Thank you, Dr. David. I did your exercises many months ago, after being told, that if I needed a third injection in my knee, whch was diagnosed as the beginning of a miniscus tear, I would need surgery. The pain was acute, in the inside of the side of each knee, the left being worse. I had hyperextended both doing an exercise. I turned 78, in June, and since then, my puppy mill rescue was diagnosed with kidney failure, and my husband has dementia...SO...I was changing doggie diapers to a blind, and deaf dog, and having to take over the bills, and finances, plus several other learning curve items. SO...I truly am grateful my knees are awesome. We had to put the dog down, after he suffered a bout of pain, and stopped eating. Add depression to the menu. I am a strong person, and I am fighting, and NOT having to deal with that pain is a true blessing. You are truly an awesome person for sharing your knowledge, and experience just to give others freedom from really acute pain. I just purchased one of those mini chain saws, and I am sawing limbs with ease. So glad I am able to do things many younger people find difficult. People need to know that they don't have to give up. Movement keeps us healthy all over, and sitting makes many pains worse.
As usual … a good physical therapist is worth 10 orthopedists. An orthopedic Doctor’s only answer for joint issues is pain meds or surgeries. Thanks for the knee exercises … I’m bone on bone in both knees, and have been told I need replacements. Your exercises have helped me tremendously in the last couple of days. It gives me hope ..Thank you sincerely .. Jeff - Thousand Oaks, California
This guy talks a lot of sense. I've taken his advice on walking correctly, glutes, and scoops (on his video about pain in the inner knee). I followed the advice alongside what my current PT plan. I eventually got to see a specialist after an MRI. The specialist told me I would need a knee replacement. But after watching these videos, and listening to advice from people waiting, and people who have had the op (both on the Internet and in real life), I decided to postpone any surgery until I absolutely needed it. It's one of my best ideas, ever. My cartilage has been destroyed due to an imbalance in the way I walked. The podiatrist gave me some insoles to correct my gait. They hurt like hell at first. As did walking with my feet pointing out instead of inwards. I've gone from not being able to go up and down the stairs without using my hands due to the pain. To being able to walk 2 miles without it. I truly believe I can halt the progression, and maybe, reverse some of the damage, now I'm not putting all my weight just on the insides of my knee joints. When my knees first hurt, I stopped doing any activity. Was miserable. Despondent. Looking at the prospect of being in a wheelchair. That was the worst thing I could have done. You have to keep active. You have to keep mobile. So long as you do the right exercises (this guy, is amazing for the advice, I really recommend it!) One thing that really, really helped, was getting enough sleep. I went from 5 hours a night, to 8-9. It was a massive difference. Both in my mood, and my bodies ability to repair itself. I've nearly doubled the time my body can heal. Stress, avoid it. Be positive, it will help. I understand your worries. I had them too. In the end, I realised just how much I loved my knees, and how well they have served me in life. And rather than hate them, I loved them instead. I worked out, that having walked around 10 miles a day, on average. For 50 years. I've walked nearly 3 times around the Earth. Now that is amazing! Why would I hate something so amazing. Give them a little bit of TLC, and I'm hoping they can get me the rest of the way. Then it doesn't matter if they explode! ha ha ha... What an amazing bit of evolution. Truly.
Hi William, Thank you so much for sharing your incredible journey with us! 😃We’re thrilled to hear that you’ve found the advice in our videos helpful and that it’s made such a positive impact on your life. It’s awesome to see how you’ve taken control of your situation and chosen to delay surgery in favor of focusing on proper walking techniques, glute strengthening, and making adjustments to your gait. Your story is a powerful reminder of how important it is to stay active, even when faced with pain and challenges. We couldn’t agree more-sleep, managing stress, and staying positive are crucial parts of the healing process. The way you’ve come to appreciate your knees and all they’ve done for you is amazing to see. We hope they continue to serve you well for many more years to come. Keep up the great work, and thank you for being an inspiration to others facing similar challenges. 🙌
Hey @rndst6, we are so glad to hear you resonate with our message! 🙌🏼 There are many reasons why overemphasizing quad work can worsen knee pain symptoms. The key is in finding the right balance, but it's very important to become obsessed with having more glute strength to effectively offload your knee!
Hello David, coming off meniscus and chrondroplasty knee surgery which is pretty angry still. I am off crutches, using a cane but still having pain. My PT is doing all the things you say not to do. It's depressing. I find it hard to tighten my glutes standing.. I can do it on the table.. your ideas are unique and make sense.. Is there a place we can print your ideas? Thanks so much!
I admire that you are not a doctor pushing for unnecessary surgery of the knee. Thanks for message that cartilage can actually rebuild heal itself. Thanks for enlightening us. New Orleans.
I had miniscus surgery in 2003, and then told i needed knee replacement by an orthopedist...I have been trying stretching and strengthening exercises since then, and told 2 more times by 2 other doctors i needed knee replacement, but today(2023) I am walking better than anytime in last 20 years, and i continue to stretch my knees and to do low impact exercises like bicycling..I do not know exactly what is happening except that I am improving all the time, and I follow your videos, and really wish more doctors would give people more options than just knee replacement..thanks again...
Hey Dorothy, sorry to hear you have been dealing with chronic knee pain :( We are glad we were able to help you! If you are interested in some of our other content, we have a great playlist of videos for knee pain. Here is a link if you are interested: “Knee Pain Exercises, Stretches, Advice, & Tips Playlist” ua-cam.com/play/PLJVIPiFvv1mY02hvFckRQO55HfAqDtWrM.html In case you would be interested in something a bit more structured, we have a program to help boost the health of your knees that may be great for you! Here is a link with more information in case you are interested: The 28-Day Knee Health & Wellness Boost 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, ACL tears, ligament injuries, chondromalacia patella, cartilage problems and other knee conditions.To learn more please click this link: www.epmanualphysicaltherapy.com/knee-health
Hey Doc, i'm a fairly high-level tennis player in my 40s (competed all my life throughout school), and I am pretty hard on my knees (as you could see from my videos). My ortho just told me this week that my MRI says that if I keep going like this, i'll likely have to get a knee replacement within 20 years. He diagnosed me with Osteoarthritis. Finding your channel has given me hope that I won't have to stop doing what I love... been doing your exercises, esp strengthening the glutes, and massage gunning the quads. I used to do the quad stretches that you talked about in this video... now I see how ignorant that was lol. Thanks for all your help, Doc.
Hey Dr D I've been doing ur knee program now for 3 months and having great results. I do the exercises every single day. Going up and down stairs is so much easier now again. I'm also doing ur shoulder exercises - results r a little slower. Please please do more videos for shoulders. Thank u so much for all ur hard work and time. No one else teaches this stuff !
That's so great Miriam!!! We're so happy that you've been getting great results from the 28 Day Knee Health & Wellness Program!!! We've got plans for more shoulder content in the future :-)
Doctor, the best channel for knees and joints..you are a treasure and Saint for helping us all! Im 65 and thankfully OK and with your help hopefully stay that way. At my work co workers have knee issues and recommend your channel, Big hug
Hi, I' am a physio from Germany. I knew about the importance av the glutes but I also showed exercise for the quadriceps to my patients. Since January I myself have problems with my right knee. Yesterday I saw your videos about how to walk and how to climb stairs + exercises for the glutes. I was excited and tried all of them with success = less pain. Today I showed some of them to a patient of mine and even she felt better while doing the activities your way. Thank you very much! I love to improve my skills (and my right knee😉).
I had a really bad fall nearly two years ago. I had scans ,and pain killers etc. nothing has really helped , BUT a a few weeks ago I saw a woman on you tube with all the same problems I had , knee giving way ,especially on the stairs , and if I turned suddenly, even when driving moving foot from accelerator,to break . But she went to chiropractors, and I watched what he did , and showed my daughter , as she is a massage therapist I got her to do this lymph drainage, and in just two weeks , this has helped much more than anything else . She is spending an hour on my legs about 2/3 hours a week. It’s incredible the difference . REALLY …
I’m not sure how I will be able to see your answer if you answer my question, but it’s important- So I am trying. I’ve been overusing my quads I think, trying to protect my knees (teaching dance - working on glutes, wondering if I should stretch hamstrings less and if stretching my quads will hurt or help. I’m a 67 yr old dance teacher who needs to work to survive. Thank you for your work and wisdom
Hi Christy, you're welcome! We are thrilled you found us too! Just in case you're interested, we have a playlist for knee cartilage help. You can access it here: “Knee Cartilage Help Playlist” ua-cam.com/play/PLJVIPiFvv1mbdl1FVQx8BCGdNaOyGo09p.html We wish you all the best in your road to recovery. We'd love to hear how you are doing as you progress.🙌 Please take care!
From Caroline in Zimbabwe 8th April 2023 - 72 years old - hyper flexing injury 10 months ago - MRI showed torn cartilage - was able to play some tennis - but unable to get full knee extension - decided to have arthroscopy 3 weeks ago. What you are showing on this video - MAKES SO MUCH COMMON SENSE - I feel I can improve my cartilage somewhat now - (PS I am a trained physio but did mainly hospital work and rehab not much sports stuff) - thank you EL PASO
Cape coral, FL here. You have given me a miracle fixing my hip. I'm here because you suggested healing cartilage. I take curcumin for my knees with wonderful results but who knows how long it will last. Healing cartilage in both places would be amazing. Thank you. Your amazing.
