PLEASE continue with your amazingly informative videos. I am 58, fanatical singles tennis player, have at least grade 3 osteoarthritis on the medial femoral condyle. 4 orthopedic surgeons have seen the images from my arthroscopic surgery, 3 have said they see a tiny bit of grade 4, extensive grade 3... I could barely walk a 6 months ago much less play tennis, I had hyaluronic acid injection as well as started liposomal hyaluronic acid supplements (500mg 2x/day) 4 months ago and had 3ml PRP injection 6 weeks ago (max amount allowed with the Xerthra kit). I am now playing 2 hours of singles tennis 6 days a week and am basically PAIN FREE. Only mild stiffness after sitting for a few hours. In hindsight I can say my very first symptoms were tightness in my VMO. One P T guy told me about the phenomenon where muscles tense while trying to protect an injury causes soreness (forget the name), anyway suspect that and these trigger points are related. I have ZERO doubt working with the trigger points will be helpful. I also swear by PRP, and liposomal hyaluronic acid supplements. Two of my friends have started taking those alone and say they notice a difference. Anyway by following your advice, you are allowing me to continue my life passion, which in turn is helping my mental/emotional health. 👍🎾🎾🎾
Wow! You are a great example of how combining PRP injections with exercise therapy can allow people to continue to do what they LOVE in life. Thanks for sharing your experiences.
Nice video on treating knee arthritis prior to exercising. Was just diagnosed with knee arthritis and I like to exercise. Never thought of heating knee prior to exercising to relieve knee arthritis pain. Very informative
Fabulous video thank you and very timely! I underwent a TKR on the left 12 weeks ago, though a very challenging procedure to work through I am now pain free from the original arthritis for which I am very grateful for and I’m continuing to work on getting that “normal” knee feeling totally back. Unfortunately my right knee which has a slightly lesser degree of arthritis is now very painful in the inner aspect on any movement, my operated leg is now my “good” leg! I will try all your suggestions as I’m keen to avoid another replacement if I can, pretty tough surgery😳, I’m 60 years young so alternative options are welcome. 🥰🏴🇬🇧
I like you!!! I used to do Burpuees and hiit several years ago. Perhaps i did them wrong. Or its my 60lbs weight gain. Now i can't even kneel without my knees cracking and with mild pain on the medial area. Im 36 yrs old. I don't want surgery. So im doing everything in my power to make it better. Thats how i ended up here. So. Thank you!!
Hi Dr. Jeffrey, thank you for doing these videos. I have recently had my 3rd PRP injection for torn common flexor tendon in my Left elbow. It's helping but I have a question for you. Do you have suggestions for neuropathy that travels the whole arm? Thank you in advance for your help.
I think he's right. I have osteoarthritis in the leg I tore my achilles. The calf muscle is significantly smaller than the left leg. Also tore the miniscus in the same leg. Other leg has absolutely no issues
I have never heard of dry needling! Very interesting!! I have a consult for PRP injections on Mon and I am going to ask about these! I have trigger point tools and foam rollers! Used for years and they work. I also have a sports chiro who does more than snap crackle pop! He is amazing! ***Also look into castor oil!*** Strengthening your glutes makes a huge differ! I will never get knee replacements, they say I need them and I am truly just not interested. I believe we can heal our own bodies!
...maybe a silly question but is bike riding as effective as walking for stimulating hyaluronic acid...I would much rather ride my bike than walk...also what resistance exercises would you recommend for strengthening the knee...tia...
Hello Jeff, When I stand for a while - for about 10 mins, there is growing weakness and pain in my knee and rectus femoris tendon. I visited 4 doctors, and none of them are able to cure the issue I've been lifting for years - the mistake I did was not stretching enough. Now, I've been deep stretching, doing low impact exercise, foam rolling etc. Still the issue persists. How can I permanently cure this issue?
