What a wonderful video. I have troublesome arthritic pain in one knee, which has been slowly worsening over the last 10 years. I can absolutely attest to the power of sensible exercise. I'm 80, sessions on an exercise bike in the gym help enormously. I'm also still a competitive ballroom dancer and dancing is a wonderful very low impact exercise which helps cardiovascular fitness and leg and hip muscles. I do sometimes rely on nsaids and cortisone injection before a big competition. My one-liner is "keep moving and eat healthy"
I hate when somebody tell me to keep moving. They have no sense of my pain. I can barely make it to the bathroom sometimes. Until you know about torn meniscus please stop telling people to get up and walk around when they can barely make it
I got OA after an injury playing soccer. In addition to regular symptoms the knee time from time locked up bended and I had to jump with the knee in the air trying to unlock. Recovery takes several years, mostly I did slow running with the knee fixed in slightly bended position (looked like limping during the run), absolutely no heel landing! Every heel touch resulted in sharp pain. Back to soccer again and eventually can do strong shots again!
Dr. Peng you know I trust and adore you, but I did all the things you listed and my knees still needed to be replaced. I must admit that I should have taken care of them in my forties but I was busy raising kids and taking care of a spouse with a chronic condition. The bowing in my knees gave back and hip pain. But… TKR is not the first option and should be the very last resort. I sit here going through a very long complicated 2 surgeries procedure for PJI.
@@loriprihoda8731 A prosthetic joint infection is not a surgery you choose and consequences can be deadly. Please inform yourself if you have an artificial joint. I had both my knees replaced in 2019 and 2020. Surgeries were not easy but I did not have a choice left. No one told me of the possibility of an artificial joint infection, or how to prevent it. I was told that prophylactic antibiotics were only necessary during the first year. My infection was either caused by staph infection I picked up at a strength training class or the byproduct of a covid infection this past February. (First time infection) unfortunately doctors can’t tell me for sure. We carry staph on our skin, inside our nose, belly button or behind our ears. It’s highly infectious and can get into your bloodstream through a very small scratch. Once it coats your implant it has to come out. If you google PJI you will find information on the long and dangerous process that one must endure.
I get the gel shots every 6 months, seems to help me tremendously. I am 72 and tore my Achilles 5 months ago, finally got my shot and hope to get back to normal this summer.
I love this doctor and he has really helped me steer away from surgery and use a regenerative program to deal with my knee issue. I am very thankful for that advice. That said, I wish he would not say that high cholesterol creates inflammation. There is no RCT that supports that conclusion. Even statin loving docs don’t say that. I am 70 and have had high cholesterol my whole life. I have excellent plaque scores (in the 20 percentile) and maintain a CRP (which my functional doctor checks every 6 months) of less than 1. This idea that cholesterol causes inflammation is simply a myth that supports a failed approach to preventing heart disease. High insulin levels do indeed cause high inflammation, but it is seldom checked and never talked about, even in this video. Ten years ago, my insulin (before going low carb) was 30. It is consistently less than 3 today. I also dropped my trigs from 300 to under 100. If I didn’t have a functional doctor who focused on controlling insulin levels, I would never had gotten it down that low. No one talks about fasting insulin because if they did, it would force them to a diet contrary to what they have been preaching and admit that they have been wrong as to the true cause of heart disease- insulin resistance, not cholesterol. “Why We Get Sick” is an excellent recent book by a professor at Brigham University, which illuminates the science behind the view that high insulin levels is the root cause of many diseases and is the primary cause of inflammation.. Furthermore, there are no RCTs that support this doctors conclusion that saturated fat causes inflammation. Consider this recent review www.jacc.org/doi/abs/10.1016/j.jacc.2020.05.077 in the Journal of American College of Cardiology in which the researchers said they could find no science that backed the conclusion that saturated fat is harmful and that, in fact, it may reduce the chances of a stroke. In all other respects, this doctor uses RCT to back his claims, except here he simply repeats the standard line which is promoted by mainstream medicine and big pharma which has given us over 20,000 patented drugs and everyone keeps getting sicker and sicker. Knee replacements are widely overused due to financial incentives and so are most pharmaceutical drugs. Eat whole foods, stay mostly low carb and exercise. If saturated fat is so bad, our species would never have survived.
