Knee Stability Exercises – Level 2

**Do not start this program without first being examined and prescribed a beginner program. This is NOT a beginner program.

Stabilizing the knee via exercises is an important injury prevention technique that most people do not incorporate enough into their routine. Many sports place strain on the knee and therefore can cause injury. You cannot strengthen ligaments or joint cartilage. It simply is what it is. However you can strengthen tendons and muscles and improve flexibility and co-ordination. There is no better injury prevention for the knee than a 2 to 3 times per week stability program.

Here are the goals with knee stability programs:

Increased flexibility of:
1. Hips (internal, external rotation)
2. Quadriceps
3. Hamstrings
4. Inner thigh muscles
5. Calves

Increased co-ordination of:
1. Ankles
2. Core
3. Hip & knee movements

Increased strength of:
1. inner thighs
2. hip muscles
3. hamstrings

 

We cannot ignore any aspect of the leg structure, from the core down to the ankles, as they all have an impact on the efficacy of knee movement. Please do these exercises after a proper warm up (e.g.: 5 minutes on the eliptical).

 

1. Foam Airplanes
– stand on foam board (without shoes)
– arms out in “T” formation (do not let arms drop throughout exercise)
– lift one leg off
– keeping chest over hips (straight back), bend one “wing tip” down to ground by moving hips NOT arms
– then reverse movement and bring other “wing tip” towards ground
2 sets of 8 on both sides

 

 

2. Balance & Pass Medicine Ball
– balance on an exercise ball with your knees (feet OFF ground)
– stand erect, chest over hips, arms out, one hand holding med ball
– pass ball back and forth (see video below)
2 sets of 10 passes (5 to each hand)

 

3. Face-the-wall Squats
face wall, feet wide apart
have chair behind you to catch you if you fall
– toes turned outward 45 degrees and toes one inch from the wall
– pull chest “back” by pinching shoulder blades together and keeping ears over shoulders (head back)
– hands between your legs (finger tips against wall)
– squat down as low as possible while maintaining proper technique

2 sets of 15

 

 

4. Hamstring “pops” on exercise ball
– lay on back, feet on ball
– arms at your sides, palms down for support
– lift buttocks off floor and lift on leg up in air
– simultaneously roll the ball towards your buttocks and elevate the leg towards ceiling (see video below)
2 sets of 8 each leg

Nurse performing body-hamstring proprioceptive strength rehab

A post shared by Dr Emmanuel Parenteau (@drparenteau) on

 

5. One-legged Quarter Squat with Ball and Foam Board
– pin ball between wall and buttocks (NOT low back)

– place both feet on foam board (NO shoes)
– chest out, arms out (do NOT lean forward)
– lift one leg in the air
– drop into a controlled, quarter squat (NO further, too much pressure on PCL)
– press back up and repeat (see video below)
– make sure foam pad is far enough away so that at bottom of quarter squat your knee is not shifting forward

2 sets of 8 each leg

Knee Stability Squats – only quarter squats or less (otherwise hard on PCL and knee in general) 2 sets of 8 each leg

A post shared by Dr Emmanuel Parenteau (@drparenteau) on

 

6. Hip Circles
– Lie on your side.
– Bend bottom knee.
– Point toe of top leg.
– “Draw” as large a circle as you can by moving leg in a circle.
– Go as far UP and BACK as possible.
– reach forward lay forearm flat on ground to keep pelvis from leaning back during exercise
Do 2 sets of 10 on each side

 

 

7.  Single Leg Pot Stirs on Exercise Ball
– lay on ground
– one leg on ball
– lift pelvis slightly off floor
– palms down on floor for support
– “stir the pot” with foot on ball
2 sets of 8 “stirs” for each leg

 

The Vaccination Question

vaccine article

Our children are immeasurably precious to us. One of the toughest decisions a parent has to make are early healthcare choices. As lay people, parents stand between the medical establishment and their child. This can seem overwhelming. However, one of our duties as parents is to make informed decisions because our children cannot.

