How To Clearly Tell Where You Are In The 4 Stages Of Knee Arthritis

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Күн бұрын

The staging system of knee arthritis is commonly used by doctors to help determine how severe your knee osteoarthritis is.
Knowing what stage you are in helps doctors recommend treatments appropriate for your specific situation.
But this system is not complete! It has many assumptions that we believe are false. This means the recommendations from doctors, based on what stage of knee arthritis your in, might NOT be good for you!
There are 2 main flaws with this:
The first is that knee cartilage does not heal and there is only degeneration over time no matter what you do. In other words, you’re doomed if you start having knee arthritis :-(
The second flaw is that you cannot function without some loss of cartilage and that knee replacement surgery is necessary. We know this to be wrong because we’ve helped so many people over the years avoid surgery even though they have “bone-on-bone” knee arthritis.
At the end of this video, Dr. David discusses an alternative system that is more focused on the possibility of healing knee arthritis so that you can get back to being active, healthy, and mobile again.
🦵Learn more about the “Knee Arthritis Recovery Program” Dr. David mentions in this video:
www.epmanualphysicaltherapy.c...
🎥 Here’s a link to our knee arthritis video playlist so you can find more specific help in fixing the long-term problem.
“Knee Arthritis Pain Help” • Knee Arthritis Help
00:00 How To Clearly Tell Where You Are In The 4 Stages Of Knee Arthritis
01:08 Stage 0 - Pre Knee Osteoarthritis
02:12 Stage 1 - Minor Knee Osteoarthritis
04:42 Stage 2 - Mild Knee Osteoarthritis
12:04 Stage 3 - Moderate Knee Osteoarthritis
16:07 Stage 4 - Severe Knee Osteoarthritis
19:16 Flaws of the staging system
#elpasomanualphysicaltherapy #drdavidmiddaugh
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DISCLAIMER:
Any information available at this channel is intended for general guidance only and must never be considered a substitute for advice provided by a physician, medical provider or physical therapist. El Paso Manual Physical Therapy will not be liable for any injuries that happened due to performing any exercises or advice on this channel.
Always seek the advice of your physician or other qualified health care professional with questions about your medical condition or to diagnose any conditions.

Пікірлер: 1 300

@lyndasalgodo3812 Жыл бұрын

They told me I needed knee replacement 25 years ago. Still walking and doing okay.

@sunnyskies-md5rk Жыл бұрын

Good for you, Lynda!

@dr.taralikatrivedi Жыл бұрын

please tell us how did you care for your knee. what exercises, what food.

@jennyl.2689 Жыл бұрын

You must not be bone to bone.

@og6015 Жыл бұрын

Please kindly share any tips or natural meds or supplements or exercises that helped. I have just been diagnosed and I need to know 😢

@ramsetauto Жыл бұрын

That gives us hope! I've just had an arthroscopy with partial meniscectomy and debridement to try and reduce the pain from my arthritis and buy some time before a new knee. I have bone on bone grade 4 arthritis on the medial side, grade 2 on lateral and grade 4 under the patella, the surgeon said it's as bad as it gets, yet I function quite well. It becomes more painful and stiff after a walk but I cyle 2/3 times a wk and swim 3 times a week. I bend my knee to the limit most evenings while sitting down, watch my weight and keep slim (6ft and 70kg) which is important to keep knee pressure down. I'm looking into a gel injection as a future option but apparently that is not so effective for grade 4

@myronstambaugh761 Ай бұрын

God bless the KZfaq docs who take the time to be physicians!

@dawnvanderkooi6816 19 күн бұрын

I went to the doctor and they spent a total of 3 minutes with me to just tell me that I had a lot (their term) of arthritis and prescribed physical therapy. It also cost me $150 for 3 minutes of their opinion. I learned more from this youtube video and it was free. Thank you!

@epmanualphysicaltherapy 19 күн бұрын

Hi Dawn. We are sorry to hear that your visit with the doctor did not help. We understand how frustrating it can be to have to deal with pain on top of not being given sufficient time to help. We are glad that we were able to help with this video though! Below will be some additional links that we hope helps your healing journey even further! “Knee Arthritis Help” kzfaq.info/sun/PLJVIPiFvv1maa9YF-WmKLF7oI4VoczH8i We hope you found this information helpful! 🧡 Please let us know how you are doing as you progress 🙌🌟

@patmartens4751 3 ай бұрын

I am 95 and had a left knee replacement in 2007 the surgeon said my right knee was close to needing the same. I didn’t listen and left it, it wasn’t a problem for a long time but for the last 7 years it’s got worse and really painful. I walk with w walker now to take the pressure off the knee but it’s really painful. My knee bends easily without pain but suddenly it’s sore while sitting not bad but I feel it. At my age I don’t think surgery is possible..

@margaritapenaflor9075 Жыл бұрын

I’m 24 and diagnosed with stage 4 osteoarthritis in my left knee. These videos are the most information I’ve received.

@epmanualphysicaltherapy Жыл бұрын

Hey Margarita! So sorry to hear you have been diagnosed with stage 4 osteoarthritis :-( Here is a great playlist we have on knee arthritis pain help! Hope it helps! “Knee Arthritis Pain Help” kzfaq.info/sun/PLJVIPiFvv1maa9YF-WmKLF7oI4VoczH8i In case you're interested, we also have a knee arthritis recovery program! :-) “Knee Arthritis Recovery Program” www.epmanualphysicaltherapy.com/knee-arthritis-recovery-program

@Jo-dz9iu Жыл бұрын

Thats awful, you poor thing. At 24. I'm sorry. There are some natural ways to help with these conditions, so might be worth you looking into those, as well as anything your Dr prescribes. I haven't been able to see my Rheumatologist for a while, so this video has been really informative. I've got Osteoarthritis, Inflammatory arthritis, Rheumatoid arthritis, Fibromyalgia, and a host of other delightful conditions! One of my knees is so bad that it gives way a lot. I'm 44 😢

@mark72141 Жыл бұрын

You're so young to have that. I thought it's for older people.

@Katwinser1958 Жыл бұрын

Wow you are very young for stage 4. I am 64

@patriciamissie8763 Жыл бұрын

I've been told that I need surgery on my left knee as well About 4-5 years ago also. Now both knees hurt so bad . I had surgery in 2012 on my right knee, it hurts as bad as my left knee.