I am at absolute loss as to what to do about my knee osteo arthritis. I am in good shape and have good musculature, I was working out and trying to fight this problem, however, even after a gel injection it is quickly getting worse. If I sit down it becomes painless, but as soon as I stand, it hurts dramatically after about one minute. When I go to the gym to exercise, I end up barely being able to walk back to my car. I want to exercise badly, but they all seem to make the problem worse. I do not have excessive inflammation that can be seen, and even my x-rays and ultrasound do not indicate the arthritis is severe, yet I am at the point now where I cannot even walk more than 100 steps. In desperation I am about to go for an $1750 PRP shot, but am not hopeful that it will help. My surgeon claims I am no where near a Knee replacement. I am also taking the two supplements you mentioned and am trying various medications to alleviate pain. Each day seems to be worse and my quality of life has become very poor. I am lost and do not know what to do.
Focus on strengthening the glutes and maybe I’ve been looking for a good 1 gotta be confident in walking around with 1 but I know it’ll help walking day to day.
I understand where you are coming from. If it is not bone on bone then maybe it is meniscal tear problems. Perhaps get an MRI scan to see where the issue is, so you know more what is wrong with your knees, if you've not had that done. I am bone on bone in both knees and have been for at least 2 years. I've only had X-rays done, nothing else, because they don't do more than that in the UK on the NHS. An osteopath I was seeing 2 years ago said that an MRI scan could be far more useful than the X-ray. He thought my issues were more likely to be meniscal tears and was surprised when the x-rays came back showing bone-on bone for both my knees. Many of the usual exercises that are given for those with knee osteoarthritis seem to be designed for, and help those with mild osteorthritis whose muscles are deconditioned through lack of exercise, but not so much those who have been very active and already have strong muscles. I found that exercises (both strengthening and stretching) for meniscal tears to be much more helpful for me, as they are not body load bearing and don't cause repetitive impact on the joint. Your knees may need to heal first, not get pummelled by load bearing weight exercises. There are some good videos online, but make sure they go through the exercises in a systematic way, focusing on each muscle in turn, not just a hotch potch of exercises thrown together. That way you can find out if you have particular muscles that are weaker or problematic. Quite a revelation, if done that way. Unfortunately I've just been given yet another exercise that grinds one bone against the other, and once again has made my condition worse. Here in the UK joint replacement is now so heavily rationed on the NHS in parts of the country that we're effectively abandoned until our mobility is almost gone, and recovery is very difficult, or we have to pay to go private. Physiotherapy advice is generalised leaflet only until you're at the point of knee replacement, and then they make you start over again with the same exercises you've already been doing for years, as part of delaying tactics, to save money, and to force people to go private out of despair. I'm also fed up to the back teeth of seeing videos of people happily running and cycling and swimming, who supposedly have severe osteoarthritis, and being told that with physiotherapy and exercise that we can be like that too. I've spent the last 5 years dutifully doing my exercises, trying to maintain walking (running, cycling and swimming is no longer possible for me), and it is not through lack of will that I can't. I used to be able to walk all day long out on the moors, as part of my work as an ecologist. Now I go up the stairs on all fours, go down stairs one at a time taking most of my weight on the handrail, and have knee pain even when sitting.
Actually his 'Best exercises to relieve knee pain' are good, are properly structured, though hold off the half squat as that might aggravate, and maybe add in a bridge for core muscle strength. ua-cam.com/video/aMMHfFjwAmM/v-deo.html I do the clam for the glutes, but his exercise for the glutes looks just as good. All the rest I've been doing for years now, but can now only do shallower squats than his half squat.
