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Hip & Knee Osteoarthritis: Part 2 – Manual Therapy & Exercise


Seniors Exercising

In part one, we explored the challenges of osteoarthritis (OA) and how a comprehensive approach can lead to significant improvements in quality of life. Now, let's dive into the transformative power of manual therapy in managing hip and knee OA.


Manual therapy is a set of hands-on procedures that can dramatically relieve pain and improve function for those with hip and knee osteoarthritis. By focusing on restoring joint motion, reducing stress on the cartilage, and improving the way your joints move, this approach can help you regain control over your mobility and daily life.


For example, one study found that combining manual therapy with exercise reduced the need for surgery by 75%. Other research highlights that pairing manual therapy with exercise offers far greater benefits than exercise alone.


Article Index


 

Osseous Mobilization: A Step Toward Pain Relief


In the upcoming videos, you'll see Motion Specific Release (MSR) in action, featuring specialized procedures developed by Dr. Brian Abelson. These techniques are designed to effectively manage hip and knee osteoarthritis, offering you a practical path to reducing pain and enhancing mobility.


Mobilizing the Hip Joint

Watch the video where Dr. Mylonas demonstrates effective MSR techniques for managing hip osteoarthritis. The hip joint is crucial in the body's kinetic chain, so maintaining mobility is essential. Reduced hip mobility can negatively affect other joints and structures, prioritizing hip mobility in treatment strategies for hip and knee osteoarthritis.




4 Point Knee Joint Mobilization

Watch the video where Dr. Mylonas demonstrates effective MSR methods for treating knee osteoarthritis. Maintaining joint mobility is crucial for the body's kinetic chain function, as reduced mobility can negatively impact other joints and structures. Joint mobilization is essential in treatment strategies, especially for hip and knee osteoarthritis, to enhance overall function and alleviate symptoms.



 

Soft Tissue Therapy: A Comprehensive Approach


For effective treatment of hip and knee osteoarthritis, it's crucial to not only mobilize the joint but also to address the surrounding soft tissues—muscles, tendons, ligaments, and connective tissues. These structures are vital for joint stability, shock absorption, and controlling movement.


The connection between joint biomechanics and the surrounding soft tissues is significant. If soft-tissue restrictions aren't addressed, joint mobility and function can be compromised. That’s why a comprehensive approach that integrates both joint mobilization and soft-tissue therapy leads to better outcomes and improved overall function.



The Gluteus Maximus Release

This video demonstrates how Motion-Specific Release (MSR) techniques relieve restrictions in the gluteus maximus muscle, which is vital for hip and knee stability, shock absorption, and movement control. Effective gluteal function is crucial for those with hip osteoarthritis, as limitations in this muscle can lead to reduced mobility, strength, and increased pain. MSR helps improve hip function and ease osteoarthritis symptoms by optimizing gluteal muscle performance.


The Quadriceps Release - MSR

Dr. Abelson demonstrates Motion Specific Release (MSR) procedures for the quadriceps muscles in this video. The process begins with thoroughly assessing muscle balance, movement patterns, and tension areas within the quadriceps. Proper quadriceps function is crucial for knee osteoarthritis management, as tight or imbalanced quadriceps can exacerbate knee pain and dysfunction. MSR helps alleviate these issues, improving muscle function and reducing OA symptoms.


Fascial Expansion: MSR Hip Pain Protocol

Utilizing fascial expansions in hip pain management presents an effective strategy that merges contemporary insights in the fascia, kinetic chain relationships, and core acupuncture or traditional Chinese medicine principles. In this video, Dr. Abelson, the Motion Specific Release (MSR) developer, demonstrates using fascial expansions to Address Hip Pain.


Fascial Expansion: The MSR Knee Pain Protocol

Utilizing fascial expansions in knee pain management merges contemporary insights into fascia, kinetic chain relationships, and acupuncture principles. This approach effectively treats Iliotibial Band (ITB) syndrome by improving joint function and reducing discomfort. The MSR protocol's focus on fascial health and biomechanics helps alleviate ITB syndrome symptoms and enhance mobility, offering a holistic treatment that addresses underlying causes and promotes tissue repair.



 

Exercise a Critical Factor


Exercise is one of the most effective treatments for hip and knee osteoarthritis, proven to reduce pain and improve function. Focusing on aerobic capacity, mobility, and strength should be a cornerstone of OA management.


Studies consistently show that exercise not only eases pain but also boosts functionality in those with hip or knee OA. Tailored exercises, especially those that enhance aerobic fitness, are essential for managing these conditions.


Mobility/Flexibility


8 Great Mobility Exercises for Hip Osteoarthritis

This video showcases effective exercises to boost mobility for those with hip osteoarthritis. Start by incorporating these exercises into your daily routine, aiming to perform them at least once a day.


For the best results, gradually increase to 3-4 times per day. Consistency is crucial—regular practice can significantly improve hip mobility and overall function.


