How To Clearly Tell Where You Are In The 4 Stages Of Knee Arthritis
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- Опубліковано 9 чер 2024
- The staging system of knee arthritis is commonly used by doctors to help determine how severe your knee osteoarthritis is.
Knowing what stage you are in helps doctors recommend treatments appropriate for your specific situation.
But this system is not complete! It has many assumptions that we believe are false. This means the recommendations from doctors, based on what stage of knee arthritis your in, might NOT be good for you!
There are 2 main flaws with this:
The first is that knee cartilage does not heal and there is only degeneration over time no matter what you do. In other words, you’re doomed if you start having knee arthritis :-(
The second flaw is that you cannot function without some loss of cartilage and that knee replacement surgery is necessary. We know this to be wrong because we’ve helped so many people over the years avoid surgery even though they have “bone-on-bone” knee arthritis.
At the end of this video, Dr. David discusses an alternative system that is more focused on the possibility of healing knee arthritis so that you can get back to being active, healthy, and mobile again.
🦵Learn more about the “Knee Arthritis Recovery Program” Dr. David mentions in this video:
www.epmanualphysicaltherapy.c...
🎥 Here’s a link to our knee arthritis video playlist so you can find more specific help in fixing the long-term problem.
“Knee Arthritis Pain Help” • Knee Arthritis Help
00:00 How To Clearly Tell Where You Are In The 4 Stages Of Knee Arthritis
01:08 Stage 0 - Pre Knee Osteoarthritis
02:12 Stage 1 - Minor Knee Osteoarthritis
04:42 Stage 2 - Mild Knee Osteoarthritis
12:04 Stage 3 - Moderate Knee Osteoarthritis
16:07 Stage 4 - Severe Knee Osteoarthritis
19:16 Flaws of the staging system
#elpasomanualphysicaltherapy #drdavidmiddaugh
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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 went to the doctor and they spent a total of 3 minutes with me to just tell me that I had a lot (their term) of arthritis and prescribed physical therapy. It also cost me $150 for 3 minutes of their opinion. I learned more from this youtube video and it was free. Thank you!
Hi Dawn. We are sorry to hear that your visit with the doctor did not help. We understand how frustrating it can be to have to deal with pain on top of not being given sufficient time to help. We are glad that we were able to help with this video though! Below will be some additional links that we hope helps your healing journey even further!
“Knee Arthritis Help”
ua-cam.com/play/PLJVIPiFvv1maa9YF-WmKLF7oI4VoczH8i.html
We hope you found this information helpful! 🧡
Please let us know how you are doing as you progress 🙌🌟
They told me I needed knee replacement 25 years ago. Still walking and doing okay.
Good for you, Lynda!
please tell us how did you care for your knee. what exercises, what food.
You must not be bone to bone.
Please kindly share any tips or natural meds or supplements or exercises that helped. I have just been diagnosed and I need to know 😢
That gives us hope! I've just had an arthroscopy with partial meniscectomy and debridement to try and reduce the pain from my arthritis and buy some time before a new knee. I have bone on bone grade 4 arthritis on the medial side, grade 2 on lateral and grade 4 under the patella, the surgeon said it's as bad as it gets, yet I function quite well. It becomes more painful and stiff after a walk but I cyle 2/3 times a wk and swim 3 times a week. I bend my knee to the limit most evenings while sitting down, watch my weight and keep slim (6ft and 70kg) which is important to keep knee pressure down. I'm looking into a gel injection as a future option but apparently that is not so effective for grade 4
God bless the UA-cam docs who take the time to be physicians!
I’m 24 and diagnosed with stage 4 osteoarthritis in my left knee. These videos are the most information I’ve received.
Hey Margarita! So sorry to hear you have been diagnosed with stage 4 osteoarthritis :-( Here is a great playlist we have on knee arthritis pain help! Hope it helps!
“Knee Arthritis Pain Help”
ua-cam.com/play/PLJVIPiFvv1maa9YF-WmKLF7oI4VoczH8i.html
In case you're interested, we also have a knee arthritis recovery program! :-)
“Knee Arthritis Recovery Program”
www.epmanualphysicaltherapy.com/knee-arthritis-recovery-program
Thats awful, you poor thing. At 24. I'm sorry. There are some natural ways to help with these conditions, so might be worth you looking into those, as well as anything your Dr prescribes.
I haven't been able to see my Rheumatologist for a while, so this video has been really informative.
I've got Osteoarthritis, Inflammatory arthritis, Rheumatoid arthritis, Fibromyalgia, and a host of other delightful conditions! One of my knees is so bad that it gives way a lot. I'm 44 😢
You're so young to have that. I thought it's for older people.
Wow you are very young for stage 4. I am 64
I've been told that I need surgery on my left knee as well
About 4-5 years ago also.
Now both knees hurt so bad .
I had surgery in 2012 on my right knee, it hurts as bad as my left knee.