@@juno3309 A very nice and Thorough reply. I too am totally aggravated by this concept that if you just do " the right " exercises that you will heal your arthritis and also, agree with you wholeheartedly that people who are already in good muscular shape are screwed trying to follow this rabbit hole of the right muscles to strengthen, as they already are strong. I have been listening to a guy who has a hundred videos out about GLUTES GLUTES GLUTES and the miracle of how they will fix your arthritis in the knee if you do them. I have very strong glutes and have further strengthened them and it has made NO difference. I have tried something new today that is totally against what I have been advised. I am practicing straightening my leg to full straightness and also pulling my leg against my stomach and forcing the bend in my knee. It is VERY painful, but for the first time in weeks, I have been able to walk normally for a short while. I don't know if this is going to work in the long term, but I am working on it now as it is the only thing that has helped in any way. I will update how I am doing with this as the weeks go on.
Any thoughts on deferred pain? I can lift weights within a certain weight and rep range but then I will have pain and inflammation sometimes days later. Maybe volume or load is too high?
Hello sir Good Afternoon, Aravind here , nice to see you through this social service platform, I'm here to approach you for my medical consultation. I am a athelete,I had a problem on knee ligament while playing badminton so , I consult Villupuram Gh(INDIA - TN) doctor they told me to take x-ray &MRI after that doctor suggested me to undergo on " Orthoscopic surgery " , I don't know what to do at this situation . May I get your help Injury: ( left knee) 1- partial Acl tare 2- Partial meniscus tare
Have you got a video on a bone on bone in the knee video ? Unfortunately I’ve had a meniscus tear and part of the cartilage removed , will these points work? Thanks
@@gnhgm8969 Boswellia, turmeric, glucosamine, chondroitin, MSM, b12, b6, folate, SAMe, b1, cod liver oil, EPA/DHA capsules, boron, D3, K2, and collagen. Sometimes I don’t take all of those every day, but at least every other day. I eat a low carb diet, meat and vegetables, no sugar or alcohol. I get my shoes from Brooks, Glycerin 21 GTS for the fabulous support.
Or, you can get tossed off a horse at 15 and shred both the medial and lateral meniscus so that you have arthritis by 28 despite running, playing tennis, swimming and horseback riding keeps being done and having 19 knee surgeries by 40 yrs old including 2 TKR'S on 1 knee alone. It really does help if you keep moving. Aging is not for the faint😅 of heart!
❤❤❤❤❤❤ HI Doc your exactly right .once i got pain on my knees physucal theraphy and vitamin supliment joint care and exercuse made me feel better and back to normal again.
Diet does matter at least in my case. Eliminating seed oils, sugar and vegetables has dramatically reduced my arthritis in my knees and fingers over the last year. I have tried re adding these one by one to see which cause flare ups. In order of my perceived effect are: vegetable oils, Canola, Sunflower etc, sugars, honey and fruit, green vegetables. So I eat animal products, meat, eggs dairy. I have not eliminated tea and coffee yet, but I am much better. A year ago I was worried I would not be able to do anything without pain. Now I have little pain and much less stiffness. I am 70 years old male. I hope this is useful.
As a retired health care professional and someone with hip & knee arthritis, I found this video very helpful and exactly on point! Well done! 👍👍
What a wonderful video. I have troublesome arthritic pain in one knee, which has been slowly worsening over the last 10 years. I can absolutely attest to the power of sensible exercise. I'm 80, sessions on an exercise bike in the gym help enormously. I'm also still a competitive ballroom dancer and dancing is a wonderful very low impact exercise which helps cardiovascular fitness and leg and hip muscles. I do sometimes rely on nsaids and cortisone injection before a big competition. My one-liner is "keep moving and eat healthy"
Yes! Keep moving and eat healthy. 👍
I hate when somebody tell me to keep moving. They have no sense of my pain. I can barely make it to the bathroom sometimes. Until you know about torn meniscus please stop telling people to get up and walk around when they can barely make it
Torn meniscus and osteoarthritis are completely different conditions, the video is about osteoarthritis.
You are correct about the pain.
Excellent presentation!
Thank you kindly!
I agree 100%
Super cool lecture.Essential information as well as explicit language perfectly understandable for non English speakers. Greetings from Europe.❤❤❤❤❤
I feel horrible pain when I work out. Horrible tears in all of my muscles. I'm afraid to even walk anymore. Excellent video brother. Thank you
Thanks for commenting
Dr Peng, thank you for the education, helps tons!
