7 Reasons Why Stronger Thigh Muscles Make Knee Arthritis Worse
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- เผยแพร่เมื่อ 27 มิ.ย. 2024
- People with knee osteoarthritis are usually guided by healthcare professionals to focus on doing thigh exercises to help improve knee arthritis.
If exercise is supposed to help knee arthritis, why is there more pain during and after exercise?
Are these really the right muscles to focus on?
Could focusing on the wrong muscles possibly be the reason exercising is making your knee hurt more?
In this video, Dr. David explains to you 7 reasons why stronger thigh muscles make knee arthritis worse.
👇Here are Glute Exercise Videos that Dr. David mentioned in this video:
“Top 5 Glute Muscle Exercises For Knee Pain”
• Top 5 Glute Muscle Exe...
“Top 6 Standing Glute Exercises To Help Knee Pain”
• Top 6 Standing Glute E...
🌟Learn more about the “Knee Arthritis Recovery Program” here:
www.epmanualphysicaltherapy.c...
⚡️Looking for more help with knee arthritis? Check out our playlist:
“Knee Arthritis Pain Help”
• Knee Arthritis Help
Massage Gun used in the video:
Bob & Brad D6 Pro Massage Gun (Amazon) - amzn.to/3l2sL2h
00:00 7 Reasons Why Stronger Thigh Muscles Make Knee Arthritis Worse
01:14 Reason #1 - Strong Quads Over-Pressurize The Knee Cap.
02:10 Reason #2 - Strong Quads Pull The Shin Bone Up
03:30 Reason #3 - Strong Hamstrings Pull The Shin Bone Up
05:32 Reason #4 - Quads Are Knee Decelerators
08:41 Reason #5 - Hamstrings Are Knee Decelerators
10:06 Reason #6 - Increased Resting Muscle Tension
13:25 Reason #7 - Quad Muscle Dominance
17:18 Reciprocal Inhibition
20:56 When Can I Focus On Stronger Thigh Muscles?
23:03 What Exercises Should I Avoid?
28:20 Why hasn’t anyone told me this?
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DISCLAIMER:
Any information available at this channel is intended for general guidance only and must never be considered a substitute for advice provided by a physician, medical provider or physical therapist. El Paso Manual Physical Therapy will not be liable for any injuries that happened due to performing any exercises or advice on this channel.
Always seek the advice of your physician or other qualified health care professional with questions about your medical condition or to diagnose any conditions.
I had problems with my knee, I was starting to limp during my walks. Tried all the usual quad strengthening exercises but it didn't help. Then I found these videos and after watching all of them (check out the ones on how to walk, and how to walk stairs with knee pain!) I enrolled in Dr Davids 28days knee wellness course. Man, such great value for my money! There are only lessons for one week, you repeat them for the other 3 weeks. But don't worry, as your knees, muscles and posture change during this time, you will experience and understand the exercises anew each round, and they show how to make the exercises harder for when you've mustered the inital versions! I've finished the 28 days, but will continue following the videos for thr forseeable future. Im not getting payed for this glowing review, I just wish everyone such relief from pain as I have experienced it!
How long were you having problems for?
Thank you for sharing @cooking4you747! We are so excited to hear about your progress and experience with our 28 Day Knee Health & Wellness program! 🎉
@@epmanualphysicaltherapy hello sir i have grade 2 patella changes. I need your guidance. Can u help me.
Gd Dr. I have knee artheris most in my right knee and it is so bad I brace in on the left knee can it get better with out knee surgery. Please Dr. I have been doing exercise.
Info on this entire channel is just gold!
Absolutely spot on! I've had bone on bone for some time now, and have problems walking any distance. The Orthopaedic Surgeon says I'm not in enough pain to warrant an operation, so I'm coping with the situation. Around 18 months ago, I began seeing a Physio from the Gym. Her method of treatment was to increase the weight on leg presses, leg extensions and leg curls, her reasoning behind this was that by doing these exercises with heavier weight I would make my quads and hamstrings loosen up and more flexible in order to work better with my glutes. I suffered this for several months, and found things were getting worse. I could hardly walk after a leg workout. Completely gave up doing my legs for a couple of months, and things began to feel a wee bit better. Started concentrating on the glute exercises I picked up from this channel. - but included backward walking, which I know you don't recommend., but it helps me activate my glutes. Now a leg workout day is nothing but glutes,
You are right. There seems to be the belief out there - even among health care professionals, that leg extension and similar exercises are good for crook knees. This couldn't be further from the truth.
