Chronic conditions of the knee, like osteoarthritis, can cause debilitating pain that makes everyday activities difficult. Even the simple act of walking or climbing stairs can become prohibitively painful. When a person has a painful knee condition they unconsciously change their walking gait in an attempt to avoid the pain. In the long run this is counter productive because it changes the natural alignment of the knee, causes the muscles around the knee joint to become strained from overuse. Strained muscles in the knee create more pain, which compounds the problem. An effective knee osteoarthritis treatment can help reduce the pain and prevent progression.
There are many places to receive knee osteoarthritis treatment in New York, but not every knee osteoarthritis NYC provider offers knee apos treatment.
Whether you live in NYC, or in the surrounding areas of New York if you need knee osteoarthritis treatment you can find out if you are a candidate for Apos Therapy at New York Dynamic Neuromuscular Rehabilitation & Physical Therapy in NYC. Give us a call and find out why we're the best provider for your apos therapy .
Osteoarthritis knee (Knee OA) pain can be debilitating. Recent medical statistics show that there is upsurge of knee osteoarthritis and it is predicted to keep climbing through the next decade and affect people at earlier age. We at the New York Dynamic Neuromuscular Rehabilitation have successfully treated many patients with osteoarthritis of the knee for over 15 years. Our knee osteoarthritis center has been established with our acquisition of CAREN (Computer Assisted Rehabilitation Environment) and merging it with our gait analysis (walking analysis) technology allowing us to become a most comprehensive provider for people suffering joint pain during ambulation (walking). Our unique already existing experience with gaittherapy and understanding gait analysis created our own unique approach it treating knee pain with CAREN and gait analysis specific movement therapy. Later with appearance of Apos therapy we have immediately realized how it merits our already existing approach. This is the first time where different ground breaking technologies meet each other for maximum therapeutic benefit in most complimentary way.
Knee OA (osteoarthritis of the knee) is the most common type of arthritis. Knee OA can also occur in young people. Knee osteoarthritis in the past was considered the ailment of elderly, however due to ever increasing physical activity in middle age people doctors are now seeing more and more arthritis in people in their fifties and even earlier. Knee OA aka wear and tear arthritis is a painful condition in which the cartilage (protective cushioning between joints) wears away. This eventually leads to rubbing of bone surfaces against each other without much of the shock-absorbing cartilage. Theso-called “bone on bone“contact and rubbing further aggravates the situation by creating a vicious circle where swelling and pain result in difficulty walking and reduction of physical activity, which weakens muscles causing altered neuromuscular control leading to locking of the patient in this vicious circle of inflammation, pain, cessation of activity which leads to more degeneration of cartilage because it is not being loaded (cartilage gets its nutrients from loading). The inflammation increases as the cartilage between the joints starts to collapse and break down. This leads to the cartilage segments stock in the location of the joint where there is no extra room causing pain and locking.
Symptoms range from mild pain and inflammation to severe pain, swelling and inability to walk. Symptoms however don’t correlate with radiographic evidence and stages of arthritis. This is a clear indication that alteration of neuromuscular and musculoskeletal function is an important factor in development of knee OA.
The incidence of osteoarthritis increases with age, and doctors believe that after age 60 or so just about everyone has a touch of arthritis. However this age is when doctors see radiographic changes. The early signs and predicting factors can be seen as early as fifth decade of life. Also with knee OA doctors commonly see arthritis in the hips and spine and other weight bearing joints. Women are affected more then men.
Most common risk factors associated with knee OA are:
There are two types of osteoarthritis:
This arthritis happens simply because of the wear and tear of living. Over the decades the collagen that supports the cartilage is stressed. This causes the release of enzymes that lead to the destruction of the cartilage. The trouble is that the cartilage is less able to repair itself as people age.
In this type of the condition, some other factor causes the inflammation. This could be inherited abnormality in the joints or cartilage or traumas like a break in the bone. The patient might have also suffered a previous inflammatory condition like gout. Other factors that increase the risk of developing osteoarthritis at an earlier age are excessive weight, repetitive stress, athletics, poor gait, weak muscles or loss of balance.
The symptoms of osteoarthritis of the knee can be subtle at first. The person might experience stiffness in the joint when he or she first wakes up. He or she might also be stiff after they’ve been sitting or resting for a while and try to get up. In a while, the patient might begin to feel arthritis in knee discomfort that gets worse when he or she tries to walk or bend the knee. There might also be swelling, tenderness and the sound of creaking when the joint is moved. This is called crepitus. Eventually, the knee itself might become unstable.
Interestingly, the severity of a patient’s pain may not correspond to the amount of damage that’s present. X-rays can show extensive damage to the cartilage that cushions the knee but the patient doesn’t feel too much pain. On the other hand, a patient can feel excruciating pain though the disease hasn’t seemed to progress much. Indeed, the joint may appear perfectly normal to a medical professional. No one knows why this is.
The characteristics of osteoarthritis of the knee are: instability of the knee due to altered neuromuscular control, muscle weakness all of which lead to abnormal bracing (co-contraction of agonist and antagonist muscles such as quadriceps and hamstrings) of the knee joint to maintain stability. The bracing results in shifting of the body’s weight to posterior medially (backward and inside) aspect of the affected knee. These biomechanical changes occurring due to compensatory reasons further overload the knee joint cartilage establishing a vicious cycle of pain, functional limitations and altered walking (gait) patterns.
At NYDNRehab based on new groundbreaking research and the most advanced technology we use new model for treatment of Knee OA. For the first time research showed that knee arthritis could be reversed and progression arrested with biomechanical and neuromuscular combined approaches. The foundation of this work is based on manipulating GRF (ground reaction force) while the patient is walking. With our experience in gait therapy and motion analysis (we are the first and the only outpatient gait lab in NYC), we were the first to realize scientific core of Apos therapy and saw the perfect marriage of this technology and further improvement of results achieved by Apos devices by applying it together with CAREN (Computer Assisted Rehabilitation Environment).
Our doctors and staff are careful to devise individual treatment plans that are specific to our individual patients according to our unique technology and expertise. In order to successfully treat our patients, we must take their age, gender and living situation and overall health into account. An otherwise healthy 50 year old who’s used to playing sports can’t be treated the same way as a 60 year old who’s been obese for most of her life and has developed co-morbidities besides arthritis. But no matter, who the knee arthritis patient is, they can depend on our skill and experience. Our medical professionals at New York Dynamic Neuromuscular Rehabilitation regard surgery as a last resort. We offer gait analysis in which, we can precisely visualize and see biomechanical causes of overload to the knee from other joints within the lower kinetic chains while walking. This gait analysis allows us to provide functional and precise diagnostics beyond clinical or radiological evaluations.
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