the Women’s College Hospital and the Institute for Clinical Evaluative Sciences only 50% of patients with arthritis who had a hip or knee replacement reported pain relief or increased mobility one to two years after surgery.
The study was published in the journal of Arthritis & Rheumatism and it followed 2,400 patients with osteoarthritis and inflammatory arthritis. Four hundred and eighty patients had a hip or knee replacement and of the 202 patients included in the study only half reported any real improvement in pain and disability one to two years after the surgery. Researchers also found that those who had knee or hip pain to begin with but fewer overall general health problems, and did NOT have arthritis outside the replaced joint (for example, they did not have arthritis in other joints or areas of their body) were more likely to report benefits.
This study suggests that it is imperative that patients have realistic expectations going into major surgery like hip and knee replacements. If they have pain and disability in multiple joints for example the low back, the other knee, or have generalized osteoarthritis they need to consider that a total hip or total knee replacement may not provide them with the relief or increased mobility they are seeking.
“Patients may need subsequent surgeries to maximize the benefit of joint replacement…because many patients with hip and knee arthritis have the condition in more than one of their hip or knee joints.” states the study’s lead author Dr. Gilliam Hawker, MD.
In general, 25% of patients who undergo a single hip or knee replacement will have another replacement within 2 years.
Recently, another study published in the journal of Rheumatology suggested that the outcome of a total knee replacement surgery was influenced by a patient’s health and mental status. They found that if a patient had heart disease, anxiety, depression or connective tissue disease they were more likely to have pain in the knee that was replaced 2-5 years after knee surgery. These findings we reported by Jasvinder Singh (University of Alabama) and David Lewallen (Mayo College of Medicine).
“With an increasing volume of total knee replacement’s in the United States , a better understanding of risk factors for poor outcomes is critical to allow for patients and surgeons to have realistic and appropriate expectations of total knee replacement surgery,” stated David Lewallan.
The bottom line is that if you have arthritis in other joints, or you have heart disease or mental health issues you will want to have a long discussion with your orthopedic surgeon regarding your expectations of hip or knee replacement surgery. If you’re not a good candidate for knee replacement surgery because of these issues or if you have knee pain and have been told that knee replacement is your only option, and you don’t want knee surgery; doesn’t it make sense that instead of opting for knee replacement surgery that you start off with conservative knee treatments first?
Which knee treatments should you try????
1)Try getting injections; both cortisone and gel injections.
Even though cortisone does destroy more cartilage in the long run it may help relieve immediate pain and inflammation. The gel injections are also another option; however, they only help about 20% of patients who get them done. If the injections do help a patient will usually experience pain relief for about 6 months.
2) Another non-surgical, non-invasive option (does not involve injections) is Dr. Schnee’s Cold Laser Knee Program™
Dr. Schnee’s Cold Laser Knee Program™ has been clinically shown to help 79.8% of patients with moderate to severe knee osteoarthritis by providing 50-90% relief in pain. This program has helped hundreds avoid knee surgery and has helped give them their quality of life back. This program is unique and is only offered at the Atlas Medical Center in Irving, Texas. It combines physiotherapy, rehab and cold laser therapy all in one so that we can relieve a patient’s knee pain, inflammation, and increase their overall mobility and strength.
If patients are from out- of -state they have to be able to stay in the Dallas area for at least two weeks in order to complete knee treatments. The treatments are painless and safe. There is no hospitalization and no irreversible side-effects (you may experience some soreness for a few hours after the first treatment ). Patients usually start to experience some pain relief between the 6-12 treatment. The total number of treatments varies depending on the knee condition and whether we are treating one or both knees. Please call our office at 214-596-1051 for more information about Dr. Schnee’s Cold Laser Knee Program™.
Dr. Robert Hanson, DC at the Atlas Medical Center in Irving Texas also offers specific Cold Laser Programs for the back, neck, and shoulder as well as the feet and hips. Visit www.coldlasertherapy.com to find out more information about these programs.
