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(More customer reviews)This remarkable little book may change the way you think about knee pain. Instead of focusing on pain symptoms and where they originate, the author focuses on what your knee does - and how to improve those functions with simple exercises. The only anatomy lesson you need is to know where your quadriceps and hamstring muscles are - front and rear of your thigh respectively.
He identifies four functions in your knee: strength, flexibility, proprioception/balance, and endurance. If you have unexplainable knee pain, you probably just need to improve your knee function in one or more of the four functional areas. The author suggests simple exercises in each functional category.
To develop strength, the single most important muscles to develop are your quadriceps. There are many exercises you can do to strengthen your quads. The author suggests a very simple floor exercise.
To develop flexibility, the author suggests a quad and a hamstring stretch. The exercises he suggests can be done standing or on the floor.
Proprioception might be a strange word to you. It was to me. It is probably best described as a combination of coordination and balance. Can you accurately sense what your knee is doing? Does it react appropriately to changes as you move? This is what proprioception is all about. The simple and interesting exercise the author suggests to improve proprioception is simply to stand on one leg for 30 seconds. Then switch legs. (It's ok to have a wall or chair to help catch you if you start to fall.) You might find this exercise easy to master. If so, the author suggests doing the exercise with your eyes closed. This may require considerable practice!
The author suggests that you can build endurance simply by walking or stationary bicycling.
And that's the entire program for treating your knee pain. Some readers may feel letdown or short-changed. What about all the anatomy lessons other practitioners give you? What about issues relating to your tendons, ligaments, bones, and cartilage? What is the theory behind this skimpy program?
Chapter 6 gives you the surprising answers to these questions. The author reviews many scientific studies on knee pain. The studies (based on X ray or MRI testing) show that the existence and/or severity of knee pain/disability have little correlation to the amount of knee deterioration. Many people with severe knee deterioration reported no pain, and some had their symptoms decline over time. The factors most closely linked to knee pain/disability were muscle strength, obesity, age, and psychological health. The author is a physical therapist and not a dietician, gerontologist, or psychologist. His knee program does as much for your knee as science suggests physical therapy can do.
The author recognizes that surgery and medications seem to help a lot of people, but the available research suggests that most people will benefit from the low-tech solutions he offers.
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