Friday, 23 January 2015

Why is my knee hurting and what can I do?

This is one of the most common questions asked on knees. Almost every one of our knee patients has wanted the answer to this question. So, we thought it would make a good article for our blog page.
Aside from the spine, pain in the knees is the most common musculoskeletal complaint. It can affect the young, middle aged or seniors. The cause may differ but the end result (pain) is what brings people to our offices. Pain and discomfort are the first things patients want control over and rightly so. Knee pain can be disabling and unfortunately for some it needlessly is.

In our offices we have a wide range of therapeutic options for those that present with knee malfunction and pain. Our research based chiropractors and our clinical physiotherapists render team care for each of our patients. The systems and methods of care that we offer are significantly different than other chiropractic or physiotherapy centers in town. We will briefly discuss some of the common causes of knee problems before we tell you about our secret recipe for care, which has taken us years of research and fine-tuning.

Weak muscles:
Simply put, use it or lose it! Muscles not used tend to weaken and atrophy. Not being active enough can cause the muscles in front of your thighs (Quadriceps), and those in the back of your thighs and legs (Hamstrings and Calf’s) to get weak, which may lead to an eventual wasting (atrophy). This is very important to understand. The knees are exposed when the surrounding tissues are incapable of sufficient support. In other words, when the thigh and leg muscles get weak, then the knee joints absorb more force. The impact from additional forces will damage the knee joint. The damage is due to increased stresses along the joint surface and these stresses will cause the joint to go through a degenerative process. The degenerative process often triggers the formation and deposition of additional unwanted calcium salts along ligaments and hence it can be said that it initiates knee arthritis. In addition to arthritis it can lead to stress on the ligaments, which can cause tears.

Imbalanced muscles:
Muscle weakness is possibly the most common cause of knee problems in those over the age of 40. Stronger muscles are important, but not if the increased strength leads to an imbalance. What we mean by this is that the muscles in front of your thighs (quadriceps) are the antagonists for those in the back of your thighs (hamstrings). Antagonist muscles are those that have opposing functions or those that compete with one another. These are muscles of opposite function, a mirror image. So, when there is an imbalance it will lead to malfunction. For example, the Quadriceps could be overly strong as compared to the antagonist (hamstrings). This is extremely important point, because this type of imbalance will impose uneven forces onto the knee joint, which will ultimately cause early joint break down. This type of an imbalance is often seen in the novice weightlifter. An imbalance in muscles around the knees causes misalignment; eventually something would wear out or breakdown.

Improper exercise:
A leading cause of knee pain is injury. Injury can happen at any time and it can affect anyone. Aside from the slip and falls, high heals and skipping steps as one runs up the stairs; improper exercising is a major cause of knee pain. This holds true specially, for people who are just starting an exercise program or people not used to exercising to begin with. It is easy to overdo a workout. Too much of anything is not good. Exercise, just as in everything else in life, must be done with moderation. This is why we take it upon ourselves to spend enough time and educate those gym going patients of ours not to overdo too much or too soon.

Improper shoes:
A commonly over looked cause of knee problems, malfunction and pain is improper shoes. Footwear is not only important for your feet, but for every joint, from your toe all the way unto your neck. Every weight bearing bone in your body is dependent on the bone below it. The knee is no different. Wearing proper shoes goes a long way. Wearing high heals or poor quality shoes will certainly lead to premature wear and tear of the knee and other weight-bearing joints. This is why our chiropractors and physiotherapists will communicate the importance of shoes with you. You can learn much more about knee pain and knee malfunction on our site, lease visit us at

What can you do:
Knee pain and malfunction has many causes and the therapy you need must be diagnosis specific. What we mean by this is that before therapy is given a cause of the condition along with the diagnosis must be established. Many try to just start therapy. Some even try the “I don’t know, but lets give a go” attitude. Although they may not verbalize these words out-loud, it is what some will do. They count on luck rather than knowledge, skills or talent.
In our centers, the very first thing you will go through is a detailed exam and evaluation of your condition. The examination and evaluation will ONLY take place after we have listened to you and have collected some pertinent information. The patient interview phase of our care is important as it will give us some ideas as to your activity of daily living, or lack thereof. The interview phase will be carried out by one of our chiropractors. In addition to the interview, we will perform some examination procedures to assert ourselves of the cause of your condition.

Additional diagnostic procedures such as X-rays or MRI may be needed. If you do have these things already, please make sure that you bring them on your initial visit. Our expert chiropractors will need these to finalize your diagnosis and therapy plan.

Once a diagnosis is established by our chiropractor, he/she will write a treatment plan for your specific diagnosis. Treatments are dependent on the cause. Procedures performed are research based. What we mean by this is that we only recommend procedures that we are certain will be of benefit to you. We will not do procedures or accept you as a patient unless we are firm believers that we can be of assistance. Our chiropractor and our physiotherapists will discuss these topics and issues with you until you have a firm understanding of them. Therapy and treatments will only start after you have been fully informed on all aspects of your care including but not limited to costs, procedures, number of session and amount of time per session.

When we start our care, it will be rendered through a collaborative team of Physiotherapists and our research based Doctors of Chiropractic. In addition to getting care from these two professionals, you may also be treated with specialized machines and devises, including exercise machines and systems. Rest assured, that safety and efficacy of sessions are our number one priority. I hope we have been able to shed light on knee pain and forms of care that are available to you at our Chiropractic Specialty Centers. Please log on to our site at to find a location near you. You may also call us at 03 2093 1000. When you get us on the line ask us about our locations. We will be glad to help you in any way we can.

