Knee Pain

When we look at treating knee pain, I have to first be clear that we are talking about chronic pain, not an acute injury that just happened. A chronic injury, by definition, is a condition that has been maintaining itself for at least 12 weeks. In this text, we are going to delve into the connection between spinal mechanics, the nerve fibers and the knee itself.

My practice is based on a neuro-endocrine-immune approach to health. The complications of how biochemistry and structure fit together is really what Capital District Vitality Center is all about. I tend to be the person who solves chronic problems and I do this by looking at health from a different perspective than most healthcare providers. What I would like to share with you is the importance of how structural issues, over a long period of time, along with biochemical issues, start to erode joints such as the knee. The knee is a major postural joint.

Let us start with the nerve contributions to the big beefy muscle in the front of the thigh called the quadriceps; quad meaning four. The rectus femoris, vastus lateralis, vastus medialis, and vastus intermediusare make up the four muscles of the quadriceps. There are a lot of muscles that contribute to the knee’s stability from the inside and the outside of the knee itself. If you lose some of that stability, oftentimes you will create what is called a tracking disorder, which is when the patella, a bone on the top of the knee that kind of floats, gets pulled one way or another. So you can imagine the amount of friction and tension from all your body weight sitting on top of this joint that does not sit square under the postural system. There is also the popliteus muscle which is very involved with the knee so it does not hyper extend. It also is involved with unlocking the knee every time you take a step.

There are numerous different nerves that have a multitude of different muscles that they connect to. Let us say, hypothetically, that at L5 the nerve root innervation, particularly to that popliteus muscle, is stenotic. And stenosis is by nature of the description a narrowing of the spinal canal.  If it is stenotic or osteoarthritic, meaning it has spurs and inflammation, what happens is the nerve root information that transfers to the muscle is no longer a clear picture. So that knee’s stability is greatly dependent on the integrity of the low back itself. The approach that I take for chronic knee pain is not only evaluating this area neurologically as a credentialed neurologist but also looking at it orthopedically and muscularly.

One of the tools I use in my office is called Trigenics®, a neuromuscular technique. It is very different from most methods that people tend to be familiar with when referencing tools used by physical therapists and other chiropractors. Trigenics® is not a chiropractic technique but rather a neuromuscular technique that looks at how muscles fire. If muscles have lousy innervation starting from the spine and have poor muscular coordination, either spinally or for some other reason, including postural adaptation; the gait will be affected in a less than supportive way.

If you are walking around like an old pirate for 10, 15, 20 years, eventually your brain sees that limp as normal and it redefines the position of your knee. What we can do with Trigenics® is structurally redefine how the knee sits under your postural system and then with the assistance of other progressive therapies that we use in the office we can reduce the inflammation and create the tissue healing that is needed. One of the many tools we use at Capital District Vitality Center is a 25watt class 4 cold laser (FDA approved). It is kind of like a Star Wars™ tool as far as quickly dealing with inflammation, swelling and edema.

If you fit into this qualification for suffering from chronic knee pain, what we first need to do is have you schedule an examination so we can evaluate your knee(s), review your case history, and see whether or not you would benefit from the treatment program we offer. My commitment to my chronic knee pain patients is a two-visit turn around process, which you can read in depth about here.

 

 

Clinic Hours

Monday
9:00am - 5:00pm
Tuesday
2:00pm - 5:30pm
Wednesday
9:00am - 5:00pm
Thursday
2:00pm - 5:30pm
Friday
8:30am - 12:00pm

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Patient Reviews

  • Richard Herbold is topnotch, and has helped me over several decades! A gifted healer might be a rarity. I have always felt privileged to receive his adjustments to target whatever is blocked or out of place. Immediate relief is always noted....
  • Long story short, after a year and a half of countless doctor visits to try to figure out what was wrong with me (couldn’t move my joints, extreme pain and swelling, ect….) I was told I had RA and would be on methotrexate for the rest of my life. I went to Dr. Herbold to get his opinion. Wit...
  • A year ago today a very itchy/stingy patch appeared on my upper arm near my armpit. Over a two week period the ‘rash’ crept to my other arm and to my chest and my back, and was absolutely unbearable by mid-December. I went to my GP – desperate for a diagnosis and treatment. I noted to ...
  • When I wrote previously, I was beginning a 24 session program of trigenics….combined with three additional therapies twice weekly. At the time, I was experiencing extreme exhaustion when completing the smallest of tasks…due to spinal stenosis and numbing. I was having back pains, shoulder is...
  • When I first came in, I had to walk with a cane, or a walker because I was so off-balance. My feet were so numb. And my legs always felt dead or heavy. As I started going through the treatments, a lot of my feeling started coming back. Where before I couldn’t bend my toes, lift my leg, climb stair...
  • I have been a patient of Dr. Herbold’s for many years now and have always been impressed with the professionalism and compassion of the office staff that never waivers. They try to accommodate their patients’ schedules and needs, going the extra mile. Also, Dr. Herbold listens to his patient...
  • Thorough, knowledgeable, professional, personable. I had a very top notch experience here for my first appointment. The fifth star in the rating will be earned by results which I am confident will come. What a refreshing experience to spend time with a fellow practitioner who thinks outside the box as I...
  • Dr. Herbold is helping me with my weight, which has not budged in spite of being a nutritionist myself. His blend of scientific knowledge, clinical experience so he can sense exactly what the next steps are, compassion and humor are helping me. At last, someone who can heal this healer (me)!...
  • Dr. Herbold and Beth are great! They are very knowledgeable, helpful and responsive to both my son and I. Our experience with using their Neurofeedback system has been very good. I am most appreciative of Dr. Herbold’s holistic approach on the importance of nutrition, exercise, etc. as part of our...
  • I have known Dr. Herbold for 11 years now. He is a wonderful doctor, a trusted confidant, and a wonderful human being. He has helped me and my family many many times with health related needs. Dr. Herbold is very compassionate — a great teacher and mentor. We are so fortunate to have someone of hi...

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