3) Try taking non-synthetic supplements-
I realize that many of you may have tried taking glucosamine, chondroitin and MSM and have given up because you just didn’t get the results you wanted. Please understand that most over the counter products are subpar because they are synthetic. You could take copious amounts of them and still not experience any relief. I recommend taking Chondrocare from Metagenics which seems to work great for patients with moderate to severe osteoarthritis. (Do not take any supplements or vitamins without talking to your primary care doctor first.)
4) Try moving your body: exercise
Now, unfortunately this is a ‘catch 22’ for most patients, and it seems to be a very touchy subject. They desperately want to exercise but they can’t because they have a lot of pain when they walk or perform any activity. So a good rule of thumb is if you have pain during or after exercise then choose a different exercise until you find one that doesn’t cause pain. If all exercises (swimming, cycling, walking) cause knee pain then DO NOT make the problem worse by forcing your knees to do something they don’t want to do or can’t do.
Dr. Alexandra K. Schnee, DC- is an author, researcher and cold laser therapy knee doctor in Dallas, Texas. She practices at the Atlas Medical Center in Irving, Texas and specializes in cold laser therapy for the treatment of chronic knee pain. Dr. Schnee, D.C has developed cold laser knee treatment protocols that she uses as part of her Cold Laser Knee Program™. Since 2001, she’s helped hundreds of patients get pain relief and avoid unnecessary knee replacements and knee surgery. If you’d like to find out about her non-surgical program please visit http://www.HelpMyKneePain.com or to contact Dr. Alexandra Schnee, D.C. please call 214-596-1051.
Sugary Sodas Linked to Arthritis Knee Pain
A new study from the American College of Rheumatology links drinking sugary sodas to osteoarthritis knee pain. Two thousand patients were followed over a 4 year period. Every year a new set of x-rays were taken of the participants knees. What researchers found was that men who drank soda had the worst signs of osteoarthritis or narrowing of the joint space. Researchers also found that those who drank 5 or more sodas a week had double the knee problems. Interestingly, body weight didn’t make a difference.
This study suggests that the components found in sugary sodas-high fructose corn syrup, caffeine, and phosphoric acid- could interfere with the calcium absorption, weakening the bones.
Even though 1 out of 2 people will eventually develop arthritis; drinking sodas might actually accelerate the process.
Dr. Schnee’s take on the issue: If you want to take preventative measures from developing arthritis knee pain then either stop drinking soda completely, or ween yourself off of drinking the empty calories. I realize that there are some highly addictive soft drinks out there ie Dr. Pepper, Mountain Dew. So it may be tough to just stop ‘cold turkey’. Whether you decide to consume soft drinks (OR NOT) is something YOU can control, so do yourself and your knees a favor and consider STOPPING today.
If you have arthritis knee pain and you are tired of hurting call the Atlas Medical Center today. Call 214-596-1051 or visit www.Helpmykneepain.com for more information.
- An ice pack should be used with acute knee pain (a new knee injury), and a heating pad should be used with chronic knee problems (knee pain that has lasted for several months). If in doubt- use an ice pack.
- Since cold/ice compresses reduce swelling and inflammation use an ice pack for 20 minutes every two hours if your knee is swollen. If you use a heating pad and you have swelling in your knee it will make it worse.
- A heating pad should be used if you experience stiffness or range of motion problems. Ten minutes of heat every two hours will help to relax the muscles attached to your knee and increase the blood circulation, which naturally helps heal muscles and tissues by providing nutrients to these body parts.
Cold Laser Therapy Reviews for Dallas Knee Doctor Alexandra Schnee, DC
Do any of the following statements apply to you?
- I have knee pain at night.
- I experience knee pain when I walk or stand for any length of time.
- After sitting for a long time, it takes me a minute to get my bearings before I can start to walk.
- I have pain climbing up and down stairs.
- I have difficulty squatting.
- The quality of my life has diminished because the pain in my knee prevents me from doing the activities I once enjoyed.
- I’ve been told that I need knee surgery but I want to avoid it.
