Rehabilitation for misalignment or improper posture

Knock-knees

Knock-knees are a common affliction, and are mostly due to adverse mentally ingrained movement patterns that have developed over the years. Knock-knees may cause pain in the knees, feet, or hips. The aim of rehabilitation is to train correct movement patterns and the corresponding muscles while relieving tension as necessary, as the condition may be so far gone that correct knee movement could be impossible without rehabilitation.

Bow-legs

Bow-leggedness causes improper weightbearing on the muscles around the knee, eventually leading to one-sided wear on the knee cartilage. Corrective knee surgery may be required if tension-relieving and regular stretching exercises alone show no lasting effect.

Fallen arches and clubfoot

Fallen arches and clubfoot are common conditions, and do not always result in problems. Any pain in knees and/or ankles that does occur should be addressed using correct weightbearing as well as muscle training and instruction. Therapeutic custom insoles may be required if therapy proves insufficient.

Hollow round back

Hollow round back can usually be corrected by active training, at least partly. Strengthening the dorsal extensors serving the thoracic spine and abdominal muscles lays the groundwork, but proper instruction on good posture plays a major role in preventing tension and over-correction.

Scheuermann’s disease

Scheuermann’s disease is a growth disorder affecting the thoracic spine, and rarely also the lumbar spine, and typically occurring during puberty. The spinal regions involved may cause loss of mobility, and problems may only emerge after years. Most of these problems are located in the lower thoracic or upper lumbar region. Scheuermann’s cannot be treated after this self-limiting disease has run its course in adulthood, so rehabilitation focuses on the consequences – muscle tension, abnormal posture, and so on. Adolescent patients are trained to watch out for correct weightbearing on the spinal regions affected as the disease is still active in adolescence.

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