I'm not sure where I got the idea to strengthen my quads, but I kept trying to do that. And stretching them as well. The physical therapist that I went to did seem to stress the quads over all other groups (ouch). Imagine my surprise when isometric exercise that focused on the entire leg musculature ended my knee pain for two days. I'm an old unit and I understand that I need to keep good care of myself nutritionally, staying hydrated and moving within my limits and avoiding injury, but I now happily put the effort into those isometrics that engage the entirety of the feet, calves, quads, and also include the hips and the lower abdomen. It's helping me to walk more easily and safely. Who'd a thunk you could sit in a chair and get stronger? Thank you for sharing with so many people and helping us all learn more.
Watching this video from beginning to end has given me a whole picture of the knee and how "it thinks," aka what's good for it, and what not to do. Fabulous video.
Thank you so much! I have been asking my ortho questions and getting no answers on what I should and should not do for my torn meniscus. This was exactly what I was looking for!
Thank you Dr. David for the time spent sharing your knowledge with us. I am a 60 year old female who has been having problems walking in the past 3 months I recently visited the doctor and was diagnosed with Osteoarthritis, I have to walk up and down 18 steps with much difficulty. I am from Trinidad
Hi I’m from Winnipeg! I suffer with bone on bone knee pain and I haven’t seen a surgeon yet, not for another 3-6 months and don’t expect surgery for 12 months afterwards! If I can find relief without surgery, I’d be thrilled
Hi doc!am from India,on the brink of a knee surgery,which I was very against,but now I cant seem to be able to avoid it😢 I came across your video and have been greatly benefited. Thank you! Here dpctors are out to just cut up anyone who goes to them for advice
I remember a bang to my knee that took weeks...months that took to heal completely...it was bad and paintul... Luckily today it has not come back to be painful as I get old...crossing my fingers and taking a joint supplement for decades..hope it helps Thanks for the talk
I am Lady Hope Job from Nigeria. I’ve a serious knee pain for more than a two years now. Please help me the pain is too much. Thank you for what you are doing 🙏
I couldn't bend or straighten my knee at all for 2 months. While it was painful to do, I was succesfully able to restore at least 95%! I can fully straighten and bend it now. You have to get creative & push past the discomfort, once the swelling comes down a bit!
Why am I waving back to Dr David? 🤣 Could be because I am in less pain and can exercise more comfortably since finding this amazing channel. Best wishes from the UK.
I'm 32 years old and I had thigh internal rotation all these years but I was unaware of it. I used to play cricket, running, squatting etc. Because of this, my cartilage is damaged. Now I'm doing physio therapy and hopefully I'll recover in few months and enjoy with my daughter.
My husband had a Cartledge removed 60 years ago, it wrecked his football career, 25 years later he had a knee replacement, is that the usual op they do today ? Thank you, I’m watching from Australia. Thank you I love your videos.
I'm not a professional, but I've been playing soccer my entire life and I train hard, I do cardio, HIIT and I strengthen my leg muscles. I always thought having stronger quads meant less chances of getting injured, but after watching this video I guess I was wrong. After 10 years, I've been experiencing cartilage wear issues and bone spur pain again, I was halfway through my recovery and thought it would be good to strengthen my quads again and I made a huge mistake. Now I'm regretting it, I just don't know how often it is safe to do quad strengthening, how much weight, reps, etc... But letting my muscles and strength go away forever is also a huge no no... Moderation! I just need guidance...
bro it's ok to strengthen the quads, he mentions in other videos that the problem is that most people have very weak glutes, once you strengthen and build up your glutes to work properly it is then ok to work on your quads in conjunction with the glutes, as long as the quads aren't so strong that they are taking over for the glutes...you basically want strong BALANCED leg muscles, all of them, calves, tibialis anterior, quads, hammies, glutes....the problem is most these old outdated PT's ONLY tell you about working on your quads, they avoid everything else and create more IMBALANCE
I've had a mensicus tissue tear 4 months ago and still doing physiotherapy on my own at home. No pain but a little bit of stiffness when I sit for a while. I really appreciate the video reg walking and exercise to improve the quads. How long should I continue physio..? I'm 67... before my injury I used to walk 8 kms in the morning and cycle 5 kms in the evening. I think this caused my tear due to my age.. ?? Otherwise I'm fit and weigh 52 kgs. Do all my house work, drive etc as it's my left Knee and and no clutch to operate. How long do I need to wear a knee sleeve or brace..? Thank you Got alot of information regarding my knee.
Been 4 years - i retired because of torn meniscus and a couple spots worn through the cartilage . Haven’t really done anything , other than i stopped walking too much . kind of surprised that I haven’t had any pain issues with the knee . Would like to get another MRI , but haven’t found a doctor who isn’t a pill pusher . ** I’d like to see a video of someone who actually healed or even slightly improved a bad knee
Thank you so much! I had a serious fall on both knees. Cartilage damage in both and now Osteoarthritis in both. Talk about being in Hell with swollen knees and excruciating pain where I couldn't even walk. I was practically dragging myself around on the floor. It has been over 8 months now. 8 months off work. On the waiting list for endoscopic surgery to shave and clean cartilage. Which I do not want to do. I went to Physio and all the exercises you said not to do, my Physio made me do including resistance bands with the knee extension and weights with squatting. It was painful. No matter how many times I told him, it was causing me great pain. He treated me like I was some kind of wimp. I did martial arts for over 20 years! My knees ballooned up and I couldn't walk again. After that I stopped going to Physio , wrote him a nice e-mail saying I was stopping and still he insisted I had to continue weight bearing exercises! I knew those exercises were stuffing my knees up but wanted so much to believe in a professional. Thank you for your advice, hopefully somehow my knees will get better ❤
Hi, listening from Ireland, so glad you popped up on my screen. Thank you again for all your information. I have a meniscus tear for last 9 weeks, very painful. Good to know what helps and appreciate the advice to rest when it flares up rather than exercise through it. Really appreciate it thank you 😊
Hey TheMaryg11! Glad you're here! You're very welcome! If you're looking for more information, here is a great playlist we have on meniscus tears! "Knee Meniscus Help" ua-cam.com/play/PLJVIPiFvv1mZ9Vh4eRH3UlmMeqOUtB-6a.html
if we presuusre on cartillage so ut will be strong as u said but they said ur cartilage damage cuz u work much walk much over walk over weight over work and damage ur knees etc so its dsame both palces knee get pressure then cartlage too so how it will be strong@@epmanualphysicaltherapy
Hi from India! Thank you for your amazing videos Dr! Wanted to know whether walking in the swimming pool helps in osteoarthritis? I have pain and swelling in my left knee!
Hello Seema! Swimming can be helpful as long as you're not over using your quad muscles. If you have swelling right now, you have got to get it down before you go into aggressive exercise. Here are some playlists that might help you. “Knee Swelling Help” ua-cam.com/play/PLJVIPiFvv1mb17SwpI5eM0Uca2qvg7gsC.html “Knee Arthritis Pain Help” ua-cam.com/play/PLJVIPiFvv1maa9YF-WmKLF7oI4VoczH8i.html
Hi my name is Pheona, I'm from Barbados W.I. I have having problems for a long time. My knee locks off a lot. I ŵould try your exercises. Now, I'm watching your videos. Thank you.
Thank you for watching from Barbados, Pheona🇧🇧 👋🏽😊🧡 We are so glad to have you here. We are sorry that you are suffering form issues with your knee locking a lot. We hope this is able to help! “3 Tips For Knee Cartilage Problems” ua-cam.com/video/GbP43DPMknA/v-deo.html “Knee Cartilage Help Playlist” ua-cam.com/play/PLJVIPiFvv1mbdl1FVQx8BCGdNaOyGo09p.html We hope this helps! Please keep us posted on your progress 🧡
Hi doctor my name is Randy my wife is suffering from severe knee pain according to the doctors they are saying that cartilage is damaged and it’s dry what do you advice it’s very difficult for her to walk she is on the fatter side I mean heavy weight kindly advice as to what is best
Hey Randy!!! Sorry to hear about your wife's knee problem :-( Cartilage can heal! Getting stronger glutes is very necessary to help it heal. She's got to work on that first. Next she's got to learn as much as possible so she can help herself. Here is a playlist of all our knee cartilage videos: "Knee Cartilage Help" ua-cam.com/play/PLJVIPiFvv1mbdl1FVQx8BCGdNaOyGo09p.html
Several years ago, while starting to exercise, I did 5 short squats while holding onto a bed post. Left knee swelled up so couldn't bend knee for 1 week. Since memory is short, I did that again: same result. The skin felt really "tight" around knee......so I decided to do 30 second stretches.....calf, quad, and hamstring each. This solved the problem. But, I'm noticing that "tightening" the glutes when straighten leg really does help. Great idea!
I really enjoy your videos, very helpful. I had surgery to repair a meniscus tear in my left knee 7 months ago. I went to PT for 2 1/2 months post op; their therapy included strenghtening the muscles around the knee (including the quads), doing lunges, squats, and weight bearing exercises, exactly what you don't recommend! I have arthritus in my knee, and walk with a slight limp. My range of motion is about 80%, there is slight discomfort when I walk, kinda tight. My DO took another xray and said I have bone on bone and reccomended knee replacement. I'm at a crossroads. I'm very active, golf, tennis and surf, and still do them but at a decreased intensity. Would a knee replacement get me close to full mobility, or can exercises and streches improve my bone on bone and daily arthritus discomfort?
