Physiotherapy and the Management of Knee Replacement

Major joint replacement is one of the success stories of the late twentieth century, providing the greatest changes in quality of life measurements of all medical treatments or operations. Total knee replacement has now developed from a less predictable operation to a routine procedure with good long-term results for severely osteoarthritic joints. Populations in developed countries are rapidly getting older and total knee replacement is set to overtake total hip replacement as the most performed joint replacement.

Osteoarthritis is a degenerative joint condition which is more common the older a person becomes, and is the most prevalent joint condition in human populations. The most affected joints vary, with some people having spinal and finger changes whilst other suffer OA of the major joints such as the hips and the knees. Major joint disease is more disabling as it tends to compromise normal mobility and so reduce independence. The patient can suffer from loss of knee movement, reduction of knee power, grating and crunching of the joint and pain, for which weight loss, muscle strengthening, painkilling medication and physiotherapy can be useful. If normal therapies are not successful then knee replacement is the remaining option.

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Can Breathing Help To Manage Back Pain?

This link has now been substantiated, and today breath is commonly used as a tool in healing therapies and other pain management approaches. Changes in your feelings, especially if they are intense, are reflected in our patterns of breathing.

When we are anxious, for example, our breathing tends to be faster than usual and sometimes irregular. But because our respiratory or breathing system is the only one that is both involuntary and voluntary, we can exercise a certain amount of control over it and willfully slow down our breathing to promote relaxation and calm. In the exercises offered, you will note that a great deal of emphasis is places on breathing and on synchronizing movement with breathing.

This is to encourage an awareness of the breath, our handiest yet perhaps most under utilized tool for reducing tension build up and stress, promoting muscle relaxation and coping with pain. Breath supports many of our daily activities, and it is through the breath that oxygen is delivered to the working muscles. About 80 percent of the work of breathing is accomplished by the diaphragm, which is a sheet of muscle located between the chest and the abdominal activities.

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