Good info; I had problems with my right knee; Started with a random occasional pain, then swelling, some stiffness. I started going to a doctor asking for help, every few months. He kept sending me to x-rays and said that there is some arthritis in there. In the end I begged him to send me to mri, and it took a few months for him to agree. This was now the third year, and symptoms and swelling were progressing to worse. It turned out I had a one pound tumor in my inner, right thigh,beside the knee. Had surgery a year and half ago, had it removed and I am hopefully still cancer free. Tough journey, big surgery, long recovery, lost a section of my inner thigh muscle. I have some issues such as stifness, mobility and flexibility limitations, some pain and balance issues, but I'm glad to have had a less agressive type of cancer, and happy to be alive. I just wish that doctor had believed me sooner that there was more than just "some arthritis " in my leg. Maybe it would have been detected earlier, and been smaller in size. But it is what it is, so, Im still grateful to be alive.
Hi doc. Thanks for the information. My last xray said I am on stage 4. My orthopedic surgeon was SHOCKED when he looked at the xray. But I told him it doesn't feel as bad as the report says. The reason I went to see him was because I was having difficulty climbing up stairs and down stairs. And the first thing he said was I should have a knee replacement. But when he did a check on my motion he realized I was right. So I suggested to him that he should do an arthroscopy instead. He did that. Removed some small shattered bones. Removed some fluid and got rid of a bone spur.It's 2 and half months now and I am slowly recovering from that surgery. I am walking ok. Doing most of the exercises that you suggested. There is some swelling on bad days . I definitely not relying on crutches or walkers. Walking fairly well . And know when to stop and relax. You are the ONLY one that knows whether you need a knee replacement. Don't ever do a knee replacement if it is not needed. My friend did knee replacement on both knees. She is not any better than before the operation. So why do something that is not going going to put you in a better position. Thanks Doc for all your dedication in assisting us arthritis sufferers and giving us hope.🤗
Thanks Dr. very well explained. Need to know the excercises to do please.
my doctor looked at the MRI of my left knee and he said ' how are you even walking on that knee?'
Hi, what is your age? my mother at 53 have been told that she has grade 2-3 almost but she doesnt feel that much. she can walk easily and some days it burns due to inflammation. doctor suggested her to wait till 60. Are injections good ?? since my mother used to do a lot of walking and going around , that, she has stopped because much walking around hurts actually stings. Any suggestions
@@inhalingexhaling1852 I am 63. I am taking prp injections after every 2 months. Cycling for 20 minutes each day. Also using a suction cup around my knee area to massage. Has really helped me a lot.
whats prp injections
I got to stage 4 at the age of 54 after a very active life, I had 2 x TKRs within 2 years of each other. I was in absolute agony, I struggled to walk the dogs around the block, I had lateral windswept legs due to the worn gap. I was worried sick about the surgery, 6 years post surgery I’m back to near normal, I’m physically active ( no more running) and back to strenuous work as a tree surgeon, it’s like being given a new lease of life.
How long until recovery from the operation. I am 48 and a big golfer. Have had a dodgy knee for 32 years since I broke it as a kid. It may be time for a TKR. Any info would be good. Thanks
@@theclagster2 Hi, it took me about 18 months to get to some form of normality, you have the advantage of being relatively young so you should have decent muscle. You must work hard at rehab even if it’s painful. I’m so glad I had mine done at a young age.
Just 6 days out from my first TKR am 69 and need both done. The surgery went so much better than I anticipated with little pain. The surgeon does only knees and hips and is excellent! The anesthesiologist put 6 knee blocks in during surgery and only one time did I need to take a pain pill. I’m very pleased and I’ll be starting PT in a few days. Then the work will begin.
I had right TKR 2 years ago, and am 3 weeks out from left TKR. I loved my right knee - no pain - first time in 20 years. I look forward to the mobility of have 2 painfree knees to bop around in. I'm still working full time at 77. Looking to take these a walkin’ into the future. I remove or replace worn out parts of my body. We do it to keep a car running well, why not our bodies?
@@micheleoconnell8749who was your surgeon? And is TKR knee replacement surgery?
I was hit by a car at the age of 12. They told me at that point I was already developing osteoarthritis. Now they say I have it in almost all the joints on the right half of my body due to skipping like a stone across the road for about 50 ft. Thank you for explaining it better than anyone before. As someone with chronic pain for nearly 25 years it’s nice to hear a different perspective.
I agree. Have had knee pain since teenage years. I pronate my feet. At age 71, I have arthritis everywhere but have been exercising for years and last 12 yrs doing yoga. Bone on bone in knees with very little pain. This guy is right. Keep exercising.