@Benice12 Жыл бұрын

Good info; I had problems with my right knee; Started with a random occasional pain, then swelling, some stiffness. I started going to a doctor asking for help, every few months. He kept sending me to x-rays and said that there is some arthritis in there. In the end I begged him to send me to mri, and it took a few months for him to agree. This was now the third year, and symptoms and swelling were progressing to worse. It turned out I had a one pound tumor in my inner, right thigh,beside the knee. Had surgery a year and half ago, had it removed and I am hopefully still cancer free. Tough journey, big surgery, long recovery, lost a section of my inner thigh muscle. I have some issues such as stifness, mobility and flexibility limitations, some pain and balance issues, but I'm glad to have had a less agressive type of cancer, and happy to be alive. I just wish that doctor had believed me sooner that there was more than just "some arthritis " in my leg. Maybe it would have been detected earlier, and been smaller in size. But it is what it is, so, Im still grateful to be alive.

@anjukarikan7293 Жыл бұрын

Hi doc. Thanks for the information. My last xray said I am on stage 4. My orthopedic surgeon was SHOCKED when he looked at the xray. But I told him it doesn't feel as bad as the report says. The reason I went to see him was because I was having difficulty climbing up stairs and down stairs. And the first thing he said was I should have a knee replacement. But when he did a check on my motion he realized I was right. So I suggested to him that he should do an arthroscopy instead. He did that. Removed some small shattered bones. Removed some fluid and got rid of a bone spur.It's 2 and half months now and I am slowly recovering from that surgery. I am walking ok. Doing most of the exercises that you suggested. There is some swelling on bad days . I definitely not relying on crutches or walkers. Walking fairly well . And know when to stop and relax. You are the ONLY one that knows whether you need a knee replacement. Don't ever do a knee replacement if it is not needed. My friend did knee replacement on both knees. She is not any better than before the operation. So why do something that is not going going to put you in a better position. Thanks Doc for all your dedication in assisting us arthritis sufferers and giving us hope.🤗

@hillarygabriel7039 Жыл бұрын

Thanks Dr. very well explained. Need to know the excercises to do please.

@davidbosworth4751 Жыл бұрын

my doctor looked at the MRI of my left knee and he said ' how are you even walking on that knee?'

@inhalingexhaling1852 Жыл бұрын

Hi, what is your age? my mother at 53 have been told that she has grade 2-3 almost but she doesnt feel that much. she can walk easily and some days it burns due to inflammation. doctor suggested her to wait till 60. Are injections good ?? since my mother used to do a lot of walking and going around , that, she has stopped because much walking around hurts actually stings. Any suggestions

@anjukarikan7293 Жыл бұрын

@@inhalingexhaling1852 I am 63. I am taking prp injections after every 2 months. Cycling for 20 minutes each day. Also using a suction cup around my knee area to massage. Has really helped me a lot.

@nancydelauro2181 Жыл бұрын

whats prp injections

@vinyl45junkie 26 күн бұрын

I’m in stage 3 to 4 in both knees. I have A LOT of pain and stiffness but still stand at work 10 hours a day.very hard but try not to let interrupt my life. Shots only help for about 2 months. I finally decided it was time to go in for knee replacement in two weeks.

@ummj.2738 6 күн бұрын

Hi, did you have surgery? Any tips or advice?

@vinyl45junkie 6 күн бұрын

@@ummj.2738 it’s a rough first week. Be prepared to be extremely bruised up and down the leg. Muscles in thigh are very sore. But the worse pain is the day to two days after the surgery.

@jimjoelliejack Жыл бұрын

I got to stage 4 at the age of 54 after a very active life, I had 2 x TKRs within 2 years of each other. I was in absolute agony, I struggled to walk the dogs around the block, I had lateral windswept legs due to the worn gap. I was worried sick about the surgery, 6 years post surgery I’m back to near normal, I’m physically active ( no more running) and back to strenuous work as a tree surgeon, it’s like being given a new lease of life.

@theclagster2 Жыл бұрын

How long until recovery from the operation. I am 48 and a big golfer. Have had a dodgy knee for 32 years since I broke it as a kid. It may be time for a TKR. Any info would be good. Thanks

@jimjoelliejack Жыл бұрын

@@theclagster2 Hi, it took me about 18 months to get to some form of normality, you have the advantage of being relatively young so you should have decent muscle. You must work hard at rehab even if it’s painful. I’m so glad I had mine done at a young age.

@micheleoconnell8749 Жыл бұрын

Just 6 days out from my first TKR am 69 and need both done. The surgery went so much better than I anticipated with little pain. The surgeon does only knees and hips and is excellent! The anesthesiologist put 6 knee blocks in during surgery and only one time did I need to take a pain pill. I’m very pleased and I’ll be starting PT in a few days. Then the work will begin.

@carolconklinlcswr9382 Жыл бұрын

I had right TKR 2 years ago, and am 3 weeks out from left TKR. I loved my right knee - no pain - first time in 20 years. I look forward to the mobility of have 2 painfree knees to bop around in. I'm still working full time at 77. Looking to take these a walkin’ into the future. I remove or replace worn out parts of my body. We do it to keep a car running well, why not our bodies?

@XjtBA Жыл бұрын

@@micheleoconnell8749who was your surgeon? And is TKR knee replacement surgery?

@iiiDartsiii Жыл бұрын

Been dealing with knee pain for 10 years, I think I'm at stage 100 by now

@epmanualphysicaltherapy Жыл бұрын

oh no iiiDartsiii!!! 😱

@brianpeterson1962 Жыл бұрын

Me too

@pursedelighted8313 Жыл бұрын

Me too

@gerry4281 11 ай бұрын

I agree. Have had knee pain since teenage years. I pronate my feet. At age 71, I have arthritis everywhere but have been exercising for years and last 12 yrs doing yoga. Bone on bone in knees with very little pain. This guy is right. Keep exercising.