Repair ? Or did they just remove torn cartilage ? I have torn meniscus and a couple holes in the cartilage from walking with a bad ankle . When the knee pain started doctors wanted me to take pills and get the arthroscopic surgery . I know people who have done that and it was just a couple years and they had to get replacement surgery . I retired and stopped walking . I can do several hours of yard work and my ankle starts hurting . I am surprised my knee is ok for almost 5 years without PT . I realize injuries are different , mine is the old age worn out type
Thanks so much. 👍 I had an x-ray on 21:07:2023 and was told I need knee surgery... that's what made me google on UA-cam and came across your videos. Thanks so much from South Africa.
Hi Doc , really loving the content . long story short few years ago had ACL and meniscus reconstruction , last month while playing basketball I have re injured that knee, gave way when Ianded on it, had an MRI the graft is still in place however I have damaged the cartilage , now grinding / popping when I'm straightening or walking . What would you advise so my knee doesn't give way again while playing basketball and how long until I can stand playing again
Hey Carl, sorry to hear that you re-injured your knee :-( You definitely need to let that knee heal which could mean you need to back off on sports for a bit...really as long as it takes for you to feel better. Cartilage is the slowest healing part of the body. It could take 3-6 or even 6-12 months depending on how bad the injury is. You definitely need to work on an muscle imbalance you might have. For basketball, you must gain A LOT of strength in the glutes to tolerate all the jumping and cutting. It's really easy to get the quads over-dominant while playing basketball. Quad dominance increases the pressure on the knee cartilage. You should see the rest of our videos on knee cartilage here: "Knee Cartilage Help" ua-cam.com/play/PLJVIPiFvv1mbdl1FVQx8BCGdNaOyGo09p.html
Dr David....you've been a blessing for me with your advice on cartilage repair and avoiding knee surgery. The OS tells me I'm bone on bone and I need knee replacements and I'm trying to avoid this. Watching your videos with the appropriate exercises but really worried about damaging my knees further. I'm 67 and regular with 10mins bicycle at home and pilates 3 times a week and a bit of walking. Walking is painful after 15mins. What is right for me to do? Sorry to bug you about this. Rucksana Virjee, Toronto, Ontario
Hey Rucksana! Dr. David has chosen your comment to answer live today at 4PM MST (that's in about 4 hours). You can go to the link below to join live or catch the replay. "3 Important Exercises You Need Right Now For Painful Bone On Bone Knee Arthritis" ua-cam.com/video/aoT7G3hLh6A/v-deo.html
So here is my deal. When I was 18, I had orthoscopic surgery on my right knee. They removed some loose cartilage. Ever since then my knee has been weak but didn't really bother me. Now I am 57 and my knee hurts all the time. Also, about 4 years ago I damaged the other knee playing frisbee, and now it also hurts all the time. I was under the impression that cartilage never healed and could not grow back. I cannot afford to not work, and my job has me on my feet all day on concrete floors. I was on Meloxicam, then on Voltaren. Now I'm taking Naproxen. I find that stretching my hamstrings helps with the pain, some. After I have been sitting or driving a while my knees get stiff. I also have mild scoliosis and diastasis recti which seem to be on my right side more than my left.
Dr. D, what do you do if you're job involves standing in one spot for 8 and a half hours? How can I take pressure off my knee caps in this case? I bend my knees slightly as I don't want to be standing completely straight either. What to do?
Hey Hansel783!! That's a tough one!! It sounds like you're doing the right things. You've got to see if you can still improve in your knee despite having to be on your feet for so long. You probably can do it. If your knee cartilage is too far gone, then you won't show an improvement and you'll have to ask for a job modification or consider changing jobs. Hopefully it doesn't come to that!
@@epmanualphysicaltherapy My cartilage is still good. Just some crackling in the right knee. Is there anything I can do while on my feet for 8 hours that can help with easing the pressure a bit? Like is there a certain way I should be standing? I sometimes stand with my legs apart. Is that okay or could that make things worse?
Hey Germaine, thank you so much for the encouraging words. We appreciate you tuning in. In case you are interested we have a playlist for knee cartilage help. You can access it here: “Knee Cartilage Help Playlist” ua-cam.com/play/PLJVIPiFvv1mbdl1FVQx8BCGdNaOyGo09p.html We'd love to hear how you are doing as you progress.🙌 Please take care!
Thankyou Dr. David, I have an "angry knee" where the fluid feels stuck in swollen areas. Bursitis of some kind? I am going to try the knee swing exercise for each knee. Update! After 5 minutes of knee swings the pain is reduced I am almost limp free. I still have swelling but right after exercises, I had marked improvement... Almost no pain or discomfort. I also massaged my thighs to help release tension. More knee swing rounds to come for improvement! I feel very encouraged to watch more videos as I go to heal and strengthen the right muscles. Go Glutes! I'm here in Silver City, NM. Thankyou! Dr. David! 🦵🦵💪
What a ton of new information. I need to totally rethink my leg use! No more quad stretches! I will miss those! But glad to know that squats are helpful . I can do them without pain. But usually the next day I have more pain. What about dead lifts?
Hey NAB, yes this can be a lot of contradictory info compared to what mainstream healthcare pushes. If squats are causing your more pain the next day then you're doing too much, or doing them too intensely. You need to also make sure your technique is correct so you make those glutes work. Here's a video on deadlifts. They're a really good exercise when done right. "How to properly do Deadlifts - Deadly Deadlift Mistake | How to Deadlift for crossfit" ua-cam.com/video/5QZ3_TVJY_0/v-deo.html
Thanks as always for your great advice. I had a car accident and it created a 4-5 inch hematoma on my shin below my knees. My left knee turned outvok, but the nerves in my right shin really protested all the rubbing at PT. I still can barely touch it, today, 3 years later. That said, my right knee is just acting up. Plenty of space, but I can't stand long on it, can't turn it wrong, can't walk down hill, bend it, stairs are a pain, but I have hope, as I am resting it and the pain is easing up. MRI is set next week, and with your amazing advice, I'll listen to results to avoid surgery and continue healing. Crossing fingers it's not scar tissue and inflamed nerves. Before I allow surgery, I'll consider your knee program once I have a diagnosis. Yes, steroid shot a year ago and recently, and I tried gel, but both failed after minimal relief for a day or so. My friend is ice, my pool, and rest. Still to angry to do mild kicking, so I just do small movements. You're the best and love your smart advice! And I caught that bit about water intake too and I've been on it lately!!! 😊
If traction feels good, it might heal eventually, crutches 2 get around, 2 bouts of herniated disc, today, 3 years later, minor discomfort, sometimes worse, function normally,
I am an athlete, and I coach a few young children. My understanding of stretching the quads is while it causes pressure increase for 9 minutes per week, but it buys you the rest of the week of having less pressure on the knees. I have also had a lot of my athletes knee pain subside with stretching and quad exercises that target quad imbalances (and tons of posterior work). Is your advice in this video just to allow for cartilage regeneration? Or would you eschew stretching for anyone with knee pain? Doesn't stretching allow for less pressure on the joint in the long run? Thank you. I appreciate your videos very much.
Hey Paul, the research shows that the benefits of stretching only lasts hours whereas the benefits of strengthening last days. That's why we recommend strengthening over stretching - it's a more efficient use of time and energy for helping knee problems. Light stretching should be okay on the cartilage. But we find that people have a hard time keeping the stretch light. Also since stretching tends to be easier than strengthening they avoid strengthening. And that is what they need in the long term to fix the muscle imbalances.
@@epmanualphysicaltherapy yeah, I understand connective tissue is viscoelastic, therefore less pressure often causes faster change in soft tissues. thank you for your reply
I've had sudden knee pain (had accident 18 months ago & my knee hit hard ground), no pain till recently - now inner pain. I've just seen your videos & they make so much sense. I hope I can get to do the exercises, but at the moment the pain is stopping me.
Hello Doctor. Thank you for everything you do. Might I ask, does your 6-12 month estimate apply to focal high-grade chondromalacia patella? My PT seems to think 8-12 weeks. I am 5 weeks in and there is good improvement from where I started, but I still feel pretty far away from being able to return to any moderate to high- level activity such as hiking or moderate weightlifting for my legs.
I’ll try to do 5 week updates for anyone who is like me and wanting to read through the comments to compare anecdotes similar to their situation. I’m now at week 10 and I am still overall far from where I’d like to be. I still sometimes have a bit of discomfort sitting, standing and getting up and down. Some days I feel almost perfect but then others I still struggle with these issues. I don’t yet feel ready to say, jog or hike, if I wanted to. The other day I flared up simply from walking in sandals for 100-200 yards and standing in them for 15-20 minutes on July 4th (sandals probably weren’t the wisest idea but I thought maybe I could handle them because I felt pretty good that day until doing that). However, there is no doubt I’m improving on some level because like I said, I do have some days where I almost feel fine, and I am now squatting almost 100 pounds with no pain or discomfort afterwards.