When one has bone or ligament or tendon injuries, these will likely case trigger point like pain. It is due to the nerves circuit signaling of that area. The trigger point injection will numb some nerve circuits of that area that are also linked to the nerves that connect to the nerve emdings at the hurting joint. So they just numb nerve groups responsible for the area served by the injured tendons or ligaments or bone...it is sort of pain killer but more focused on the injured area
I know someone who just had this and the pain is gone. Do you know why you had this issue after knee replacement? What are docs saying to do now? I am trying too avoid knee replacement. :0
Thank you for your excellent series of videos on knee osteoarthritis and treatments. I've just started watching them and am learning so much. I have osteoarthritis in my left knee that presented itself in earnest about 8 years ago. My dad had severe osteoarthritis arthritis in both knees to where it was bone on bone. Due his advanced age, he declined knee replacement and eventually became wheelchair bound. I am looking to see what options I can implement now to avoid my dad's fate. Your videos are exactly what I need.
Thanks for your comment. Unfortunately I cannot give medical advice over the internet. Please seek the advice of your trusted health care provider. Best of luck!
PLEASE continue with your amazingly informative videos. I am 58, fanatical singles tennis player, have at least grade 3 osteoarthritis on the medial femoral condyle. 4 orthopedic surgeons have seen the images from my arthroscopic surgery, 3 have said they see a tiny bit of grade 4, extensive grade 3... I could barely walk a 6 months ago much less play tennis, I had hyaluronic acid injection as well as started liposomal hyaluronic acid supplements (500mg 2x/day) 4 months ago and had 3ml PRP injection 6 weeks ago (max amount allowed with the Xerthra kit). I am now playing 2 hours of singles tennis 6 days a week and am basically PAIN FREE. Only mild stiffness after sitting for a few hours. In hindsight I can say my very first symptoms were tightness in my VMO. One P T guy told me about the phenomenon where muscles tense while trying to protect an injury causes soreness (forget the name), anyway suspect that and these trigger points are related. I have ZERO doubt working with the trigger points will be helpful. I also swear by PRP, and liposomal hyaluronic acid supplements. Two of my friends have started taking those alone and say they notice a difference. Anyway by following your advice, you are allowing me to continue my life passion, which in turn is helping my mental/emotional health. 👍🎾🎾🎾
Wow! You are a great example of how combining PRP injections with exercise therapy can allow people to continue to do what they LOVE in life. Thanks for sharing your experiences.
Nice video on treating knee arthritis prior to exercising. Was just diagnosed with knee arthritis and I like to exercise. Never thought of heating knee prior to exercising to relieve knee arthritis pain. Very informative
Fabulous video thank you and very timely! I underwent a TKR on the left 12 weeks ago, though a very challenging procedure to work through I am now pain free from the original arthritis for which I am very grateful for and I’m continuing to work on getting that “normal” knee feeling totally back. Unfortunately my right knee which has a slightly lesser degree of arthritis is now very painful in the inner aspect on any movement, my operated leg is now my “good” leg! I will try all your suggestions as I’m keen to avoid another replacement if I can, pretty tough surgery😳, I’m 60 years young so alternative options are welcome. 🥰🏴🇬🇧
I like you!!! I used to do Burpuees and hiit several years ago. Perhaps i did them wrong. Or its my 60lbs weight gain. Now i can't even kneel without my knees cracking and with mild pain on the medial area. Im 36 yrs old. I don't want surgery. So im doing everything in my power to make it better. Thats how i ended up here. So. Thank you!!
Nice!
Thank you! Super informative. Is there any evidence for red light therapy?
Ja det här är ju en stor grej för oss gamlingar. Fattar du engelska , kolla på alla dessa videos. Mvh gh i onsala❤
Thx for commenting!!
Thanks, great video.
Hi Dr. Jeffrey, thank you for doing these videos.
I have recently had my 3rd PRP injection for torn common flexor tendon in my Left elbow. It's helping but I have a question for you. Do you have suggestions for neuropathy that travels the whole arm? Thank you in advance for your help.
I think he's right. I have osteoarthritis in the leg I tore my achilles. The calf muscle is significantly smaller than the left leg. Also tore the miniscus in the same leg. Other leg has absolutely no issues
Guys, Orthovita Oil works wonders for my knee pain. I feel so much lighter now 🌟
Very informative video. Heat and massage help me. What about aqua fit classes to strengthen the muscle?