@pattithomas537 Ай бұрын

Great explanation of the stages. I suddenly found myself in stage 4, having been actively decluttering and moving furniture, almost incapable, collapsed in terrible burning pain, diagnosed in hospital urgent treatment dr, as osteoarthitis flare up, advised to have a knee bandage and take pain killers for a week and if after a week, it doesnt improve to go to gp and ask to be referred to physio. As I could hardly walk, hobbling and dragging my legs upstairs, I had to wait two days of resting before I could go out and buy a bandage and not keen on meds, searched for physio on the internet and found Dr David. One video was about fast pain knee relief for a rare tibial shift which after I spent an afternoon carrying out the suggestions, I went to stage 2 immediately and could walk normally, no swelling, pain free and walked upstairs! I am continuing with his other glute exercises and looking at all his videos now. Cant recommend him strongly enough. Share with your friends. They will thank you! Patti, Broadstairs, Kent UK.

@rosierooster3739 21 күн бұрын

I find his advice better than my physio who says strengthen quads😮 Rose, Herne Bay.

@an3551 7 ай бұрын

Dr. David, I was a healthcare provider for 30 plus years and learning was my passion. I applaud your knowledge level and teaching techniques. your videos are beneficial for both laymen and professionals. i am 69 years old now and have suffered with arthritis of both knees for years now and have had multiple steroid injections with little to no relief, I have been to several orthopods and PTs but your explanations and demonstrations have given me more information than anything else has. I'm sure that your practice is proud to have you. I am disabled by a major stroke at 53, but if I could still work and you needed me, i would move to work with you. thank you for sharing knowledge that I know you have worked hard to obtain. send me a reasonable bill and I will happily pay you for it. with sincere admiration. Alice Naquin RN, CFNP.

@epmanualphysicaltherapy 7 ай бұрын

Hey Alice, we really appreciate your support! We are so sorry to hear that you have been struggling with this arthritis :-( We have a great knee arthritis recovery program available that sounds perfect for you. Here is a link with more information: Knee Arthritis Recovery Program The Knee Arthritis Recovery Program is designed to help people have the best chance of avoiding unnecessary surgery, injections, or having to rely on pain medications. This course guides people through exercises and stretches that target key body parts that have the greatest potential to prevent or help with knee conditions like osteoarthritis, meniscus tears, ligament injuries, cartilage problems and other knee conditions. To learn more please click this link: epmanualphysicaltherapy.com/knee-arthritis-recovery-program

@nanqin5382 5 ай бұрын

Hi doctor, You showed 2 pictures and how I could get them😊, especially the second one for proper exersise in different stages. Mang thanks

@sezza1500 2 ай бұрын

I’ve just been diagnosed with stage 2 in my left knee. The MRI also showed a frayed meniscus and joint effusion . I’ve been in pain and not walking properly since November. 😢

@nicoswolf57 11 ай бұрын

I was hit by a car at the age of 12. They told me at that point I was already developing osteoarthritis. Now they say I have it in almost all the joints on the right half of my body due to skipping like a stone across the road for about 50 ft. Thank you for explaining it better than anyone before. As someone with chronic pain for nearly 25 years it’s nice to hear a different perspective.

@Katwinser1958 Жыл бұрын

I had both knees replaced and I don’t regret having it done. I was at stage 4 and I truly could not tolerate the pain at all!

@luisleon7364 8 ай бұрын

My wife is 66 and she is en stage 4 bone to bone, her Doctor told her that; she needs knees replacement but she can tried physical therapy and some shots. She is thinking to do both knees at the same time, any advice. Did you do both knees replacement at the same time? Thank you

@elizabethwidlund3859 8 ай бұрын

@@luisleon7364 I'm having my left knee replaced this week, hopefully right one in 6 weeks or so. Most doctors won't do both knees at once, they do the worst one first and then it can support you while the other one gets done. My surgeon said the outcomes for doing both at once aren't good. My mom had hers done 6 weeks apart at age 76 and she did great. Hope this helps.

@dieuvo2700 Жыл бұрын

I'm in stage4 I got a lots of pains but I still go work 7 days a week. After work I felt like 110 years old lady. I try everything over the counter knees brakes nothing work. Thank you Jesus He still wakes me up and He taken me to my daily breads. Thank you Abba 🙏🙏🙏😭

@kurtismckemmie4850 Жыл бұрын

Advil works for my mom.

@GodisAgapelove4172 28 күн бұрын

Yes I’m the same 🙌🏾🙌🏾❤️

@annebartells777 Жыл бұрын

I have OA and AS. I was diagnosed with it over thirty years ago. After I got done feeling sorry for myself, I decided to do everything I could to stay mobile. I lost over a hundred pounds. I took up body building and fell in love with mountaineering. I was told and accepted the fact that I was going to be in pain for the rest of my life. I eventually had to get my hip replaced, one of my knees replaced, a shoulder replaced and a five level back fusion. These operations happened within a twenty year time frame. I took up rock climbing despite an artificial shoulder. My surgeon cringed at that activity. I hiked and was able to go on a twenty mile backpacking trip on an artificial hip and a fused back. I probably hiked over a thousand miles on that hip. I finally got my knee replaced after I hiked up one of Colorado's fourteeners and I barely got down the mountain. All my joints were stage four when I got them replaced. Thirty years later, I still can hike, but not as fast. I manage a restaurant and I stand about ten hours a day. My disease has progressed, I'm in a lot of pain but I have lived a full life despite it. This might sound bizarre, but if it wasn't for my arthritis, I never would have taken up mountaineering. So in that sense, I am grateful for the disease. I am also so grateful I decided to quit feeling sorry for myself. Staying active is the key. It hurts to stay active, but a sedentary lifestyle makes the pain ten times worse. For myself, the best way I judge whether to replace a joint was how bad it was affecting my lifestyle. I gave a high tolerance to pain and it's always in the back of my mind that if I replace a joint, I knew I would still be in pain. Maybe not from that joint, but from everything else that was affecting me

@Leon-li3yj Жыл бұрын

I think you can write a short book it's on Amazon is pretty easy on KDP Helping others know what you've been through can inspire other people 😉

@sevenhunt3787 Жыл бұрын

How are you doing know

@bellagonzales4711 Жыл бұрын

It was really very hard i can feel your pain because inhave the same problem ur going through All what we need to is to be close to God and ask for divine healing this is what we need

@jacquelines3685 Жыл бұрын

Anne Bartells I hope you are doing better now. If you see this let us know please🙋🏾‍♀️

@annebartells777 Жыл бұрын

@Brian Armstrong being in pain is tough. I was diagnosed with my diseases in my early twenties. Just take it day by day. Eventually your mind will get used to you feeling a certain way. That might sound weird, but it will happen. Sometimes I still go through the I feel sorry for myself but I won't let that attitude fester too long. It's very disruptive and unproductive. Keep strong. It sucks, but stay strong

@timber750 9 ай бұрын

Very impressive--this Dr gives hope based on actual clinical experience. The way he analyzes and explains things gives confidence.