Thank you, I have definitely been exercising wrong! My quads are compressing my knee! I'm going to work on my glutes to balance out the muscles! Thank you so much for this information!
Thank you kindly for sharing your brilliant thoughts unselfishly. I hurt my knee 3 weeks ago probable medial meniscus tear. I still have a little bit of swelling ...do you recommend massage, heat packs and muscle stimulator machine at this point? Thank you so much again and more power to you from Kelowna, BC Canada. God bless you and your family.
Hey Ndidiamaka! Using a rowing machine 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 rowing machine, then you will likely make your knee problem worse :-(
Hi watching from Bangalore, india Had swelling in my one side of left knee. Have started your 6 exercise which you had in one of your video. Orthopedic doctor had suggested half knee replacement surgery which I don't want to go for. That is why this also my concern.
i was diagnosed as having knee hypertrophic degenerative osteoarthritis changes. what is it? i didn't go back to my doctor , I find your vlog more informative.
Can I Use A Rolling Pin For Muscles?? Like The One You Use For Baking???? My Pain Is Knee and The Back Of My Leg... Arthritis In Knee.... Thank You.....
Hey Tunji, Greetings from Texas! We are touched by your kind words and we hope that you get some relief soon for your knee joints. 😃 In case you are interested we do have additional information and exercises regarding knee cartilage help. You can view the playlist here: "Knee Cartilage Help" ua-cam.com/play/PLJVIPiFvv1mbdl1FVQx8BCGdNaOyGo09p.html
I started getting knee pain at 46. After doing quad exercise, basically squatting... I no longer have any pain whatsoever, I enjoy trekking and hiking now, I am currently 49. Advising people to NOT exercise/use their quads is terrible.
Thank you dr. David .I m listening to your lecture for the first and I enjoyed it as I m osteoarthritis patient.My both the knees pains and burns as well.I am attending physo therapy too.I can’t stand more than 15 min. and walk more than half a km. I am trying my to get better.
Hi Namita, you're welcome! We're so sorry to hear that you've been suffering form osteoarthritis. It's frustrating to deal with sometimes and we hope you feel better soon. It's great to see that you are doing something about it. We have a playlist for knee arthritis help if you're interested. 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!
Hi Doc. Please tell us which is better: knee “sleeve-type” braces that go right over the patella or those that have a hole for the patella to move more freely and without pressure. (I’m thinking the latter.)
This is also my request Dr David. Could you please make a video about how we need to massage/ pressurise to knee cartilage to become thicker. Thank you. God bless you
@@epmanualphysicaltherapy Hi sir, please help me, Let me tell you about my situation. My knee pop very very loud when i straight a bended knee. And sometime pop is below the patella like in lower region and sometime in right of the patella. My knee i aching also too much. Also if i out my hand on my knee cap and move my knee the feeling is not smooth. My age is 27 only. I have a sitting job. I had an xray too and its in my right knee. I have been doing glutes exercise from today. Please help me out i am very worried. Is their any way to fix this or this is life time. is their any way to connect with you
I read the article, "Mechanoadaptation: articular cartilage through thick and thin". It says that if one has never used a joint (eg. due to paralysis), one can build healthy cartilage cartilage through through moderate exercise. However, if one has OA, exercise will NOT build healthy cartilage. The authors posit that more research may lead to future treatments.
Strong quads lifts the knee cap away fro the knee. Weak quads are thinner, so the knee cap then rubs on the knee joint. It’s best to strengthen the quads without bending the knees, by keeping the knees straight.
Dear Dr., hallo from Czech Repubic, thak you so much for you advice and the videos, they are marvelous. Afther injury of my patella and meniscus of ouside my knee. I was walking badly for too years now, and afther the execise you recomendate I can walk freely again!!! No stiffness around the knee at all🙂
Hi Doc David Jovina here watching Florida . Happy to watch your video. You inspire me I thought I will be suffering my knee pain forever. Through you I know that cartilage can be repainted or generate again.
I love your channel. And I enjoy your exercises and stretches for bone on bone osteoarthritis in the knee. I am curious what your thoughts are about PRP, and peripheral knee stimulators. Thank you.
What kind the food is good for my left knee to building supports? Do I need to eat something for help it's? Or what kind of vitamins will be good to take ?
Hi Seeluchneebudhu, You're welcome! We are so glad that we could help. Just in case you are interested we have a playlist for knee cartilage help. You can access it here: “Knee Cartilage Help Playlist” ua-cam.com/play/PLJVIPiFvv1mbdl1FVQx8BCGdNaOyGo09p.html Start with one or two exercises, beginning with the smallest range of motion and the lowest intensity. As you feel stronger, you can gradually increase both the range of motion and intensity. It’s best to do these exercises every day throughout the day. Aim to tire out the muscle without losing form or control. Consistency is key. Always avoid working through pain; soreness and mild discomfort are normal, but pain is not. We hope you found this information helpful to you.🙌 Please take care!🧡
Hi Doc- my orthopaedic surgeon claims my OA is irreversible. His solution is of course give up all sport, injections and surgery. His take (and many other docs with him) is that cartilage cannot regenerate or heal.
You have been so insightful and resourceful for my husband and I. We both are in our early 60's have osteoarthritis in our right knee. We have been incorporating your exercises in our daily lives and have benefitted greatly! I was told I have a meniscus tear and meet with a surgeon in about 2 weeks, but I am thinking I need to cancel that appointment and continue to work on strengthening my cartilage. What would you recommend? I still have difficulty doing stairs, but overall walking and getting comfortable in bed at night has greatly improved.
I had meniscus tears in both knees, plus ligament tears 3-4 years ago. Kept exercising , and getting good nutrition. Except for osteoarthritis, those injuries have healed and the OA is getting better too. I.m 59
Thank you, Dr. David. I did your exercises many months ago, after being told, that if I needed a third injection in my knee, whch was diagnosed as the beginning of a miniscus tear, I would need surgery. The pain was acute, in the inside of the side of each knee, the left being worse. I had hyperextended both doing an exercise. I turned 78, in June, and since then, my puppy mill rescue was diagnosed with kidney failure, and my husband has dementia...SO...I was changing doggie diapers to a blind, and deaf dog, and having to take over the bills, and finances, plus several other learning curve items. SO...I truly am grateful my knees are awesome. We had to put the dog down, after he suffered a bout of pain, and stopped eating. Add depression to the menu. I am a strong person, and I am fighting, and NOT having to deal with that pain is a true blessing. You are truly an awesome person for sharing your knowledge, and experience just to give others freedom from really acute pain. I just purchased one of those mini chain saws, and I am sawing limbs with ease. So glad I am able to do things many younger people find difficult. People need to know that they don't have to give up. Movement keeps us healthy all over, and sitting makes many pains worse.
Po
God bless you🙏
❤❤❤
Which exercises did you do ? Could You tell me ?
@kanakmukherjee479😮😢😂😅7
As usual … a good physical therapist is worth 10 orthopedists. An orthopedic Doctor’s only answer for joint issues is pain meds or surgeries. Thanks for the knee exercises … I’m bone on bone in both knees, and have been told I need replacements. Your exercises have helped me tremendously in the last couple of days. It gives me hope ..Thank you sincerely ..
Jeff - Thousand Oaks, California
Im from thousand oaks too. Can we meet?
😊
Best ever coaching, with lots of passion and devotion. Millions of people are benefiting all over the world. You are being linked by all. Be blessed.
I Gd I am from Ja. I seem like my knee bone is shift in like lean in to the other knee can it get back to what it use to be
😢😮😅9😮😮😮8. 🎉😂😢😂❤❤❤
9
This guy talks a lot of sense. I've taken his advice on walking correctly, glutes, and scoops (on his video about pain in the inner knee).
I followed the advice alongside what my current PT plan. I eventually got to see a specialist after an MRI. The specialist told me I would need a knee replacement. But after watching these videos, and listening to advice from people waiting, and people who have had the op (both on the Internet and in real life), I decided to postpone any surgery until I absolutely needed it.
It's one of my best ideas, ever. My cartilage has been destroyed due to an imbalance in the way I walked. The podiatrist gave me some insoles to correct my gait. They hurt like hell at first. As did walking with my feet pointing out instead of inwards. I've gone from not being able to go up and down the stairs without using my hands due to the pain. To being able to walk 2 miles without it. I truly believe I can halt the progression, and maybe, reverse some of the damage, now I'm not putting all my weight just on the insides of my knee joints.
When my knees first hurt, I stopped doing any activity. Was miserable. Despondent. Looking at the prospect of being in a wheelchair. That was the worst thing I could have done. You have to keep active. You have to keep mobile. So long as you do the right exercises (this guy, is amazing for the advice, I really recommend it!)
One thing that really, really helped, was getting enough sleep. I went from 5 hours a night, to 8-9. It was a massive difference. Both in my mood, and my bodies ability to repair itself. I've nearly doubled the time my body can heal.
Stress, avoid it. Be positive, it will help. I understand your worries. I had them too. In the end, I realised just how much I loved my knees, and how well they have served me in life. And rather than hate them, I loved them instead. I worked out, that having walked around 10 miles a day, on average. For 50 years. I've walked nearly 3 times around the Earth.
Now that is amazing! Why would I hate something so amazing. Give them a little bit of TLC, and I'm hoping they can get me the rest of the way. Then it doesn't matter if they explode! ha ha ha... What an amazing bit of evolution. Truly.