Dr. David, I was a healthcare provider for 30 plus years and learning was my passion. I applaud your knowledge level and teaching techniques. your videos are beneficial for both laymen and professionals. i am 69 years old now and have suffered with arthritis of both knees for years now and have had multiple steroid injections with little to no relief, I have been to several orthopods and PTs but your explanations and demonstrations have given me more information than anything else has. I'm sure that your practice is proud to have you. I am disabled by a major stroke at 53, but if I could still work and you needed me, i would move to work with you. thank you for sharing knowledge that I know you have worked hard to obtain. send me a reasonable bill and I will happily pay you for it. with sincere admiration. Alice Naquin RN, CFNP.
Hey Alice, we really appreciate your support! We are so sorry to hear that you have been struggling with this arthritis :-( We have a great knee arthritis recovery program available that sounds perfect for you. Here is a link with more information:
Knee Arthritis Recovery Program
The Knee Arthritis Recovery Program is designed to help people have the best chance of avoiding unnecessary surgery, injections, or having to rely on pain medications. This course guides people through exercises and stretches that target key body parts that have the greatest potential to prevent or help with knee conditions like osteoarthritis, meniscus tears, ligament injuries, cartilage problems and other knee conditions. To learn more please click this link: epmanualphysicaltherapy.com/knee-arthritis-recovery-program
Hi doctor,
You showed 2 pictures and how I could get them😊, especially the second one for proper exersise in different stages.
Mang thanks
I’ve just been diagnosed with stage 2 in my left knee. The MRI also showed a frayed meniscus and joint effusion . I’ve been in pain and not walking properly since November. 😢
Very impressive--this Dr gives hope based on actual clinical experience. The way he analyzes and explains things gives confidence.
I have been following your advice from exercise to limiting walking and foods. I have noticed a huge difference. Thank you!
Best explanation ever no doctor has explained it like this
What a hopeful message and information. Thanks so much.
Your drawings are great and very informative. They are the sign of a good educator. Not too much clutter!
Glad you like them!
I was told if I was old enough they'd replace my knee 3 years ago. I'll never understand how I'm not old enough to be able to walk... Honestly ur giving way more education than I've ever seen.
I agree. What ever happened to quality of life. You might not be old enough but that is a poor excuse by Doctor's.
Thank you SO MUCH for all the info you've shared re knee arthritis.
This has been really helpful to know. Thank you for the video.
Hi and thank you so much for your video! I just saw a surgeon on the 9/12/22 and I would say, I'm stage 4. Woe is me but I don't want this operation. He said I'd have a better quality of life. I'm on a waiting list so could be a 6 to 12 month wait. In the meantime, l am going to lose 10 to 15 kgs and start some exercises. I walk with the sid of a cane at the moment. I am not in a lot of pain at all so I can manage. I am someone who doesn't go along with all I hear from a doctor/surgeon. I do what I feel is right for me! You have made me feel good, thank you for that. From Paris in Brisbane Australia xx
Thank you Doctor
Much appreciated.
This is so true. I went from severe pain, swelling and limited motion to almost 100% free of all that. It took a year and I was treated by a physical therapist at the VA who has the same philosophy as this video so clearly explains. After the first three months of exercises and therapy I was cleared for non-weight bearing exercise on my own and my low impact exercise of choice is indoor rowing. The improvement continued and I lost some weight too. There is hope for those of you in pain. It takes time and commitment to get there but you will.
عملت عملية تثبيت الرضفة منذ شهرين وتص ومازلت أمشي على العكازات وأنا مكتئبة
أمارس التمارين في البيت وعند المعالج الطبيعي وركبتي مازالت ضعيفة😢
I hope so!
@@rajaabarazi9087how old are you
Thank you for your simple understanding of this knee video. ⭐️😍🤩⭐️
Great information. Thanks for explaining it in an easy format.
