Stemcelldoc's Weblog

September 3, 2008

The Importance of Posture

Filed under: Uncategorized — stemcelldoc @ 3:30 am
Is the a correlation between posture and knee surgery or hip surgery?
Have you ever seen someone that leans disproportionately to the right or the left?  Someone who walks with one of their legs twisted outward?  Or someone whose stride is affected because they are bowlegged?
Posture is key to proper maintenance of one’s joints.  It is similar to tire alignment.  After you hit that pothole, the alignment of your tires is typically affected.  The inside or the outside of the tire begins to bear a dispropiate amount of the vehicle’s load.  The  end result is a tire that is bald on either the inside or the outside.  The same holds true for our joints.
If a patient has back pain they may lean to one side in an effort to decrease the amount of pressure applied to the painful side.  While this may decrease the patient’s back pain, it regretably places an increase amount of pressure on the patients hip and knees.  If this posture is maintained over time, the individual typically develops pain in the affected joints.  The individual may then go to their doctor and x-rays demonstrate excessive wear of the joint (osteoarthritis).  They are often then referred for arthroscopic hip surgery or arthroscopic knee surgery.  In cases where there has been significant wear on the joint, they may be hip resurfacing surgery or total hip replacement surgery.  Just like the tire on your car there has been excessive wear as a result of misalignment.  The key is to keep everything aligned. 
At the Centeno-Schultz Clinic we evaluate patients who have been advised that they are in need of meniscus knee surgery, knee ligament surgeryminimally invasive hip surgery and joint replacement surgery.  We look beyond the affected joint to determine the possible cause of joint overload and then direct therapy to correct this misalignment.  Failing to evaluate the patient as a whole and determine the cause of the joint overload is like replacing bald tire without correcting the alignment. 
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