@lucyl6135 11 ай бұрын

Stage 4 for many years but because I was only 33 years old the surgeon wouldn’t do a total replacement because they said I was “too young”. Finally I found a surgeon with more compassion that believed, like I did myself, that quality of life had to be taken into consideration… not just age! I was a single mother with 3 children and they were looking after me instead of me looking after them! I had replacement at age 43 - best day of my life!

@eidusielizabeth 14 күн бұрын

Dr where are you based I need to see you one on one for my knee problen

@anittebzniehznieh2939 Жыл бұрын

Your drawings are great and very informative. They are the sign of a good educator. Not too much clutter!

@epmanualphysicaltherapy Жыл бұрын

Glad you like them!

@stevebergovoy3568 Жыл бұрын

Totally accurate! My Doctor recommended knee replacement surgery. I asked about physical therapy, tried it improved and feel greatly improved! I now work out at my gym twice a week at my local gym to maintain my leg strength to stay mobile and active!

@epmanualphysicaltherapy Жыл бұрын

This is awesome Steve!!! We’re so happy to hear that you’ve avoided surgery!! Cheers to staying healthy!!!

@chaityfatema8883 7 ай бұрын

Did you have stage 4 osteoarthritis?

@Maria-sx2ur 3 ай бұрын

@@chaityfatema8883lloop11:49

@martinbrown3805 Жыл бұрын

This is so true. I went from severe pain, swelling and limited motion to almost 100% free of all that. It took a year and I was treated by a physical therapist at the VA who has the same philosophy as this video so clearly explains. After the first three months of exercises and therapy I was cleared for non-weight bearing exercise on my own and my low impact exercise of choice is indoor rowing. The improvement continued and I lost some weight too. There is hope for those of you in pain. It takes time and commitment to get there but you will.

@rajaabarazi9087 10 ай бұрын

عملت عملية تثبيت الرضفة منذ شهرين وتص ومازلت أمشي على العكازات وأنا مكتئبة أمارس التمارين في البيت وعند المعالج الطبيعي وركبتي مازالت ضعيفة😢

@luvleedenver2130 10 ай бұрын

I hope so!

@Nemie2110 9 ай бұрын

@@rajaabarazi9087how old are you

@EmilyKondes-ii1nh 2 ай бұрын

I am at Stage 3. I am bone on bone. I excersize & have a decent range of motion. My doctor is surprised that I have less arthritis than he thought, no swelling. I get shots which make me more comfortable but I need the surgery. I am extremely fortunate to have a surgeon who has sat & explained everything from start to finish. Having my surgery the end of June. Good communication between your surgeon & you is also key to success. (I also looked up my surgeon's educational & work background - boy I hit the jackpot!)

@sharonramirez8014 Жыл бұрын

I was told if I was old enough they'd replace my knee 3 years ago. I'll never understand how I'm not old enough to be able to walk... Honestly ur giving way more education than I've ever seen.

@ednahemming4208 7 күн бұрын

I agree. What ever happened to quality of life. You might not be old enough but that is a poor excuse by Doctor's.

@barbarameehan113 Жыл бұрын

Great info. Thank you.

@truthbetold4178 Жыл бұрын

Thank you SO MUCH for all the info you've shared re knee arthritis.

@jeanamckee9426 11 ай бұрын

I appreciate your videos. So helpful and hopeful.

@hadnoideahow 3 ай бұрын

Dictors in the past have mismanaged my knee issues in one knee, and now it has happened in the other knee, too. I am a very active person and a serious hobbyst dancer. I am finally getting it sorted, but the damage has been done. I can't imagine my life without dancing. Even sleeping is uncomfortable now, and my other knee hurts all the time. I had a fall as well because my knee was so weak. All due to someone's negligence. Medical proffessionals should take these issues seriously. Thank you for your expertise.

@margeau8225 Жыл бұрын

What a hopeful message and information. Thanks so much.

@akeshramtohul2390 3 ай бұрын

Best video out there about knee issues, thanks a lot

@Mandy-rx7rq Жыл бұрын

Notification brought me to here. Glad I am watching this. My knees are bad, probably from old injuries. Think I'm stage 2 or 3. I'm 46. Doctor's appointment for me then

@drchrisgrayson2042 Жыл бұрын

Hello 👋🏻 Beautiful Lady 🌹,How are you and the weather condition like?

@lnwhitaker 5 ай бұрын

Great information. Thanks for explaining it in an easy format.

@thebarnesway4189 6 ай бұрын

This was the best video. So informative. Really helped

@goldiejohnson6197 11 ай бұрын

Best explanation ever no doctor has explained it like this

@rhianevans2911 9 ай бұрын

Great informative clip very helpful thank you so much again .

@Violingirl79 10 ай бұрын

Really interesting and informative, thank you.

@beckybates4332 Жыл бұрын

This has been really helpful to know. Thank you for the video.

@cindysanford4254 Жыл бұрын

I was told I needed a knee replacement after a knee scope 23 years ago. I was only 42 yrs old. I quit running, continued walking and maintain a normal weight. I have some stiffness when I get moving and some mild discomfort going down stairs or downhills. But that’s it. Both my doc and a MRI had mentioned some bone on bone areas in my knee. Yet by making modest changes in my activity level and diet--My diet now is lots of fruits and vegetables, avoid sugar, rare meat--I’ve avoided any further surgery and am mostly pain free.. I think there’s a lot of truth to anti inflammatory diets and modest lifestyle changes.

@tr6151 Жыл бұрын

@cindy Sanford Do you mind sharing what kind of arthritis you have ?

