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Lines of Force

Most chronic joint-related problems involving the hip, knee, and ankle1,2 can be successfully managed with conservative treatment. Surgery for such conditions is typically a last resort and frequently does not work out well. Revision (repeat) procedures are common and represent a failure of appropriate patient selection. Severe, unrelenting, intractable pain is a suitable indication for procedures such as total joint replacement. But the best solution, of course, is to never get to such a set of circumstances in the first place. Chronic joint-related pain is often the result of faulty biomechanics. Abnormal mechanical stresses cause pain. The biggest part of the solution of such problems is learning how to correctly use your personal machine, that is, your own body.

We almost never think of what it takes for our body to work properly until something goes wrong. Usually what's going on physiologically is a seamless process, hidden from our conscious mind. However if we're experiencing chronic joint pain (or, better, at the first sign of such pain), it's time to become proactive.

Mechanical problems involving joints may be conceived as "crossing energies." Mechanical loads (such as forces of gravity) are best opposed by forces arrayed in parallel to, or perpendicular to, the force being supported. Such parallel or perpendicular forces may be thought of as "straight energies." Forces that are not "straight", that is, forces deployed at an acute angle, will cause mechanical stress to a joint over time. Such ongoing stress will damage muscles, tendons, and ligaments, resulting in strains and sprains. If these injuries are not corrected and become chronic, one may begin to experience a great deal of misery.3

Employing "straight" lines of force does not involve actually doing anything physically. Rather, such "straight energies" are activated by a process of visualization. You "see" the straight lines in your mind. To do this, you visualize a straight line running from your hip socket, through the center of your knee, across the center of your ankle, and down to the space between your first and second toes. The straight-line visualization connects your hip socket, knee, ankle, and first/second toe in both standing and bent-knee positions. Your mental image of these straight lines causes specialized nerve endings (proprioceptors) in your hip, knee, ankle, and foot to align these joints and align the mechanical actions of associated muscle-tendon groups. The result is balanced mechanical forces traversing these joints and, over time, reduction in pain. Time may be required for injured soft tissues to heal, but the typical long-term result is decreased pain and improved function.

The "straight" lines of force solution is low-tech and simple. Practice and consistency will go a long way toward successful management of chronic joint-related pain.

1Fox AS, et al: What is normal? Female lower limb kinematic profiles during athletic tasks used to examine anterior cruciate ligament injury risk: a systematic review. Sports Med 44(6):815-832, 2014
2Calatayud J, et al: Exercise and ankle sprain injuries: a comprehensive review. Phys Sportsmed 42(1):88-93, 2014
3Sidorkewicz N, et al: Examining the effects of altering hip orientation on gluteus medius and tensor fascae latae interplay during common non-weight-bearing hip rehabilitation exercises. Clin Biomech 2014 Sep 15. pii: S0268-0033(14)00213-7. doi: 10.1016/j.clinbiomech.2014.09.002. [Epub ahead of print]

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Reviews By Our Satisfied Patients

  • "I love it there so polite and right to the point never pushy or rude vet respectful. I wouldn’t go anyplace else. Love them all!!"
    Kandice Desalvo V.
  • "Dr. Ho and Dr. Q are caring and compassionate doctors. Their goal is to make you feel great. They take the time to listen to your concerns and address them. I would definitely recommend these doctors!"
    Sandra E.
  • "I got refer from a Dear good friend Jennifer which ive been having problems with my neck n knees. I would definitely recommend Pinnacle Wellness they have a great friendly staff n Doctors are great! I've learned a lot about our bodies n etc. I will continue seeing them again !!! My adjustments are great!"
    Cynthia T.
  • "We have been going to Pinnacle Wellness for over 3 months now, back pain has stopped 100%. We are still blown away by how amazing Dr. Q and Dr. Ho are. We are blessed they came into our lives and have truly added so much to our knowledge about our bodies and even personal growth and development. Pinnacle Wellness is nothing short of a breath of fresh air. Isabelle at the front desk always makes our day. If you are looking for a chiropractor that truly cares for your well being, my family would definitely recommend you to look no further and make Pinnacle Wellness your destination. I had just learned to live with and accept my daily back pain. Thanks to Pinnacle Wellness our lives have been forever changed and look forward to seeing the happy faces of the staff and will be enjoying a pain free life thanks to our journey with Pinnacle Wellness."
    Cara C.
  • "If you have back and/or neck trouble and have never been to a chiropractor before, then this is the place for you. I was referred here by my wife who has been seeing the doctors for several years. Since starting my adjustments I sleep better and feel better all around, and no it doesn't hurt. Currently I am recovering from tennis elbow and bursitis which the doctors are helping me recover by using a massager on my arm when I visit, even my physical therapist was glad they were helping out."
    Royce S.
  • "I have been a patient of Pinnacle Wellness for many years. They have a great, friendly staff and Doctors who truly care about there patients. I would recommend this place to anyone with back or neck pain."
    James S.
  • "The staff is extremely friendly and personable when you enter the facility. They make you feel like you are a part of the family. Our kiddos get adjusted too and for our infant it helped him to crawl properly when he was having difficulties or crawling abnormally. It is a vital part of our healthiness and we would recommend them to everyone!"
    Jennifer C.