Hey @conningdale8805, we’re so happy to hear that you’re getting better!!! Sorry you had to go through making it worse with those quadriceps dominated exercises :-(
That’s great that you found that walking backwards helps you use you’re glutes better! As long as you’re using your glutes more and avoiding using your quads while being safe - proceed!!! That’s the magic formula that will help you heal!!! We hope you get to feeling 100% very fast!!!
Thank you so much Dr. David. You are a rare gem telling truth on healing👍🏼😊have a blessed day
You're welcome Julie! Have a blessed day as well 😊
Thank you so very much! I've been going to the gym my entire life and I have extremely strong legs. However my gluts are so weak in comparison. I just started going through menopause and my knees are in pain so much. I did all your glute exercises 2 days ago and can hardly walk because I'm so sore - but I love it!! This makes so much sense and I know after I have stronger glutes and calves my knees will be much better 😊. God bless you for helping us.
Hey Mary, you are so welcome! We are glad that you have benefited from our exercises! God Bless!
i had pain in my knee for almost 3 years now, espc. during flexion. of course i was given a ton of exercises. they didnt help at all. i foamrolled and streched my quads for 3 minutes after seeing this and WTF my pain is gone . you are awesome. thanks!!
Everything you are saying makes so much sense to me and I Love your videos. Thank you for sharing this amazing approach with PT instead of the usual conventional methods. I’m already using your advice and stopped strengthening my thigh muscles and it’s only been a week and feeling a difference already. Doing the tension relieving massage to thigh muscles is really helpful too! Thank God I saw one of your videos and now I’m hooked 😊❤️🙏🏽 Thank you Dr. David keep teaching your forms and techniques.
You're a why true life saver! I have been in the gym 4 days a week since March and I love Quads! So between Hack Squats, Leg Extension and Leg Press I have over worked my quads. (Not to mention, sumo squats I don't feel in my glutes anymore because of the reciprocal inhibition lol or whatever u called it.... I may not have the correct terminology but I do have the understanding. I took notes and used my massage gun that just came today. And when I got up out the bed to go to the restroom I literally felt better!!!
I will watch this again and again. & be mindful in the gym to lay off of my quads for now. (Because the knee pain just came out of no where and I couldn't understand after losing 70lbs why would I have knee pain now .... but I totally get it ) so again Thank you!
I’m I’m physio therapy and I was doing bridge exercise and she said to stop using my glutes doing the bridge! She wanted me to use my hamstrings …. I’m not going to listen to her when I know different now!
So I have been making my knee problems worse because I was told I needed to strengthen my quads and hamstrings. That will explain why I am so sore for a day or two after seeing the pt
Same here.
Thank you 🙏🏾 I’ve been over working my quads for so many years and not knowing it’s been the main cause of my knee pain till now . I’m gradually trying to strengthen my glutes with out using my quads and open hips with your videos
I too have been working my quads and not my glutes over the years. Forcing myself to do the exercises and not listening to my body. My body doesn't want to punish me, rather I was punishing it with repeat intensity of the wrong exercises.
When you don't know, you don't know. I KNOW BETTER NOW AND NEVER AGAIN!
Your explanation and information are gold Dr. David! My PT had me doing quad sets as PT for burst complex bakers cyst w/2-4 osteo arthritis, meniscus tears and other ligament issues. He hadn’t seen my MRI yet. My hip and knee were really sore afterwards. PT did also talk to me about strengthening my glutes and cycling. He seems very skilled, contentious and knowledgeable. He did have 3 knee surgeries so may be drawing from his recovery🤷♀️ I’ll give him this link and discuss with him. Thanks again!💜
This was very insightful. Thank you!
Dr. David! Dr. David! Dr. David! Sending you an electronic hug! (Not engaging my quads though - lol) Thank you soooo much! Putting all these points in application and most of all, ceasing with all those quad strengthening exercises that made my knee pain worse and every move was gearing up for the pain that always comes with engaging my knees. I am beyond grateful.
You can't do better until you know better. I thank you for helping me to know how my muscles/joints work and how to get the best from them. I so appreciate all that you do. x💯💞x 👍🏾
LOL! Hey PJ! You just made our day! 🧡We appreciate your kind words, they mean so much to us. We are thrilled that you have found these techniques beneficial. It is our pleasure to be able to help you and others. We'd love to hear how you are doing as you progress.🙌 Please take care!