@conniechan3280 Жыл бұрын

Thanks. Will continue to watch more about knee cap and hip care .GOD BLESS YOU

@delorisnelson5062 Жыл бұрын

Thank you Doctor Much appreciated.

@vermontjeff2535 9 ай бұрын

I’m at stage 9 . It sucks I never thought I would be handicap. I can’t sleep the night without almost crying in pain . I can’t even get in my car as a normal person.

@victoriabarnes5680 Жыл бұрын

Congratulations,you are so helpful ❤

@tehehe4all 11 ай бұрын

I was probably at stage 3 because standing up from the toilet was painful on my knees and this lasted for 2 years during covid. During covid lockdown, I looked online and found Ben, the KNEE-OVER-TOES guy; I did all his free exercises and within 2 weeks I could standup without any pain. I’m now doing kickboxing at 49

@kimberlysamuel1310 2 ай бұрын

Very informative video and some information I think more people and especially patients need to know.

@ic2009ba Жыл бұрын

Thank you for your simple understanding of this knee video. ⭐️😍🤩⭐️

@urbanmarvelllc7152 4 ай бұрын

Thank you Dr. David! So glad to have options besides a knee replacement. What a blessing you are to share your knowledge with us. God bless you and your family!

@epmanualphysicaltherapy 4 ай бұрын

Hey Urban, you're welcome! We're thrilled we could offer options for your recovery. We appreciate your kind words. In case you are interested have a knee arthritis help playlist. You can access it here: “Knee Arthritis Pain Help” kzfaq.info/sun/PLJVIPiFvv1maa9YF-WmKLF7oI4VoczH8i Many Blessings to you and your family! We'd love to hear how you are doing as you progress.🙌 Please take care.

@The_best_days_are_yesterdays Ай бұрын

I'm stage four, but SO glad I found you because it seems like I can work this out. I haven't gone through all of your videos yet, but I'm working on it. Thank you so much for all you do!

@jamesamstel585 Ай бұрын

Thank u for all infos and caring❤

@inmitch Жыл бұрын

Man I totally agree that you can feel better. I'm probably stage 3 or 4, about a year and a half ago I was in so much pain I couldn't even sleep, and nothing over the counter was working. I got one cortisone injection in each knee, and it alleviated the pain enough for me to start exercising again. I'm still in some pain, but I can get out and exercise and sleep with medicine.

@joannmccoy7889 9 ай бұрын

I have both knee.Replace.and I have both legs done and then I broke the left leg again. I only get one pain per day.I am 83 so I have a lot of pain. Ty

@joannmccoy7889 9 ай бұрын

I don't sleep well either

@Nemie2110 9 ай бұрын

@@joannmccoy7889how old were you when you got your knee replacement. My mother 73 is in extreme pain from arthritis from 2 months she’s in bed, can’t walk. She has arthritis for many years but now it’s very bad. Her left leg was always bowed when she walked.

@MT-cy5tm 9 ай бұрын

Cortisone will destroy your joints. Look into the gel or hyloronic acid injections you will need 3 or 4 injections 1 week apart then you will feel good for 5 or 6 months. Then you need to do the series again.

@kerryhopkins3047 8 ай бұрын

I get pain during the day with my knee but started getting it at night. Saw a physio exercises he gave me stopped the pain at night

@michelepartyka4793 10 ай бұрын

I have been following your advice from exercise to limiting walking and foods. I have noticed a huge difference. Thank you!

@ML-iz9cc 7 ай бұрын

Great information. Thank you

@thalassophile1665 Жыл бұрын

I’ve had non stop knee problems instigated by contact competition sport as a teenager. First meniscal surgery at 18. Now at 57, no ACL in either knee, no cartilages and bone on bone, constant swelling and collapsing, am having bilateral replacement/s.

@inspireme33 Жыл бұрын

I’ve just watched your video and I’m so impressed….I ran for 25 years and have taken some bad falls but would love to watch the exercises that you recommend! I have been doing an hour of walking and some progressive resistance exercises that I’ve been doing for years but when I up my yard work in the fall (lots of bending ) and shoveling in the winter, the colder weather seems to make it worse! I use Epsom salt baths and omega 3 and many other supplements so maybe you can point me in the direction of your exercise videos for knee arthritis! Many thanks 🙏

@MM-we9yl Жыл бұрын

So much good information - thank you so much!

@JB-bd4wm 9 ай бұрын

So encouraging and reassuring, thank you so muc

@carolchan3363 10 ай бұрын

Thank you Ur a great speaker So proud

@debbierabe1756 Жыл бұрын

Ive been at stage 4 quite awhile, people i know had replacements and regret it. Some have to be redone. I just dont want to take the chance. I've had injections, physical therapy, several times and arthroscopic surgery. It lasted a while and the arthritis just comes back. The pain is chronic. I can hear the bones scraping when trying to move a certain way.

@cleokendall2816 Жыл бұрын

Wonderful video! I have been doing my glutes and it has been helping my knees!! I believe I'm a stage 2.

@stevensumner3146 18 күн бұрын

Great outlook on what the idea of degenerative diseases means versus the possibility to move in a positive direction rather than acceptance that it only gets worse. Thanks for sharing, very much appreciated.

@lorihale129 5 ай бұрын

I was told 17 years ago I'm bone on bone on my right knee ...no cane yet....but I feel the pain daily like stage 3....still walking short trips thru out the day - & hold on slowly up stairs ..it sux....no surgery no pain killers...believe in stretching daily and move it or lose it👍❤️❤️❤️

@tseringyoudon8696 Жыл бұрын

Thankyou doctor for sharing this important information of Knee pain stages. I appreciate your good job.

@freezo244 Жыл бұрын

My knees are so much better since I stopped teaching. Those hard linoleum floors all day everyday were killer.

@vermontjeff2535 Жыл бұрын

I’m at stage 4 without a walker but I think I’m heading there . / I really liked your drawing. It’s dead on the truth , now I know where I’m at . Thank you so much .

@ElvisPresleyE Ай бұрын

Thank you for this great information. My knee is just like you said for stage 3. Since Jan, 2, 24.

@riki9707 Жыл бұрын

Thanks for another fantastic video!

@epmanualphysicaltherapy Жыл бұрын

Of course Riki!!!