I have OA and AS. I was diagnosed with it over thirty years ago. After I got done feeling sorry for myself, I decided to do everything I could to stay mobile. I lost over a hundred pounds. I took up body building and fell in love with mountaineering. I was told and accepted the fact that I was going to be in pain for the rest of my life. I eventually had to get my hip replaced, one of my knees replaced, a shoulder replaced and a five level back fusion. These operations happened within a twenty year time frame. I took up rock climbing despite an artificial shoulder. My surgeon cringed at that activity. I hiked and was able to go on a twenty mile backpacking trip on an artificial hip and a fused back. I probably hiked over a thousand miles on that hip. I finally got my knee replaced after I hiked up one of Colorado's fourteeners and I barely got down the mountain. All my joints were stage four when I got them replaced. Thirty years later, I still can hike, but not as fast. I manage a restaurant and I stand about ten hours a day. My disease has progressed, I'm in a lot of pain but I have lived a full life despite it. This might sound bizarre, but if it wasn't for my arthritis, I never would have taken up mountaineering. So in that sense, I am grateful for the disease. I am also so grateful I decided to quit feeling sorry for myself. Staying active is the key. It hurts to stay active, but a sedentary lifestyle makes the pain ten times worse. For myself, the best way I judge whether to replace a joint was how bad it was affecting my lifestyle. I gave a high tolerance to pain and it's always in the back of my mind that if I replace a joint, I knew I would still be in pain. Maybe not from that joint, but from everything else that was affecting me
I think you can write a short book it's on Amazon is pretty easy on KDP
Helping others know what you've been through can inspire other people 😉
How are you doing know
It was really very hard i can feel your pain because inhave the same problem ur going through
All what we need to is to be close to God and ask for divine healing this is what we need
Anne Bartells
I hope you are doing better now. If you see this let us know please🙋🏾♀️
@Brian Armstrong being in pain is tough. I was diagnosed with my diseases in my early twenties. Just take it day by day. Eventually your mind will get used to you feeling a certain way. That might sound weird, but it will happen. Sometimes I still go through the I feel sorry for myself but I won't let that attitude fester too long. It's very disruptive and unproductive. Keep strong. It sucks, but stay strong
This was the best video. So informative. Really helped
I’ve just watched your video and I’m so impressed….I ran for 25 years and have taken some bad falls but would love to watch the exercises that you recommend! I have been doing an hour of walking and some progressive resistance exercises that I’ve been doing for years but when I up my yard work in the fall (lots of bending ) and shoveling in the winter, the colder weather seems to make it worse! I use Epsom salt baths and omega 3 and many other supplements so maybe you can point me in the direction of your exercise videos for knee arthritis!
Many thanks 🙏
Great explanation of the stages. I suddenly found myself in stage 4, having been actively decluttering and moving furniture, almost incapable, collapsed in terrible burning pain, diagnosed in hospital urgent treatment dr, as osteoarthitis flare up, advised to have a knee bandage and take pain killers for a week and if after a week, it doesnt improve to go to gp and ask to be referred to physio. As I could hardly walk, hobbling and dragging my legs upstairs, I had to wait two days of resting before I could go out and buy a bandage and not keen on meds, searched for physio on the internet and found Dr David. One video was about fast pain knee relief for a rare tibial shift which after I spent an afternoon carrying out the suggestions, I went to stage 2 immediately and could walk normally, no swelling, pain free and walked upstairs! I am continuing with his other glute exercises and looking at all his videos now. Cant recommend him strongly enough.
Share with your friends.
They will thank you!
Patti, Broadstairs, Kent UK.
I find his advice better than my physio who says strengthen quads😮
Rose, Herne Bay.
Best video out there about knee issues, thanks a lot
Wonderful video! I have been doing my glutes and it has been helping my knees!! I believe I'm a stage 2.
Been dealing with knee pain for 10 years, I think I'm at stage 100 by now
oh no iiiDartsiii!!! 😱
Me too
Me too
Me too
Me too
I was about 45 years old when I had a lot of pain in my knees and my doctor’s said I have arthritis, I lost weight and I had no pain for 24 more years and now al 69 I was doing some exercises and I hurt my left knee, my husband massage my legs and I feel better.
I can feel bone to bone and they crack when you put my hand over and moved your leg.
I requested for physical therapy and I will start on June 1, I have an appointment with my rheumatology in 3 months.
I don’t want another surgery, Im recovering from shoulder surgery😢
I have always taken collagen peptides!
I forgot to mentioned I’m doing your suggested exercises and they really help me
Thank you very much you are the best!
Thank you for explaining the staging system and for your advice. I was told I have mild arthritis in my knee and I assumed it would get progressively worse and more painful as time went on. After seeing your video, I am more determined to keep up with the exercises my doctor recommended and hopefully I'll have good function for years to come.
Great info. Thank you.
This information was very helpful. Thank you for explaining it so well.
Hey Rosie, you are so welcome! We are glad that you find our content helpful!
Very informative video and some information I think more people and especially patients need to know.
So encouraging and reassuring, thank you so muc
Congratulations,you are so helpful ❤
Thank you Dr. David! So glad to have options besides a knee replacement. What a blessing you are to share your knowledge with us. God bless you and your family!
Hey Urban, you're welcome! We're thrilled we could offer options for your recovery. We appreciate your kind words.
In case you are interested have a knee arthritis help playlist. You can access it here: “Knee Arthritis Pain Help”
ua-cam.com/play/PLJVIPiFvv1maa9YF-WmKLF7oI4VoczH8i.html
Many Blessings to you and your family! We'd love to hear how you are doing as you progress.🙌 Please take care.
I'm so glad I found your channel. I used to live in El Paso in the late 70s, now live in the UK. I had a knee injury 18 months ago, but no repercussions (seemingly) till 3 weeks ago when my whole inner knee felt like it was on fire. My physio has said it's a combination of cartilage movement & arthritis. I asked about an x-ray but he said it wouldn't do much good. 'Has given me exercises, but I'm following your recommended exercises instead & feel as though they are helping. I love your approach and feel positive about moving forward with your programmes. Thank you.
