Treat the patient, not the image.
As we age it is inevitable that some sort of degeneration will appear on an image. But, that doesn’t mean that is the pain generator. The body is AMAZING and it adapts to the stress you routinely put it through. A lot of compression or rounding of the spine can cause disc bulges. But, not necessarily cause pain. A lot of inward stress on the knee can strain the ligaments. But again, not necessarily cause pain. It’s normal aging and normal adaptation.
What if we called all normal processes of aging degenerative?
Normal wrinkling? Nope, now it’s called degenerative skin disease.
Graying of your hair? Sorry, now you have degenerative hair disease.
It’s important to find a clinician that performs a full physical and functional exam and correlates these findings to the findings of an imaging study. Rather than reading words on a page and deeming you doomed with chronic pain because of normal degeneration of your knee. Because, the truth is, pain can be caused by anything and if you look at a static picture instead of the person sitting in front of you, you’re going to miss a lot.
Here are some of the findings of this study. But, important to note that all subjects were without symptoms: ⁃97% showed abnormalities in at least one knee.
⁃30% had meniscal tears
⁃57% had cartilage abnormalities at the patellofemoral joint ⁃48% had bone marrow abnormalities at the patellofemoral joint
⁃19% had moderate cartilage lesions ⁃31% had severe cartilage lesions ⁃21% had moderate intensity lesions in the tendons
⁃6% had high-grade tendonitis ⁃3% had partial ligament ruptures (particularly of the ACL)
#doctor #chiropractor #clinician #medicine #sportsmedicine #xray #mri #kneepain #sports #sportsinjury #medicine #osteopathicmedicine #naturopathicmedicine #physicaltherapy #nurse #physicianassitant #greenwich #stamford #connecticut #newyork #newyorkcity #pain #soccer #football #basketball #lacrosse #fieldhockey #acupuncture #painmanagement #movementismedicine #strengthtraining