Sunday, December 19, 2021

Protecting your knees

Researchers are re-thinking long-held doctrines about the cartilage that cushions the bones of your knees and other joints. The breakdown of cartilage is the primary cause of arthritis. As one of the researchers states, “Since cartilage doesn’t have a blood or nerve supply, we used to think it couldn’t adapt or repair itself.” Apparently, that’s not true. Weight bearing activities such as walking and running squeeze the cartilage in the knee joint, expelling waste and drawing in a fresh supply of nutrient- and oxygen-rich fluid with each step. Cartilage is a living tissue that thrives with regular use.

Because people worry about damaging their knees, they often turn from running or walking to low-impact activities such as swimming and cycling, believing it will protect their joints. But, as another researcher notes, “what they’re doing is starving the cartilage.” You need to keep up your exercise, but, if you have knee pain, do it more frequently and for shorter periods. A physiologist who studies the molecular properties of cartilage and other connective tissues says that the cells in cartilage respond positively to exercise for about ten minutes. After that, you’re just accumulating more stress and damage in the tissue.

Another important principle is strengthening the muscles that support your knees. Keeping those muscles strong stabilizes your knees and stiffens the tendons and ligaments around the joints. The experts recommend squats and lunges. If you’re like me and can’t do those exercises anymore, look on the internet for alternatives that suit you. You can also focus your attention on how you get up from chairs and the toilet: don’t use your hands; keep your knees and hips aligned over your feet. If you can’t keep the joints aligned, it’s a sign you need to strengthen your leg and butt muscles.

Experts have debunked the notion that you should stop being active as soon as you notice knee pain. What you need to do is stay active, strengthen the muscles around the joint, and develop good movement patterns.

For an introduction to this blog, see I Just Say No; for a list of blog topics, click the Topics tab.

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