I'm 67. Lots of hardcourt sports till age 50. Had to quit for pain in my knees. Saw plenty of Doctors, all say bone-on-bone, need replacement. One said " let pain be your guide when to get replacement, put it off if you can" since I've quit "pounding" my knees in sports I'm totally pain free. I can't explain it but as of now no pain, just some swelling. Haven't seen a doctor in a decade. This man is very knowledgeable and helpful.
Stage 4 for many years but because I was only 33 years old the surgeon wouldn’t do a total replacement because they said I was “too young”. Finally I found a surgeon with more compassion that believed, like I did myself, that quality of life had to be taken into consideration… not just age! I was a single mother with 3 children and they were looking after me instead of me looking after them!
I had replacement at age 43 - best day of my life!
Dr where are you based I need to see you one on one for my knee problen
I am so glad I found your site. I'm having a total knee replacement in 2 months (wish it was tomorrow- so much pain)
Anyway, I wish I was receiving this much info from my ‘joint replacement team’
Great outlook on what the idea of degenerative diseases means versus the possibility to move in a positive direction rather than acceptance that it only gets worse. Thanks for sharing, very much appreciated.
I am at Stage 3. I am bone on bone. I excersize & have a decent range of motion. My doctor is surprised that I have less arthritis than he thought, no swelling. I get shots which make me more comfortable but I need the surgery. I am extremely fortunate to have a surgeon who has sat & explained everything from start to finish. Having my surgery the end of June. Good communication between your surgeon & you is also key to success. (I also looked up my surgeon's educational & work background - boy I hit the jackpot!)
Totally accurate! My Doctor recommended knee replacement surgery. I asked about physical therapy, tried it improved and feel greatly improved! I now work out at my gym twice a week at my local gym to maintain my leg strength to stay mobile and active!
This is awesome Steve!!! We’re so happy to hear that you’ve avoided surgery!! Cheers to staying healthy!!!
Did you have stage 4 osteoarthritis?
@@chaityfatema8883lloop11:49
I had both knees replaced and I don’t regret having it done. I was at stage 4 and I truly could not tolerate the pain at all!
My wife is 66 and she is en stage 4 bone to bone, her Doctor told her that; she needs knees replacement but she can tried physical therapy and some shots.
She is thinking to do both knees at the same time, any advice. Did you do both knees replacement at the same time?
Thank you
@@luisleon7364 I'm having my left knee replaced this week, hopefully right one in 6 weeks or so. Most doctors won't do both knees at once, they do the worst one first and then it can support you while the other one gets done. My surgeon said the outcomes for doing both at once aren't good. My mom had hers done 6 weeks apart at age 76 and she did great. Hope this helps.
Hello, You have really helped me today with a very informative video. Some points helped me understand what's going on in my knee. It's the best video ever made to understand the stages and function. thank you, Dr.
WOW I am so much amazed with this video I just found out two weeks ago I have moderate knee arthritis and I was told it gets worse with age and time I have truly been blessed by not giving in to what I was told you are a true blessing I am so glad that you don’t go with the norm of this and thinking outside the box and doing research WOOHOO I knew that there had to more to getting better and healthier plus I sure don’t want to live this way for the rest of my life God is good Al the time♥️♥️♥️♥️
Very well explained. I really liked it.
Thank you Esme!
Listening with great interest.
Hearing your presentation, I truly understand why physical therapy is a Ph.D program. Very informative.
I think my knee stage is somewhere between 2 and three.
I was a travel nurse for over ten years (cardiac cath lab; wearing lead for fifteen years).
Last year I saw a nurse practitioner who ordered the X-rays (the report for which do not really understand😂).
He actually advised me to “avoid knee replacement as long as possible”.
I am now retired, and I am seeing a new PCP. Your video has encouraged me to loose the weight (I need to drop about 70 pounds) and keep walking. I am going to follow you so I can pick up some extra exercise advice.
Thank you.
Really interesting and informative, thank you.
I appreciate your videos. So helpful and hopeful.
Thank you so much for this video. No one has ever explained it like this. Most of the time, the doctors look at me like I'm crazy. I have many sports injuries from high school, and arthritis runs in my family (bad arthritis, too). When I was in my late 30s, I kept telling my doctor my knees were stiff and sore. She would only tell me to exercise more. I was like if I do that, I can barely walk for days. She basically blew me off. If I gardened, I couldn't close my hands for days or hold a pencil. After several years of this, I finally refused to leave the doctor's office until she gave me something. I told her I couldn't live like this anymore. I was to the point I couldn't really walk up and down stairs. She finally listened to me and gave me an anti-inflammatory medication. It changed my life. I could finally walk and garden again without hurting for days. I've been on that medication for over 10 years and refuse to give it up. Now, my problem is when I mention anything about it to other doctors (hurt my ankle and had to go to the ortho), they are like are you sure you really have arthritis? They won't take my general doctor's word or her prescription for it as truth. They said I need to go to an arthritis specialist now to confirm it. Nope. Not going. The funny part is the x-ray of my ankle came back with arthritis in the foot by the radiologist, but I guess that wasn't good enough either. If I wasn't on my meds, I wouldn't be able to bend my fingers or knees. I have several family members where their fingers curled over on themselves along with their toes and couldn't hardly walk. I'm hoping the meds will hold that outcome off for a long time. If I wasn't on the meds, I think I would have probably been partially there.
