Patient with a ‘degenerative knee’ asks “Should I choose to have knee surgery?” The same question is often asked by patients with an ‘arthritic knee’ or a ‘meniscus tear’. These diagnoses along with popping, creaking and painful knees are often seen in my practice. Past research studies, experience, and being informed helps provide answers!
Orthopedic surgeons often recommend arthroscopic or “keyhole” surgery for meniscus tears, degenerative knees or very common arthritic knees.
Knee surgeries are around a $3 billion a year business. When you use laser and other non-invasive procedures that I use in my office, so many patients find that surgery to “fix” degenerative knee problems just isn’t worth the trouble, not to mention the risk, time and money involved.
Even if you have sudden pain, swelling and problems moving your knee, the chances are good that the ortho will recommend the arthroscopic surgery or ‘keyhole surgery’. My first process is to make a proper diagnosis and likely recommend trying laser or PiezoWave instruments to repair the damage. Doesn’t starting with non-invasive procedures sound logical?
I personally had a meniscus tear that the radiologist recommended I have surgery to repair. I was able to fix it with laser therapy and avoid surgery. In 2014 a Finland study used the keyhole surgery on several dozen patients with a torn meniscus, and then took another group and just pretended to do the operation (“sham” surgical procedure). The sham group was more satisfied with the results than the ones who had the actual procedure done. I understand there is a time for surgery, but even the American Academy of Orthopedic Surgeons advises trying other procedures before surgery!
What about knee replacement? I have seen great success with this procedure but up to a third of knee-replacement patients are still in chronic pain after the operation. And for those with milder pain, the procedure is not helpful and unnecessary.
If you are dealing with pain and stiffness in your knees, I will probably recommend a trial of the TheraLase laser therapy, losing weight if you need too, some natural or prescribed by your MD mild painkillers or natural anti-inflammatories.
Why not try this approach first? Call 310-444-9393 for an appointment.
“‘Keyhole’ surgery not helpful for knee arthritis, experts say” Dennis Thompson, May 11, 2017, CBS News, cbsnews.com
Chronic Pain Patients Offered Help
If you have neck or low back pain for more than 3 months that is considered chronic pain. It will be important for you to find a doctor that combines the most recent and relevant treatments to help you. The assumption is that “Doctors want to help patients” but Doctors and patients alike often prefer subtle changes in practice and patient care. In simple terms, Doctors can be slow to adopt new technology that helps improve outcomes and patient care!
TheraLase laser therapy is a relatively new yet effective treatment that can help reduce chronic pain, however, laser devices have been considered expensive to most doctors. For doctors, purchasing a laser has become as simple as buying an old fashioned ultrasound device. For patients, there’s really only one thing you can do. And that’s to go to your doctor, and ask him or her about laser therapy.
Laser is a solution to help chronic back and neck pain sufferers – it may make the lives of many pain sufferers a lot more enjoyable and a lot less debilitating for a fraction of the cost of surgery and spinal injections.
TheraLase – a Canadian based company introduced a laser that may help prevent nerve (radicular) pain through the interruption of the lack of oxygen and blood flow (the ischemic metabolic pathway) to painful tissues; Theralase may interrupt the generation of inflammation and help decrease inflammatory chemicals that have already occurred and be causing chronic pain; TheraLaser may improve reinnervation in chronic nerve pain (radiculopathy).
What Theralase would do is essentially give doctors and chronic pain patients with mild-to-moderate musculoskeletal pain an option for treatment that is relatively inexpensive compared to drugs and surgery.
Dr. Jeffrey Tucker, a Chiropractor in Los Angeles, California combines TheraLase, hands-on massage therapy, diet and exercise as a perfect fit to help chronic pain patients. Tucker says “Laser therapy combines well with physical therapy, for increasing range of motion to stiff and painful joints and muscles, and increasing muscle strength. Doctors often move too slowly to adopt new technology that can help patient outcomes, then patient’s end up on the wrong side of recovery and health”.