@jasminealiara3257 Жыл бұрын

Thank you for giving me hope.

@epmanualphysicaltherapy Жыл бұрын

You've got this Jasmine! 🧡

@meirabalderas9193 3 ай бұрын

Really great video. Thsnk you.

@lindagoodwin945 Ай бұрын

I'm so glad I found your channel. I used to live in El Paso in the late 70s, now live in the UK. I had a knee injury 18 months ago, but no repercussions (seemingly) till 3 weeks ago when my whole inner knee felt like it was on fire. My physio has said it's a combination of cartilage movement & arthritis. I asked about an x-ray but he said it wouldn't do much good. 'Has given me exercises, but I'm following your recommended exercises instead & feel as though they are helping. I love your approach and feel positive about moving forward with your programmes. Thank you.

@kathleencolwell8947 Жыл бұрын

Listening with great interest. Hearing your presentation, I truly understand why physical therapy is a Ph.D program. Very informative. I think my knee stage is somewhere between 2 and three. I was a travel nurse for over ten years (cardiac cath lab; wearing lead for fifteen years). Last year I saw a nurse practitioner who ordered the X-rays (the report for which do not really understand😂). He actually advised me to “avoid knee replacement as long as possible”. I am now retired, and I am seeing a new PCP. Your video has encouraged me to loose the weight (I need to drop about 70 pounds) and keep walking. I am going to follow you so I can pick up some extra exercise advice. Thank you.

@faithnicole2161 Жыл бұрын

I'm not even 40 yet and I am at stage 2 and osteoarthritis in my hip, same side as my knee. Any pressure on my foot causes so much pain to shoot into my hip. Well, the front of my hip/groin area. I've done physical therapy for 3 months, my knee improved along with taping for a patellar tracking disorder. Did an injection in my knee that worked for about a week. But my hip, I have made little progression

@1929cub Жыл бұрын

I was about 45 years old when I had a lot of pain in my knees and my doctor’s said I have arthritis, I lost weight and I had no pain for 24 more years and now al 69 I was doing some exercises and I hurt my left knee, my husband massage my legs and I feel better. I can feel bone to bone and they crack when you put my hand over and moved your leg. I requested for physical therapy and I will start on June 1, I have an appointment with my rheumatology in 3 months. I don’t want another surgery, Im recovering from shoulder surgery😢 I have always taken collagen peptides! I forgot to mentioned I’m doing your suggested exercises and they really help me Thank you very much you are the best!

@Overcome588 Жыл бұрын

Good explanation,

@samanthao5018 9 ай бұрын

Thank you for explaining the staging system and for your advice. I was told I have mild arthritis in my knee and I assumed it would get progressively worse and more painful as time went on. After seeing your video, I am more determined to keep up with the exercises my doctor recommended and hopefully I'll have good function for years to come.

@esmemoses6305 Жыл бұрын

Very well explained. I really liked it.

@epmanualphysicaltherapy Жыл бұрын

Thank you Esme!

@k-cmccann9594 6 ай бұрын

I’m very happy that you post this type of information.

@epmanualphysicaltherapy 6 ай бұрын

Hey K-M, we are excited to hear you found this information helpful! In case you haven't seen it we have a knee arthritis help playlist you might find helpful. You can access it here: “Knee Arthritis Pain Help” kzfaq.info/sun/PLJVIPiFvv1maa9YF-WmKLF7oI4VoczH8i Thank you for being part of our community. We'd love to hear how you are doing as you progress.🙌 Please take care!

@k-cmccann9594 6 ай бұрын

@@epmanualphysicaltherapy Yes, I found your link to the library. I had previously viewed and shared some of the content with friends. Today I immediately shared the library. I do appreciate your taking the time to followup with me. Thank you for caring.

@aferouge 9 ай бұрын

You have the best advise, and the best explanation, thank you‼️

@epmanualphysicaltherapy 9 ай бұрын

Hi Andre! 👋 You are very welcome! Thank you for your kind words! We appreciate you being part of our community! 🙌 We are thrilled our explanation has been able to help you find some clarity! 🧡 In case you are interested we have created a playlist on more information and exercises on Knee Arthritis! You can check it out here: “Knee Arthritis Pain Help” kzfaq.info/sun/PLJVIPiFvv1maa9YF-WmKLF7oI4VoczH8i If you happen to be considering a more comprehensive aid to your recovery we have an online program that could be beneficial. The Knee Arthritis Recovery Program is designed to help people have the best chance of avoiding unnecessary surgery, injections, or having to rely on pain medications. This course guides people through exercises and stretches that target key body parts that have the greatest potential to prevent or help with knee conditions like osteoarthritis, meniscus tears, ligament injuries, cartilage problems, and other knee conditions. To learn more please click this link: epmanualphysicaltherapy.com/knee-arthritis-recovery-program We wish you the best on your recovery journey! Take care! 🧡

@mobbe123 Жыл бұрын

Great video, thanks!! I can tell you for me at stage 3 is the pain!! When it flare up, the pain is unbearable!!! Took me 20 minute to go from the car to my lazyboy chair (life saver!!) Injection does work but only for a while and it is pricy!!! With the specialist, it's very hard as they try so hard not to replace the knee!! I don't think sometime they realize the pain we are in!!!!

@tfgh521 Жыл бұрын

My knees have been in stage 2 for 20 years, but now unfortunately my right knee is in stage 3! It's painful to walk so I stay at home all day and it's sooooo boring! I do tailgates and strenghten my glutes, but I think I'll need a knee replacement. I love to walk and I'll go crazy if I have to stay inside forever to protect my joints and prevent surgery. Love your videos. What you teach makes perfect sense and helps a lot❤️❤️

@bingersinger1517 4 ай бұрын

Wow, great explanation of my process. I started with pain, limited range of motion following my pool workouts ( fairly strenuous). In August I believed I had twisted the knee and wS dealing with inflammation, so I pursue physical therapy when the inflammation was less. ROM was still poor and ai was hobbling around! It has been 6 months and still limited, with both sharp and dull pain at times. I refuse to be limited at age 66, newly retired and very active. Seeing my GP next week!