Thanks for your great information. As a registered nurse with knee bone on bone I get it!!! Working on strengthening glutes and dangling my legs. Keep up the good work and than you!
Best of luck! You're welcome Christine 😊
You are absolutely right about this. I have been suffering from knee pain with patella femoral compartment for 6 years.I am doing most exercise focus on the quad and hamstring which put a lot of pressure on my knee and patella . Going up stair daily at home cause my knee pain daily . Thanks to your you teaching , I focus to exercises on my glutes muscle, lean how to walk with my glutes . Just 2 weeks, l practice waling using glutes muscles and to go up stair . My pain is better , almost reduce 60percent. God send you like angel to help me. I can not thanks enough for your you tube. I am swimming 1 hour x3 per week with breast strokevand back stroke, but I am stopping bc of my inner thigh and patella increase pain for 1 months after my knee hurt and swollen. I was dx with pain OA and mild arthritis . Dr David, do you think I can be back to swim ? Love watching your you tube and hope I can pause my arthritis . I am 64 retired RN. Thanks for your advice, encouraging . I appreciate your honesty. I can see a miracle lights shining at the end of tunnel .
Hey @Linh, we really appreciate your support and we are so happy to hear that our videos have helped improve your knee pain! Swimming will be helpful if you can get your glutes to work rather than your quad muscles during the exercise. If you feel you are using your quads more than your glutes while swimming, then you will likely make your knee problem worse :-( Hope this helps!
@@epmanualphysicaltherapyThank you David, I’ve been doing the quad muscle exercises, not the gluts, its not helping my knee. After watching your videos I’m going to strengthen my gluts. And drink water, I never drink enough.😉
A fantastic video Dr, exceptionally informative too for which I’m so very grateful
This is very frustrating for me at PT. I try to explain your concepts but the therapist looks at me like I have 2heads! They think I m just “non compliant. So I wind up doing their exercises and have increased pain following. Now I’m obese and my quads aren’t developed by far. But I’m not a fan of going to therapy and having so much more pain than before I began the therapy! Thank you David, for all you do. Btw, I do have bone on bone arthritis and have for a lot of years. Best to you!
I’m with you the PT people don’t understand
I followed Dr. Davids 28 days knee wellness course online. It helped tremendously! And will continue with the exercises to strengthen my gluts even further. All the best to you!
@@cooking4you747 I am thinking about taking the 28 day knee wellness course starting next month, a birthday gift to myself. Thanks for your post and recomendation! 💕
Thank you so much Dr David. Knees killing me this afternoon, then your video appeared. I wish I lived near your practice, I'm in the UK. I will have a look at the other videos you have posted below.
I followed Dr. Davids 28 days knee wellness course online. It helped tremendously! And will continue with the exercises to strengthen my gluts even further. All the best to you!
Hey Pauline, sorry to hear that you are having issues with your knees :-( We have many videos that may be of service to you. Here are some links to videos for general knee pain if you are interested in learning more:
“Does Walking Help Knee Pain?”
th-cam.com/video/3ttv66it9x4/w-d-xo.html
“Should I Be Walking Even Though It Actually Makes My Knee Pain Worse?”
th-cam.com/video/TtZKcbvZMxM/w-d-xo.html
“How To Instantly Fix Knee Pain When Going Up And Down Stairs”
th-cam.com/video/yZDUuwSDKfI/w-d-xo.html
Hope this helps 😊
My PT gave me exercises for my knees and low back. Omg, calf exercises made my hamstrings/ calves hurt, developed sciatica and activated more low back pain. Now you mentioned about strengthening glutes. I think you’re really my savior. Of course, my PT has a different knowledge in this case.
I’ll start doing glutes exercises more I can tolerate.
🙏🏼
Thank you very much! I had a caregiver wanted me to use weights doing the exercises, that was the last day.
For my knee arthritis, my physiotherapist suggests leg extension, quad set, and other exercises to develop the quad and hamstrings.I will ask her to study your video 7 reasons why....I have been working a lot with two machines for the legs and probably that made my arthritis worse.
Thanks to your video I finally discovered how to use my gluts for pedaling and walking. The problem is that my brain cannot keep the quad and hamstring at rest when the glutes are working.