Whether you are an athlete or chronic pain patient, you can never give up finding ways to improve performance and progressive thinking is crucial. The most basic drive for doctors to change is when patients go to their doctor’s office and ask about all of the new possible ways for help. Unfortunately if your doctor doesn’t work that way, you as the patient may have to take a detour from that doctor and find a practitioner using new technology like the TheraLase laser. Call 310-444-9393 if you would like a laser session,
Massage vs Laser Relief for Low Back Pain
Chronic low back pain is the most common musculoskeletal condition. The traditional treatments for acute or chronic low back pain have been surgery or narcotics, but the opioids epidemic has many doctors nervous about prescribing drugs like hydrocodone or oxycodone. Surgery hasn’t always worked and has its own risks. Are there other strategies for dealing with chronic low back pain? TheraLase laser is an effective non-invasive approach to helping you become pain free.
Have you ever suffered from back pain? It is estimated that 80% of Americans experience low back pain sometime during their life time. It can be triggered by poor posture or lifting something heavy. It can occur when a bulging disc presses on a nerve in the spine. Hopefully the back pain will go away. It’s one thing to have temporary back pain but another to suffer from a back injury that leaves you in chronic pain. Millions of Americans go through unrelenting and debilitating back pain after an accident or injury.
Chronic pain makes people irritable, touchy, tired, and it even alienates people socially. It can make it difficult to be around other people. They don’t want to see you suffering, anxious, and become depressed or feeling hopeless.
I use Theralase laser as a treatment approach offered to chronic low back sufferers who once felt desperate and helpless. Theralase laser helps to achieve beneficial therapeutic outcomes including the alleviation of pain, inflammation, and promotion of tissue regeneration. Chronic back pain doesn’t mean having surgery until you have tried TheraLase.
Call 310-444-9393 for an appointment
A recent paper (April 2017) published in the European Spine Journal on Low Back Injury in a Motor Vehicle Collision ( J David Cassidy) suggests that a history of low back injury in a car accident is a risk factor for developing future troublesome low back pain. The consequences of a low back injury in a car accident can predispose individuals to experience recurrent episodes of low back pain. This is another reason why I recommend patients get checked right away after a car accident. I want to do everything possible to help prevent long term pain and issues related to motor vehicle crashes. Even the American College of Physicians recommends spinal manipulation and other non-invasive, non-drug therapies as the first option for low back pain. My experience suggests that along with chiropractic care, teaching patients certain exercises, gentle yoga stretches, laser therapy, and DMS (massage) are the best methods to relieve acute and chronic low back pain.
First, laser the knee area. Laser is a deep heat that does provide pain relief.
Next let’s talk about weight loss if needed. Every pound you lose reduces stress across the knee by 3-4 pounds, even higher if you climb stairs or attempt to run. Don’t run, jump, or do anything that involves impact to your knee.
Next let’s talk about natural remedies like fish oil and Bosweillia as effective and helpful. Use BioFreeze cream to rub on the knee! Let me put kinesio-tape on your knee.
Next let me teach you the proper exercises. The best long-term method to relieve pain and restore function is consistent low impact exercise. Exercises that stretch and strengthen the muscles around the knee, not only provide support and maintain motion of the joint, but stimulate endorphins and intrinsic growth hormone release — both of which help to relieve the pain of arthritis.
Chiropractic. The goal of this treatment is to significantly decrease symptoms such as pain, tightness, stiffness, soreness, aches, and improve athletic performance, mobility, and your ability to perform general activities.
Laser. Evidence for the effectiveness of laser is strong. Patients feel the relief especially for knee pain and TMJ pain
Shockwave therapy. This form of medical treatment is acknowledged as a means for enhancing scar tissue mobility and breaking up muscle tightness and muscle and joint adhesions. It is also helpful for chronic pain reduction and improved mobility. It helps osteoarthritic symptoms with improved functional mobility and quality of life.
Along with laser, Deep Muscle Stimulator (DMS), shockwave therapy is effective for pain control of osteoarthritis of the knee, neck pain, low back pain, and increasing mobility.