Hi William,
Thank you so much for sharing your incredible journey with us! 😃We’re thrilled to hear that you’ve found the advice in our videos helpful and that it’s made such a positive impact on your life. It’s awesome to see how you’ve taken control of your situation and chosen to delay surgery in favor of focusing on proper walking techniques, glute strengthening, and making adjustments to your gait. Your story is a powerful reminder of how important it is to stay active, even when faced with pain and challenges.
We couldn’t agree more-sleep, managing stress, and staying positive are crucial parts of the healing process. The way you’ve come to appreciate your knees and all they’ve done for you is amazing to see. We hope they continue to serve you well for many more years to come. Keep up the great work, and thank you for being an inspiration to others facing similar challenges. 🙌
Wow.... This whole time I'm I've been taught that strengtheniqng my quads was helping... THANK YOU SIR. I'M LISTENING
Hey @rndst6, we are so glad to hear you resonate with our message! 🙌🏼 There are many reasons why overemphasizing quad work can worsen knee pain symptoms. The key is in finding the right balance, but it's very important to become obsessed with having more glute strength to effectively offload your knee!
Hello David, coming off meniscus and chrondroplasty knee surgery which is pretty angry still. I am off crutches, using a cane but still having pain. My PT is doing all the things you say not to do. It's depressing. I find it hard to tighten my glutes standing.. I can do it on the table.. your ideas are unique and make sense.. Is there a place we can print your ideas?
Thanks so much!
I have learnt to walk by constantly reminding myself glute glute glute....like you taught. And I am experiencing the difference!
I admire that you are not a doctor pushing for unnecessary surgery of the knee. Thanks for message that cartilage can actually rebuild heal itself. Thanks for enlightening us. New Orleans.
I had miniscus surgery in 2003, and then told i needed knee replacement by an orthopedist...I have been trying stretching and strengthening exercises since then, and told 2 more times by 2 other doctors i needed knee replacement, but today(2023) I am walking better than anytime in last 20 years, and i continue to stretch my knees and to do low impact exercises like bicycling..I do not know exactly what is happening except that I am improving all the time, and I follow your videos, and really wish more doctors would give people more options than just knee replacement..thanks again...
Apart from exercises, what supplements do u take?
omg, Thank you so much, this makes so much sense, this only started when after working with weights after doing years of yoga 🫶
David ur. smile gives me healing already. Am tired of my chronic knee pain. I just stopped everything and God sent you to meet my need.
Hey Dorothy, sorry to hear you have been dealing with chronic knee pain :( We are glad we were able to help you! If you are interested in some of our other content, we have a great playlist of videos for knee pain. Here is a link if you are interested:
“Knee Pain Exercises, Stretches, Advice, & Tips Playlist”
ua-cam.com/play/PLJVIPiFvv1mY02hvFckRQO55HfAqDtWrM.html
In case you would be interested in something a bit more structured, we have a program to help boost the health of your knees that may be great for you! Here is a link with more information in case you are interested:
The 28-Day Knee Health & Wellness Boost 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, ACL tears, ligament injuries, chondromalacia patella, cartilage problems and other knee conditions.To learn more please click this link:
www.epmanualphysicaltherapy.com/knee-health
PLEASE KEEP UP YOUR U-TUBE VIDEOS !!! YOU ARE GIVING PEOPLE HOPE !!! RALPH, ST. LOUIS MISSOURI
Hey Ralph! Thank you so much!
My knee feels a lot better! I recovered & now I'm using my stationary bike to rehab my knee & it's working, thanks!
Hey Doc, i'm a fairly high-level tennis player in my 40s (competed all my life throughout school), and I am pretty hard on my knees (as you could see from my videos). My ortho just told me this week that my MRI says that if I keep going like this, i'll likely have to get a knee replacement within 20 years. He diagnosed me with Osteoarthritis. Finding your channel has given me hope that I won't have to stop doing what I love... been doing your exercises, esp strengthening the glutes, and massage gunning the quads. I used to do the quad stretches that you talked about in this video... now I see how ignorant that was lol. Thanks for all your help, Doc.
I'd be looking into knees over toes guy Ben Patrick if you want the best, most current advice.
Swinging the lower leg for 45 minutes a day can work wonders in growing new cartilage which orthopedic surgeons have said couldn’t work
@@striperman1957 amazing.
Hey Dr D I've been doing ur knee program now for 3 months and having great results. I do the exercises every single day. Going up and down stairs is so much easier now again. I'm also doing ur shoulder exercises - results r a little slower. Please please do more videos for shoulders. Thank u so much for all ur hard work and time. No one else teaches this stuff !
That's so great Miriam!!! We're so happy that you've been getting great results from the 28 Day Knee Health & Wellness Program!!!
We've got plans for more shoulder content in the future :-)
Which exercise l can found in this program?
@@amirjasem549 There is a knee program and a back program on their website. I highly recommend !
@@miriamroche671 can l contact with you please l have some questions
I really need some help with my knee
@@amirjasem549 I'm not a doctor Lol Watch all Dr David's vids and check out his website - his advice is spot on.
Doctor, the best channel for knees and joints..you are a treasure and Saint for helping us all! Im 65 and thankfully OK and with your help hopefully stay that way. At my work co workers have knee issues and recommend your channel, Big hug
Hey Vincent, thank you so much for the kind words. Glad you find our channel useful!
Hi, I' am a physio from Germany. I knew about the importance av the glutes but I also showed exercise for the quadriceps to my patients.
Since January I myself have problems with my right knee. Yesterday I saw your videos about how to walk and how to climb stairs + exercises for the glutes. I was excited and tried all of them with success = less pain. Today I showed some of them to a patient of mine and even she felt better while doing the activities your way.
Thank you very much! I love to improve my skills (and my right knee😉).
Hi which videos are they please? I need same..Thanks
' How To Instantly Fix Knee Pain When Going Up And Down Stairs'
'The BEST Glute Exercises To Help Knee Pain'
@@ClaudiaPetersson Thank you 😊
I had a really bad fall nearly two years ago. I had scans ,and pain killers etc. nothing has really helped , BUT a a few weeks ago I saw a woman on you tube with all the same problems I had , knee giving way ,especially on the stairs , and if I turned suddenly, even when driving moving foot from accelerator,to break . But she went to chiropractors, and I watched what he did , and showed my daughter , as she is a massage therapist I got her to do this lymph drainage, and in just two weeks , this has helped much more than anything else . She is spending an hour on my legs about 2/3 hours a week. It’s incredible the difference . REALLY …
Hello I'm from Jamaica and you are an angel in disguise keep up your good work
I’m not sure how I will be able to see your answer if you answer my question, but it’s important- So I am trying. I’ve been overusing my quads I think, trying to protect my knees (teaching dance - working on glutes, wondering if I should stretch hamstrings less and if stretching my quads will hurt or help. I’m a 67 yr old dance teacher who needs to work to survive. Thank you for your work and wisdom
Your videos are the best knee self-help videos period. Thank you so much.
Well thank you Lena!!! ❤️
I been homebound for 10 years. I just found you. For the first time, I have hope Thank you for all you do
Hi Christy, you're welcome! We are thrilled you found us too! Just in case you're interested, we have a playlist for knee cartilage help. You can access it here: “Knee Cartilage Help Playlist”
ua-cam.com/play/PLJVIPiFvv1mbdl1FVQx8BCGdNaOyGo09p.html
We wish you all the best in your road to recovery. We'd love to hear how you are doing as you progress.🙌 Please take care!
From Caroline in Zimbabwe 8th April 2023 - 72 years old - hyper flexing injury 10 months ago - MRI showed torn cartilage - was able to play some tennis - but unable to get full knee extension - decided to have arthroscopy 3 weeks ago. What you are showing on this video - MAKES SO MUCH COMMON SENSE - I feel I can improve my cartilage somewhat now - (PS I am a trained physio but did mainly hospital work and rehab not much sports stuff) - thank you EL PASO
I have a bad knee to can you use a stationary bike?
From Washington Pa my knee is swallon it feels like bone on bone it's very painful. So I was wondering about a stationary bike?
@@heleneckels7667sounds like a recombant bike would help to focus on glutes.
Cape coral, FL here. You have given me a miracle fixing my hip. I'm here because you suggested healing cartilage. I take curcumin for my knees with wonderful results but who knows how long it will last. Healing cartilage in both places would be amazing. Thank you. Your amazing.
I'm not sure where I got the idea to strengthen my quads, but I kept trying to do that. And stretching them as well. The physical therapist that I went to did seem to stress the quads over all other groups (ouch). Imagine my surprise when isometric exercise that focused on the entire leg musculature ended my knee pain for two days. I'm an old unit and I understand that I need to keep good care of myself nutritionally, staying hydrated and moving within my limits and avoiding injury, but I now happily put the effort into those isometrics that engage the entirety of the feet, calves, quads, and also include the hips and the lower abdomen. It's helping me to walk more easily and safely. Who'd a thunk you could sit in a chair and get stronger? Thank you for sharing with so many people and helping us all learn more.
Thank you for your c)ear instructions.Afterabout 2 months I am walking much better but just for short spells.
Thank you so much.blessings to you.