If you’ve answered yes to any of these questions and you are searching for a knee treatment that does not involve knee surgery, knee injections, or taking pain medications then Dr. Schnee’s Cold Laser Knee Program™ may be the answer to your chronic knee pain.
The following cold laser therapy reviews are from just a handful of patient’s who have completed Dr. Schnee’s Cold Laser Knee Program™. To read more reviews visit the link above.
“The pain in my knee was intense and painful. It kept me from sleeping and bending my knee. I was taking pain killers, Tylenol, Advil, and Alleve constantly. Since completing knee treatments my knee is 75% better and I can sleep at night without knee pain.” F.M, Grand Prairie, Texas
(Patient is posing for this picture with his daughter.)
“Before Dr. Schnee’s Cold Laser Knee Program™ I had arthroscopic knee surgery on my right knee in 1998. The knee doctor recently indicated that the arthritis was the cause of my knee pain along with some debris that had collected. I also tried having shots in my knee, but it didn’t help me. My knee pain was severe whenever I did house cleaning that involved vacuuming and/or sweeping patios, raking leaves from flower beds. Also walking distances and standing in place for example shopping in malls or grocery stores was limited. The pain continued through the night as well. Since completing knee treatments with Dr. Schnee I can walk and stand longer without experiencing knee pain. I am also sleeping at night without wrapping my knees in towels and I am also taking less Tylenol and have not needed to use any crèmes or sprays on my knees. I am very pleased with the overall experience and results of the cold laser therapy knee treatments. At this point I believe my improvement is near 85%+. I am sleeping through the night, am able to bend my knee at a 90 degree angle, and have only experienced slight pain when we have a cold front coming through the area.” L.W., Southlake, Texas
“I had severe knee pain and I could not bend the knee or use the stairs. I tried taking medications and I even got shots in my knee. I was advised to get knee surgery from a knee doctor but I wanted to avoid that. I am pleased with the results and service and my knee feels 60-75% improved.” S.M. Hurst, Texas
Call the Atlas Medical Center at 214-596-1051, if you live in the Dallas-Fort Worth Texas area, to find out more about Dr. Schnee’s Cold Laser Knee Program™.
Dr. Alexandra K Schnee DC- Cold laser therapy Dallas knee doctor for the treatment of knee pain for the Dallas-Fort Worth, Texas area. –“Dr. Schnee’s Cold Laser Knee Program has been helping knee pain sufferers from the Dallas-Fort Worth and surrounding areas avoid knee surgery, knee injections, and pain medications since 2001.”
Cold laser therapy Dallas reviews for Dr Schnees Cold Laser Knee Program. Her knee program is for those searching for non-surgical knee treatments in the Dallas-Fort Worth area.
Knee Doctor Dallas Discusses Dealing with Knee Pain after Knee Surgery
Knee surgery is usually the last thing any medical professional wants to do in order to eliminate knee pain, and provide knee pain relief for a patient. However, if a patient fails to respond to conservative care then knee surgery may be the only viable treatment option.
It is imperative that patient’s prepare themselves for the possibility of post-operative knee pain. Some post surgical knee issues last for a few days while other problems are indefinite, and impossible to eliminate. Post surgical knee pain can be reduced significantly through many different treatment methods. Here are a few things you can do to be proactive so that you can better cope with the pain after knee surgery.
First, Prepare Yourself Before Having Knee Surgery
Make sure you talk to your doctor before knee surgery is performed about the side effects and the downsides to surgery. Have a clear understanding of the intensity and level of knee pain you may experience, and how long you should expect the pain to continue post surgically. Although each person handles pain differently, having an understanding of what to expect will permit you to prepare for it better. It will allow you to take the necessary measures to help eliminate the pain associated with knee surgery. If you are anxious or nervous about knee pain, this can reduce the release of natural endorphins which helps to reduce the pain a person feels. Try to be relaxed and calm prior to your surgery and you’ll likely experience less knee pain during your recovery.
