Ever play Jenga? Jenga is the delightful party game that pits your patience and daring against the structural integrity of dozens of wooden bricks, stacked into a tower. The players take turns removing bricks from below and balancing them on the top. As the tower loses its foundational supports, the top begins to wobble. Eventually, gravity wins out, and the whole, hole-y structure comes crumbling down.
Your body is a little like a Jenga tower, except instead of regular-shaped bricks, you’ve got hundreds of wacky-shaped bones and soft tissues. And they’re all trying to move together in perfect coordination, to get you to the fridge, to the bus stop, or all the way through to the finish line.
When your knee or hip joints start to act up, you should look a little lower for the cause of the problem: your feet!
Your knees and hips are near the top of the tower, while your feet make up the base. When there’s an element of instability in your feet, the rest of your body has to compensate to keep you upright. This can cause changes to your gait, which can inflict real damage to the joints up top, causing you pain and slowing you down.
Hip and knee pain and overpronation
Your knee is the largest and most complex joint of your body, and it actually comprises three different joints between the femur, the tibia, and the patella (kneecap). It’s also one of the joints most vulnerable to injury.
The knee is extremely good at doing what it was designed to do – bend straight backward. But if you force the knee to bend when one of the bones is twisted – even slightly – that strains it. And hurts the joint. A similar process can affect the hip as well.
So how do the bones get twisted? Well, one way is through an acute injury, like a meniscus or ACL tear. This happens suddenly, and with a quick burst of sharp pain. The exact moment of injury will be embedded in your brain.
Another way bones get twisted is through overpronation. When you take a step, your foot pronates as it rolls inward to cushion the landing. This is normal. But if you have flat feet or other structural problems, you might be prone to overpronate: this means the arch collapses, allowing your foot to roll too much.
You may have been overpronating your entire life, and only now started to experience hip or knee pain. Fortunately, this problem can be corrected easily with custom orthotics. An orthotic can support the arch, keeping your foot and leg in alignment, to protect your knees and hips from excessive wear-and-tear.
Osteoarthritis of the hip or knee can make walking difficult
Did you know that the knee is one of the most common areas of the body to develop osteoarthritis? Osteoarthritis is a progressive disease in which the soft, cartilaginous cushion between the bones wears away, leaving the joint unprotected from the friction of movement.
The risk of osteoarthritis increases with age, and it can be genetic. But anyone, at any age, can develop osteoarthritis. Other contributors to osteoarthritis risk include a trauma to the joint, excessive activity, and obesity.
Forget running, or even low-impact exercises like cycling – just walking with osteoarthritis can cause pain, swelling, and stiffness in the joint. But, according to new research, a special type of walking could serve as a short-term solution to arthritis pain.
It’s called “gait retraining,” and it could stave off degeneration and delay, or eliminate, the need for surgery.
Arthritis patients tend to change the way they walk to mitigate their pain
But this causes more problems. “Over time, they wear out other joints due to compensations they make for the painful joint,” says Dr. Kevin Stone, orthopedic surgeon and chairman of the Stone Research Foundation in San Francisco.
However, a small change to the way you walk may slow or even reverse the damage of arthritis. A study published in the Journal of Orthopaedic Research found that by pointing their toes slightly inward as they walk, patients can take pressure of the knee, reduce pain, and increase their range of motion. After one month of training, a change of only 7 degrees improved function by about 30%.
Experiencing hip or knee pain? Visit your foot and ankle specialist.
It may seem counterintuitive, but if you’re experiencing hip or knee pain, it’s a good idea to consult a foot and ankle specialist. Dr. Bob Baravarian can assess your foot structure, evaluate your gait, and recommend conservative treatments that may help prevent the need for future surgery.
If you are experiencing problems with your feet or ankles, Dr. Bob is here to help. As a nationally recognized podiatrist and foot and ankle specialist, he provides the most advanced care with some of the highest success rates in the nation and is a leader in the research and treatment of all foot and ankle conditions.
To schedule a consultation, please call (855) 557-5400 or make an appointment now.
Dr. Bob Baravarian is conveniently located in Los Angeles, near Cedars-Sinai Medical Center, providing expert foot and ankle care for patients throughout Southern California.