Perhaps the hottest controversy in pediatric healthcare is the topic of vaccination. On one side of the spectrum we have very large pharmaceutical companies and the mainstream medical model and on the other we have the “just-say-no-to-vaccines” crowd. What is a parent to do?

In this article I will not answer this question but try and prompt you to dig deeper and make your own choice. My wife and I have 4 children and have had to think through this issue several times. I am a chiropractor and exercise rehabilitation specialist. I am not a medical doctor. But I am a diligent parent who has looked into this issue.

baby-13719870150asOne thing to keep in mind is that you have the right to choose whatever vaccination schedule you want. The system (at least in British Columbia as of 2015) cannot force you to do any vaccinations. You can dictate which vaccines you want and when you want them introduced. Currently, the schedule decided upon by the B.C. and Canadian medical system introduces at least 5 vaccines to each 6 month old infant. This is not due to longitudinal studies inquiring when vaccinations are most effective or how many to implement. This schedule is primarily based on the need to save time and money and cause administrative ease. Whether or not this is harmful to a young, underdeveloped immune and nervous system is not known.

That’s the problem. It is not known. It may be just fine, it may not. Further, in order to preserve the vaccines as well — and as cheaply — as possible, pharmaceutical companies use heavy metals. Again, I do not know whether or not this are harmful. The answer is simply not known. But it is something to ponder.

I disagree ultimately with both the mainstream schedule and the “NO-VACCINE” crowd. Polio began making a come back in northern California regions where children stopped being vaccinated for it. Make no mistake, vaccines work. And very well. We could almost eradicate polio if one or two full global generations vaccinated for it.Truth be told, polio and other illnesses that are vaccinated for still show up in populations that are fully vaccinated. In short, vaccines are not guaranteed to work they are simply highly likely to work. Pure eradication will most likely evade us for many more decades or centuries.

I do respect some of the information brought up by the non-vaccinator crowd. It is interesting that autism rates have increased around the same time as mass vaccinations began. This does not mean there is a link between the two. It is interesting data but we still do not know if there is a cause-and-effect relationship here.

Please consider that Hepatitis B is contracted by contact with body fluids. If a parent is a dentist, lab tech, doctor or in any profession which routinely exposes them to body fluids, the Hep B vaccine is most likely a good bet. If the parent themselves has Hepatitis B or is sexually active with multiple partners, they should most likely also vaccinate their child for it. But if you are in a committed, monogamous relationship, work away from any body fluids and are Hep-free, you may want to reconsider the value of this vaccine. This is merely a food-for-thought piece of information and is in no way a suggestion.

The Gardisil vaccine is administered to 7 to 9 year old girls. It is used to protect them from the effects of cervical cancer should they develop a sexually transmitted disease in early adolescence.  Unfortunately, this vaccine has had tens of thousands of instances of severe side effects in the United States and over a hundred deaths. If your family  values make it unlikely that your child will be sexually active in their early teens, you may want to let them decide on it themselves as adults.

You may be surprised at how easy it is to get comfortable making decisions about vaccinations once you’ve delved into the material. Every parent should spend some time studying this issue before simply handing their most precious treasure over to the assembly-line mainstream system.

Please be informed and feel safe to discuss options with your family doctor.    .

 

WHAT KIND OF HEADACHE DO YOU HAVE?

headache

photo by Petr Kratochvil (click image for more)

Many of my headache patients come to see me and describe their intense headaches as “migraines.” This self diagnosis is purely based on the high level of discomfort they are experiencing.

Fortunately, most headaches are not migraines, even the very intense ones. And knowing what type of headache you have is crucial in determining what course of action will cure you.

According to the American Headache Society, over 78% of people will suffer tension type headaches during their lifetime. A much smaller percentage will ever have a true migraine. Therefore, if you have intense headaches, instead of self diagnosing yourself, go see your chiropractor or family doctor for a professional opinion. Having treated headache patients for over 10 years and having taught a headache class at the University of Victoria, I am well aware of sufferers and their tendency towards self-diagnosis. If the self diagnosis is wrong it can stop them from getting to the pain free stages they so desire because they are doing the wrong things.