It’s also a good idea to create a plan of how you are going to recuperate at home during the recovery period. Find out from your doctor if there are certain positions you can place your leg and knee to reduce swelling, inflammation, and pain associated with undergoing knee surgery. Also make sure to ask your doctor when you can resume activity after knee surgery. Having a plan will help reduce the chance of injuring yourself post operatively.
Learn about your medication
It’s imperative for you to understand any side-effects associated with the medication you might be taking post-op to reduce pain. It is also important to learn how to deal with any side effects related to the pain medications; such as drowsiness, nausea or constipation. This knowledge will help provide you with peace of mind.
In addition, make sure you communicate with your knee surgeon about which types of medications you are taking PRIOR to your surgery. This will ensure that there are no dangerous interactions with the prescription drugs which might be administered to you AFTER the surgery.
Talk about the Pain you are feeling
The truth is that after knee surgery, your body is rapidly trying to heal and you WILL experience some type of knee pain and discomfort. This is not the time to try and act strong and ignore the pain. Talking about your pain, and articulating exactly what knee pain you are feeling and where you are feeling it will allow your doctor to prescribe a treatment best suited to relieving these issues.
When Pain Medication Stops Working
Unfortunately, there are situations when pain medications no longer provide effective knee pain relief. If this is the case, there are other types of knee pain treatments available to help eliminate and relieve knee pain after having knee surgery.
For example, cold laser therapy is a non-surgical treatment that alleviates pain, inflammation, and improves function in the knee joint. It is a tool that can provide knee pain relief and pain management for those searching for non-pharmaceutical treatment options.
Keep in mind, cold laser therapy should always be administered by a health care provider. So find a health care professional in your area who is proficient in cold laser therapy, and who specializes in the treatment of knee pain.
About Dr. Alexandra K. Schnee, DC -Dr. Schnee is a cold laser therapy doctor for the non surgical treatment of knee pain. Dr. Schnee’s Cold Laser Knee Program has been providing non-invasive pain relief to Dallas- Fort Worth residents since 2001. For more information about Dr. Schnee and her program please visit the link above or call the Atlas Medical Center at 214-596-1051.
Knee Doctor in Dallas Sheds Light on Cold Laser Therapy for Knee Pain
Cold laser therapy for knee pain relief has been an effective non-surgical treatment option for individuals in the Dallas Fort Worth area since 2001. Dr. Schnee’s Cold Laser Knee Program™ is a program that integrates both physical medicine along with cold laser therapy; so that individuals complaining of knee pain can receive relief and avoid having unnecessary knee surgery.
There are three major outcomes when receiving Cold Laser Therapy for knee pain:
1) Healing- Cold laser therapy accelerates the healing process by stimulating ATP (Adenosine triphosphate) or energy production in the cell thereby allowing tissues to heal and repair faster.
2) Knee Pain Relief: Normalizes the sodium potassium gradient in the nerve cell thereby eliminating or relieving knee pain.
3) Reduction/Elimination of Swelling/Inflammation in the Knees: Allows the cells to get rid of excess fluid thereby allowing the pressure around the knee joint to be relieved.
Overview of Dr. Schnee’s Cold Laser Knee Program™:
Dr. Schnee’s Cold Laser Knee Program™ is unique in that it combines specialized cold laser knee protocols, multiple lasers, and other physiotherapy treatments to relieve pain, inflammation, and strengthen the muscles around the knee joint. Each treatment program is customized for the individual.
Moreover, Dr. Schnee utilizes multiple lasers in her treatment programs since an individuals’ knee may be diagnosed with several different conditions that need to be addressed simultaneously.
How Many Treatments Are Necessary?
The total number of treatments varies depending on the knee condition being treated. It may take 10-30 treatments to receive optimal results. However, most individuals may notice improvements around the 6-12 treatment.
How Long Does A Treatment Take?
Each treatment takes 20 minutes to an hour depending on the condition being treated.
Is the Treatment Uncomfortable or Painful?
Cold laser treatments are painless, and there are no documented side-effects associated with the therapy. (It’s rare, but you may be sore after the first treatment, but that sensation goes away after the first day or two.)
What Might I Expect After Completing Treatments?