Good day! I’m from the Philippines. I’m 75 yrs old and I enjoy your nformation. Thank you so much,
You're welcome Winifreda!!! 🇵🇭❤️
Hi I love watching your videos. I have knee Osteoarthritis and watching your videos helped me a lot. Love from South Africa. 🥰
Thank you Anju Karikan!!! We hope you improve your knee arthritis! ❤️🇿🇦
Watching this video from beginning to end has given me a whole picture of the knee and how "it thinks," aka what's good for it, and what not to do. Fabulous video.
Thank you so much! I have been asking my ortho questions and getting no answers on what I should and should not do for my torn meniscus. This was exactly what I was looking for!
👍🏻
Thank you Dr. David for the time spent sharing your knowledge with us. I am a 60 year old female who has been having problems walking in the past 3 months I recently visited the doctor and was diagnosed with Osteoarthritis, I have to walk up and down 18 steps with much difficulty. I am from Trinidad
I really like your videos on arthritis. I follow your excercises. I like the way you make us understand. Thanks from India
Same here Thanks Doc
From Canada, I am happy I found you here!
Hi I’m from Winnipeg! I suffer with bone on bone knee pain and I haven’t seen a surgeon yet, not for another 3-6 months and don’t expect surgery for 12 months afterwards! If I can find relief without surgery, I’d be thrilled
me also from Ontario..I really dont want to go get both knees done...I heard
sometimes its worse
afterwards. have knee arthritis also.😢😢
check out the book pain free by pete egoscue he has saved alot of people from surgery @@myopinion6092
Hi doc!am from India,on the brink of a knee surgery,which I was very against,but now I cant seem to be able to avoid it😢
I came across your video and have been greatly benefited. Thank you!
Here dpctors are out to just cut up anyone who goes to them for advice
Hi Jaya. Were you able to make it work without surgery?
Where you able to develop cartilage again
I remember a bang to my knee that took weeks...months that took to heal completely...it was bad and paintul...
Luckily today it has not come back to be painful as I get old...crossing my fingers and taking a joint supplement for decades..hope it helps
Thanks for the talk
I wish you were here in Utah. I appreciate your presentation, your calm voice, your encouragement.
Hey Gail! Utah is a quick flight away from El Paso! 😉 ✈️
We're glad to help you with our videos!!!
I am Lady Hope Job from Nigeria.
I’ve a serious knee pain for more than a two years now.
Please help me the pain is too much.
Thank you for what you are doing 🙏
Hello Doc, I'm on the right track. Just wondering how far moist heat goes to promote healing?
I couldn't bend or straighten my knee at all for 2 months. While it was painful to do, I was succesfully able to restore at least 95%! I can fully straighten and bend it now. You have to get creative & push past the discomfort, once the swelling comes down a bit!
Why am I waving back to Dr David? 🤣 Could be because I am in less pain and can exercise more comfortably since finding this amazing channel. Best wishes from the UK.
WOOOHOOOOO!!!!!!
This is fantastic to hear Avril!!!!
Thank you for updating us on your success!!!!
👋👋👋👋👋
I'm 32 years old and I had thigh internal rotation all these years but I was unaware of it. I used to play cricket, running, squatting etc. Because of this, my cartilage is damaged. Now I'm doing physio therapy and hopefully I'll recover in few months and enjoy with my daughter.
Thank You very much for your help. May God Bless you.
You're welcome Mulualem!! May God bless you too!!!
From Palestine, listening to you always. Thank you
Thank you ,Dr David. l am a senior with not much money . I feel that your videos are so helpful . Thank you . June from NS Canada
My husband had a Cartledge removed 60 years ago, it wrecked his football career, 25 years later he had a knee replacement, is that the usual op they do today ? Thank you, I’m watching from Australia. Thank you I love your videos.
I'm not a professional, but I've been playing soccer my entire life and I train hard, I do cardio, HIIT and I strengthen my leg muscles. I always thought having stronger quads meant less chances of getting injured, but after watching this video I guess I was wrong. After 10 years, I've been experiencing cartilage wear issues and bone spur pain again, I was halfway through my recovery and thought it would be good to strengthen my quads again and I made a huge mistake. Now I'm regretting it, I just don't know how often it is safe to do quad strengthening, how much weight, reps, etc... But letting my muscles and strength go away forever is also a huge no no... Moderation! I just need guidance...
bro it's ok to strengthen the quads, he mentions in other videos that the problem is that most people have very weak glutes, once you strengthen and build up your glutes to work properly it is then ok to work on your quads in conjunction with the glutes, as long as the quads aren't so strong that they are taking over for the glutes...you basically want strong BALANCED leg muscles, all of them, calves, tibialis anterior, quads, hammies, glutes....the problem is most these old outdated PT's ONLY tell you about working on your quads, they avoid everything else and create more IMBALANCE
I've had a mensicus tissue tear 4 months ago and still doing physiotherapy on my own at home.
No pain but a little bit of stiffness when I sit for a while.
I really appreciate the video reg walking and exercise to improve the quads.
How long should I continue physio..?
I'm 67... before my injury I used to walk 8 kms in the morning and cycle 5 kms in the evening.
I think this caused my tear due to my age.. ?? Otherwise I'm fit and weigh 52 kgs.
Do all my house work, drive etc as it's my left Knee and and no clutch to operate.
How long do I need to wear a knee sleeve or brace..?
Thank you
Got alot of information regarding my knee.
It happened when I stood up suddenly
Been 4 years - i retired because of torn meniscus and a couple spots worn through the cartilage .
Haven’t really done anything , other than i stopped walking too much . kind of surprised that I haven’t had any pain issues with the knee .
Would like to get another MRI , but haven’t found a doctor who isn’t a pill pusher .
** I’d like to see a video of someone who actually healed or even slightly improved a bad knee
Thanks from Ocala Florida
You're welcome Maria!! Howdy from El Paso, Texas!
Thank you so much! I had a serious fall on both knees. Cartilage damage in both and now Osteoarthritis in both. Talk about being in Hell with swollen knees and excruciating pain where I couldn't even walk. I was practically dragging myself around on the floor. It has been over 8 months now. 8 months off work. On the waiting list for endoscopic surgery to shave and clean cartilage. Which I do not want to do. I went to Physio and all the exercises you said not to do, my Physio made me do including resistance bands with the knee extension and weights with squatting. It was painful. No matter how many times I told him, it was causing me great pain. He treated me like I was some kind of wimp. I did martial arts for over 20 years! My knees ballooned up and I couldn't walk again. After that I stopped going to Physio , wrote him a nice e-mail saying I was stopping and still he insisted I had to continue weight bearing exercises! I knew those exercises were stuffing my knees up but wanted so much to believe in a professional. Thank you for your advice, hopefully somehow my knees will get better ❤
Excellent information.God bless you!!
Thank you Naureen!!!
I'm in the UK - Thank you so much for all that you do - I found your channel just yesterday and I feel new hope. Xx
Hi, listening from Ireland, so glad you popped up on my screen. Thank you again for all your information. I have a meniscus tear for last 9 weeks, very painful. Good to know what helps and appreciate the advice to rest when it flares up rather than exercise through it. Really appreciate it thank you 😊
Hey TheMaryg11! Glad you're here! You're very welcome! If you're looking for more information, here is a great playlist we have on meniscus tears!
"Knee Meniscus Help"
ua-cam.com/play/PLJVIPiFvv1mZ9Vh4eRH3UlmMeqOUtB-6a.html
Thank you for the playlist, that's great to have. 🙂
@@epmanualphysicaltherapy Question what exercises do you recommend after you begin the process to start strengthening?
if we presuusre on cartillage so ut will be strong as u said but they said ur cartilage damage cuz u work much walk much over walk over weight over work and damage ur knees etc so its dsame both palces knee get pressure then cartlage too so how it will be strong@@epmanualphysicaltherapy
Hi from India! Thank you for your amazing videos Dr! Wanted to know whether walking in the swimming pool helps in osteoarthritis? I have pain and swelling in my left knee!
Hello Seema! Swimming can be helpful as long as you're not over using your quad muscles. If you have swelling right now, you have got to get it down before you go into aggressive exercise. Here are some playlists that might help you.
“Knee Swelling Help”
ua-cam.com/play/PLJVIPiFvv1mb17SwpI5eM0Uca2qvg7gsC.html
“Knee Arthritis Pain Help”
ua-cam.com/play/PLJVIPiFvv1maa9YF-WmKLF7oI4VoczH8i.html
Hi my name is Pheona, I'm from Barbados W.I.
I have having problems for a long time. My knee locks off a lot. I ŵould try your exercises. Now, I'm watching your videos. Thank you.
Thank you for watching from Barbados, Pheona🇧🇧 👋🏽😊🧡 We are so glad to have you here. We are sorry that you are suffering form issues with your knee locking a lot. We hope this is able to help!