This post is not meant to replace diagnosis by a professional, but to help you see that you may have wrongly self diagnosed and therefore are on the wrong track.

WHAT CAUSES MIGRAINES AND TENSION TYPE HEADACHES?

image778If you were to drill a hole through each of your cheek bones (front to back) within about 2 inches you would hit a bundle of nerves known as the trigeminal ganglion. This is a squid-like branch of nerves that connect to the eyes, forehead, scalp, face, jaw and temple region and then relays them all back to the spinal chord. In the spinal chord the trigeminal nerves connect to the neck nerves via an area called the trigemino-cervical nucleus. The trigeminal ganglion is involved in both migraines and tension type headaches but only tension type headaches affect the trigemino-cervical nerves. The following information will teach you some basics to differentiate migraines from tension headaches.

MIGRAINES
Because the trigeminal nerves interact with blood vessels the foods we eat can trigger migraine headaches. Migraines are therefore different from tension type headaches because they can be triggered by wine, cheese, chocolate or caffeine. Migraines also don’t involve the neck or back of the head and are usually around the temple and eye area on one side only. The pain is typically a throbbing or pulsing sensation.

photo by Petr Kratochvil (click image for more)

photo by Petr Kratochvil (click image for more)

Migraines typically occur only a couple of times per month and last minutes to hours but generally not days. Further, if just before you feel the headache you have visual disturbances or light and sound hypersensitivity, this points towards migraines. The typical migraine patient has migraines in their family history and has had migraines since adolescence. Typically, migraines do not respond much to ibuprofen, tylenol or aspirin. Women are more prone then men to migraines. See your chiropractor to determine if you are indeed suffering from migraines and receive the appropriate nutritional advice and treatments.

TENSION TYPE HEADACHES
The tension type headache patient usually has neck pain before their headaches. Classic tension headaches affect the rim of your scalp like a sweat band (i.e.: forehead, sides of the head and back of the head) and both sides are affected equally. Unlike migraines, tension headaches can last more than an hour and can even be constant for 2 or more days. Tylenol, ibuprofen and aspirin generally are quite helpful at reducing tension headaches. Tension headaches typically manifest several times per week and feel like constant pressure or pain — they do not pulse like migraines. No pre-headache visual or hearing issues occur with tension headaches.

Tension type headaches involve the cervical nerves and migraines do not. This is why neck injury from muscle or joint trauma or prolonged bad posture is usually the sole cause of tension headaches. They affect the neck nerves which communicate with the trigeminal ganglion which in turn sends nerves to the scalp and face, therefore causing the head pain associated with headaches. Sometimes tension type headaches are more severe than even true migraines, leading the sufferer to re-label it a “migraine.”

Because the neck causes all or most of the head and face symptoms for tension type headaches, treating the muscles and joints of the neck is usually the solution to years of suffering. People don’t know their neck is causing their debilitating headaches. At our clinic we’ve developed a series of treatments that are very effective at dealing with tension headaches.

Even long term, well entrenched tension type headaches can be cured. Our clinic also has designed a 10 week exercise rehabilitation and manual therapy program to solve even the longest term headaches. As an example, one of our headache patients let us do a documentary on her full recovery after 13 years of debilitating headaches. Please take the time to watch:

http://drparenteauimagebank.files.wordpress.com/2012/01/testimonial-mclennan.jpg

CLICK IMAGE TO SEE VIDEO

Some patients have symptoms of both tension headaches and migraines. Sometimes, these patients receive treatment for their tension headaches and their migraines disappear. This is because both types of headaches affect the trigeminal ganglion. Therefore, in some patients, tension headaches trigger the migraines. So if you remove the tension headache, you remove the migraine by default.

To recap the difference between tension headaches and migraines, see the diagram below for an easy comparison: 

tension vs migrain sxs

Please do not use this post as substitute for professional diagnosis. There are many other types of headaches such as cluster headaches, temporal arteritis, toxic headaches and others that mimic certain aspects of migraines and tension headaches. A clinician such as your chiropractor or family doctor will be able to differentiate from these and give you a sure diagnosis.