Over the past 35 years, there have been thousands of papers written and hundreds of double blind placebo controlled studies that have been performed that have proven the effectiveness of cold laser therapy.
In 2011, Dr. Schnee and her colleague Dr. Robert Hanson, D.C. presented their clinical findings in the form of an abstract at the annual North American Association for Laser Therapy conference in Milwaukee. They found that 79.8% of individuals diagnosed with moderate to severe osteoarthritis in the knee stated that their knee felt ‘moderately better to a great deal better’ after completing cold laser therapy treatments at the Atlas Medical Center in Irving, Texas.
The following individuals have actually completed Dr. Schnee’s cold laser therapy for knee pain program with Dr. Alexandra Schnee, D.C. at the Atlas Medical Center in Irving, Texas. The stories you are about to read either came from individuals who did not want to undergo knee replacement surgery, or were not candidates for knee surgery (due to other health problems). Prior to starting Dr. Schnee’s Cold Laser Knee Program™ they all complained of knee pain when walking, standing, or sleeping.
Here are their stories:
“If Someone Had Not Referred Me To Dr. Schnee I Would Have Scheduled Surgery Replacement For My Knees…”
My knee pain was unbearable at times. I could not do much of anything like clean the house, stand, or walk. I used to get steroid shots every 4-6 weeks (which would only last 4-5 days) I had to take pain medication every day just so I could tolerate the pain in my knee. The pain medication was non-narcotic so I could function during the day. I also tried the SYNVISC injections every 6 months (they did not help at all). I was told to get both knees replaced.
I am so grateful to Dr. Schnee. If someone had not referred me to her I would have scheduled surgery for replacement for my knees. I now have the quality of life I have not had in years. I get up with a smile on my face each dayJ. I can sleep at night pain free! I can walk, clean house, and stand more than I ever could! I can even vacuum the carpet! `My knees have improved 90% from the day I walked into the Atlas Medical Center. The staff is wonderful! They make each patient feel special. I will miss seeing them and talking to them.–Babette M., Irving, Texas
Cold Laser Therapy for Knee Pain Got Me Walking Again- With Very Little Pain…
I am very pleased with my results. My knee feels about 80% better than it did prior to my treatment. I am amazed with my results. I tried everything before trying Dr. Schnee’s Cold Laser Knee Program. I tried acupuncture, shots, and various other things that didn’t work. Before I started treatments I could barely walk- I could not go up and down the stairs. It was very painful to ride long distances in a car and I had a lot of trouble getting out of a chair. I felt that a knee replacement was the next step. I had a knee replacement already on my other knee so I wanted to try cold laser therapy first (knee replacement surgery was my last resort). Now I can stand, walk and go up and down stairs with very little pain in my knee. — Garland S., Granbury, Texas
I Did Not Want to Endure Another Knee Replacement Surgery…
I had my right knee replaced in December of 2009, and I was hoping to get some pain relief before my other knee got that painful. Before I started Dr. Schnee’s Cold Laser Knee Program I had pain sleeping at night, and I had to put a pillow under my knees. I tossed and turned at night just trying to get comfortable. I could not straighten my knee without discomfort. Going up and down stairs- a grinding sound occurred and it hurt around the knee cap area. It hurt more going down stairs than going up stairs.
From the second session with Dr. Schnee I have been able to sleep all night very comfortably. I have no pain in the back of my knee when I try to straighten it out. I haven’t had the shooting pain in my knee when walking or climbing stairs. I am able to walk longer distances at a time without the severe pain in my knees.