Thank you thank you Dr. All the info you are providing us with your clear English language, you deserve millions ❤️ 💙 likes
I got OA after an injury playing soccer. In addition to regular symptoms the knee time from time locked up bended and I had to jump with the knee in the air trying to unlock. Recovery takes several years, mostly I did slow running with the knee fixed in slightly bended position (looked like limping during the run), absolutely no heel landing! Every heel touch resulted in sharp pain. Back to soccer again and eventually can do strong shots again!
I do moderate exercise/walking up down stairs, especially down because that stretches out thigh to my lower back.
Thank you so much, i find this vedio very interesting. Osteoarthritis is my problem.
Make sure your shoes address your gait. Good shoes make a huge difference.
Good tip!
What if you have zero cart ledge( bone on bone ) between your knee joints? I refused surgery, doing my self healing .. slow and steady
Excellent video, thank you.
Thank you for this!
Doc u a the best thanks so so much for the information.
Dr. Peng you know I trust and adore you, but I did all the things you listed and my knees still needed to be replaced. I must admit that I should have taken care of them in my forties but I was busy raising kids and taking care of a spouse with a chronic condition. The bowing in my knees gave back and hip pain. But… TKR is not the first option and should be the very last resort. I sit here going through a very long complicated 2 surgeries procedure for PJI.
Good luck on your surgeries you'll be glad you made that choice.
@@loriprihoda8731 A prosthetic joint infection is not a surgery you choose and consequences can be deadly. Please inform yourself if you have an artificial joint. I had both my knees replaced in 2019 and 2020. Surgeries were not easy but I did not have a choice left. No one told me of the possibility of an artificial joint infection, or how to prevent it.
I was told that prophylactic antibiotics were only necessary during the first year. My infection was either caused by staph infection I picked up at a strength training class or the byproduct of a covid infection this past February. (First time infection) unfortunately doctors can’t tell me for sure. We carry staph on our skin, inside our nose, belly button or behind our ears. It’s highly infectious and can get into your bloodstream through a very small scratch. Once it coats your implant it has to come out.
If you google PJI you will find information on the long and dangerous process that one must endure.
What about rubbing bone when exercising?
Very well done. Thank you.
I get the gel shots every 6 months, seems to help me tremendously. I am 72 and tore my Achilles 5 months ago, finally got my shot and hope to get back to normal this summer.
I hope it goes well for you.
I love this doctor and he has really helped me steer away from surgery and use a regenerative program to deal with my knee issue. I am very thankful for that advice. That said, I wish he would not say that high cholesterol creates inflammation. There is no RCT that supports that conclusion. Even statin loving docs don’t say that. I am 70 and have had high cholesterol my whole life. I have excellent plaque scores (in the 20 percentile) and maintain a CRP (which my functional doctor checks every 6 months) of less than 1. This idea that cholesterol causes inflammation is simply a myth that supports a failed approach to preventing heart disease. High insulin levels do indeed cause high inflammation, but it is seldom checked and never talked about, even in this video. Ten years ago, my insulin (before going low carb) was 30. It is consistently less than 3 today. I also dropped my trigs from 300 to under 100. If I didn’t have a functional doctor who focused on controlling insulin levels, I would never had gotten it down that low. No one talks about fasting insulin because if they did, it would force them to a diet contrary to what they have been preaching and admit that they have been wrong as to the true cause of heart disease- insulin resistance, not cholesterol. “Why We Get Sick” is an excellent recent book by a professor at Brigham University, which illuminates the science behind the view that high insulin levels is the root cause of many diseases and is the primary cause of inflammation.. Furthermore, there are no RCTs that support this doctors conclusion that saturated fat causes inflammation. Consider this recent review www.jacc.org/doi/abs/10.1016/j.jacc.2020.05.077 in the Journal of American College of Cardiology in which the researchers said they could find no science that backed the conclusion that saturated fat is harmful and that, in fact, it may reduce the chances of a stroke. In all other respects, this doctor uses RCT to back his claims, except here he simply repeats the standard line which is promoted by mainstream medicine and big pharma which has given us over 20,000 patented drugs and everyone keeps getting sicker and sicker. Knee replacements are widely overused due to financial incentives and so are most pharmaceutical drugs. Eat whole foods, stay mostly low carb and exercise. If saturated fat is so bad, our species would never have survived.