The doctor is in favor of PRP (plaquette-rich plasma) injections. Those are very expensive and it is not proven to work, What is your experience with PRP.
Thank you very well explain
Hey ramadevi! You're very welcome!
Hello doctor, first of all, God bless you for all you do! You have helped so many people in pain like me. I've been following your professional advise and have seen much improvements! I got your knee rehab class. do have a question, I have clicking on the mid to the side of my knees with certain movements like cycling and reverse crunch where I move my legs and hips up the air. What could it be? I'm afraid to aggravate it.
Omg these exercises you are describing at 24.00 are exactly what my pt is making me do.
Hello David! Following you avidly. Absolutely agree that the quad strengthening results in worsening the already injured meniscus or patellar tendinitis. I was so happy & use to walk several miles without any knee pain after the meniscus tear. Post strengthening efforts, i am now unable to squat, walk or bend my knees. Now what to do? Please do respond
This makes so much sense, why can’t the specialist see this. What exercises would you recommend for hydrotherapy because the pt has given me excercises that go against what your saying
Hi. My name is Esther. I am from Malaysia. Been watching lots of your Videos. Really helpful. Understand now. Tq
This makes absolute, total sense. No one else has explained this. You are amazing. I currently have tennis elbow, baker's cyst, and a shoulder problem 😥
I have spent today watching your videos on all 3 of these subjects and have found them invaluable in all conditions. Thank you is not enough
Hye Helena! You are so welcome! we can't tell you how much it means to us that you are spending a significant amount of time out of your day to watch the videos on our channel. We hope that you are finding the information useful and that you are finding the right videos for your issues.
Make sure to visit our website here: www.epmanualphysicaltherapy.com/online-programs/
As you are likely to find the correct program for your baker's cyst issue. Keep an eye out for a shoulder program in the coming months.
Do not hesitate to reach out with any questions you may have.
You are amazing-er! 🤩
Thanks, very interesting. I'm suffering and on the waiting list for total knee replacement. I have I suppose over time managed or learnt to live with the associated pain in everyday normal living, but it's the consequences of leg strength imbalances and misalignments that are problematic contributors to the impact pain and obvious worsening limping.
Doc, thank you so much for this detailed explanation. I am a very analytical person and everything you say makes perfect sense. I’m trying to get my PT to understand and he keeps saying “In life you need to be able to flex and extend your knee.” And I keep thinking, well I CAN. But why do I need to put force on it? My question is, with respect to the function of the quad and the function of the glutes, in your opinion, do you foresee risk of any bio mechanical issues in relying on your glutes over your quads? I know it hasn’t been researched much but I’m asking for your opinion. Thank you again so much! Words can’t explain the joy I feel in having found a solution for my pain and mobility. I’m bone on bone in my patella due to multiple dislocations. But I see a path forward now thanks to you!
When is it too late to prevent knee replacement surgery?
My X-rays showed severe osteoarthritis, joint space collapse, spurring with sclerosis. I just had the left knee replacement, supposed to have the other one done in a few months.
Only just come across this. It all makes perfect sense to me. Thanks for the heads-up. A lot of health professionala are like generals, always fighting the last war.
I'm guessing the same thing applies to using resistance bands for knee flexion and extension - which are a key part of the help arthritis program I got from my physio. I did those conscientiously for the prescribed 6 weeks but no improvement in my ability to walk properly without pain. Recently, with the help of videos from this channel & a couple of others, I have realised that my glutes are in fact very weak and need work - and doing this is beginning to make a real difference.
Thank you for this explanation, and the helpful exercises too!
This video is filled with master wisdom It reminds me of Algebra at school I never knew that muscles can shorten during night time No wonder I feel if I cannot strech my legs with ease in the morning With effort I have to push my legs in a straight line to get up Should I get up at night and just walk to the kitchen or do some donkey kicks Will a warm water bag or heat on the muscles stop shortening of muscles My primary puzzle is? How can I avoid morning stiff leg muscles Should I do glute exercises before I get to bed or do some glute exercises after I went to the toilet at 2 o'clock in the morning I concede glute exercises is not a walk in the park
Hey Anton! Great questions! First and foremost, glutes are most definitely a key to decreasing some of that stiffness. However, it doesn't even have to be specific exercises that you perform. Those exercises would be great, but it would be even better to include the glutes in something that you already do on a daily basis. That is why we want people to learn how to walk with their glutes. If you can begin to walk subconsciously with your glutes, then you will increase their activity throughout a normal day. This will inadvertently decrease the activity of some of these other really tight muscles. We have a great video that shows how to walk with your glutes if you would like to check it out. Here is a link:
“Does Walking Help Knee Pain?”
th-cam.com/video/3ttv66it9x4/w-d-xo.html
Hi, What exercises would you suggest for early stage neck arthritis in the c4,c5 vertebrae?
