Knee pain is a very common condition. Traditional measures only address symptoms while the underlying cause is still present. Find out why and what additional steps need to be taken. Learn more at www.HyProCure.com.

1. Knee Pain
and
Faulty
Foot Mechanics
Is there a connection?

2. Knee Pain Facts

3. Knee pain is one of the top reasons
for visits to emergency rooms and
primary care physicians.

4. Fifteen million (15,000,000) people
a year visit an
orthopedic surgeon
for a complaint about knee pain.

5. 1 out of 3 adults
older than 45 years
reports some type of knee pain

6. Typical cost for ACL reconstruction is
$20,000 to $50,000.

8. Treatment options

9. Pills don’t fix anything.

10. Physical therapy is not the cure.

11. Potential Risks of Knee Surgery
• Deep vein thrombosis/blood clot
• Infection of the prosthesis
• Loosening of the prosthesis
• Formation of heterotopic bone
• Bone fracturing during the operation
• Dislocation of the prosthesis
• Difference in leg length
• Additional or more rapid loss of bone
tissue

12. There are more than
1,500,000 arthroscopic surgeries
performed a year.

13. In 2007 there were more than
1,000,000 knee replacement surgeries.

14. Did you know that unicompartment
replacement lasts 7-12 years.

15. AND
a total knee joint replacement
only lasts 10 – 15 years.

16. There are greater than 22,000
knee joint replacement revisions a year.

17. Even with the best medical
advancements…

18. …the numbers are on the rise.

19. Hey, we are doing the best we can!

20. Why is it that
this condition
just gets worse
and the number
of bad knees are
escalating
out of control?

22. We have to determine
what is the underlying cause.

23. Otherwise we are just
masking the symptoms.

24. What is the #1reason for
knee pain

25. TRAUMA

26. Nope,
you can do better than that!

27. Gout
Lupus
Metabolic problems
Tumors
Genetic Deformity
Tendonitis
Bursitis

28. Really!
Is that the best you can do?

29. “Wear & Tear”

30. “Things just wear out after awhile”

31. Yes, you got it.
“Wear and Tear”
is the #1 reason
for knee disease.

32. How come knees “wear-out” for some
people and not others?

33. It’s a mechanical thing.

34. Knee Mechanics - Normal
A balanced tibia-femur joint
functions as it was designed

35. Equal distribution of forces acting on
the ligaments, meniscus, and articular
cartilage.

36. Good Alignment

37. Abnormal Knee Mechanics
Unbalanced joint leads to excessive uneven
strain to the ligaments, meniscus, and
cartilage.

38. Due to the excessive twisting, the
ligaments and tendons are damaged
leading to further instability and
destruction within the knee.

39. How do we end up with faulty
knee mechanics?

40. The answer lies at the bottom of the
musculoskeletal chain.

41. That’s right

42. Our feet serve as the
foundation to our body.

43. If our
hind-foot is
aligned

44. then most likely our knee will
also be properly aligned.
Aligned Not aligned

45. Hind-foot Anatomy
Tibia
Ankle bone/talus
Fibula

46. TIBIA
TALUS
Calcaneus
Think of these bones
like a set of
dynamic building blocks.

47. The ankle bone (talus)
moves on top of the
heel bone (calcaneus).

48. The movement of the
leg bones (tibia/fibula)
is affected by the
motion of the ankle bone.

49. If the talus slips off the calcaneus,
this drops the inner aspect of the tibia.

50. Normal to abnormal
hind-foot alignment
Normal Abnormal

51. The partial dislocation of the ankle
bone on the hind-foot bones is not a
good thing.

52. Normal
Hind-foot to fore-foot alignment

53. Abnormal hind-foot alignment

54. A dynamic displacement
of the ankle on the heel
bone creates a
mechanical disadvantage
this
directly impacts the knee.

55. Every step taken leads to abnormal
excessive “wear & tear” to the
knee joint structures.

56. Walking is the second most common
conscious function of the body.

57. The Average Person takes:
Nearly 7,000 steps a day
2,555,000 steps a year
25,550,000 steps every ten years

58. Average number of steps taken for the
average, non-sportive, person.
• 10 years of walking = 25,550,000 steps
• 20 years of walking = 51,100,000 steps
• 30 years of walking = 76,650,000 steps
• 40 years of walking = 102,200,000 steps
• 50 years of walking = 127,750,000 steps
• 60 years of walking = 153,300,000 steps
• 70 years of walking = 178,850,000 steps

59. Each step leads to excessive
“wear & tear” until the
critical point is reach and the
knee becomes symptomatic.

60. I think this
makes a lot of sense
and also gives a great
explanation as to why
it seems like this
condition will just
never go away.

61. You can keep cutting a weed at the
surface, but it will continue to grow.
Or, you can pull it out at its root and
eliminate it once and for all.

62. So how can we
realign the foundation.

63. simple

64. We have to transform and maintain

65. and

66. We can try external measures

67. There are a lot of limitations with
that option.

68. I only ask you:
How can something on the bottom of
the foot stabilize the ankle bone
located on top of the heel bone?

69. or

70. We can choose
internal correction
for this
internal deformity

71. Internal Correction

72. Extra-Osseous TaloTarsal Stabilization
“EOTTS”

73. 2 Weeks Post-Op
The Knees

74. www.hyprocure.com
“Changing Lives, One Step at a Time”
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