@charm2800 Ай бұрын

this is the BEST,. I can vouch for some of this being true for me, and I did it on my own, as an ex athlete, I understand the "use it or lose it" concept.

@rosiemuro2617 Жыл бұрын

This information was very helpful. Thank you for explaining it so well.

@epmanualphysicaltherapy Жыл бұрын

Hey Rosie, you are so welcome! We are glad that you find our content helpful!

@eliz49 Жыл бұрын

I am so glad I found your site. I'm having a total knee replacement in 2 months (wish it was tomorrow- so much pain) Anyway, I wish I was receiving this much info from my ‘joint replacement team’

@mirettecastor9580 Жыл бұрын

Thank you for the infos. God bless 🙌 🙏 ❤️

@mirandagrummitt6350 Жыл бұрын

I was diagnosed at stage 3 following surgery. Told i wasn't a candidate for replacement at that time the pain was so intense my consultant agreed to do a partial replacement. 4 weeks on I had the replacement and following surgery he told me it had changed to bone on bone that was within a 4 week period. Im now awaiting results of another MRI for my right knee which has rapidly gone and is actually worse than when i had my left replacement.

@jazzispirit1850 Жыл бұрын

Excellent information as usual. There are always choices. So true how things are worded. I have “D”DD and still hiking at 85. Grateful for your videos! 😊

@Mimi-fe2gm 9 ай бұрын

Great video... very helpful. I thought I was stage 3-4 but only stage 2 at this point and been here for 8 years. Thank God for cortizone shots... only had 4 in all these years, but they literally take all pain away for long periods of time.

@bozenajencek Жыл бұрын

Thank you for a lecture....

@tammyburke9453 10 ай бұрын

your info is so interesting! glad i found you. new knee issues, unsure if its arthritis. DK yet but I want to address it now!

@SumitSharma-qe9yl Жыл бұрын

My one knee was in stage 3 but.... After watching many of your videos i understood that i need to save it from intensive weight or regular day activity.... As i figured out that knees don't heal faster.... So i put very little weight on it for a month.... now It's getting really good with days passing.....i think i will be able to make it to level 2 or even level 1 within next 3-4 months... If it's keep healing with this speed.....im also very thankful to you....

@joycepascual3860 Жыл бұрын

Very thankful on this information.

@dingdong6005 Жыл бұрын

How are you doing now?

@ConcernedCitizen-sv7fe Жыл бұрын

@Miguel Silva this is the first time I am hearing this. I hope there is a way to really regress it. I am always in pains😢

@ConcernedCitizen-sv7fe Жыл бұрын

Can you share which is what you do?

@Trdundee 3 ай бұрын

I understand what you’re saying because I have been having the same experience for the past 11 years and every time I get better I start like a teenager and wreck my knees again. It has happened hundreds of times and I feel toaday that your reply to the doctor is a perfect remedy for me. I will report in a month on my progress. Thank you and thanks dr. Manuel.

@nuss1e Жыл бұрын

I don't think you mentioned the knee 'giving way'? Both of mine give way, sometimes within moments of each other.

@sharigraves6385 9 ай бұрын

Me too after an accident at work so scary I tumbled down a hill & broke tibia, now have a rod in other leg.

@bhindiv 8 ай бұрын

Hello, You have really helped me today with a very informative video. Some points helped me understand what's going on in my knee. It's the best video ever made to understand the stages and function. thank you, Dr.

@tiyahouse2299 Ай бұрын

WOW I am so much amazed with this video I just found out two weeks ago I have moderate knee arthritis and I was told it gets worse with age and time I have truly been blessed by not giving in to what I was told you are a true blessing I am so glad that you don’t go with the norm of this and thinking outside the box and doing research WOOHOO I knew that there had to more to getting better and healthier plus I sure don’t want to live this way for the rest of my life God is good Al the time♥️♥️♥️♥️

@deesblworld6165 9 ай бұрын

Thank you so much for this video. No one has ever explained it like this. Most of the time, the doctors look at me like I'm crazy. I have many sports injuries from high school, and arthritis runs in my family (bad arthritis, too). When I was in my late 30s, I kept telling my doctor my knees were stiff and sore. She would only tell me to exercise more. I was like if I do that, I can barely walk for days. She basically blew me off. If I gardened, I couldn't close my hands for days or hold a pencil. After several years of this, I finally refused to leave the doctor's office until she gave me something. I told her I couldn't live like this anymore. I was to the point I couldn't really walk up and down stairs. She finally listened to me and gave me an anti-inflammatory medication. It changed my life. I could finally walk and garden again without hurting for days. I've been on that medication for over 10 years and refuse to give it up. Now, my problem is when I mention anything about it to other doctors (hurt my ankle and had to go to the ortho), they are like are you sure you really have arthritis? They won't take my general doctor's word or her prescription for it as truth. They said I need to go to an arthritis specialist now to confirm it. Nope. Not going. The funny part is the x-ray of my ankle came back with arthritis in the foot by the radiologist, but I guess that wasn't good enough either. If I wasn't on my meds, I wouldn't be able to bend my fingers or knees. I have several family members where their fingers curled over on themselves along with their toes and couldn't hardly walk. I'm hoping the meds will hold that outcome off for a long time. If I wasn't on the meds, I think I would have probably been partially there.

@nFlames2 8 ай бұрын

I'm in my late 60's back in my mid 40's I had debilitating knee pain to the point I could not walk, took 100% MSM (Methylsulfonylmethane) 1/2 teaspoon a day for 5 days after the 3rd day pain was gone. I also have a back injury it helps with it also take the the same dose once a month to be pain free works for all joint pain. Also good for Gout pain. Try it you have nothing to lose but pain itself.

@user-iu3rq5pl1u 6 ай бұрын

You never said what the meds were?

@brandonselitetv1436 4 ай бұрын

@@nFlames2 Meth?