I live in a three story townhouse,so I am up and down stairs all day. Is there a way to climb stairs while relying less on quads? Yes I have osteoarthritis. P.S. I find your channel VERY helpful!
Hi Dr David, could you tell me using gym equipment, what would the best excercises to do to help heal knee cartilage and Chondromalacia Patella as I need to get out of the house as I have nearly completely healed a torn rotator cuff, thanks to you! However just been diagnosed with Chondromalacia Patella but have healthy knee, no arthritis, good spacing between bones, slight deterioration of thinning of the Femur, on waiting list for a Dexa Scan and I am 60. Thank you for all your all your help. It has taken a long time to heal my RC injury over 12 months! I will always be grateful to you! Mary, Solihull, England 🏴
Hi, I am 35 & just got diagnosed 3 months ago with knee osteoarthritis. My doc also told me to do quad extension & moist heat. But my situation aggravated. Then I saw your video about not irritating your knees & I stopped. Now knees feel better & I want to get back to weight training. What can I replace deep squats with? What Variations of deadlift should I do like romanian or stiff legged? Currently trying hip bridges for glutes and calf raises. Please suggest more..
Hey @sallulaw, sorry to hear that you are struggling with osteoarthritis :-(. Glute exercises are great! It's very common to have a muscle imbalance between your quads and glutes, which often leads to pain. We have many videos detailing certain glute exercises and how to perform them properly. Here are a couple links that contain these videos if you would like to learn more:
“Top 6 Standing Glute Exercises To Help Knee Pain”
th-cam.com/video/jD7IRBfJ-mM/w-d-xo.html
“Top 5 Glute Muscle Exercises For Knee Pain”
th-cam.com/video/NXdCjT2QtJA/w-d-xo.html
Have you done any videos on core excercises
Thanks for the video and for sharing your knowledge 🙏..
My one question is about muscle atrophy on a leg with severe osteoarthritis. Should I just let the quads etc just waste away?..or start strengthening them after my glutes are strengthened..
I wonder about this for in the future if i need a knee replacement.
Love your work..much appreciated 🙏.. bless you Dr.Dave
Hey Michael, eventually you'll be able to train your thighs! But at this moment, stick to improving your glute strength so you can safely do some quad strengthening in the future! We firmly believe most knee replacements can be avoided with the right treatment. If you are interested in learning more, here is a link to The Knee Arthritis Recovery Program: epmanualphysicaltherapy.com/knee-arthritis-recovery-program
Hello doctor .. I have a horizontal tear both in lateral and medial meniscus .. also have grade 3 chondromalacia patella - medial facet . Added to this I have knee osteoarthritis
Can you share a video for the correct exercise to be done in this condition
I wish I'd seen this and the other knee problem thigh, hamstring strengthening videos that you posted. I understand the premise behind what you are describing. I wonder what you do to slow sarcopenia, muscle wasting of the thigh. I have knee osteoarthritis with bone spurs but I don't want to lose the muscle mass of my thighs. Isn't it possible to work the glutes and thighs in some way that allows a person to spare muscle?
I know you had some glute exercises I want to follow but what do you think about a stair stepper exercies for glutes or in general? I have two painful knees I'm working on but my weakest movement is stepping up on a curb or stairs.
I too had knee pain when climbing stairs, stepping up on the curb and going from sit to standing.
I watched Dr. David's video on glute exercises, and walking and the quick relief is amazing. Most of all, I want to do the exercises and the dread of doing the quad exercises (which my body was telling me to stop - which I irgnored) is gone.
The glutes are the key. And you can do them anywhere, all the time. Knee pain has deminished by upwards of 80+% for me. I have no hesitation with stepping up on a curb and I am in NY which is a walking town where the blocks are short with plenty of curbs and stairs.
Give it a try. All the best to you.💯👍
PS: they’re all quad centric exercises at PT.