Any type of strengthening for the muscles will help
I have never heard of dry needling! Very interesting!! I have a consult for PRP injections on Mon and I am going to ask about these!
I have trigger point tools and foam rollers! Used for years and they work. I also have a sports chiro who does more than snap crackle pop! He is amazing!
***Also look into castor oil!***
Strengthening your glutes makes a huge differ!
I will never get knee replacements, they say I need them and I am truly just not interested. I believe we can heal our own bodies!
I was part of a dry needling study. I can’t say that it helped. I told the guy doing the study that on the other hand it certainly didn’t hurt.
I hv 85 yr grade 4 OA case. Doing mfr and strenthening exercises. Wt else should i do
Best thing you can do is strengthen your bottom muscles. Also, rub castor oil into sore joints/ it’s helped me anyways. Good luck
...maybe a silly question but is bike riding as effective as walking for stimulating hyaluronic acid...I would much rather ride my bike than walk...also what resistance exercises would you recommend for strengthening the knee...tia...
Yes, any movement
Hello Jeff,
When I stand for a while - for about 10 mins, there is growing weakness and pain in my knee and rectus femoris tendon.
I visited 4 doctors, and none of them are able to cure the issue
I've been lifting for years - the mistake I did was not stretching enough.
Now, I've been deep stretching, doing low impact exercise, foam rolling etc. Still the issue persists.
How can I permanently cure this issue?
When one has bone or ligament or tendon injuries, these will likely case trigger point like pain. It is due to the nerves circuit signaling of that area. The trigger point injection will numb some nerve circuits of that area that are also linked to the nerves that connect to the nerve emdings at the hurting joint. So they just numb nerve groups responsible for the area served by the injured tendons or ligaments or bone...it is sort of pain killer but more focused on the injured area
I couldn't agree more!
Were do you work??
Great video.
Could you please make a video on Ozone therapy?
Is Ozone therapy effective for knee pain?
I'll add that to my list
@@JeffreyPengMD Thanks
I found that ozone ( Prolotherapy) made it stiff and worse.
Thanks
@@lindawelburn9140
Doctor, any difference between prp and exosome injection , we need video on that
Thanks
Exosomes need more studies including randomized controlled trials. Until then, PRP (in my opinion) is the gold standard for orthobiologics therapy.
How can I come and visit your work place ?
Hi! Can you send us any video remedy to relieve hip sciatic pain..,thanks a lot
Best to discuss with your health care provider
8 months after knee replacement, my knee buckles when I least expect it
I know someone who just had this and the pain is gone. Do you know why you had this issue after knee replacement? What are docs saying to do now? I am trying too avoid knee replacement. :0
Try to keep up with your exercises to strengthen your muscles. The muscles go weak after surgery.
Best exercise you can do with knee pain is strengthen your butt muscles (pardon my french). Cheers
Thank you for your excellent series of videos on knee osteoarthritis and treatments. I've just started watching them and am learning so much.
I have osteoarthritis in my left knee that presented itself in earnest about 8 years ago. My dad had severe osteoarthritis arthritis in both knees to where it was bone on bone. Due his advanced age, he declined knee replacement and eventually became wheelchair bound. I am looking to see what options I can implement now to avoid my dad's fate. Your videos are exactly what I need.
Thanks for commenting!
Would APS knee injection benefit more than PRP?
APS needs more studies. IMO, PRP is the current gold standard for orthobiologic therapies.
PRP IS EXPENSIVE !!
Hello Dr please I have pain my knee is not very good my muscles also my hamstring feeling weakness I think it's arthritis
Thanks for your comment. Unfortunately I cannot give medical advice over the internet. Please seek the advice of your trusted health care provider. Best of luck!
Very good information but pls include illustrations, pictures for lay people.
Will try to do that more!
This is confirmed. Described location of stiffness in knee. Found predicted tender spot.