Healthy Hips and Healthy Knees

The numbers of individuals undergoing total hip replacement and total knee replacement are increasing significantly.1 Annual rates in the United States for total hip replacement have increased more than 50%. In Denmark, rates have been increasing by 30%. Annual rates in the United States for total knee replacement have increased by more than 170%.2 In Sweden, rates have increased 500% in the last 20 years.3 With the aging of the population and increased lifespan, these rates will continue to increase.

Advanced surgical procedures are invaluable, if you need them. Of course, many persons have unrelenting, daily pain which may require radical surgery. For everyone else, though, the best way forward are the old reliables: regular exercise, as vigorous as is appropriate; a healthy diet containing plenty of fresh fruits and vegetables; and sufficient rest on as consistent basis as possible. Regular chiropractic care is also a key component of helping to keep your weight-bearing joints in peak condition.

Most hip and knee replacements are done because the person has severely painful degenerative joint disease - osteoarthritis. Hips, knees, and ankles are all weight-bearing joints. These joints are big and strong and have many surfaces on which to distribute the substantial mechanical loads which are placed on them throughout the day. But these joints don't last forever and, like all living systems, they will eventually begin to age and break down. Serious problems ensue, however, when these critically important joints start breaking down long before their "warranty" expires.

Many hip and knee problems are a result of chronically poor posture. Almost none of us are taught how to use our bodies properly. We don't come with instruction manuals. So as time goes on, the inefficient habits we develop as children and teenagers become permanent. People slouch, they let their abdominal muscles sag, they stand with all their weight on one leg, and their heads stick out in front rather than being centered over their chests. One result is chronically tight and painful neck, shoulder, and lower back muscles. Another result is chronically uneven distribution of the weight of the body, ultimately causing degeneration of hip and knee joints.

Lack of a healthy diet prevents the lubricating tissues of the hip and knee joints from receiving key nutrients. Lack of proper joint lubrication causes osteoarthritis. Lack of regular exercise inhibits normal joint motion and normal joint nutrition and lubrication, leading to the development of degenerative joint disease. When you add up faulty biomechanics, lack of a healthy diet, and lack of proper exercise, the result is a prescription for chronic hip and knee problems.

It's very important to address these issues when you're young. When you're not as young as you were, the time to begin making healthful changes is right now. Chiropractic care directly helps improve a person's biomechanics. Chiropractic care also helps people make the best use possible of the good food they're beginning to eat and the regular exercise they're beginning to get.

For most of us, the best way to prevent the need for a hip or knee replacement is to take consistent, healthy actions on our own behalf. If a hip or knee replacement turns out to be the way to go, all of these healthy actions will help ensure a quick recovery and continued good health from this point onward.

1Singh JA: Epidemiology of knee and hip arthroplasty: a systematic review. Open Orthop J 5:80-85, 2011
2Kurtz S, et al: Prevalence of primary and revision total hip and knee arthroplasty. J Bone Joint Surg Am 87(7):1487-1497, 2005
3Knutson K, Robertsson O: The Swedish Knee Arthroplasty Register. Acta Orthop 81(1):5-7, 2010

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Testimonials

  • "Regular visits with Dr. Roeder have significantly reduced the frequency of migraines I have suffered and the amount of neck and shoulder pain I have lived with for years. Because of Dr. Roeder I am able to focus on my busy life again"
    S.L., San Diego
  • "This was my first encounter with a chiropractor and found the experience to be delightful, gratifying and well worth it! Instead of being given a bunch of pills and told to come back next week, the manipulation for my back and side injuries including carpal tunnel syndrome, responded very well to the treatments. Thank you, Dr. Roeder for a job well done"
    W.B., San Diego
  • "I came in originally for neck pain, but getting adjusted helped lower my blood pressure & my insulin levels too.Dr. Roeder is so thorough in her care-I never knew how much better I could feel.I no longer have to take blood pressure medicine now."
    A.W., San Diego
  • "Since meeting Dr. Roeder at a health seminar, she has changed my life, drastically-improving my health 100%. I had a wide range of symptoms, including chronic fatigue, constant and severe headaches, body aches, nausea, difficulty concentrating and I felt extremely tired and weak. She diagnosed me with having Fibromyalgia and Candida. She put me on an anti-inflammatory diet and started me on chiropractic treatment and instructed me on strength exercises. I have lost 40 lbs and feel fantastic! Whenever I eat something that sets off a symptom, I can identify the food source now. I know how to eat well and stay away from foods that cause inflammation. Had it not been for Dr. Roeder's expert care, I believe I would still be suffering from all those symptoms-- instead I feel fantastic!"
    M.O., Spring Valley
  • "My son was diagnosed at a very young age with Hyperkyphosis. The doctor told us that surgery would be his only option but we needed to wait until he got older.My husband and I were heartbroken to think about such a major surgery for our little boy.We wanted to help him anyway we could without doing surgery. We are so thrilled to say that after seeing Dr. Roeder my son's back has made a major improvement.That there is a stronger chance that he may not need surgery after all.My son is three now and he is a very active little boy and you can't even tell that he had ever had a bad back.He is able to do what all little boys do:run, jump and climb!Taking my son to Dr. Roeder was the best decision that me and my husband have made as parents.I am so happy that Dr. Roeder is part of our lives.In fact all of my extended family members are patients of her too!Thank you so much Dr. Roeder for all of your help.You have been such a positive part of our lives.You are part of our family."
    G.C., San Diego
  • "My daughter has been diagnosed with Von Willabrand's and Precocious Puberty at age 7. She had her first period at age 8, and it was for three days. The doctors said that her hormone levels were off and there wasn't any truly safe treatment. After talking to Dr. Roeder, she started chiropractic care to help her body cope better with this disorder and hopefully change her hormones. Now my daughter and I have been told by doctors at Children's Hospital that it looks like she won't be starting her period until two years from now-this will be the normal time when she should start! They told us to keep up the good work of whatever we have been doing because it seems to be working."
    J.H., San Diego
  • "I got treated for a neck and back injury that appeared to be chronic following a major car accident. I had been to chiropractors before but without much success.After seeing Dr. Roeder now though, my mobility and general feeling of well-being has greatly improved."
    C.H., San Diego
  • "Dr. Roeder was recommended by a friend and I am completely satisfied. I was having low back pain also some neck pain. My back feels better than it has in years. I feel Dr. Roeder is complete in recommending exercising and treatment!"
    M.L., San Diego
  • "I just wanted to say thank you for making me 'new' again. Also, for helping us through our tough times. You always have been nice to us and helpful when we were in your office-it was just like a second home! Every time I walked through the door I felt calm and relaxed. You always asked us how we were doing and how we have been. I thought that was very thoughtful and caring of you-especially considering that awful car accident we had been in. None of my doctors before had been as courteous as you. You have really made a bad experience into a great experience in a blink of an eye. I always loved that EVERYONE was always smiling! I wish that when I grow up I can be like you, always making people happy and feel better! Well, I think that you just made another patient happy because of your wonderful 'magic.' Oh and I know I already said this but I think I am speaking for everyone when I say: Thank you Dr. Roeder!"
    J.F., San Diego (pediatric patient)