Episode 16: Knee Pain - Berman Health Club

**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!!