I'm in my late 60's back in my mid 40's I had debilitating knee pain to the point I could not walk, took 100% MSM (Methylsulfonylmethane) 1/2 teaspoon a day for 5 days after the 3rd day pain was gone. I also have a back injury it helps with it also take the the same dose once a month to be pain free works for all joint pain. Also good for Gout pain.
Try it you have nothing to lose but pain itself.
You never said what the meds were?
@@nFlames2 Meth?
Thanks for another fantastic video!
Of course Riki!!!
Thank you so much or this information. I was diagnosed 28 years ago by an orthopaedic surgeon with severe arthritis in both knees. Told me I would be lucky if I got 10 years without replacement. Physio said keep moving . Use hot’ cold when flaring up. Get good support for flat feet. I side sleep with pillow between my knees and legs. I take a turmeric/ ginger drink every morning. Had to stop hill walking as put too much pressure on the joints. I walk every day weather permitting. Can take stairs . Dance when the music takes me. I keep my knees flexible. I very seldom take anti oain/ inflame tabs , maybe twice a year . I think the turmeric drink I take help with inflammation. My knees are a slight bit puffy but I’m 70 now. Saw a new specialist 7 years ago due to flare up which settled before I actually got to see him. He said I’m certainly not a candidate for surgery and if I get any further attacks there a a number of treatments they can try before surgery would even be considered. . Hopefully things will continue this way
Great informative clip very helpful thank you so much again .
I was told I needed a knee replacement after a knee scope 23 years ago. I was only 42 yrs old. I quit running, continued walking and maintain a normal weight. I have some stiffness when I get moving and some mild discomfort going down stairs or downhills. But that’s it. Both my doc and a MRI had mentioned some bone on bone areas in my knee. Yet by making modest changes in my activity level and diet--My diet now is lots of fruits and vegetables, avoid sugar, rare meat--I’ve avoided any further surgery and am mostly pain free.. I think there’s a lot of truth to anti inflammatory diets and modest lifestyle changes.
@cindy Sanford Do you mind sharing what kind of arthritis you have ?
Great video, thanks!! I can tell you for me at stage 3 is the pain!! When it flare up, the pain is unbearable!!! Took me 20 minute to go from the car to my lazyboy chair (life saver!!) Injection does work but only for a while and it is pricy!!! With the specialist, it's very hard as they try so hard not to replace the knee!! I don't think sometime they realize the pain we are in!!!!
I'm stage four, but SO glad I found you because it seems like I can work this out.
I haven't gone through all of your videos yet, but I'm working on it.
Thank you so much for all you do!
Thank-you so much for breaking this medical condition down and more clear and a better way to treat this condition you have been such a BLESSING
Hey THEGREATANDMIGHTY! You're very welcome!
Love all your videos. You explain things simply and I’ve been working on my glute muscles as you suggested which has helped my knees. When I went to doctor he told me in about 5 or so years come back to see him for knee replacement. Your exercises have helped me tremendously and I thank you so much.
I agree! They are helping me too.
Me too! They told me I need knee replacement 5 years ago and I’m still walking & very little or no pain.
Was this a video? I need to look for it. Just been diagnosed with it. The pain is a lot 😢
@@og6015 I too need to do the knee exercises. I have terrible pain and stiffness in my left knee. Is there a video for the exercises? I have seen the one on this channel that shows you how to use your glutes while walking, toes pointing outwards rather than in front. Hope I got that right.
@@shirleychang2071 Very encouraging to hear you are doing good, without pain. Good luck!
Excellent information as usual. There are always choices. So true how things are worded.
I have “D”DD and still hiking at 85. Grateful for your videos! 😊
Dictors in the past have mismanaged my knee issues in one knee, and now it has happened in the other knee, too. I am a very active person and a serious hobbyst dancer. I am finally getting it sorted, but the damage has been done. I can't imagine my life without dancing. Even sleeping is uncomfortable now, and my other knee hurts all the time. I had a fall as well because my knee was so weak. All due to someone's negligence. Medical proffessionals should take these issues seriously. Thank you for your expertise.
Thanks. Will continue to watch more about knee cap and hip care .GOD BLESS YOU
Man I totally agree that you can feel better. I'm probably stage 3 or 4, about a year and a half ago I was in so much pain I couldn't even sleep, and nothing over the counter was working. I got one cortisone injection in each knee, and it alleviated the pain enough for me to start exercising again. I'm still in some pain, but I can get out and exercise and sleep with medicine.