I've done an extreme amount of bike riding over the years and now I'm wondering if I've over strengthened my quads and maybe making my knee pain worse? I hope that's not it because I love riding my bike. Maybe trying to concentrate on using my glutes more instead of my thighs if that's possible?
contributed
thanks for the info. You are right, it is often said to strengthen the quadricips. I did this and as a result, the kneecap began to hurt even more. Question: why when I go down the stairs I feel discomfort in the kneecap, and when I go up there is no pain, for that when I go up I feel the buttocks well. Thank you
Hey Andrey, you are welcome! So sorry to hear about your pain in the kneecap :-(. We have a video that discusses how to use the stairs and explains why you may be having pain in the knee. Here is the Link for that video:
“Walking & Stairs Advice For Painful Knees, Hips, And Ankles”
th-cam.com/play/PLJVIPiFvv1mZqQdy7MnE2Q1H_Xfgxi5zH.html
We also have a video for fixing knee pain while going up and down stairs as well that may be able to help. Here is the Link for that video:
“How To Instantly Fix Knee Pain When Going Up And Down Stairs”
th-cam.com/video/yZDUuwSDKfI/w-d-xo.html
@@epmanualphysicaltherapy thanks🤗
What glute exercise would you recommend that won’t engage the quads? My glutes are terribly weak and my one knee has been crunching etc. Thank you
Hey L W, a great exercise would glute bridging while making absolutely sure that you are not using your quads or hamstrings! Here are a few videos that may assist you with performing glute exercises:
“Top 5 Glute Muscle Exercises For Knee Pain”
th-cam.com/video/NXdCjT2QtJA/w-d-xo.html
“Top 6 Standing Glute Exercises To Help Knee Pain”
th-cam.com/video/jD7IRBfJ-mM/w-d-xo.html
@@epmanualphysicaltherapy thank you loads!
Hi. Does this apply if our quads are a bit relaxed ? A PT found mine are not toned.
What if the knee pain (bone on bone as the orthopedic surgeon says after seeing the MRI) recurs after playing basketball and after i have strengthen the glute muscles to a reasonable extent? What should I do?
I just bought a Nordic Trac Excel again. Hoping this will strengthen my glutes core & arms much better than just walking.
That's great that you got a Nordic TracCarnivorGal! Get on strengthening those glutes!!!
The Knee Arthritis Recovery program is an online one? I'm from Malaysia, so I need something online as I can't visit the clinic. What if I need guidance and to speak to you or your staff? I just need clarification before I decide to sign up. Thanks
Hey Gerrie! Great question! Yes the program is completely online!
The Knee Arthritis Recovery Program is an online, on demand, comprehensive internet based program that you can access from any mobile device or internet computer.
“Knee Arthritis Recovery Program”
www.epmanualphysicaltherapy.com/knee-arthritis-recovery-program
You can reach out to our staff using this link!
www.epmanualphysicaltherapy.com/virtual-visit/
Doctor what do I do for the cellulites in my knees? They are painful doctor. I have osteoarthritis knees and inside I also have fats that give me pain. Any suggestions from you doctor?
I have post polio so my muscles don’t strengthen. After 2 years of daily biking my muscles are the same as they were 2 years ago. I have had prolotherapy and that seems to make the knee tighter. My knee have slipped off so are loose and sit on the outer edge of the grove. I have small weak side muscles and my quads do all the work for me to walk. Sorry my pain is behind the patella only. Any suggestions?
I started physical therapy 2 weeks ago, and I feel I am worse now than when I started, limping more and I was told I needed to strengthen my quads.
Hi doc I got my MRI and it says „Fourth-degree cartilage lesion at the medial trochlea femoris. Fluid along the fascia of the lateral head of the gastrocnemius, soleus muscle and popliteus muscle, status n. distortion? Mucoid degeneration of the medial meniscus posterior horn“
I have complete no understanding but what can I do? Till last week my knee was ok and I started playing basketball again. Now I can still walk but can’t run, there’s no swelling and I can full stretch and bend my legs. Oh and I’m 35 yrs old. I’m rally freaking out worrying I’ll never be able to workout again cause I also have pain in my elbows.
What exercise should I do?
My Knee specialist has recommended left knee surgery because I have a torn meniscus. I've been doing your exercises and have seen some improvements. Do you recommend doing an indoor bike? Thanks.