“3 Tips For Knee Cartilage Problems”
ua-cam.com/video/GbP43DPMknA/v-deo.html
“Knee Cartilage Help Playlist”
ua-cam.com/play/PLJVIPiFvv1mbdl1FVQx8BCGdNaOyGo09p.html
We hope this helps! Please keep us posted on your progress 🧡
Hi doctor my name is Randy my wife is suffering from severe knee pain according to the doctors they are saying that cartilage is damaged and it’s dry what do you advice it’s very difficult for her to walk she is on the fatter side I mean heavy weight kindly advice as to what is best
Hey Randy!!! Sorry to hear about your wife's knee problem :-(
Cartilage can heal! Getting stronger glutes is very necessary to help it heal. She's got to work on that first. Next she's got to learn as much as possible so she can help herself. Here is a playlist of all our knee cartilage videos:
"Knee Cartilage Help"
ua-cam.com/play/PLJVIPiFvv1mbdl1FVQx8BCGdNaOyGo09p.html
Several years ago, while starting to exercise, I did 5 short squats while holding onto a bed post. Left knee swelled up so couldn't bend knee for 1 week. Since memory is short, I did that again: same result. The skin felt really "tight" around knee......so I decided to do 30 second stretches.....calf, quad, and hamstring each. This solved the problem. But, I'm noticing that "tightening" the glutes when straighten leg really does help. Great idea!
I really enjoy your videos, very helpful. I had surgery to repair a meniscus tear in my left knee 7 months ago. I went to PT for 2 1/2 months post op; their therapy included strenghtening the muscles around the knee (including the quads), doing lunges, squats, and weight bearing exercises, exactly what you don't recommend! I have arthritus in my knee, and walk with a slight limp. My range of motion is about 80%, there is slight discomfort when I walk, kinda tight. My DO took another xray and said I have bone on bone and reccomended knee replacement. I'm at a crossroads. I'm very active, golf, tennis and surf, and still do them but at a decreased intensity. Would a knee replacement get me close to full mobility, or can exercises and streches improve my bone on bone and daily arthritus discomfort?
Repair ? Or did they just remove torn cartilage ? I have torn meniscus and a couple holes in the cartilage from walking with a bad ankle .
When the knee pain started doctors wanted me to take pills and get the arthroscopic surgery . I know people who have done that and it was just a couple years and they had to get replacement surgery . I retired and stopped walking . I can do several hours of yard work and my ankle starts hurting . I am surprised my knee is ok for almost 5 years without PT . I realize injuries are different , mine is the old age worn out type
Thanks so much. 👍
I had an x-ray on 21:07:2023 and was told I need knee surgery... that's what made me google on UA-cam and came across your videos. Thanks so much from South Africa.
Hi Doc , really loving the content . long story short few years ago had ACL and meniscus reconstruction , last month while playing basketball I have re injured that knee, gave way when Ianded on it, had an MRI the graft is still in place however I have damaged the cartilage , now grinding / popping when I'm straightening or walking . What would you advise so my knee doesn't give way again while playing basketball and how long until I can stand playing again
Hey Carl, sorry to hear that you re-injured your knee :-(
You definitely need to let that knee heal which could mean you need to back off on sports for a bit...really as long as it takes for you to feel better.
Cartilage is the slowest healing part of the body. It could take 3-6 or even 6-12 months depending on how bad the injury is.
You definitely need to work on an muscle imbalance you might have. For basketball, you must gain A LOT of strength in the glutes to tolerate all the jumping and cutting. It's really easy to get the quads over-dominant while playing basketball. Quad dominance increases the pressure on the knee cartilage.
You should see the rest of our videos on knee cartilage here:
"Knee Cartilage Help"
ua-cam.com/play/PLJVIPiFvv1mbdl1FVQx8BCGdNaOyGo09p.html
😢q
Hi Docm I am Effie from Goa in India.
I got your link from my elder sister so I am looking forward to heal from knee asap. Thank you
Dr David....you've been a blessing for me with your advice on cartilage repair and avoiding knee surgery. The OS tells me I'm bone on bone and I need knee replacements and I'm trying to avoid this. Watching your videos with the appropriate exercises but really worried about damaging my knees further. I'm 67 and regular with 10mins bicycle at home and pilates 3 times a week and a bit of walking. Walking is painful after 15mins. What is right for me to do? Sorry to bug you about this.
Rucksana Virjee, Toronto, Ontario
Hey Rucksana! Dr. David has chosen your comment to answer live today at 4PM MST (that's in about 4 hours). You can go to the link below to join live or catch the replay.
"3 Important Exercises You Need Right Now For Painful Bone On Bone Knee Arthritis"
ua-cam.com/video/aoT7G3hLh6A/v-deo.html
So here is my deal. When I was 18, I had orthoscopic surgery on my right knee. They removed some loose cartilage. Ever since then my knee has been weak but didn't really bother me. Now I am 57 and my knee hurts all the time. Also, about 4 years ago I damaged the other knee playing frisbee, and now it also hurts all the time. I was under the impression that cartilage never healed and could not grow back. I cannot afford to not work, and my job has me on my feet all day on concrete floors. I was on Meloxicam, then on Voltaren. Now I'm taking Naproxen. I find that stretching my hamstrings helps with the pain, some. After I have been sitting or driving a while my knees get stiff. I also have mild scoliosis and diastasis recti which seem to be on my right side more than my left.
Dr. D, what do you do if you're job involves standing in one spot for 8 and a half hours? How can I take pressure off my knee caps in this case? I bend my knees slightly as I don't want to be standing completely straight either. What to do?
Hey Hansel783!! That's a tough one!! It sounds like you're doing the right things. You've got to see if you can still improve in your knee despite having to be on your feet for so long. You probably can do it.
If your knee cartilage is too far gone, then you won't show an improvement and you'll have to ask for a job modification or consider changing jobs. Hopefully it doesn't come to that!
@@epmanualphysicaltherapy My cartilage is still good. Just some crackling in the right knee. Is there anything I can do while on my feet for 8 hours that can help with easing the pressure a bit? Like is there a certain way I should be standing? I sometimes stand with my legs apart. Is that okay or could that make things worse?
There is belt that helps you sit anywhere anytime. You can switch from standing to sitting very easily in few seconds. Try that.
You are the best- so much practical information that comes from real experience. You just make sense!
Hey Germaine, thank you so much for the encouraging words. We appreciate you tuning in. In case you are interested we have a playlist for knee cartilage help. You can access it here: “Knee Cartilage Help Playlist”
ua-cam.com/play/PLJVIPiFvv1mbdl1FVQx8BCGdNaOyGo09p.html
We'd love to hear how you are doing as you progress.🙌 Please take care!
Thankyou Dr. David,
I have an "angry knee" where the fluid feels stuck in swollen areas. Bursitis of some kind?
I am going to try the knee swing exercise for each knee. Update! After 5 minutes of knee swings the pain is reduced I am almost limp free. I still have swelling but right after exercises, I had marked improvement... Almost no pain or discomfort. I also massaged my thighs to help release tension.
More knee swing rounds to come for improvement! I feel very encouraged to watch more videos as I go to heal and strengthen the right muscles. Go Glutes!
I'm here in Silver City, NM.
Thankyou! Dr. David! 🦵🦵💪
What a ton of new information. I need to totally rethink my leg use! No more quad stretches! I will miss those! But glad to know that squats are helpful . I can do them without pain. But usually the next day I have more pain. What about dead lifts?
Hey NAB, yes this can be a lot of contradictory info compared to what mainstream healthcare pushes. If squats are causing your more pain the next day then you're doing too much, or doing them too intensely. You need to also make sure your technique is correct so you make those glutes work.
Here's a video on deadlifts. They're a really good exercise when done right.
"How to properly do Deadlifts - Deadly Deadlift Mistake | How to Deadlift for crossfit"
ua-cam.com/video/5QZ3_TVJY_0/v-deo.html
Thanks as always for your great advice. I had a car accident and it created a 4-5 inch hematoma on my shin below my knees. My left knee turned outvok, but the nerves in my right shin really protested all the rubbing at PT. I still can barely touch it, today, 3 years later.
That said, my right knee is just acting up. Plenty of space, but I can't stand long on it, can't turn it wrong, can't walk down hill, bend it, stairs are a pain, but I have hope, as I am resting it and the pain is easing up. MRI is set next week, and with your amazing advice, I'll listen to results to avoid surgery and continue healing. Crossing fingers it's not scar tissue and inflamed nerves.
Before I allow surgery, I'll consider your knee program once I have a diagnosis. Yes, steroid shot a year ago and recently, and I tried gel, but both failed after minimal relief for a day or so.
My friend is ice, my pool, and rest. Still to angry to do mild kicking, so I just do small movements.
You're the best and love your smart advice! And I caught that bit about water intake too and I've been on it lately!!! 😊
If traction feels good, it might heal eventually, crutches 2 get around, 2 bouts of herniated disc, today, 3 years later, minor discomfort, sometimes worse, function normally,
I am an athlete, and I coach a few young children. My understanding of stretching the quads is while it causes pressure increase for 9 minutes per week, but it buys you the rest of the week of having less pressure on the knees. I have also had a lot of my athletes knee pain subside with stretching and quad exercises that target quad imbalances (and tons of posterior work).
Is your advice in this video just to allow for cartilage regeneration? Or would you eschew stretching for anyone with knee pain? Doesn't stretching allow for less pressure on the joint in the long run?
Thank you. I appreciate your videos very much.
Hey Paul, the research shows that the benefits of stretching only lasts hours whereas the benefits of strengthening last days. That's why we recommend strengthening over stretching - it's a more efficient use of time and energy for helping knee problems.