@maggiemay97 Жыл бұрын

Thank you for this great video. I’m 71 years old I tore my medial meniscus in my right knee 47 years ago. Back then they said cartilage doesn’t heal and it had to come out. There was no arthroscopic surgery back then so I had a brutal open surgery that left a scar about the size of a current knee replacement scar, but in a crescent shape on the medial side of my knee instead of down the front. The pain when I woke up in the recovery room was so bad I was hoping I would just die! Recuperation to the point where I could go back to work took a couple of months. The knee was quite good for a lot of years after that with occasional flare ups of pain which a few physical therapy sessions and some exercises fixed. The flare ups got worse and more frequent over the years and 6 years ago it was diagnosed as bone on bone. My wonderful orthopedist has kept me quite comfortable with cortisone shots every 3 months. One time about 5 years agoI tried the gel shot and that was a disaster. I went from intermittent pain on some days to excruciating pain 24 hours a day, 7 days a week for 6 weeks at which time I went back, had the knee aspirated and got a regular cortisone shot and a few days later was back to my normal intermittent pain situation and went to Las Vegas and walked around 8 or more hours a day for a week with mild pain at the end of the day. Apparently whatever was in that gel shot did NOT agree with my body! I’ve now reached the point where I can’t function any more. A trip to the grocery store results in terrible pain that sends me to bed for several hours. The cortisone doesn’t work for more than a couple of weeks. I will be having a total replacement in January. Not really looking forward to the post op period but hope with diligently performing the required exercises I’ll be able to at least live my quiet, retired lifestyle somewhat normally.

@sevenhunt3787 Жыл бұрын

How did things go

@maggiemay97 Жыл бұрын

@@sevenhunt3787 TOTAL disaster. Surgery went great. Went home next day. Fell 10 minutes later and tore my quadriceps tendon! Had surgery to repair that a week later. I'm in an immobilizer brace for 5 weeks so far. Next week may be able to allow 30 degree bend and start physical therapy. It's going to be a long, hard road. Thanks for asking.

@lauradawn8712 Жыл бұрын

@@maggiemay97 soooo sorry for your pain. I just had R-knee meniscus surgery w/bakers cyst removal, and chrondrymalgia patella scraped plus "significant arthritis" found per surgeon. I'm 59 y/o and 6 weeks post-op. Stsyed in bed DAILY. Pain is there, swelling is slowly going down. Still on script pain meds. Thank God. Major bone on bone on medial aspect of knee at femur and tibea/fibia. I have Degenerative Joint Disease in body. Only known pain since 18 y/o, hope you're doing better each day. ⚘️

@patrisha7487 9 ай бұрын

@maggiemay97 - I had the 3 shot series of Synvisc in my left knee. After the 3rd shot, the next morning my knee was twice as big as normal & I could not bear weight on it. I ended up going to the Emergency Room where they removed a syringe and a half of fluid. I spent 3 days in the hospital getting antibiotics intravenously. The ER secretary paid attention because her husband was going to get Synvisc injections. I ran into her a few years later and asked her if it helped him and she said No! My knees are bad but not enough for a replacement. I caution anyone getting Synvisc injections. Physical Therapy is the best way to go!

@jerridecarolis5377 Жыл бұрын

Thank you! I'm a stage 4 according to X-rays and doc...but I feel like I'm more of a 3. I'm not overweight at all, stay as active as I can (though I cannot ride my bike anymore, and kneeling can be tough, and I can golf...but I have to take a cart to play nine holes), I feel like I'm starting to move out of 3. I have atrophy in my quads, bone spurs, and sometimes, but rarely the pain can be so bad I have to use crutches for a part of the day to just move. Pain, otherwise, is pretty tolerable most days. I feel like a stage 2-3 on pain most of the time. I will try to watch all your videos for appropriate exercises. I do take reformer table Pilates classes...but its not enough to get as much muscle back that I need. I have had ACL repair in '99...and my leg is bowing outward to this day. Sometimes, I'm a little off balanced, but I have not fallen over. I hope I can find the right exercises!!!! Thank You!!!

@kippywylie Жыл бұрын

I am 73 years old after a very active life of construction work, and sports. I feel like from your description I must be somewhere between a 3 and a 4 with pain that comes and goes. With an xray and ortho visit he told me something I just refuse to accept.... "Sorry to tell you that you need to stop your activities, you are showing bone on bone". But then I'll feel absolutely zero pain for days and weeks. Went to Mexico 6 weeks ago and received mezothelial stem cell injections into the space in the knee. The doctor mentioned during the process that there was very little space available in there for the stem cell fluid injection. It seems maybe like it's working.... too soon to tell. 8 months ago I had a cortisone shot that completely cured it but only for maybe 4 months

@RAYGERVATO Жыл бұрын

Brother your info is superb! Subbed and have began glute strengthening per your suggestion. Sitting on bar stool jammin' for hours is taking its toll at 58. My job ;)

@epmanualphysicaltherapy Жыл бұрын

Very cool Ray!!! 🎸 🎶 Please let us know how you do with glute strengthening!

@Carol-wu2hg Жыл бұрын

Love all your videos. You explain things simply and I’ve been working on my glute muscles as you suggested which has helped my knees. When I went to doctor he told me in about 5 or so years come back to see him for knee replacement. Your exercises have helped me tremendously and I thank you so much.

@christineyukevich9307 Жыл бұрын

I agree! They are helping me too.

@shirleychang2071 Жыл бұрын

Me too! They told me I need knee replacement 5 years ago and I’m still walking & very little or no pain.

@og6015 Жыл бұрын

Was this a video? I need to look for it. Just been diagnosed with it. The pain is a lot 😢

@maytruthprevail4668 Жыл бұрын

@@og6015 I too need to do the knee exercises. I have terrible pain and stiffness in my left knee. Is there a video for the exercises? I have seen the one on this channel that shows you how to use your glutes while walking, toes pointing outwards rather than in front. Hope I got that right.

@maytruthprevail4668 Жыл бұрын

@@shirleychang2071 Very encouraging to hear you are doing good, without pain. Good luck!

@piggysister01 10 ай бұрын

Thanks. You helped me know for sure that arthritis is not the cause of my knee pain. In the country where I live, they’d probably tell me it’s that by default . Doctors don’t listen, won’t send you to a specialist and you’re left to suffer. Probably not hard to guess where.

@skfranklin1 Жыл бұрын

I have seen surgeon, both knees are bone on bone at medial aspect, left knee worse. But with OA in my right ankle and metatarsals my exercise are limited. Doctor your phases make sense as I stopped working 7 days straight in an ER to 6 days straight my knee is not as uncomfortable.