Hey Babarw2006, Using a bike will be helpful if you can get your glutes to work during the exercise. If you feel you are using your quads more than your glutes while using the bike, then you will likely make your knee problem worse.😃 Dr. David has a video that discusses how to properly use a stationary bike to help heal knee arthritis. You can check it out here: “How To Use A Stationary Bike To Help Heal Knee Arthritis”
th-cam.com/video/3fmTsQxm5x8/w-d-xo.html
In case you are interested we do have additional information and exercises in a playlist we have compiled for knee arthritis help. You can view it here: “Knee Arthritis Pain Help”
th-cam.com/play/PLJVIPiFvv1maa9YF-WmKLF7oI4VoczH8i.html
We'd love to hear how you are doing as you progress.🙌 Please take care!🧡
After twenty years of running, I am now 81, my knees are arthritic of course. They never hurt till last month when I torqued my knee and saw stars. So I’ve been going to Physical Therapy for a month now and this therapist I had was trying to strengthen my glutes and not giving me quads or hamstring exercises. The knee got 95% better to the point I was walking 3 miles once a week plus pool exercises but still going to therapy. However, the office changed my therapist, and this one yesterday put me in the quad and hamstring machine and then do squats plus sitting bike. And last night I had pain in my knees. so again I looked for your videos because you’ve been able to solve my muscle imbalance problems and listened to this video and today when I went to Physical Therapy I told him that I only wanted glute exercises because my knees hurt when I do these other ones.. This is something Physical Therapists. should know. It should be publicized. I am so grateful to all your videos and I will continue doing glute exercises and I’ve learned now to walk using my glutes like your other video! .I can’t thank you enough for all you’ve helped me.
Dr. what do you think about cryotherapy? Still in nascent stage and needs to improve what say you?
How do you feel about the ‘knees over toes’ stuff?
How about strengthening the hamstring? Wouldn't that balance out the body too with the thigh?
I am going to have a knee replacement why would i be asked to strengthen these muscles which make you arthritis worse ?
So what do athletes do who need very strong quads and hamstrings for peak performance?
Hey Gothops, that is a good question! 😀 It's important that the muscles are balanced. Often times when someone is experiencing knee pain they may have quads or hamstrings that are more developed than other muscles in the area. This is what causes the imbalance which leads to the pain. It's common for some health care providers to tell someone that in order to fix the pain in the knee that they need to strengthen the quads or hamstrings when really the person should be strengthening the glutes to ease the pressure on the knee. 🧡
@El Paso Manual Physical Therapy Ok, thanks. So, for athletes who need strong quads and glutes, it's important that they not only strengthen these muscles but also the glutes and probably hip adductors and abductors too, right?
Btw, have you done a video on how to reduce the incidence of hamstring strains in athletes who are involved in sprinting? It would be good to get your opinion on this as I think a lot of other physical therapists have gotten it wrong. A lot of athletes strain their hamstrings over and over again. I suspect that perhaps they are focusing too much on getting the hamstrings strong, which, as you point out in this video, decreases resting muscle length.
Can tight skinny jeans squash the kneecap and cause the cartilage to wear down?
I’m thinking of giving up skinny jeans because after work my knees feel better when I change into sweats
Hey @enza3770, skinny jeans can definitely can put a lot of pressure on your knee cap. If you feel that your knees are worse on days that you wear skinny jeans then, yes, absolutely you might want to give up skinny jeans. It might help to see how you feel on days that you don't wear them.
Well that’s my whole wardrobe!
I recently found out. I have arthritis behind the kneecap and I think that’s the cause of it so I’m going to have to make a change.
Research really doesn't support what you are saying. You should strengthen the glutes and the quads.
Absolutamente! People sit too much and weaken butt, hamstrings, and tight hip flexors.
are you saying we should AVOID ALL quad and hamstring exercises?! Wouldn't it be smarter to work out all muscles, quads, hammies, GLUTES, in a BALANCED manner? are all these things you talk about just your opinion? are there any studies you can cite? It is very tough to take everything you say as truth when pretty much everyone is telling us to strengthen quads, hamstrings, tibialis, calves etc ....boyy am I confused right now lol
I'd like to hear the Doctors opinion on these questions 🙏
So even if you get your glutes really strong, can you never hit quads and hamstring ever again?
spijtig geen onder titeling van de dokter in Nederlands .zou nog meer kunnen begrijpen het gaat mij allemaal te snel