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Condition of the Month

  • Your Sore Knees

    We recently have been seeing quite a few knee-pain cases. This is a common occurrence in the fall, which I think has to something to do with the Las Vegas Rock and Roll Marathon occurring at this time. Many runners (although it feels like every runner) seem to blame their IT bands, a commonly irritated tendon that runs from the hip down to the outside of the knee.

    I have seen three cases in the last month that had all been through multiple rounds of massage, physical therapy, and even injections in one case, all to no avail. The problem in solving these cases usually stems from the fact that only the knee has been examined. In orthopedic medicine, it’s a rule to consider the joints above and below the injury, too. So in the case of knee pain, it’s imperative to consider the hips and the ankle. This is why we perform a head-to-toe exam on every patient.

    In the three recent cases, ankle flexibility was a problem, but the hips were the real issue. This is common, partly because the muscles around the hips are so much stronger than those around the knee. The hips also perform many movements, including rotation and lateral motion. The knee is designed to only flex and extend. If the hips cannot perform its motions, the knee is often left to make up the difference. Since the knee isn’t designed for lateral motion or rotation, it quickly becomes inflamed when forced to do so.

    So if you’ve been dealing with knee pain, please call us to set up an exam. We will get your ankles and hips functioning properly again, and I guarantee your knee will follow suit.

    Yours in health,

    Dr. Josh Satterlee, DC
    Chiropractic Physician

    Certified Titleist Performance Institute Medical Provider
    Instructor, North American Sports Medicine Institute

  • Getting Rid of Low Back Pain


    In the book The Coming Jobs War by Jim Clifton, the author states that more money is spent every year on treating low back pain than is spent on the United States military. THE ENTIRE MILITARY!!! This is unbelievable, and it begs the question- “Why can’t it be stopped?”


    The good news is that low back pain can be stopped. In fact, I recently ran into a 48-year-old patient who had low back pain for 15 years and now hasn't had ANY pain for the last 18 months. What’s the secret? Let me explain… 


    As you may know, I have the honor of teaching across the country with a group of amazing physical therapists, athletic trainers and chiropractic physicians. When we talk, we are always amazed at what gets missed in a lot of low back pain cases. Typically, we see that no one ever investigated the person’s hip flexibility. Hip flexibility is a big deal, because if your hips can’t move, something has to make up the difference—and often it’s the discs in the low back that bulge, tear and cause pain due to the excessive motion the discs must now complete. Since we work with a lot of golfers, we see that more than 90% of golfers with tight hips (especially on internal rotation) ALWAYS end up with back pain. Why? Because they must produce a bunch of rotation and when their hips don’t rotate, their spine is forced to do so. This is a dangerous proposition.


    In the end, the hips must be addressed in most low back pain cases. A few degrees of motion here gives the back so much needed relief. That patient I told you about mentioned that he does his hip flexibility EVERY morning, and it has paid off immensely. He now golfs 1-2 times per week and runs over 15 miles per week—all with no back pain.


    If you have a friend or family member that has low back pain (and who doesn’t?!?), please let them know about us. We will treat their pain, and we will be sure to address their hip flexibility. I love seeing our patients out and about, living life without pain. 


    Committed to your health,

    Dr. Josh Satterlee, DC