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**Dr. Jake Berman, PT, DPT Debunks the most common myths about “You NEED a Knee Replacement.”

**There is one common reason why you still have knee pain after surgery. 

(1:00): Can you do anything for me if my knee is “bone-on-bone?” Myth DEBUNKED. 

(2:45): Sometimes one knee hurts more than the other, but the one that hurts less actually LOOKS worse on the Xray. So, is the bone-on-bone actually causing the pain?

(5:20): The pain response to knee pain is actually coming from the soft tissues AROUND the knee.

(7:20): Quad muscles help to support the front of the knee, but the gluteus muscles are very important to support the whole knee - 360 degrees. 

(9:40): If you can get your knee into complete extension and hyperextension, you likely do NOT need a knee replacement.

(10:30): When the knee is slightly bent, you cannot activate the gluteus muscles - which are the main stabilizers!

(12:40): Debunking the thought that “bad knees” is genetic!

(13:30): We typically mirror our parents posture and mannerisms. 

(14:50): Popping and grinding of the knee is called Crepitus - this does not mean you have to have a knee replacement! The crepitus is not the bone grinding.

(16:25): Torn Meniscus - does this require surgery? NOT always!! 

(17:20): If your knee is not locking and you can get full knee extension - you may NOT need surgery for the meniscus! 

(18:30): Meniscus repair versus Menisectomy… 

(19:00): A Traumatic tear versus chronic tear - this also matters!

(20:35): Physical therapy is important after ANY surgery - no matter the extent! You need to get the quadriceps and gluteus muscles working again!! 

(22:00): If you’re still having pain after surgery it is likely because you have not gotten full knee extension and you have not reactivated the butt muscles!! 

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drberman@bermanpt.com

jenni@bermanwellness.com

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