Every person that I have come into contact at this establishment has been so friendly, helpful, courteous, knowledgeable yet very professional. Coming here has been a pleasure.–Nancy H., Garland, Texas
Knee Injections Weren’t Working So The Surgeon Recommended Total Knee Replacements…
When my problem was at its worst I couldn’t stand up and walk. I couldn’t sleep very well because I couldn’t turn over on the right side. Before the cold laser therapy program with Dr. Schnee, I was going to a pain clinic every four weeks to get shots in my knee. Now after completing Dr. Schnee’s Cold Laser Knee Program, I am very pleased with my overall experience and I feel that my overall percentage of improvement has been around 80%.–Harry H., Frisco, Texas
Dr. Schnee Helped Me After I Was Told That I Couldn’t Have A Knee Replacement…
Before Dr. Schnee’s Cold laser therapy treatments my knees were extremely painful and swollen (due to bone on bone and baker’s cysts). I had difficulty walking, sleeping, and getting up and down from a chair. I tried arthritis medication and cortisone injections which did not help. I am very pleased and I would say I am experiencing maybe 50% less pain in my knees which is wonderful-Thanks!–
Pat R., Carthage, Texas
Dr. Schnee’s Cold Laser Therapy for Knee Pain Program Got Me Sleeping through the Night Again…
My doctor told me that I would need both knees replaced. I was up all parts of the night. I just couldn’t sleep because of the cramps in my legs. I had a hard time getting up out of a chair and I could not get up off the floor. I am very pleased with the results with Dr. Schnee’s Cold laser therapy program. I am walking better and I don’t have the pain in my knees like I had before.
Norman H., Pottsboro, Texas
To read more stories from knee pain sufferers who received knee pain relief from Dr. Schnee’s cold laser therapy for knee pain click on the link.
Dr. Alexandra K. Schnee, D.C. – A cold laser therapy for knee pain doctor has been helping patients at the Atlas Medical Center in Irving, Texas since 2001. Her mission is to help knee pain sufferers regain their quality of life, and to help them avoid unnecessary knee surgery. Dr. Schnee is an author, and expert on the topic of cold laser therapy for the treatment of knee pain. She has created protocols that are used in Dr. Schnee’s Cold Laser Knee Program™.
“Dr. Schnee’s Cold Laser Knee Program™ has been helping residents from the Dallas, Fort Worth, and Surrounding Areas with Chronic Knee Pain Since 2001.”
Cold laser therapy for knee pain is an alternative knee treatment offered by Dr. Alexandra Schnee at the Atlas Medical Center, a cold laser therapy center, in Irving Texas.
Knee Replacement Surgery: New Study Questions Efficacy and Safety
The number of people undergoing total knee replacements in the United States is increasing due to an obesity epidemic and an aging population. In 2008, more than 650,000 Americans had knee replacements and it cost the U.S. Health Care System $10.4 billion dollars. Recently, new concerns about knee replacement surgery were just released online in The Lancet. Dr. Andrew Carr, an orthopedic surgeon, at the University of Oxford Department of Orthopedics, Rheumatology, and Musculoskeletal Sciences and lead researcher found that there is not enough research supporting the effectiveness or safety for the prosthetics used in total knee replacement surgery.
It’s unfortunate but the FDA (the Food and Drug Administration) doesn’t really scrutinize knee replacements and the manufacturers of knee prosthetics. A report from the Institute of Medicine in 2011 stated that medical devices have long lacked testing to ensure their safety and effectiveness. Studies for knee replacements that are available are typically small and are conducted by surgeons that have invented the knee implant, or who were hired by the implants manufacturer. Therefore, the studies are often biased with there being an obvious conflict of interest. Dr. Carr stated that, “Without high quality, unbiased and reliable information surgeons cannot make informed decisions.” And due to the recent rise in the number of people getting total knee replacements Dr. Carr along with millions of other Americans think that the FDA should get tougher on these manufacturers. “In the past 40 years the number of implants available on the market has substantially proliferated, often with little or no evidence of effectiveness or cost effectiveness”, Dr. Carr remarked in a statement.
At this point the only way the medical community knows if there is a problem with a prosthetic is if the patient receives a surgical revision. So rather than testing the implant properly prior to using it on patients, the patient virtually becomes the guinea pig. So Dr. Carr and his colleagues are asking for stricter guidelines and “surveillance” of knee replacements. He suggests that knee replacements be treated like medications and that there should be large double blind randomized studies and a registry for implants so that their effectiveness can be tracked. He also commented on the ‘newer implants’ that have come on the market, “…new joint implants may, in fact, be more prone to revision rather then less.”
