Transcript Confidential Proposal For The Consideration Of Wal

Are You
Still Hip?
All net proceeds support hospital programs
Presenting Team
Jody Strik - Manager of Work-Fit Total Therapy Centre
B.ScKin, B.ScPT, M.C.P.A., MBHM (Cand.)
Medical Acupuncture Provider
Henry Candelaria, BPHE, DC
Doctor of Chiropractic
Medical Acupuncture Provider
Advanced Practice Clinician
Alexandra Tarkowski, BHSc, DC
Doctor of Chiropractic
Medical Acupuncture Provider
Active Release Techniques® Provider
Agenda
• Review the Anatomy of Hip/Knee
• Identify Early Signs and Symptoms
of Osteoarthritis
• Referred Pain Patters that can
replicate Hip/Knee Pain
• Discuss Management Options
• Alternative Medicine - What Works?
• Interactive Session
Anatomy of the
Hip Joint
Anatomy of the
Knee Joint
Muscles
Early Signs &
Symptoms
• Morning Joint Stiffness
• Joint Inflammation
• Inability to bend to the ground
without pain
• Constant aching pain in the joint
• Pinching sensation when
crossing legs
• Difficulty with transitional
movement from sit to stand
• Limping
• Joint Pain
• Limited Range of Motion
• Crepitus (Crackling, grinding
noise with movement)
Signs & Symptoms
• Knee Pain • Stiffness • Swelling
• Popping • Crunching •
• Knee Buckling or Locking Up
• Morning Stiffness
• Difficulty climbing or descending stairs
• Inability to squat to the ground without
pain
• Feeling of knee locking or giving out
• Limping
• Pressure behind knee
Synovial Joint
Referred Pain Pattern
Normal Disk
Degenerative
Disc
Bulging Disc
Herniated Disc
Thinning Disc
Degenerative
Disc
Spinal Anatomy
The Lumbar Spine
• Vertebrae
• Facet Joints
• Intervertebral
disc
• Ligaments
Management
• Visit a reputable rehabilitation centre
• Ensure they have the right modalities and
equipment to assist you in getting better faster
• Combination of active and passive care is
necessary
• Manual therapy: mobilizations, manipulations, soft
tissue therapy
• Active Release Techniques ®
• Pain management: Acupuncture, IFC/ TENS
• Supervised exercise program specific to complaint
and pattern**
• **Individualized rehabilitation programs
Current Evidence
Table 3. Non-pharmacologic recommendations for
the management of knee OA
We strongly recommend that patients with
knee OA should do the following:
• Cardiovascular / resistance
land-based exercise
• Aquatic exercise
• Self-management programs
• Manual therapy in combination with
supervised exercise
• Patellar taping
• Custom Orthotics
• Thermal agents
• Walking aids, as needed
• Tai chi programs
• Acupuncture
• Transcutaneous electrical stimulation
American College of Rheumatology 2012
Recommendations for the Use of Nonpharmacologic and
Pharmacologic Therapies in Osteoarthritis of the Hand, Hip,
and Knee
Arthritis Care & Research
Vol. 64, No. 4, April 2012, pp 465–474 DOI 10.1002/acr.21596
© 2012, American College of Rheumatology
MARC C. HOCHBERG, et al
Current Evidence
Table 5. Non-parmacologic recommendations for
the management of hip osteoarthritis (OA)
We strongly recommend that patients
with knee OA should do the following:
• Cardiovascular resistance land-based
exercise
• Aquatic exercise
• Lose weight (for persons who are
overweight)
• Self-management programs
• Manual therapy in combination with
supervised exercise
• Group arthritis classes
• Thermal agents
• Walking aids, as needed
At Home Management
ICE OR HEAT
• Ice - initial stage (24 - 48 hours)
• Ice reduces inflammation and pain.
• Apply crushed ice in a bag, package of
frozen vegetables or a gel pack.
• Apply for only 15 minutes maximum and
repeat every 2-3 hours.
• Heat may be used after 48 hours.
GOOD HABITS
FOR PREVENTION
• Maintain proper posture
• Avoid flexing forward, twisting/reaching out.
• Stabilize the back & deep core muscles keeping your
back straight and your chin tucked in.
• Strengthen your quads and gluts as these are the major
stabilizers for the hip and knee joint.
Alternative Medicine
• Glucosamine • Chondroitin • MSM •
Naturally found in connective tissues in the human body, such as
those covering the ends of bones in the joints.
• Glucosamine is extracted from animal tissues (crab, lobster or shrimp shells).
• Chondroitin is found in animal cartilage (tracheas or shark cartilage).
• MSM, also known as methyl sulfonyl methane, is a compound found naturally
in (cow's milk, meat, seafood, fruits and vegetables).
Glucosamine, chondroitin & MSM are believed to impact the cartilage
degeneration process of osteoarthritis in the following ways:
• Helps slow or prevent the degeneration of joint cartilage.
• Helps alleviate existing joint pain.
• Has very few side effects.
• May not offer the desired pain relief for all osteoarthritis patients.
At the time of this article, the benefits and risks of taking glucosamine, chondroitin
& MSM have not been definitively proven, and long term studies are needed to
better understand their effects. 1
1.
National Institutes of Health. National Center for Complimentary and Alternative
Medicine. “Questions and Answers: NIH Glucosamine/Chondroitin Arthritis
Intervention Trial (GAIT).” 2004.
http://nccam.nih.gov/research/results/gait/qa.htm?nav=gsa.
Interactive Session
• Circulation and Lubrication
• Postural Correction
• Glut and Quad Activation
• Balance
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