Deep Muscle Stimulator Massage. Followed by hands on therapy, DMS is the most commonly utilized treatment in my office. Patients feel better after this type of massage than receiving a regular hand massage. They have significant improvements in pain, stiffness, and physical function.
Dietary supplements. I use a variety of products from Metagenics, Xymogen, Designs for Heath, and Standard Process for joint pain, arthritis, inflammation, and weight loss.
Widening the integrative approach to treatment
There is emerging evidence that integrating multiple conventional and alternative therapies such as chiropractic, exercise, laser, shockwave, DMS, lymph therapy provide the best results for patients.
If you are a person who still has pain and diminished mobility who has already explored other therapies and doctors but have been disappointed, I would like the opportunity for you and I to meet. I continuously evaluate the increasing body of evidence in support of new therapies, and I am confident in offering my patients a wider range of choices than standard chiropractic care.
Call 310-444-9393 for an appointment
I coined the term POLITE Method for how I treat my patients. The ‘P’ is for improving posture and creating a plan of treatment.
The ‘OL’ is optimal loading. This means figuring out self-management activities for knee pain that are not too easy and not too difficult.
The ‘I’ in instruments that I use in the office for knee pain such as laser, DMS, and shockwave therapy that give effective short- and long-term pain relief benefits.
‘T’ is for taping the knee and I’ll teach you how to apply simple kinesio-tape to the knee for pain relief.
‘E’ is for education regarding the progressive nature of osteoarthritis (OA) and for pain management education; joint-sparing exercise advice including daily walking, balance tips, and falls prevention; and emotional and cognitive skills to improve quality of life; Eating for weight loss for those who are overweight or obese. Weight loss has been shown to improve mobility and reduce pain. For every one pound of weight lost, there is a 4-pound reduction in the load exerted on the knee for each step taken during daily activities. A weight loss of only 15 pounds can cut knee pain in half for overweight individuals with arthritis.
A low-carbohydrate diet has been shown to reduce weight in obese patients by ?10% and lead to improvements in self-reported scores for overall progress and functional ability.
If you like my POLITE approach call 310-444-9393 for an appointment.
Five of the most powerful tools to target muscle pain and scar tissue adhesions related to sports injury (injuries) are the
Rapid Release device
Deep Muscle Stimulator (DMS)
EnPuls – Radial Shock Wave Therapy
Piezowave – Acoustic Shock Wave Therapy
Between my hands for the Chiropractic evaluation and these tools we can release painful adhesions, tight muscles, stiff joints and help chronic pain.
DMS, Shockwave therapy, Laser therapy has been found in clinical experience to help common repetitive motion injuries (RMI’s) that cause chronic pain.
Musculoskeletal pain and disorders are commonly caused by myofascial shortening. Bilateral myofascial shortening results in compressive forces whereas unilateral myofascial shortening can cause torqueing forces. Either way DMS, shockwave therapy, chiropractic, and laser therapy is very effective in reducing compressive forces and torqueing forces related to pain production. No other office in Los Angeles has three types of laser machines, two shockwave machines and the DMS.
Managing postmastectomy lymphedema with low-level laser therapy.
Lau RW, Cheing GL.
A prospective, single-blinded, controlled clinical trial was conducted to examine the effectiveness of LLLT on managing PML.
METHODS: Twenty-one women suffering from unilateral PML. Outcome measures were assessed before and after the treatment period and at the 4 wk follow-up.
RESULTS: Reduction in arm volume and increase in tissue softening was found in the laser group only. The laser group had a 16% reduction in the arm volume at the end of the treatment period, that dropped to 28% in the follow-up. Moreover, the laser group demonstrated a cumulative increase from 15% to 33% in the tonometry readings over the forearm and anterior torso. The DASH score of the laser group showed progressive improvement over time.
CONCLUSION: LLLT was effective in the management of PML, and the effects were maintained to the 4 wk follow-up.
Clin Rehabil. 2009 Feb;23(2):117-24