I am at absolute loss as to what to do about my knee osteo arthritis. I am in good shape and have good musculature, I was working out and trying to fight this problem, however, even after a gel injection it is quickly getting worse. If I sit down it becomes painless, but as soon as I stand, it hurts dramatically after about one minute. When I go to the gym to exercise, I end up barely being able to walk back to my car. I want to exercise badly, but they all seem to make the problem worse. I do not have excessive inflammation that can be seen, and even my x-rays and ultrasound do not indicate the arthritis is severe, yet I am at the point now where I cannot even walk more than 100 steps. In desperation I am about to go for an $1750 PRP shot, but am not hopeful that it will help. My surgeon claims I am no where near a Knee replacement. I am also taking the two supplements you mentioned and am trying various medications to alleviate pain. Each day seems to be worse and my quality of life has become very poor. I am lost and do not know what to do.
Focus on strengthening the glutes and maybe I’ve been looking for a good 1 gotta be confident in walking around with 1 but I know it’ll help walking day to day.
I understand where you are coming from. If it is not bone on bone then maybe it is meniscal tear problems. Perhaps get an MRI scan to see where the issue is, so you know more what is wrong with your knees, if you've not had that done. I am bone on bone in both knees and have been for at least 2 years. I've only had X-rays done, nothing else, because they don't do more than that in the UK on the NHS. An osteopath I was seeing 2 years ago said that an MRI scan could be far more useful than the X-ray. He thought my issues were more likely to be meniscal tears and was surprised when the x-rays came back showing bone-on bone for both my knees.
Many of the usual exercises that are given for those with knee osteoarthritis seem to be designed for, and help those with mild osteorthritis whose muscles are deconditioned through lack of exercise, but not so much those who have been very active and already have strong muscles. I found that exercises (both strengthening and stretching) for meniscal tears to be much more helpful for me, as they are not body load bearing and don't cause repetitive impact on the joint. Your knees may need to heal first, not get pummelled by load bearing weight exercises. There are some good videos online, but make sure they go through the exercises in a systematic way, focusing on each muscle in turn, not just a hotch potch of exercises thrown together. That way you can find out if you have particular muscles that are weaker or problematic. Quite a revelation, if done that way.
Unfortunately I've just been given yet another exercise that grinds one bone against the other, and once again has made my condition worse. Here in the UK joint replacement is now so heavily rationed on the NHS in parts of the country that we're effectively abandoned until our mobility is almost gone, and recovery is very difficult, or we have to pay to go private. Physiotherapy advice is generalised leaflet only until you're at the point of knee replacement, and then they make you start over again with the same exercises you've already been doing for years, as part of delaying tactics, to save money, and to force people to go private out of despair.
I'm also fed up to the back teeth of seeing videos of people happily running and cycling and swimming, who supposedly have severe osteoarthritis, and being told that with physiotherapy and exercise that we can be like that too. I've spent the last 5 years dutifully doing my exercises, trying to maintain walking (running, cycling and swimming is no longer possible for me), and it is not through lack of will that I can't. I used to be able to walk all day long out on the moors, as part of my work as an ecologist. Now I go up the stairs on all fours, go down stairs one at a time taking most of my weight on the handrail, and have knee pain even when sitting.
Actually his 'Best exercises to relieve knee pain' are good, are properly structured, though hold off the half squat as that might aggravate, and maybe add in a bridge for core muscle strength. ua-cam.com/video/aMMHfFjwAmM/v-deo.html
I do the clam for the glutes, but his exercise for the glutes looks just as good. All the rest I've been doing for years now, but can now only do shallower squats than his half squat.