Light stretching should be okay on the cartilage. But we find that people have a hard time keeping the stretch light. Also since stretching tends to be easier than strengthening they avoid strengthening. And that is what they need in the long term to fix the muscle imbalances.
@@epmanualphysicaltherapy yeah, I understand connective tissue is viscoelastic, therefore less pressure often causes faster change in soft tissues.
thank you for your reply
@@epmanualphysicaltherapy Great clarification!
I've had sudden knee pain (had accident 18 months ago & my knee hit hard ground), no pain till recently - now inner pain. I've just seen your videos & they make so much sense. I hope I can get to do the exercises, but at the moment the pain is stopping me.
Hello Doctor. Thank you for everything you do. Might I ask, does your 6-12 month estimate apply to focal high-grade chondromalacia patella? My PT seems to think 8-12 weeks. I am 5 weeks in and there is good improvement from where I started, but I still feel pretty far away from being able to return to any moderate to high- level activity such as hiking or moderate weightlifting for my legs.
I’ll try to do 5 week updates for anyone who is like me and wanting to read through the comments to compare anecdotes similar to their situation. I’m now at week 10 and I am still overall far from where I’d like to be. I still sometimes have a bit of discomfort sitting, standing and getting up and down. Some days I feel almost perfect but then others I still struggle with these issues. I don’t yet feel ready to say, jog or hike, if I wanted to. The other day I flared up simply from walking in sandals for 100-200 yards and standing in them for 15-20 minutes on July 4th (sandals probably weren’t the wisest idea but I thought maybe I could handle them because I felt pretty good that day until doing that). However, there is no doubt I’m improving on some level because like I said, I do have some days where I almost feel fine, and I am now squatting almost 100 pounds with no pain or discomfort afterwards.
I have just been diagnosed with this too. Would be up for keeping in touch!
Will a bakers cyst keep my cartilage from healing since the knee is already filled with fluid?
@@ariepstein3914how r u now. I am suffering from 2 years
Watching from Trinidad. Hoping to delay my knee replacement surgery with your exercises
Thank you, I have definitely been exercising wrong! My quads are compressing my knee! I'm going to work on my glutes to balance out the muscles! Thank you so much for this information!
Thank you kindly for sharing your brilliant thoughts unselfishly. I hurt my knee 3 weeks ago probable medial meniscus tear. I still have a little bit of swelling ...do you recommend massage, heat packs and muscle stimulator machine at this point? Thank you so much again and more power to you from Kelowna, BC Canada. God bless you and your family.
Hi Im Sady Caicedo from Quito Ecuador, very helpful your presentation on knee problems, thanks, regards
Please is the rowing machine good for osteoarthritis
Hey Ndidiamaka! Using a rowing machine 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 rowing machine, then you will likely make your knee problem worse :-(
Hi watching from Bangalore, india
Had swelling in my one side of left knee. Have started your 6 exercise which you had in one of your video. Orthopedic doctor had suggested half knee replacement surgery which I don't want to go for. That is why this also my concern.
i was diagnosed as having knee hypertrophic degenerative osteoarthritis changes. what is it? i didn't go back to my doctor , I find your vlog more informative.
Do you advice using knee brace to help pain and damage the cartilage. Thank you doctor David . God bless ang more power
Can I Use A Rolling Pin For Muscles?? Like The One You Use For Baking????
My Pain Is Knee and The Back Of My Leg... Arthritis In Knee....
Thank You.....
Tunji from Dubai, thank you for the directions of what can help with the knee joints, right knee.
Hey Tunji, Greetings from Texas! We are touched by your kind words and we hope that you get some relief soon for your knee joints. 😃 In case you are interested we do have additional information and exercises regarding knee cartilage help. You can view the playlist here:
"Knee Cartilage Help"
ua-cam.com/play/PLJVIPiFvv1mbdl1FVQx8BCGdNaOyGo09p.html
I am from Egypt
Always following u for lumbar stenosis
I started getting knee pain at 46. After doing quad exercise, basically squatting... I no longer have any pain whatsoever, I enjoy trekking and hiking now, I am currently 49. Advising people to NOT exercise/use their quads is terrible.
Thank you dr. David .I m listening to your lecture for the first and I enjoyed it as I m osteoarthritis patient.My both the knees pains and burns as well.I am attending physo therapy too.I can’t stand more than 15 min. and walk more than half a km. I am trying my to get better.
Hi Namita, you're welcome! We're so sorry to hear that you've been suffering form osteoarthritis. It's frustrating to deal with sometimes and we hope you feel better soon. It's great to see that you are doing something about it.
We have a playlist for knee arthritis help if you're interested. 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!
Hi Doc. Please tell us which is better: knee “sleeve-type” braces that go right over the patella or those that have a hole for the patella to move more freely and without pressure. (I’m thinking the latter.)
Dr D, can we regrow cartilage? Thank you!! 👍😄
What about yoga! It seems to help me. I started quad stretches again and knee flared up. I appreciate this very much.
Dr. David Could you please show how to massage knee cartilage to become thick. Thank you
This is also my request Dr David. Could you please make a video about how we need to massage/ pressurise to knee cartilage to become thicker. Thank you. God bless you
so good to see you are online
Hey @komalsingh3792! Thanks so much! We love helping people here online!!
@@epmanualphysicaltherapy Hi sir, please help me, Let me tell you about my situation. My knee pop very very loud when i straight a bended knee. And sometime pop is below the patella like in lower region and sometime in right of the patella. My knee i aching also too much. Also if i out my hand on my knee cap and move my knee the feeling is not smooth. My age is 27 only. I have a sitting job. I had an xray too and its in my right knee. I have been doing glutes exercise from today. Please help me out i am very worried. Is their any way to fix this or this is life time. is their any way to connect with you
I read the article, "Mechanoadaptation: articular cartilage through thick and thin".
It says that if one has never used a joint (eg. due to paralysis), one can build healthy cartilage cartilage through through moderate exercise. However, if one has OA, exercise will NOT build healthy cartilage. The authors posit that more research may lead to future treatments.
Strong quads lifts the knee cap away fro the knee. Weak quads are thinner, so the knee cap then rubs on the knee joint. It’s best to strengthen the quads without bending the knees, by keeping the knees straight.
Dear Dr., hallo from Czech Repubic, thak you so much for you advice and the videos, they are marvelous. Afther injury of my patella and meniscus of ouside my knee. I was walking badly for too years now, and afther the execise you recomendate I can walk freely again!!! No stiffness around the knee at all🙂
Hi Doc David Jovina here watching Florida . Happy to watch your video. You inspire me I thought I will be suffering my knee pain forever. Through you I know that cartilage can be repainted or generate again.
Germany here, thanks for all the good advices and exercises❤
Hey Sunshinegirl, you are very welcome! :-) Glad to hear these exercises and advice have been helpful!
I have no cartilage go now 8 years should I get knee remplace ment for sure ? Thank you.
Very informative great help
From Eleuthera Bahamas
Hi from South Africa Di, am doing your exercises and am thrilled with results
YAYYYYYYY!!!!!!
This is fantastic to hear Robin!!!!
Thank you for updating us on your success!!!!
Thank you for your information very very helpful much appreciated. Your an awesome doctor.❤
I love your channel. And I enjoy your exercises and stretches for bone on bone osteoarthritis in the knee. I am curious what your thoughts are about PRP, and peripheral knee stimulators. Thank you.
What kind the food is good for my left knee to building supports? Do I need to eat something for help it's? Or what kind of vitamins will be good to take ?
Hello from Orlando thank u for great information
Hi Seeluchneebudhu, You're welcome! We are so glad that we could help. Just in case you are interested we have a playlist for knee cartilage help. You can access it here:
“Knee Cartilage Help Playlist”
ua-cam.com/play/PLJVIPiFvv1mbdl1FVQx8BCGdNaOyGo09p.html
Start with one or two exercises, beginning with the smallest range of motion and the lowest intensity. As you feel stronger, you can gradually increase both the range of motion and intensity. It’s best to do these exercises every day throughout the day. Aim to tire out the muscle without losing form or control. Consistency is key. Always avoid working through pain; soreness and mild discomfort are normal, but pain is not.
We hope you found this information helpful to you.🙌 Please take care!🧡
Hi Doc- my orthopaedic surgeon claims my OA is irreversible. His solution is of course give up all sport, injections and surgery. His take (and many other docs with him) is that cartilage cannot regenerate or heal.
You have been so insightful and resourceful for my husband and I. We both are in our early 60's have osteoarthritis in our right knee. We have been incorporating your exercises in our daily lives and have benefitted greatly! I was told I have a meniscus tear and meet with a surgeon in about 2 weeks, but I am thinking I need to cancel that appointment and continue to work on strengthening my cartilage. What would you recommend? I still have difficulty doing stairs, but overall walking and getting comfortable in bed at night has greatly improved.
I’ve added gelatin powder for your problem and after eight weeks, symptoms down from 9 to 1❤️
@@moony77 Do you sprinkle it or add it to your food, how do you incorporate it?
I use gelatin from grass fed animals and use one scoop to blend in my smoothies.
I had meniscus tears in both knees, plus ligament tears 3-4 years ago. Kept exercising , and getting good nutrition. Except for osteoarthritis, those injuries have healed and the OA is getting better too. I.m 59