בעיות ברכיים

הי יש לי שאלה אלייך חבר שלי כבר זמן רב סובל מבעיה בברך אחת הוא לרוב הזמן ניתפסת לו הברך מכאבים עד מצב כזה שהוא לא יכול לזוז ואפילו לפעמיים מאבד את שיווי משקלו הוא עשה בעבר צילומים ובצילום מראה שהכל תקין וכאילו הכל בסדר זה נושא שמאוד מדאיג אותי אשמח אם תוכל לעזור לי ... ואם תחזיר לי תשובה למייל תודה

ראי מאמר מצורף Pes Planus and Knee/Back Pain Issue No. 53 Biomechanics of the anterior knee or low back are often influenced by foot and ankle pathomechanics, as seen in today's study. Lower extremity specialists should be aware of foot, ankle and knee biomechanics when prescribing functional foot orthoses since they are often viewed as a preventative specialist, especially when dealing with sports medicine injuries. Sincerely, Larry Huppin, DPM Alona Kashanian, DPM Paul R. Scherer, DPM The Correlation Between Pes Planus and Anterior Knee or Intermittent Low Back Pain Kosashvili et al. examined the prevalence of pes planus in adolescents, and evaluated its association to anterior knee pain and intermittent low back pain. Methods A retrospective study of 97,279 military recruits Pes planus was graded by an orthopedist as mild, moderate or severe according to the flexibility of medial plantar arch and rigidity of medial column to standing on one's toes Anterior knee pain was defined by patellofemoral joint symptoms lasting for 3 months Intermittent low back pain was defined by a medical history of recurrent lower back pain without abnormal radiographic studies Results Pes planus was present in 15% of the population 74% mild pes planus 21% moderate pes planus 5% severe pes planus Moderate and severe pes planus significantly correlated with anterior knee pain and intermittent low back pain Mild pes planus had no correlation to anterior knee or low back pain Significance of the Article This retrospective study demonstrates a significant correlation between moderate or severe pes planus and the prevalence of knee and lower back pain. The authors found that "moderate or severe pes planus is associated with nearly double the rate of anterior knee pain and intermittent low back pain". Significance for Orthotic Therapy Experts in biomechanics and pathomechanics of the lower extremity understand the importance of subtalar joint pronation in association with midtarsal joint collapse, and the decreased stability effect in the proximal lower extremity joints (knee, hip, lower back). Functional foot orthoses can correct excessive pronation and may help with knee, hip or back pain. Custom functional foot orthoses that incorporate minimal cast fill, medial heel skive, and/or inversion can reposition the foot in a less pronated position and logic follows that this correction may have either a preventative effect or a reversal effect on back or knee pain. References Kosashvili Y, Fridman T, Backstein D, et al. The correlation between pes planus and anterior knee or intermittent low back pain. Foot Ankle Int 29(9):910-