The beginning of March has shown some interesting changes in weather and spring is finally appearing. Many of my patients had noticed this change, and interestingly, patients often initially feel this through the reduction in discomfort they feel in their knees. It always intrigues me how the knee can act like a barometer to predict the weather.
Monday was a very interesting day, as the weather had improved so much, many of my clients were eager to get out and participate in outdoor activities. Particularly one of my clients, he came for a follow-up consultation and informed me that he had been skiing twice and managed to complete two hours of tennis since starting AposTherapy®.
The presentation of this gentleman’s condition was severe medial knee osteoarthritis (OA), with varus deformity (bowing of the legs), and flexed knee posture in standing. When patients have a varus knee deformity, the ground reaction force (GRF) is more medial to the knee than it is in a normally aligned knee. This increases the forces acting on the inner compartment of the knee. The fixed flexion deformity also indicated that he has muscular adaptions, predominantly in the hamstrings and specifically on the PES insertion. When this patient used to play tennis before the intervention of AposTherapy®, he would get a high level of pain, 8/10VAS. But since starting his treatment plan, he now only experienced 2-3/10VAS with no post tennis soreness within 24 hours.
Tuesday brought many follow-up consultations, as well as some new customers to AposTherapy®. One of my patients came to London for his third consultation (usually after 6months of AposTherapy®) and was progressing very well through treatment. He came to AposTherapy® with medial and patellofemoral knee OA, which was restricting his tennis playing. He had previously played tennis to a high standard and has subsequently coached to a very high level, even coaching Wimbledon & Davis Cup players. After 6 months of treatment, he was back playing tennis three times a week, and soon beating his friends at singles again. Wednesday was an extremely busy day in the AposTherapy® clinic, during which, one client presented with a complex history and an all too common issue regarding body mass. The biopsychosocial approach to therapy was evident in this client’s case and she had noticed this herself.
She presented with varus knees, medial and patellofemoral OA, as well as hypermobility syndrome. In the past, she had been declined for a TKR due to her body mass index being 45 (if BMI is greater than 30, it is classed as obese) and the risk to surgical intervention was too great, but the crux of the problem is that fact that she cannot exercise to lose weight due to knee pain. The initial calibration of the AposTherapy® device showed positive improvements in visual gait pattern and reduced pain levels. And following the successful initial consultation, we are awaiting then first follow up appointment which will be in three weeks; I expect we may start to see some improvement in her barefoot gait as well as the beginning of a reduction in pain levels. I will keep you posted on that.
Thursday was seminar day! I attended an interesting seminar held by VillarBajwa practice at the Imperial War Museum in Cambridge, great location. The seminar focused on the athletic knee and hip, and talkers include Mr Villar, Mr Bajwa, Mr Shetty and Dr Ralph Rogers. The most intriguing lecture of the day was given by Mr. Shetty, who has dedicated a large proportion of his professional career to articular cartilage regeneration. The relatively new technique is still in the development stage and only time will really tell if this is will help people with OA. Despite this advancement in technology, I believe AposTherapy® can assist this surgical intervention and specifically in a functional, personalised and graduated approach to knee joint rehabilitation.
Friday, end of the week, usually a more relaxed atmosphere in the London clinic as we have two therapists and an assistant running the Birmingham clinic. My lasting memory of that day was seeing a 64 year old female client who was 9 months into her AposTherapy® treatment (follow-up 4). During that time, through adjusting the GRF and stimulating the neuromuscular control (NMC) system, we had managed to eliminate all of her hip pain, and almost eliminate knee pain whilst walking. It’s fair to say that 9 months is a long time in rehab but when you’ve had a degenerative condition for a number of years, it’s an impressive feat to eliminate pain in knee’s and hips within that time scale.
AposTherapy® never fails to throw up success stories with clients who present with complex degenerative conditions. The versatility of the therapy means we can adapt the therapy to many presentations and conditions; however, not everyone is suitable for the treatments due to severity. I hope you have enjoyed reading about a therapist’s insight into the AposTherapy® clinic, and should you wish to find if AposTherapy® is suitable for your condition or for any of your patients please do not hesitate to contact us.
Thanks for reading,