I have both knee.Replace.and I have both legs done and then I broke the left leg again. I only get one pain per day.I am 83 so I have a lot of pain. Ty
I don't sleep well either
@@joannmccoy7889how old were you when you got your knee replacement. My mother 73 is in extreme pain from arthritis from 2 months she’s in bed, can’t walk. She has arthritis for many years but now it’s very bad. Her left leg was always bowed when she walked.
Cortisone will destroy your joints. Look into the gel or hyloronic acid injections you will need 3 or 4 injections 1 week apart then you will feel good for 5 or 6 months. Then you need to do the series again.
I get pain during the day with my knee but started getting it at night. Saw a physio exercises he gave me stopped the pain at night
Thankyou doctor for sharing this important information of Knee pain stages. I appreciate your good job.
I’m at stage 4 without a walker but I think I’m heading there . / I really liked your drawing. It’s dead on the truth , now I know where I’m at . Thank you so much .
Thank you, thank you, for teaching me about Stafe 3 arthritis. Three different physical therapists groups, three doctors and even a Clinical Research Study---I had no idea about the Stages of knee arthritis. You nailed it!!! I better understand now!!!
We are so glad we could help you understand better Teresa! Thank you for checking in and letting us know!
Thank you for giving me hope.
You've got this Jasmine! 🧡
I’m in stage 3 to 4 in both knees. I have A LOT of pain and stiffness but still stand at work 10 hours a day.very hard but try not to let interrupt my life. Shots only help for about 2 months. I finally decided it was time to go in for knee replacement in two weeks.
Hi, did you have surgery? Any tips or advice?
@@ummj.2738 it’s a rough first week. Be prepared to be extremely bruised up and down the leg. Muscles in thigh are very sore. But the worse pain is the day to two days after the surgery.
I’ve had non stop knee problems instigated by contact competition sport as a teenager. First meniscal surgery at 18. Now at 57, no ACL in either knee, no cartilages and bone on bone, constant swelling and collapsing, am having bilateral replacement/s.
What a mind blowing thoroughly explained video. That information is very good, but at the same time it tells me that not all doctors know enough about these specific problems. Or not all doctors are correct and not all doctors can actually be bothered to give their time to go indepth + work out the 'stage' a patient is actually at. I know that some practices have a budget. But whatever it is,. When you do feel that your not getting the help you need, it certainly doesn't help your own mental coping mechanism to deal with the pain you are in.
My knees have been in stage 2 for 20 years, but now unfortunately my right knee is in stage 3! It's painful to walk so I stay at home all day and it's sooooo boring! I do tailgates and strenghten my glutes, but I think I'll need a knee replacement. I love to walk and I'll go crazy if I have to stay inside forever to protect my joints and prevent surgery. Love your videos. What you teach makes perfect sense and helps a lot❤️❤️
My one knee was in stage 3 but.... After watching many of your videos i understood that i need to save it from intensive weight or regular day activity.... As i figured out that knees don't heal faster.... So i put very little weight on it for a month.... now It's getting really good with days passing.....i think i will be able to make it to level 2 or even level 1 within next 3-4 months... If it's keep healing with this speed.....im also very thankful to you....
Very thankful on this information.
How are you doing now?
@Miguel Silva this is the first time I am hearing this. I hope there is a way to really regress it. I am always in pains😢
Can you share which is what you do?
I understand what you’re saying because I have been having the same experience for the past 11 years and every time I get better I start like a teenager and wreck my knees again. It has happened hundreds of times and I feel toaday that your reply to the doctor is a perfect remedy for me. I will report in a month on my progress. Thank you and thanks dr. Manuel.
Great information. Thank you
I was diagnosed at stage 3 following surgery. Told i wasn't a candidate for replacement at that time the pain was so intense my consultant agreed to do a partial replacement. 4 weeks on I had the replacement and following surgery he told me it had changed to bone on bone that was within a 4 week period. Im now awaiting results of another MRI for my right knee which has rapidly gone and is actually worse than when i had my left replacement.
So much good information - thank you so much!
Thank you very much for a very concise and informative presentation. One of the best if not The Best I've seen. You are very caring and positive, what a good man you are.
The
Good explanation,
This is an excellent explanation. Thank you for putting forth the effort to educate those who are suffering with this issue.
Hi Holly, it is our pleasure! Thank you for taking the time to write such encouraging words. In case you are interested we have a playlist for Knee Arthritis Help. You can access it here: “Knee Arthritis Pain Help”
ua-cam.com/play/PLJVIPiFvv1maa9YF-WmKLF7oI4VoczH8i.html
We'd love to hear how you are doing as you progress.🙌 Please take care!
