What are common causes of knee pain?
Why am I having knee pain, even though I have been under a doctor’s care & perhaps even a specialist’s care?
What makes Dr. Gossett different?
Can my knee pain, really be helped, even if I have been told my knee joint is bone on bone?
I) The most common causes of chronic or long-standing Knee Pain are complications of : 1) an Orthopedic condition, 2) a Neurologic condition, 3) an Internal Medical condition. Knee pain can be a result of one or a combination of 2 or all 3 these.
Orthopedic conditions result in mechanical knee pain, which are usually a result of : a) direct trauma to the knee region (recently or years ago), b) pathology or disease of the knee region itself or c) functional stress passed to the knee, up from a foot/ankle condition or down from a hip/lower back condition (resulting in biomechanical stress or neurological pain in the knee). Unless this component is properly assessed & addressed Orthopedically, the knee joint will eventually begin degenerating & over a period of weeks, months or years, continue to advance.
Neurological conditions result in neurological knee pain, which are usually a result of: a) abnormalities of the sensory fibers in the lower extremities for normal sensation of pain, vibration, light touch, deep touch, sustained touch, joint position sense, 2- point discrimination & drag (resulting in abnormal posture, movement & use of the knee joint), b) imbalance of the cerebellum, in the brain (resulting in imbalance in carriage of the body’s weight in the knees, side to side), c) imbalance of the cerebrum, again (this time resulting in imbalance in the postural muscle tone/strength in the knee muscles, resulting in chronic strain/sprain of the knee region, even with normal daily activities). Likewise, unless this component is properly assessed & addressed Neurologically, the knee joint will eventually begin degenerating & advance.
Internal Medical Conditions
Internal Medical conditions, which commonly contribute to or are cause high levels of systemic inflammation & contribute to knee pain are: auto-immune disease – involving G-I tract conditions, such as indigestion, celiac disease, colitis & irritable bowel syndrome. These are all too commonly irritated, if not caused by gluten sensitivity, (from wheat, rye, oat, soy & dairy products). Other diseases with an auto-immune component are: diabetes, degenerative & rheumatoid arthritis, thyroid & para-thyroid conditions, adrenal fatigue, cardiovascular disease – the list goes on & on. These conditions have components, which if not properly assessed & addressed, contribute to joint degeneration, affecting the knees. Food sensitivities are present in as many as 90% of patients in the U.S.A., & are often a precursor to the other conditions previously mentioned. Unless this internal component is properly assessed & addressed Metabolically, the knee joints will commonly begin degenerating & advance.
NOTE: This development & advancement of knee degeneration results in the common X-ray findings of: a) narrowing of the knee joint spaces, b) arthritic spur formation in & around the knee joint, c) & finally “BONE-ON-BONE” deformity. It also results in the MRI findings in & around the knee, of: a) torn ligaments/tendons, b) loose joint bodies in, which can make use of the knee difficult & painful.
II) Traditionally, most doctors approach knee conditions from the Orthopedic perspective only, which means there is a 2 in 3 (or 66%) chance the patient will fail whatever treatment regime is recommended. Most doctors are not even aware of the above noted Neurological & Internal components, which also contribute to or cause knee pain. Why don’t they know? That is a good question . . . I can only respond with the obvious & that is, each & every doctor has the responsibility to keep up with new information provided by medical research. Unfortunately most doctors practicing today are using protocols of examination & treatment which are based on medical research that is 10-15 years old.
III) The above mentioned Neurological & Internal perspectives are based on more recent research. Because Dr. Gossett is board eligible in Orthopedics, is a member of a board of approximately 450 other doctors who specialize in Orthopedics, Neurology or Functional Internal Medicine & participates in post-graduate study & training in each of these areas, he is aware of the newest researched protocols & utilizes them in his practice, on a daily basis. As a result he has an impressive success rate with chronic knee pain as well as other chronic conditions.
IV) So, if you or someone you care about is suffering from chronic or severe knee pain, which has not responded to other treatment, or would like to avoid the traditional approach of drugs & surgery, call & set an appointment for a consultation/case review with Dr. Gossett. Based on past experience & his unique approach to this condition, there is a very real possibility he can minimize, if not eliminate your pain & maximize your level of activity!