Sunday, 18 January 2015

Medical Nightmare in North Dakota

Jacob Dixon began complaining of back pain at age two. Having been through a long and tough labor (36 hours), his mother mentioned this to numerous doctors, to no avail, as a possible basis for his back pain.

X-rays were taken, but were inconclusive. Then, when he was four, Jacob had acute back pain and couldn't sleep for two nights in a row for more than an hour at a time.
X-rays, ultrasound, bone scan, MRI, spinal tap, myelogram and CT scans were performed. A neuro-radiologist informed the parents that the MRI showed a provisional spinal anteriovenous malformation (AVM). This, he said, could cause loss of bowel and bladder function and paralysis of the legs, if it haemorrhaged.

Jacob was then referred to a pediatric neurosurgeon who performed a spinal angiogram. Surgery was recommended as a further diagnostic measure.

A laminectomy was performed and a second spinal angiogram to see if they could find an AVM. After 8- hour surgery, Jacob was diagnosed with an AVM that the doctor said could not be treated at the time. The attending doctor then contacted colleagues around the country to help him decide if they should open up Jacob again to possibly strip the suspicious veins and arteries.

The doctor decided not to perform another surgery. Jacob’s parents subsequently learned that angiograms and MRIs are the true tests for spinal AVM over surgery.

Four months later, Jacob had a third angiogram with a different doctor who stated that he didn't think Jacob had a spinal AVM and asked Jacob’s parents if they were sure that Jacob didn't have a musculoskeletal problem. As it turned out that is exactly what Jacob had.

Fours months later, after another acute back pain episode, Jacob’s parents were referred to a chiropractor. They took Jacob to Dr. Rokke, of Fargo, who examined Jacob and diagnosed him with a thoracic segment dysfunction. He treated Jacob six times. Jacob responded very well and his complaints of back pain were non-existent by the end of the last treatment.

Jacob’s mother, Nancy Dixon, says, “ Jacob’s complaints of back pain continue to be virtually non-existent at home and day care. We are so grateful for what Dr. Rokke has done for us. I hope our story serves as a testimonial for the treatment of back pain… Had a chiropractor been on staff in the hospital, a more conservative approach would have been an option. Chiropractors have a place in medicine that needs to be treated with respect.”

Source of the story above : Journal of the American Chiropractic Association, April 1999

The lesson learned from Jacob's story

Spine, joint and sports injuries are rampant. It can affect anyone at any time. No one is immune. Not even the very young. These facts have been known for some time and these were also the reasons why we launched our center in Malaysia. We wanted to offer Malaysians an effective alternative that did not involve invasive or surgical procedures. In 2007, we launched the first Chiropractic Specialty Center in Kuala Lumpur, Malaysia.

We wanted our center to be focused on spine, joint and sports injuries. Additionally, we wanted a collaborative team. A team, offering non-invasive procedures through principles of chiropractic and physiotherapy enhanced with advanced technology. We wanted specific forms of technology such as spinal decompression. Not traction like machines that are peddled as spinal decompression therapy devices, but a TRUE spinal decompression device. One that had superior function and abilities. We wanted a device that would be superior in treatments of acute and chronic neck or back conditions especially those that involved the spinal discs.

RxDecom - The Pinnacle of Spinal Therapy

Our goal in setting up of our chiropractic and physiotherapy centers was to have a fully capable spine and joint center with advanced technology in addition to a team of expert physiotherapists and chiropractors. We wanted to offer non-surgical spine and joint care for even the most complicated conditions. These were not light tasks. It took years of hard work and dedication from our clinical and managerial staff to accomplish the goals we had set out for ourselves.

Today, our centers offer a true alternative to invasive and surgical procedures for the spine and joint. We have successfully treated many difficult cases, even a few that were made worse by a surgical intervention. It is not just our technology that is superior, it is our training and our staff that sets us aside from others. The combination of advanced technology and skilled knowledgeable staff are the cornerstones of our successes.

We are the ONLY centers in Malaysia offering NSD Therapy. NSD Therapy is a multi-step method of non-surgical and non-invasive treatments. NSD Therapy is rendered through machines, physiotherapists and chiropractors. It is a highly effective, specific and focused method of spine therapy. NSD Therapy has been extremely effective in the treatments of patients diagnosed with severe slipped disc. In fact, in our office we have a success rate of greater than 95%, when it comes to treatment and management of slipped disc symptoms and patients. You can learn more about our centers and methods of care by visiting Please call our headquarters in Kuala Lumpur if you have any questions about our services or to find a location near you. When you get us on the phone, please let us know how to help you. Don't forget to ask us about our locations, as we are constantly launching new Chiropractic and Physiotherapy centres throughout Malaysia.
Many of our new patients asks us what makes our system of treatment effective and unique. While there are several reasons including the NSD Therapy, our skills, our knowledge and of course our staff, but the easiest answer is: our Technology.

RxDecom is our go-to technology for even the most complicated neck or back pain patients. We use this device for those that suffer from slipped discs, sciatica, weakness in arms or legs. In addition to treating the low back, this marvel of technology is also used to treat neck pain. We have in the past used state-of-the-art traction devices from the USA, but the RxDecom has proved superior in almost every situation. As a result of these successes we decided to take the traction device out of our center. RxDecom has proven to us a better therapy device. Please watch the video below so you can have some familiarity with the RxDecom. You may also visit and subscribe our YouTube channel at:

If you or one of your loved ones is suffering from a spine, joint or sports injury call one of our centers and see if our chiropractors and physiotherapists can treat you conservatively. Surgery should always be a last option. Visit us on-line at or call us today and ask to speak with one of our clinical team members.