Kare-n-Kure Physical Therapy

05/09/2026

Correct alignment can help reduce your knee pain!

An estimated 5 million people have osteoarthritis in their knees. Every time weight is placed on the knee, this may cause pain. It occurs when the joint's protecting cartilage becomes worn to the point where the bones practically rub against one another. To overcome the pain, swelling, and stiffness associated with osteoarthritis in their knees, people might attempt a variety of treatments. Physical therapy, painkillers and steroid injections can all help relieve pain, but some patients eventually need surgery to replace the damaged knee bone and cartilage. Based on gait analysis and pain measurements, osteoarthritis-related knee discomfort may be lessened by slightly changing the foot's angle when walking. According to a study, people who were trained to angle their feet slightly outward or inward from their natural alignment were able to reduce the maximum loading in their knees by 4% during the gait cycle and experience slower cartilage degeneration in the inner part of their knees. For some people with mild to moderate medial compartment knee osteoarthritis, individualized retraining of the foot angle during walking is an effective treatment. According to the MRI results, this treatment may halt cartilage destruction in addition to reducing pain. [Uhlrich et al. 2025, The Lancet Rheumatology]

Shaji John PT, MPTh, DPT, PhD.
For appointments: +1-516-600-0016
WhatsApp/Text: +1-516-201-7244
Google Reviews: https://share.google/HsVq395Z1k4WvqTT7

05/09/2026

Why is PT recovery different for everyone?

The subjective dimension of pain and level of disability experienced by each individual is different, hence the standardized physical therapy treatments considered have subjective outcomes on each patient. Another potential explanation for the variations on treatment outcomes could be the heterogenicity of the clinical conditions in musculoskeletal disorders as compared to general medicine.
Nonspecific and contextual effects can explain the immediate, short-term, and long-term effects of physical therapy interventions for the treatment of musculoskeletal pain. Physical Therapists use different standardized clinical interventions in order to manage musculoskeletal pain disorders. The efficacy of interventions such as joint mobilizations/manipulations, soft tissue techniques, neural mobilizations, exercise therapy, taping and dry needling etc. are also dependent on the clinician’s skills and experiences.
Contextual effects are embedded in a clinical encounter by patient’s tolerance and adherence to treatment sessions and enhancing patients’ confidence by hands-on therapeutic treatments by a Physical Therapist. Positive therapeutic outcomes towards expectations and the clinical setting and communication language could also amplify therapeutic benefits. [Ezzatvar et al. JOSPT, 2024]

Shaji John PT, MPTh, DPT, PhD.
For appointments: +1-516-600-0016
WhatsApp/Text: +1-516-201-7244
Google Reviews: https://share.google/HsVq395Z1k4WvqTT7

05/07/2026

Do you plan having a knee replacement?

The knee replacement surgeries (TKA) is a commonly performed surgical procedure designed to alleviate knee pain and improve function in individuals with knee arthritis. Despite the high incidence of knee replacement, the resultant muscle impairments are not well addressed and the postoperative rehabilitative approaches not given sufficient importance. Therapeutic exercise guidelines following a TKA are traditionally focused on the control of pain and swelling, improving ROM and functional mobility. Postoperative treatment, however, causes a weakness in the quadriceps and hamstrings that persists for years following surgery. These muscles are the focus since they are linked to everyday functional activities like walking and climbing stairs. A deep incision through the front muscle is the most common surgical procedure used in TKA, and it appears to worsen preoperative strength deficits as patients generate less than half of their preoperative strength values. It indicates that patients who undergo TKA surgery will inevitably experience a reduction of quadriceps muscle strength and underlined the necessity of a longer-term, more intensive postoperative rehabilitation approach. Prior to TKA, Physical Therapies also emphasized strengthening and aerobic conditioning, and educational initiatives are crucial after surgery. [Meier et al. 2008, JOSPT]

Shaji John PT, MPTh, DPT, PhD.
For appointments: +1-516-600-0016
WhatsApp/Text: +1-516-201-7244
Google Reviews: https://share.google/HsVq395Z1k4WvqTT7

04/15/2026

04/12/2026

Understand how to prevent falling!

The posture dynamics is important to understand disorders of impaired equilibrium and protective reactions to unexpected displacements of the human body. Postural control is not just simply a summation of static reflexes rather, a complex skill based on the interaction of dynamic sensorimotor processes. Postural control is a complicated ability that relies on the interaction of dynamic sensorimotor processes. Postural orientation involves the active alignment of the trunk and head with respect to gravity, support surfaces, and integration of sensory information from somatosensory, vestibular and visual systems. Coordinating movements in order to maintain the center of body mass throughout self-initiated and externally induced instability disruptions is known as postural balance. A deeper comprehension of the various systems underpinning postural control is necessary for an efficient rehabilitation program that helps with balance, mobility, and fall prevention. [Horak, Age Ageing, 2006]

Shaji John PT, MPTh, DPT, PhD.
For appointments: +1-516-600-0016
WhatsApp/Text: +1-516-201-7244
Google Reviews: https://share.google/HsVq395Z1k4WvqTT7

04/11/2026

Morning Vs Evening Exercise Linked with Lower Cardiometabolic Risk …?!

Poor cardiometabolic health is known to raise the risk of heart disease. Type 2 diabetes, obesity, high blood pressure, chronic kidney disease, and nonalcoholic fatty liver disease are all known cardiometabolic diseases. A person's risk of developing cardiometabolic disease may be reduced by leading a healthy lifestyle, which includes eating a balanced diet, abstaining from smoking, getting adequate sleep, and engaging in physical activity.
According to a recent study, individuals who exercised in the morning were different from those who exercised out in the evening.
• 35% lower risk of obesity
• 31% decreased risk of coronary artery disease
• 30% reduction in type 2 diabetes risk
• 21% lower risk of hyperlipidemia
• 18% decreased risk of hypertension
Additionally, it was discovered that the lowest probabilities of coronary artery disease were especially linked to exercise done between 7:00 and 8:00 a.m.
We must keep working to reduce cardiometabolic risk factors in order to lessen the burden of cardiovascular disease on our society, as it remains the leading cause of mortality. [Patel et al. ACC, 2026]

Shaji John PT, MPTh, DPT, PhD.
For appointments: +1-516-600-0016
WhatsApp/Text: +1-516-201-7244
Google Reviews: https://share.google/HsVq395Z1k4WvqTT7