6 Great Mobility Exercises for Knee Osteoarthritis

This video provides effective mobility exercises for knee osteoarthritis. Perform these exercises at least once daily to improve knee mobility and function.


For the best outcomes, gradually increase the frequency to 3-4 times per day. Consistency is key; integrating these exercises into your daily routine can significantly enhance knee mobility and overall function.


STRENGTH


Perform strengthening exercises 3 to 4 times a week, with a day of rest between sessions for muscle recovery and growth. As we age, allowing extra recovery time becomes essential to optimize strength gains and prevent overuse injuries.


Swiss Ball Squat

This video illustrates beneficial mobility exercises for knee osteoarthritis patients. These exercises should be performed for marked improvement, gradually ramping up to 3 to 4 sets. Regularity significantly boosts knee mobility and overall function.






5 - Clam Exercises with a Theraband

Clam Exercises with a Theraband are designed to activate the gluteal muscles, making them beneficial for those with hip or knee osteoarthritis and other lower extremity conditions. Proper gluteal activation is essential for maintaining optimal biomechanics and function. Please note that these are demonstration exercises, and some may not be suitable for everyone.



4 Point Band Leg Strengthening Exercise

The 4-Point Band Leg Strengthening Exercise effectively targets multiple muscle groups in the hip and thigh, including the adductors, abductors, flexors, and extensors. It is valuable for patients with hip and knee osteoarthritis.



Peterson Step Up - Great Knee Stability Exercise

The Peterson Step Up is effective for knee osteoarthritis, focusing on the vastus medialis oblique (VMO) muscle, essential for knee stability. Strengthening the VMO helps maintain proper patella alignment, reducing knee instability and pain associated with osteoarthritis.





 

Healthy Food

Weight Loss: A Powerful Tool in Managing Osteoarthritis


Losing weight can significantly slow the progression of osteoarthritis (OA) by reducing the strain on your joints, particularly the hips and knees. Excess weight not only increases discomfort but also fuels inflammation, making everyday movements more painful.


Studies highlight the benefits of even modest weight loss. For instance, a 10% reduction in body weight has been shown to lead to a 28% improvement in knee OA symptoms and a 24% decrease in joint stress. Another study found that individuals who lost weight experienced less pain and better mobility than those who didn’t.


Achieving weight loss is about making healthy, sustainable choices. A balanced diet, rich in whole, nutrient-dense foods and low in processed options, lays the foundation. Pair this with regular exercise—like walking, cycling, or swimming—to build strength, improve flexibility, and keep the pounds off. For those with OA, low-impact activities are key to protecting your joints while reaping the health benefits.



 

Seniors Getting Ready to go Surfing

Why Choose Our Approach for Hip and Knee Osteoarthritis Treatment


Our comprehensive approach to treating hip and knee osteoarthritis consistently achieves a 90% success rate in reducing pain and improving joint function. Here’s why our method stands out:


  • Established Expertise: Developed by Dr. Brian Abelson, the MSR methodology is backed by over 30 years of clinical experience and the successful treatment of more than 25,000 patients. This ensures you receive the highest standard of care tailored to your needs.

  • Thorough Assessments: We conduct detailed evaluations to identify all contributing factors, including muscle imbalances, joint misalignments, and soft tissue restrictions, which are often underlying causes of hip and knee OA symptoms.

  • Advanced MSR Procedures: Our Motion-Specific Release (MSR) techniques precisely target areas of fascial restrictions and joint dysfunction, providing effective relief and improved mobility.

  • Customized Exercise Programs: We design individualized exercise plans that enhance joint stability, improve strength, and restore function, helping you regain control of your daily activities.

  • Logical, Evidence-Based Approach: Our treatment protocols integrate manual therapy, tailored exercises, and supportive measures to ensure a comprehensive and lasting solution for managing osteoarthritis.


Choose our proven, patient-centered approach for effective, long-term relief from hip and knee osteoarthritis. Take the first step toward a more active, pain-free life with confidence.


 

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  17. National Institute for Health and Clinical Excellence. Osteoarthritis: the care and management of osteoarthritis in adults. NICE clinical guideline. 2008; 59:1-22.

  18. Effects of intensive diet and exercise on knee joint loads, inflammation, and clinical outcomes among overweight and obese adults with knee osteoarthritis: the IDEA randomized clinical trial, Messier SP, Mihalko SL, Legault C, Miller GD, Nicklas BJ, DeVita P, et al. JAMA. 2013; 310(12): 1263-73.

  19. Zhang W, Moskowitz RW, Nuki G, Abramson S, Altman RD, Arden N, et al. OARSI recommendations for the management of hip and knee osteoarthritis, part I: critical appraisal of existing treatment guidelines and systematic review of current research evidence. Osteoarthritis Cartilage. 2007; 15(9):981-1000.