In addition, during their research, Dr. Carr and his colleagues found that many patients were receiving total knee replacements when they only complained of mild knee pain, and that he believed there should be stricter guidelines for doctor’s to follow when recommending surgery. Dr. Carr also suggests that patients receiving a total knee replacement should have pain in their knees when they are weight bearing and complain of having pain at night. They should have also completed at least six months of conservative therapy and not have responded to it before any knee surgery is recommended.
Dr. Carr and his colleagues are not convinced that total knee replacements provide enough pain relief and really hold up to years of wear and tear. Dr. Carr believes that other non-surgical knee treatment methods should be researched to help patient’s avoid knee surgery in the future.
Dr. Alexandra K. Schnee, D.C. is an author, researcher and Dallas Cold Laser Knee Doctor. She practices at the Atlas Medical Center in Irving, Texas and specializes in cold laser therapy for knee pain. Dr. Schnee has developed cold laser knee treatment protocols that she uses as part of her Cold Laser Knee Program™. Since 2001, she’s helped hundreds of patients avoid unnecessary knee replacements. If you’d like to find out about her non-surgical program please visit http://www.HelpMyKneePain.com or to contact Dr. Schnee please call 214-596-1051.
New study questions the efficacy and safety of knee replacement surgery. Dr. Schnee provides non-surgical cold laser therapy for knee pain in Dallas-Fort Worth, TX.
Primary Source: The Lancet
Reviews of Dallas Knee Doctor for Knee Treatment in Dallas, TX
Read (just a handful of) the cold laser therapy reviews below from individuals who have actually completed care with Dr. Alexandra Schnee.
These individuals were diagnosed with one or MORE of the following conditions Bone on Bone Knee Pain, Meniscus Tears, a Baker’s Cyst, Chondromalacia Patella, Osteoarthritis, Tendonitis, a Medial Collateral Ligament Sprain, and Bursitis.
Do any of the following stories remind you of your knee pain?
“I had arthroscopic knee surgery and I was told I needed a total knee replacement…”
I had constant knee pain day and night that required pain killers every day. I couldn’t kneel at church, sleep thru the night, or go shopping or even clean my house. I had arthroscopic knee surgery and I was told that I needed a total knee replacement. Now since completing treatments I can sleep with hardly any pain, kneel at church. I am very pleased with these knee treatments and my overall percentage of improvement which is about 80%.–59 years young, Crowley, Texas
“I couldn’t walk for very long and it hurt when bending my knee…”
I had constant knee pain about an 8 around the knee cap.I couldn’t walk for very long and it hurt when bending my knee. The doctor told me I needed knee surgery. Since completing Dr. Schnee’s program I can sleep at night and walk. My knee feels 95% better than it did!–72 years young, Midlothian, Texas
“Unbearable knee pain kept me from walking and sleeping…”
I had unbearable knee pain in both knees. I could not walk very [well] and could not sleep. I am very pleased with the knee treatments and my knees feel 90-95% better. Now I can sleep and walk.–75 years young, Sulphur, Oklahoma
“Arthroscopic Surgery Did Nothing to Relieve Knee Pain!”
I was sore in both knees. Riding a bicycle and climbing stairs were a problem. I had arthroscopic surgery twice on my left knee and I tried taking pain killers to ease the pain. Since completing Dr. Schnee’s Cold Laser Knee Program™ I can feel a definite improvement and I’m about 50% better! Now riding a bike doesn’t hurt and climbing stairs is easier.–64 years young, Dallas, Texas
To read more cold laser therapy reviews from hundreds of satisfied patients that have been able to get knee pain relief with Dr. Schnee’s Cold Laser Knee Program™ visit the above link.
Call the Atlas Medical Center at 214-596-1051 and ask to make an appointment with Dr. Alexandra Schnee, a Cold Laser Therapy Dallas Knee Doctor.
