Monday, July 15, 2019

Patella-Femoral Joint

      The patella-femoral joint is the connection between the patella, or kneecap (which is embedded in the tendon of the quadriceps muscle) and the femur (the thigh bone). This joint is largely dependent on soft tissues (muscles and tendon) for stability. 
      On the back side of the patella are articulating surfaces that contact the matching surfaces (the femoral "groove") on the femur. As you move from full extension (your leg straightened) to flexion (the knee bending) the patella will contact / slide against the femur. Proper alignment for this movement is critical to maintaining a full, pain-free range of motion. 
     If the alignment of the movement is off, there will be abnormal wear and tear. Uncorrected, this can start to be painful, and a "crunching" or "grinding" may be audible when the knee is bent or straightened. This is the development of Patella-femoral Syndrome (pain during knee range of motion), or Chondromalacia Patella (an arthritic condition under the kneecap). 
     In my office, I assess the knee through ranges of motion, and make precise adjustments with the Activator instrument to correctly align the patella. I show the patient specific exercises to do at home to maintain alignment of the kneecap and prevent this condition.      

Monday, July 8, 2019

3 Secrets to Relieving Sciatica

  Many patients come in suffering the pain of sciatica---pain down the leg. Typically the pain goes down the back of the leg, but can be in the buttock or down the side or front of the leg as well.
Sciatica is caused by impingement of the sciatic nerve, which is composed of branches of the lumbar nerves that exit the spine between the lower vertebrae and travel through the buttocks and down the legs.
“Impingement” can be caused by abrasion, pressure, “pinching,” stretching, or other irritation. The resulting discomfort can be frustrating, difficult to tolerate, and often impacts patients’ ability to go about their daily activities.
Sciatica can originate where the nerves exit the spine, but it is commonly caused by impingement in the gluteal region---the part you sit on. Sitting too long on a hard surface can irritate the sciatic nerve, and chronically tight gluteal muscles can also be the problem.
The secrets? Don’t spend long times sitting; get up and move. Don’t sit on hard surfaces; use a cushion. Stretch; maintain flexibility and good circulation in your gluteals.

Monday, July 1, 2019

What If Medicare Covered Healthy Food?

Subsidizing fruits, vegetables, and other healthy foods under Medicare and Medicaid could prevent millions of cases, as well as deaths from, cardiovascular disease, according to a new model. It would prevent hundreds of thousands of diabetes cases, as well, and save billions of dollars in healthcare costs.”
This would work by having doctors prescribe healthy foods---fruits, vegetables, etc.---and having insurers (Medicare & Medicaid) help pay for them.
A new study found that “subsidizing fruits and vegetables would prevent 1.93 million cardiovascular events, like heart attacks, and 350,000 deaths from the conditions. 
Subsidizing fruits, vegetables, and other healthy foods would prevent 3.28 million cardiovascular events, 620,000 deaths, and 120,000 cases of diabetes. 
The fruits and vegetables program would save nearly $40 billion in healthcare costs, and the addition of other healthy foods would save over $100 billion."
Go here to learn more: