Hip
function and knee function are directly related to how well your spine is
working. Many times, hip pain and knee pain are being caused by mechanical
problems in the spine. Neck pain, shoulder pain, and lower back pain let you
know that your spinal biomechanics are off. The connecting links are
biomechanics and distribution of weight. Regular chiropractic care addresses
all of these problems, helping ensure optimal functioning throughout your body.
By helping restore proper spinal biomechanics, chiropractic care helps improve
hip and knee function, too.
The
numbers of individuals undergoing total hip replacement and total knee
replacement are increasing significantly. Annual rates in the United States for
total hip replacement have increased more than 50%. In Denmark, rates have been
increasing by 30%. Annual rates in the United States for total knee replacement
have increased by more than 170%. In Sweden, rates have increased 500% in the
last 20 years. With the aging of the population and increased lifespan, these
rates will continue to increase.
Advanced
surgical procedures are invaluable, if you need them. Of course, many persons
have unrelenting, daily pain which may require radical surgery. For everyone
else, though, the best way forward are the old reliables: regular exercise, as
vigorous as is appropriate; a healthy diet containing plenty of fresh fruits
and vegetables; and sufficient rest on as consistent basis as possible. Regular
chiropractic care is a vital key component to helping to keep your
weight-bearing joints in peak condition.
Most hip
and knee replacements are done because the person has severely painful
degenerative joint disease - osteoarthritis. Hips, knees, and ankles are all
weight-bearing joints. These joints are big and strong and have many surfaces
on which to distribute the substantial mechanical loads which are placed on
them throughout the day. But these joints don't last forever and, like all
living systems, they will eventually begin to age and break down. Serious
problems ensue, however, when these critically important joints start breaking
down long before their "warranty" expires.
Many hip
and knee problems are a result of chronically poor posture. Almost none of us
are taught how to use our bodies properly. We don't come with instruction
manuals. So as time goes on, the inefficient habits we develop as children and
teenagers become permanent. People slouch, they let their abdominal muscles
sag, they stand with all their weight on one leg, and their heads stick out in
front rather than being centered over their chests. One result is chronically
tight and painful neck, shoulder, and lower back muscles. Another result is
chronically uneven distribution of the weight of the body, ultimately causing
degeneration of hip and knee joints.
Lack of a
healthy diet prevents the lubricating tissues of the hip and knee joints from
receiving key nutrients. Lack of proper joint lubrication causes
osteoarthritis. Lack of regular exercise inhibits normal joint motion and
normal joint nutrition and lubrication, leading to the development of
degenerative joint disease. When you add up faulty biomechanics, lack of a
healthy diet, and lack of proper exercise, the result is a prescription for chronic
hip and knee problems.
It's very
important to address these issues when you're young. When you're not as young
as you were, the time to begin making healthful changes is right now.
Chiropractic care directly helps improve a person's biomechanics. Chiropractic
care also helps people make the best use possible of the good food they're
beginning to eat and the regular exercise they're beginning to get.
For most
of us, the best way to prevent the need for a hip or knee replacement is to
take consistent, healthy actions on our own behalf. If a hip or knee
replacement turns out to be the way to go, all of these healthy actions will
help ensure a quick recovery and continued good health from this point onward.
References:
Singh
JA: Epidemiology of knee and hip arthroplasty: a systematic review. Open Orthop
J 5:80-85, 2011
Kurtz
S, et al: Prevalence of primary and revision total hip and knee arthroplasty. J
Bone Joint Surg Am 87(7):1487-1497, 2005
Knutson
K, Robertsson O: The Swedish Knee Arthroplasty Register. Acta Orthop 81(1):5-7,
2010
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