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  23. Links between Osteoarthritis and Diabetes:Implications for Management from a Physical Activity Perspective, Sara R. Piva, PhD, PT, OCS, FAAOMPT, Allyn M. Susko, PT, DPT, Samannaaz S. Khoja, PT, MS, Deborah A. Josbeno, PhD, PT, NCS, CSCS, G. Kelley Fitzgerald, PhD, PT, FAPTA, and Frederico G. S. Toledo, MD, Clin Geriatr Med. 2015 Feb; 31(1): 67–87.

  24. The Roles of Mechanical Stresses in the Pathogenesis of Osteoarthritis Implications for Treatment of Joint Injuries Joseph A. Buckwalter, Donald D. Anderson, Thomas D. Brown, Yuki Tochigi, and James A. Martin, Cartilage 2013 Oct; 4(4): 286–294.

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  31. Physical examination of the knee: A review of the original test description and scientific validity of common orthopedic tests, Malanga GA, et alArch Phys Med and Rehab 2003; 84(4):592-603.

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  33. Anatomy and physical examination of the knee menisci: A narrative review of the orthopedic literature, Chivers MD and Howitt SD. J Can Chiro Assoc 2009; 53(4):319-333.

  34. Validity of the McMurray’s Test and modified versions of the test: A systematic literature review, Hing W, et al. J Manual & Manip Therapy 2009; 17(1):22-34.

  35. Messier SP, Loeser RF, Miller GD, et al. Exercise and dietary weight loss in overweight and obese older adults with knee osteoarthritis: the Arthritis, Diet, and Activity Promotion Trial. Arthritis Rheum. 2004 May;50(5):1501-10.

  36. Gudbergsen H, Boesen M, Lohmander LS, et al. Weight loss is effective for symptomatic relief in obese subjects with knee osteoarthritis independently of joint damage severity assessed by high-field MRI and radiography. Osteoarthritis Cartilage. 2012 Apr;20(4):495-502.


 

Disclaimer:

The content on the MSR website, including articles and embedded videos, serves educational and informational purposes only. It is not a substitute for professional medical advice; only certified MSR practitioners should practice these techniques. By accessing this content, you assume full responsibility for your use of the information, acknowledging that the authors and contributors are not liable for any damages or claims that may arise.


This website does not establish a physician-patient relationship. If you have a medical concern, consult an appropriately licensed healthcare provider. Users under the age of 18 are not permitted to use the site. The MSR website may also feature links to third-party sites; however, we bear no responsibility for the content or practices of these external websites.


By using the MSR website, you agree to indemnify and hold the authors and contributors harmless from any claims, including legal fees, arising from your use of the site or violating these terms. This disclaimer constitutes part of the understanding between you and the website's authors regarding the use of the MSR website. For more information, read the full disclaimer and policies in this website.


 

DR. BRIAN ABELSON, DC. - The Author


Photo of Dr. Brian Abelson

With over 30 years of clinical practice and experience in treating over 25,000 patients with a success rate of over 90%, Dr. Abelson created the powerful and effective Motion Specific Release (MSR) Treatment Systems.


As an internationally best-selling author, he aims to educate and share techniques to benefit the broader healthcare community.


A perpetual student himself, Dr. Abelson continually integrates leading-edge techniques into the MSR programs, with a strong emphasis on multidisciplinary care. His work constantly emphasizes patient-centred care and advancing treatment methods. His practice, Kinetic Health, is located in Calgary, Alberta, Canada.


 


MSR Instructor Mike Burton Smiling

Why Choose Our MSR Courses and MSR Pro Services?


Elevate your clinical practice with our Motion-Specific Release (MSR) courses and MSR Pro services, designed to provide a comprehensive, evidence-based approach to musculoskeletal care. Here’s why you should join us:


  • Proven Methodology: Developed by Dr. Brian Abelson, an international best-selling author with over 30 years of clinical experience, MSR integrates the most effective elements of osseous and myofascial therapies. With a success rate exceeding 90%, our approach helps set a new industry standard.

  • Comprehensive Training: Our courses blend rigorous academic content with innovative techniques. You’ll master essential areas like orthopedic and neurological examinations, myofascial treatment, fascial expansions, and osseous adjusting and mobilization.

  • Extensive Resources: As an MSR Pro subscriber, access a vast library of over 200 MSR procedures, fillable PDF forms, instructional videos, and in-depth articles. From patient intake to tailored exercise prescriptions, our resources equip you for clinical success.

  • Tailored Support: Refine your diagnostic skills and expand your treatment techniques with ongoing support through over 750 videos, including 200 technique videos, 250 exercise videos, and 160 MSK articles. This extensive library features over 50 musculoskeletal condition articles, all designed to support you in clinical practice. Our resources are dynamic, with regular updates to articles, technique videos, and new additions to our educational curriculum.

  • Innovation and Growth: We emphasize continuous learning and innovation, giving you the tools to adapt and thrive in complex clinical scenarios. Our courses and resources are designed to foster professional growth, keeping you at the forefront of musculoskeletal therapy.


Unlock your practice's full potential with our MSR courses and MSR Pro services. Achieve outstanding clinical outcomes and join a community of forward-thinking practitioners dedicated to excellence in patient care.



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