@@juno3309 A very nice and Thorough reply. I too am totally aggravated by this concept that if you just do " the right " exercises that you will heal your arthritis and also, agree with you wholeheartedly that people who are already in good muscular shape are screwed trying to follow this rabbit hole of the right muscles to strengthen, as they already are strong. I have been listening to a guy who has a hundred videos out about GLUTES GLUTES GLUTES and the miracle of how they will fix your arthritis in the knee if you do them. I have very strong glutes and have further strengthened them and it has made NO difference. I have tried something new today that is totally against what I have been advised. I am practicing straightening my leg to full straightness and also pulling my leg against my stomach and forcing the bend in my knee. It is VERY painful, but for the first time in weeks, I have been able to walk normally for a short while. I don't know if this is going to work in the long term, but I am working on it now as it is the only thing that has helped in any way. I will update how I am doing with this as the weeks go on.
How to do exercise
When we have pain
On knee. I am suffering with right knee gap. Doctors
Tells me to do operation. I don't want to do.
Any thoughts on deferred pain? I can lift weights within a certain weight and rep range but then I will have pain and inflammation sometimes days later. Maybe volume or load is too high?
Hello sir Good Afternoon, Aravind here , nice to see you through this social service platform, I'm here to approach you for my medical consultation. I am a athelete,I had a problem on knee ligament while playing badminton so , I consult Villupuram Gh(INDIA - TN) doctor they told me to take x-ray &MRI after that doctor suggested me to undergo on " Orthoscopic surgery " , I don't know what to do at this situation . May I get your help Injury: ( left knee)
1- partial Acl tare
2- Partial meniscus tare
Is osteoarthritis non-inflammatory? if it is, then does that mean there is no inflammation that occurs?
I AGREE W/U 100%
Thank you
Have you got a video on a bone on bone in the knee video ? Unfortunately I’ve had a meniscus tear and part of the cartilage removed , will these points work? Thanks
Does prp help in ac joint arthritis according to ur experience
I take both of the supplements you mentioned. It took about 6 weeks but now I am pain free.
Wow, amazing!
What supplements did you take
@@gnhgm8969 Boswellia, turmeric, glucosamine, chondroitin, MSM, b12, b6, folate, SAMe, b1, cod liver oil, EPA/DHA capsules, boron, D3, K2, and collagen. Sometimes I don’t take all of those every day, but at least every other day. I eat a low carb diet, meat and vegetables, no sugar or alcohol. I get my shoes from Brooks, Glycerin 21 GTS for the fabulous support.
i have bone on bone in my right knee. keep moving is the way to keep it bearable.
Or, you can get tossed off a horse at 15 and shred both the medial and lateral meniscus so that you have arthritis by 28 despite running, playing tennis, swimming and horseback riding keeps being done and having 19 knee surgeries by 40 yrs old including 2 TKR'S on 1 knee alone. It really does help if you keep moving. Aging is not for the faint😅 of heart!
So true!
Who does this NOT apply to ?
D3 receptor defects affect rheumatoid arthritis, possibly osteoarthritis as well. You can have "normal" D3 levels and still have raging inflammation.
❤❤❤❤❤❤ HI Doc your exactly right .once i got pain on my knees physucal theraphy and vitamin supliment joint care and exercuse made me feel better and back to normal again.
your thoughts on the carnivore diet ?
3:30 explain name of this condition in common words
Swimming is good for meniscus tear
Diet does matter at least in my case. Eliminating seed oils, sugar and vegetables has dramatically reduced my arthritis in my knees and fingers over the last year. I have tried re adding these one by one to see which cause flare ups. In order of my perceived effect are: vegetable oils, Canola, Sunflower etc, sugars, honey and fruit, green vegetables. So I eat animal products, meat, eggs dairy. I have not eliminated tea and coffee yet, but I am much better. A year ago I was worried I would not be able to do anything without pain. Now I have little pain and much less stiffness. I am 70 years old male. I hope this is useful.
Bor is missing
R stretching like pancake & butterfly is good for OA ?
Because our hip flexors r also
related with knee pain .
seriously ozempic?
Dr Peng, can osteophytes be always a sign of OA?
👍
❤❤❤
poor quality visuals.
Re diet try carnivore.
Naproxen is disgusting. Turmeric is better
I wish you had private practice!