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HEALTH & FITNESS

                                       JOINT ALIGNMENT

                                  MATTERS

                  by Paula Allia  D id you ever think about why some may                         Alignment of the bones in a joint matter. In
       PT, DHSc, MTC, OCS                     be in their 30s and have arthritis in           a perfect situation, proper joint alignment with
                                              their knees yet another is 75 years old, a      muscles coordinating their efforts perfectly is ideal
“If there are                                 marathon runner with very little if any         for function. Some are lucky to have this but many
                                  arthritis is present? What causes osteoarthritis and        others are not. By middle age, many people have
 malalignments,                   why do some people get it more than others? Let’s           already sustained an injury to a joint even if it was
        the key to                explore the causes and understand the various choices       normally positioned prior. Now what do you do?
          delaying                that one may have to counteract the dysfunctions
        continued                 and strains on the body.                                       If there are malalignments, the key to delaying
                                                                                              continued progression of osteoarthritis is to lose
  progression of                     Osteoarthritis is the most common type of                weight if needed and choose the right exercise that
osteoarthritis is                 arthritis caused by wear and tear on a joint. On            did not exacerbate the condition.
                                  the ends of bones where articulations occur there
   to lose weight                 is a shiny surface that is called hyaline cartilage. Do        It is important to understand that exercising
   if needed and                  not confuse this with cartilage that is also called a       is still very important. The problem is that many
choose the right                  meniscus. This is another joint structure altogether.       do not adapt themselves to the current alignment
exercise that did                 This hyaline cartilage gets bathed by joint synovial        and condition of the joint. Thus, slow progressive
  not exacerbate                  fluid and when healthy, stays shiny and smooth,             inflammatory breakdown continues and eventually
                                  allowing smooth sliding and gliding at the joint.           the pain threshold is reached. The gait changes,
”the condition.                   Provided that joint integrity is intact with normal         the body adapts to a newer posture and more
                                  alignment and proper muscle coordination around             breakdowns occur, sometimes to additional joints
      Fitness Together            the joint, smooth functional movement allows one            because of the adaptations.
        335 14th Ave South        to function in a pain free manner. This is ideal for
           Naples, FL 34102       the active person.                                             So what does one do? You want to keep moving?
               239.263.9348                                                                   Well, first wearing shoes that have good shock
                                     There are several things that can cause weight           absorption is essential. Many people in Florida wear
   FitnessTogether.com/Naples     bearing joints to breakdown. First, and injury can          sandals or non supportive shoes which does not
                                  occur such as a fall, twist, or accident. Secondly, some    support the ankle and foot. A foot and ankle that
                                  people are born with a less than optimal alignment.         does not respond normally to the gait of walking
                                  Finally, participating in impact sports can all cause       or running can put more undue strain on the knee
                                  joint breakdown over the years.                             and hip and if there is a history of an injury with
                                                                                              a biomechanical fault more stresses and strains will
                                     An injury to a joint occurs more commonly with a         continue and further breakdown is eminent.
                                  quick motion, an unexpected step, a twist, or sudden
                                  fall. This type of injury puts strain on the joint’s           The best scenario for success of continued activity,
                                  components, particularly the ligaments and even the         these are the recommendations:
                                  cartilage. Ligaments are essential with helping the
                                  joint maintain proper alignment. The meniscus (if              • If overweight, take steps to change this
                                  there is one in the joint) acts to also protect the joint.     • If you have abnormal foot and ankle adaptation,
                                  When either of these are injured the joint becomes          consider and evaluation for orthotics to assist in
                                  compromised.                                                proper weight transfer and propulsion
                                                                                                 • Choose activities that do not put undue strain
                                     Unfortunately, some people are born with a               on the arthritic joint
                                  malalignment. This predisposition may cause joint              • Maximize proper movement patterns and
                                  breakdown at an earlier age. Pain does not occur            muscular control of the joints
                                  at the beginning of the breakdown. Everybody is                • Consider bracing if needed for support
                                  different but one may actually have an altered gait            • Do not let your arthritis rule you...find out what
                                  but still not pain. As the hyaline cartilage wears, bone    you can do about it!
                                  on bone rubbing causes the shiny articular surface             If you want further information please consider an
                                  to breakdown and once hitting the right threshold,          evaluation to see what it good for you 239.263.9348.
                                  pain ensues.                                                   To Your Health!

	50 										                                                                                Life in Naples | February 2016
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