I'm not even 40 yet and I am at stage 2 and osteoarthritis in my hip, same side as my knee. Any pressure on my foot causes so much pain to shoot into my hip. Well, the front of my hip/groin area. I've done physical therapy for 3 months, my knee improved along with taping for a patellar tracking disorder. Did an injection in my knee that worked for about a week.
But my hip, I have made little progression
Ive been at stage 4 quite awhile, people i know had replacements and regret it. Some have to be redone. I just dont want to take the chance. I've had injections, physical therapy, several times and arthroscopic surgery. It lasted a while and the arthritis just comes back. The pain is chronic. I can hear the bones scraping when trying to move a certain way.
Great, informative video!
Thank you Ur a great speaker So proud
Is there a lot of difference between types of arthritis? Inflammatory arthritis, osteoarthritis and rheumatoid arthritis? Does type change treatment? Thank you for putting out such wonderful information and exercises, Dr. David!
Brother your info is superb! Subbed and have began glute strengthening per your
suggestion. Sitting on bar stool jammin'
for hours is taking its toll at 58. My job ;)
Very cool Ray!!! 🎸 🎶
Please let us know how you do with glute strengthening!
A very usefull video thanks
Really great video. Thsnk you.
I'm in stage4 I got a lots of pains but I still go work 7 days a week. After work I felt like 110 years old lady. I try everything over the counter knees brakes nothing work. Thank you Jesus He still wakes me up and He taken me to my daily breads. Thank you Abba 🙏🙏🙏😭
Advil works for my mom.
Yes I’m the same 🙌🏾🙌🏾❤️
I don't think you mentioned the knee 'giving way'? Both of mine give way, sometimes within moments of each other.
Me too after an accident at work so scary I tumbled down a hill & broke tibia, now have a rod in other leg.
Your art work is just fine.
Thank u for all infos and caring❤
My knees are so much better since I stopped teaching. Those hard linoleum floors all day everyday were killer.
I’m at stage 9 . It sucks I never thought I would be handicap. I can’t sleep the night without almost crying in pain . I can’t even get in my car as a normal person.
I have seen surgeon, both knees are bone on bone at medial aspect, left knee worse. But with OA in my right ankle and metatarsals my exercise are limited. Doctor your phases make sense as I stopped working 7 days straight in an ER to 6 days straight my knee is not as uncomfortable.
I am 95 and had a left knee replacement in 2007 the surgeon said my right knee was close to needing the same. I didn’t listen and left it, it wasn’t a problem for a long time but for the last 7 years it’s got worse and really painful. I walk with w walker now to take the pressure off the knee but it’s really painful. My knee bends easily without pain but suddenly it’s sore while sitting not bad but I feel it. At my age I don’t think surgery is possible..
I'm baaaaaack! My knees are still doing great...no pain, and I am so grateful for your help. My husband just underwent colon cancer surgery, and before it was diagnosed, his weight dropped, and his memory is so NOT there now. I pray that is resolved as he recuperates. In the meantime, I am doing everything, and if I had to deal with that previous pain, it would be dreadfully difficult. Now, I have a weird issue with my thumb. When I bend my right thumb, it pops. I can't hear it, but I feel it pop, and there is an ache that is minimal. Hint: I sometimes take things OUT of the oven with one hand, and I try not to do that, but I should take out two potholders, DUH. Right now, it seems to have corrected itself, but I did put slight opposite pressure on it. Is there a term for this condition, and what usually causes it? Is there something that I can do to strengthen that joint? I think I all ready know what may have caused it...and going forth, I will be sure to grab two pot holders. I want to avoid arthritis in my body. My retired doctor checked my knee, several years ago, and said he heard bone on bone sounds. Well, that knee, and the other are doing so great, that many years later, I am convinced that severe arthritis can at least be delayed. That gives me hope for my thumb joint. So happy to see the kudos coming in for your wonderful site.
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Sounds like trigger finger (thumb). If it progresses, sometimes it gets stuck and you have to fix it with the other hand. I have had surgery on both middle fingers because they eventually got very painful. Rest can help sometimes
Thank you for your educational videos! You speak a lot about knee osteoarthritis…do your recommendations also benefit those who have chronic knee pain and degeneration not only from age and wear and tear, but also from old sports injuries and surgeries? I’m 61 now, but have had 4 right knee injuries and 3 right knee surgeries in my younger years (including medial meniscectomy, an arthroscopic surgery, and an elmslie-trillat) when medical technology wasn’t as advanced. Yes, I was told I’d have to have a knee replacement someday. I think I’m in stage 3 right now. Does your advice pertain to me as well? Thank you!
Thanks! I was just dx with stage 2, mild. My ortho gave me pt to learn new exercises to take pressure off my knee. This makes sense, I've had huge back issues 15+ years & learned to adjust.
Hey Sarah, you are very welcome! We are glad we were able to help you and we would love to hear an update in the future!
Thank you for a lecture....