Robert L. Klapper - Heal Your Knees: How to Prevent Knee Surgery and What to Do If You Need It

HEAL YOUR KNEES

ALSO BY RORERT KLAPPER, M.D., AND LYNDA HUEY

Heal Your Hips: How to Prevent Hip Surgery
and What to Do If You Need It

ALSO BY LYNDA HUEY

The Complete Waterpower Workout Book
(with Robert Forster, P.T.)

The Waterpower Workout
(with R.R. Knudson)

A Running Start: An Athlete, A Woman

How to Prevent Knee Surgery &
What to Do If You Need It

Robert Klapper, M.D., and Lynda Huey

Copyright 2004 by Robert Klapper, M.D., and Lynda Huey
First paperback edition 2007

This M. Evans paperback edition of Heal Your Knees is an original publication. It is published by arrangement with the author.

All rights reserved. No part of this book may be reproduced in any form or by any electronic or mechanical means, including information storage and retrieval systems, without written permission from the publisher, except by a reviewer who may quote passages in a review.

Published by M. Evans
An imprint of The Rowman & Littlefield Publishing Group, Inc.
4501 Forbes Boulevard, Suite 200, Lanham, Maryland 20706

Estover Road
Plymouth PL6 7PY
United Kingdom

Distributed by NATIONAL BOOK NETWORK

The hardback edition of this book was previously cataloged by the Library of Congress as follows:

Klapper, Robert.

Heal your knees : how to prevent knee surgery and what to do if you need it / Robert Klapper and Lynda Huey.

p. cm.

1. KneeSurgeryPopular works. 2. KneeCare and hygienePopular works. 3. KneeDiseasesTreatmentPopular works. I. Huey, Lynda. II. Title.

RD561.K537 2004

617.5'82044dc22

2004003177

ISBN-13 978-1-59077-124-2 (pbk. : alk. paper)

ISBN-10 0-1-59077-124-9 (pbk. : alk. paper)

The paper used in this publication meets the minimum requirements of American National Standard for Information SciencesPermanence of Paper for Printed Library Materials, ANSI/NISO Z39.48-1992.

Manufactured in the United States of America.

For Ellen and Michele Klapper

For Robert and Glenn Margaret Huey

And our friends Roxie and Pepper

And in memory of Wilt Chamberlain,
who started this fine collaboration

With Tanya Moran-Dougherty, MPT

With Tanya Moran-Dougherty, MPT

With Tanya Moran-Dougherty, MPT

With Tanya Moran-Dougherty, MPT

The following people contributed to the success of this book:

CompletePTs clinical director, Tanya Moran-Dougherty, MPT, contributed the land exercises in . Every day she leads CompletePT Pool & Land Physical Therapy with fierce dedication and boundless good cheer.

LeRoy Perry, Jr., D.C., a pioneer in sports medicine and aquatic therapy, has been an inspiration to the authors. Dr. Perry guided Lynda Huey into the water and has provided a solid base of support for her aquatic therapy career.

Orthopedic surgeon Robert Kerlan, M.D., of the Kerlan-Jobe Orthopedic Clinic, inspired Dr. Klapper to do his part in demystifying medicine for the lay public.

The following surgeons at the Hospital for Special Surgery in New York instructed Dr. Klapper in the field of knee surgery: John Insall, M.D., Chit Ranawat, M.D., Russell Warren, M.D., Larry Dorr, M.D., Kelly Vince, M.D., Thomas Sculco, M.D., and Ed McPherson, M.D.

CompletePTs Pool Director, Pattie OLeary, B.S., PTA, added details and insight to and assisted at the pool photo shoot. For eleven years she has been a shining pool goddess at the heart of our successful program.

Author Zan Knudson added insight and ideas throughout the book.

Agent Jane Jordan-Browne helped nurture Lynda Hueys publishing career. She sold three of Lyndas books, found editor PJ Dempsey for this book, then left us, too quickly and too soon, at the age of seventy-one.

Rodger Klein took the underwater and topside pool photos; he also taught Lynda Huey about digital photography and whats possible after the shot has been taken.

Lora Fremont generously allowed us to shoot photos in her pool,

Robert Reiff shot the cover photo, took the land exercise photos, and freely offered advice regarding artwork in the book.

Model LaReine Chabut gracefully posed all the exercise shots.

Jane Sibley-Hasle assisted at all of the photo shoots.

Major Michael Harris of the United States Army Reserves did the medical illustrations.

David Ryer of Moonlight Design created the charts on .

Bridget Failner, R.N., head of the Joint Replacement Center at Cedars-Sinai Hospital, provided much of the information in .

Douglas H. Brown, M.D., of Landmark Imaging, schooled us in the new digital-imaging studies and offered details and correct phrasing for , so we could present the new material clearly and accurately.

Tanya Moran-Dougherty, MPT; Pattie OLeary, B.S., PTA; Jane Sibley-Hasle; Sal Camancho; John Koegel, P.T.; Miranda Mooneyham; Mickie Eng; and Bethany Wright kept CompletePT and Hueys Athletic Network running during Lynda Hueys book-writing absences.

Mark Frantz, Dr. Klappers X-ray technician, gathered X rays and surgical photos for .

Bibi Vabrey, Dr. Klappers office manager, contributed the material in on identifying emergencies and on forming positive relationships with the doctors staff.

Adriana Iturrios, Cristina Esparza, Vivian Arango, Adelle Baumgard, and Marion Dillon in Dr. Klappers office all lent their invaluable assistance whenever needed.

Robby, Ellen, and Michelle Klapper provided Lynda Huey with a writing sanctuary in Ventura, California; David and Denise Fleetham did likewise in Olinda, Maui; and Yogananda did the same at his Self-Realization Fellowship Retreat in Encinitas, California.

Gary Ochman; John Buch; Nick Lozica, M.S., P.T.; Pat Connolly; and Charles Kuntzleman offered their athletic experience and suggestions to .

Mike Shapow, P.T., contributed the astronaut and bear analogies in .

Gary Gagliardi, D.C., gave input in regarding the use of chiropractic in resolving knee problems.

Ben Hasle offered Lynda Huey a clear mind and listening ear during the whole process.

Recently a sculptor in Italy told me, They say when you reach the point of being a master sculptor that you hit with the hammer to the beat of your heart. Thats the epitome of being at one with your workhaving it be in tune to the beat of your own heart. And thats what I aim for every day as I work either in my vocation as an orthopedic surgeon or in my avocation as a sculptor.

As an art history student at Columbia in the 1970s, I was immediately enamored with Michelangelos works, but going to medical school delayed my artistic bent. Then, in the late 1990s, I rented studio space in Italy each summer, and, using stones from Michelangelos quarry at Carrara, began creating my own versions of his best works. Recently I entered my pieta into an artists competition held by the American Academy of Orthopedic Surgeons and was thrilled to have it win the Presidents Award. My passion for sculpting has grown, especially as Ive seen the similarities with my surgical work. I feel the same excitement going to the studio to sculpt as I feel going to the operating room. Im fully aware that I get to operate on anatomy made by God, and its a privilege I take very seriously. But I suspect Im an unusual surgeon in that I try to keep my patients