table of contents
From specific treatment examples
Understanding symptoms and goals
Physical characteristics of osteoarthritis and what can be done with our treatment
From specific treatment examples
*These are some of the comments posted on Google Maps.
(Transcription below)
I received a diagnosis of "osteoarthritis of the knee." The direct cause seemed to be sudden weight gain, and the orthopedic surgeon said the deformation was not that severe, but it became painful for me to go down stairs, and the pain sometimes kept me up at night. Over the 10 days after my consultation, my condition improved considerably, and by the 10th day, I was able to go down the stairs again.
I'm looking forward to seeing improvements after the maintenance. I'll come from a long way, but I'd like to come back in a few months.
(Transcription below)
"I came to the clinic with osteoarthritis of the hip joint. Before coming, I was having a lot of trouble walking, but the superficial pain was relieved after the first visit! To fundamentally fix my hip joint, I may need to continue coming, but the accompanying minor pain in my shoulders and lower back is fixed as I go, which even seems to reduce psychological stress. The doctor doesn't make promises and honestly explains the level of difficulty, so I can trust him!"
Understanding symptoms and goals
The first thing you need to understand is that
This means that osteoarthritis cannot be completely cured.
This is accompanied by wear and tear and degeneration of the articular cartilage, fibrosis of the joint capsule, and deformation of the bone.
This is because the tissue itself is physically deformed.
Physical deformation is generally irreversible. (Note: This may be possible in the future with the development of regenerative medicine.)
Therefore, to resolve the underlying problem, hospitals recommend surgical procedures such as artificial joint replacement.
<Reference: From the Japanese Orthopaedic Association website>
https://www.joa.or.jp/public/sick/pdf/MO0013CKA.pdf
However, this concerns the physical state of the tissue, so symptoms such as pain are a different story.
This is because there are both "organic problems" and "functional problems."
"Organic problems" refer to physically irreversible problems such as tissue deformation and cell necrosis.
"Functional problems" refer to things that can be changed, such as tension in the body or blood circulation.
The extent to which this "functional problem" can be improved is the key to whether symptoms can be improved without surgery.
This is a huge problem, because it involves the physical transformation of body tissue.
It is quite difficult to improve the condition through manual therapy or exercise therapy, but this is precisely why our clinic places particular emphasis on this area, as it is where our skills can be put to the test.
Therefore, the goal of treatment is to maximize functional condition.
Physical characteristics of osteoarthritis and what can be done with our treatment
We will look at the bodies of people with osteoarthritis from the perspective of manual treatment.
The most prominent feature is the bones adjacent to the joint.
The tibia (shin bone) plateau (upper part) in knee osteoarthritis and the upper part of the femur in hip osteoarthritis are
This means that they are often much harder than the average person.
The bones themselves are completely different in hardness.
This stiffness is variable, so we aim to alleviate symptoms by performing treatments to loosen the stiff areas.
*As a concrete example, although different from the Google commenter mentioned above, I would like to introduce a case of treatment for a patient with osteoarthritis of the knee, which was the most severe case in the past.
—<Treatment example/Osteoarthritis of the knee (70s)>—
"
▶︎Condition before treatment◀︎
He had previously suffered from osteoarthritis of the knee and had developed bone spurs.
One day, the pain in my right knee became severe, it became very swollen, and it became difficult to bend it. Two months passed.
I went to the doctor and received 10 hyaluronic acid injections and 9 fluid-removing injections over a two-month period, but the swelling and pain did not go down at all.
As the patient was not in a condition to walk to the clinic, we went to his home and performed the treatment.
▶︎Physical Examination◀︎
When I start to bend my knee, the pain gets worse when the internal flexion angle is about 120°. I can't bend it to 90°.
Whether bending by hand or passively, as soon as you start to bend it, it hurts and the surrounding muscles react by becoming hypertonic.
I have trouble walking.
I have pain when I stand up and even when I lie on my back.
▶︎Treatment area◀︎
First time
From the sacrum to the lower lumbar vertebrae
Right iliac artery
Part of the right metatarsal
- Part of the right tibial plateau
な ど
The most intense hardness was in part of the bone in the plateau area at the top of the right tibia, which was the biggest point and required the longest treatment time.
As a result, the pain and swelling had decreased by about half the next day, and there was no pain with passive flexion up to about 90°, and the muscle hypertension that had occurred last time when bending the knee no longer occurred.
After that, by continuing weekly maintenance, the initial swelling completely subsided and I was able to go about my daily life without any problems.. "
—
In this case, the tibia bone itself had become very hard, which impeded circulation around it, preventing sufficient blood and lymph flow to resolve the inflammation and hindering the body's ability to heal.
As such, many people who suffer from osteoarthritis have bones in their tibia and femur that are as hard as lead or concrete.
The main cause of this is thought to be the compression of surrounding blood circulation due to tissue deformation, which in turn causes a slowdown in the metabolism of the surrounding tissues.
However, in addition to this, there are other body parts that contribute to stiffness and tension in the hip and knee joints.
At our clinic, we can ① identify the affected areas and provide treatment.
In addition, ② it can also loosen the stiffness of the vertebral body, periosteum, and surrounding ligaments in the affected area.
Even in osteopathy, highly difficult techniques are required to relax the stiffness of the bone itself, as well as the periosteum and surrounding ligaments.
Taking advantage of these two treatment techniques,
Although the tissue is deformed, the tissue is still soft.
We will aim for this state.
(When the muscles become softer, circulation of blood, lymph, and other bodily fluids becomes smoother, making symptoms less likely to occur.)
We feel that this has had a certain effect even on people who have had difficulty changing their symptoms.
The effect of the treatment will of course vary from person to person (depending on the degree of tissue degeneration, immune strength, etc.).
This is a treatment you should try if you are looking to improve your condition without surgery.
Kyoto Osteopathy
Seitai(Chiropractic)-Tanigawa
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