Dr. Schnee’s Cold Laser Knee Program has been helping patients experience knee pain relief without injections, medications or knee surgery since 2001. To find out more information about her program visit http://www.HelpMyKneePain.com
Cold Laser Therapy reviews for Dr. Schnee’s Cold Laser Knee Program™. Knee treatments in Dallas-Fort Worth to help relieve knee pain and help avoid knee injections, knee surgery.
Exercises to Relieve Arthritis Knee Pain by Dallas Knee Doctor
Unfortunately, knee osteoarthritis causes stiffness and pain in the knee joints. In order to help relieve arthritis knee pain it is important that you get moving. Motion helps increase synovial fluid which helps the natural lubrication in your knees. In addition, exercises strengthen the muscles around the knee which alleviates the pressure on the cartilage.
Unfortunately, not all exercises will help relieve knee pain. As a matter of fact some exercises may aggravate your condition. Here are some guidelines to follow:
Cycling is always the best option to help relieve knee pain:
Walking, cycling, and swimming will all help relieve mild osteoarthritis pain, and stiffness in the knees. However, cycling or using a recumbent bike, in my opinion, is the best choice of activity for the knee joint. A recumbent bike allows the thigh muscles to get strengthened without wearing down the cartilage in the knee joint. Start by cycling for 5 minutes daily for one week, and every week thereafter increase your time by 5 minutes until you reach 20 minutes. In the beginning, only use a resistance of 1 or 2, and then continue to increase the resistance by one notch every three weeks until you reach a 5. Finally, make sure that the seat on the bike is adjusted properly so that you don’t further injure your knee joints.
Exercise done correctly should not cause any knee pain:
You should never experience any knee pain during or after exercise, and if you do- STOP. Please remember there is a significant difference between PAIN and soreness. Experiencing muscle soreness after exercising is normal and is a good thing! It means you’re actually using and working out the muscles!!
Low weight, more repetitions:
If you’re doing leg extensions or leg curls at the gym make sure that you are using very light weight and completing more repetitions. When performing a leg extension never stretch out the knee completely. You should stop the extension right before the leg becomes fully extended, so the joint never locks.
Avoid doing squats and lunges:
Individuals with mild to severe osteoarthritis should not be doing squats or lunges; especially if you have been diagnosed with chondromalacia patella. (This is a condition where the cartilage behind the knee cap has thinned and worn down.)
Avoid exercises that force the knee joint to ‘twist’.
Any activity where an individual is planting their foot on the ground, and twisting their upper body should be avoided. This type of movement will aggravate an arthritic knee and may cause meniscus or cartilage tears in the knee. The more arthritic the knee joint, the drier the cartilage becomes and any sort of twisting on the joint can cause meniscus tearing. Individuals with moderate to severe arthritis should avoid playing golf and tennis because these activities will aggravate an arthritic knee.
Finally, keep in mind, ‘rest, will make you rust.’
(I read this quote in a newsletter recently, and I thought it was appropriate for this blog.)
If you suffer with moderate to severe osteoarthritis you will not feel like walking, cycling OR swimming. However, it is vital that you get moving otherwise your condition will worsen. Doing five minutes of SOMETHING is better than doing NOTHING. Once you start exercising, it will eventually become addictive because ALL of your joints will feel stronger and more flexible.
Again, exercising the knee joint should not be torture! Your knee should feel good during and after any activity. If it doesn’t then you’re doing the wrong exercise or you’re not doing the exercise correctly.
Dr. Alexandra Schnee, D.C. is a leading cold laser therapy Dallas-Fort Worth knee doctor. She has been practicing at the Atlas Medical Center in Irving, Texas since 2001. She has developed specialized knee protocols and procedures that are used in Dr. Schnee’s Cold Laser Knee Program™. She is also an author, and researcher on the topic of cold laser therapy for the treatment of knee pain. Dr. Alexandra Schnee can be reached at 214-596-1051 or you can visit her website for more information at http://www.Helpmykneepain.com
Cold laser Dallas knee doctor shares tips about which exercises to avoid, and which exercises help relieve arthritis knee pain Dallas-Fort Worth, TX.