Monday, June 8, 2020

Thank You--To the Kneecap!

           Our kneecap, aka the patella, gives us a 30% increase in the power production of our quadriceps, the muscles in the front of our thigh that, when activated, extend, or straighten, the knee.
Embedded in the tendon of the quadriceps, the kneecap articulates against the front of the lower end of the femur, the thigh bone. 
Below the kneecap, the fibers of the quadriceps tendon continue as the patellar ligament. The patellar ligament starts from a “bump” on the front of the kneecap and goes down to attach to a “bump” on the front of the tibia, the large bone in the lower leg.
The kneecap holds, or raises, the patellar tendon off the femur, thus improving the angle of approach of the tendon to its lower insertion on the tibia. This is how it increases the power generation of the quadriceps. 

Monday, June 1, 2020

The Right Pillow

  For many patients, changing to a better pillow is a critical key to a healthy and comfortable cervical spine, a solution to chronic neck pain & tension, and relief for headaches.
         I have personally experienced this. After five whiplash injuries in my youth, I found that regaining full and reasonably comfortably functioning involved using the right pillow.
What is the “right” pillow? 
Our pillow should give us consistent, resistive support during sleep. A down pillow will not provide this because, no matter how carefully you shape & place it when you first lie down on it, it will deform during the night.
Likewise, a memory foam pillow, which indents when you lie on it, does not give consistent support---its softness is appealing, but it is not serving the health of your cervical spine.
The “right” pillow supports the normal curve of your neck, whether you lie on your back or your sides to sleep. It allows your head & cervical spine to remain in alignment with the rest of your spine, not bent up or down.
The pillow that I sleep on, and that I recommend for my patients, provides this, and patients can get this pillow in my office.