Jake Berman

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Episode 16: Knee Pain

**Dr. Jake Berman, PT, DPT Debunks the most common myths about “You NEED a Knee Replacement.”

**There is one common reason why you still have knee pain after surgery.

  • (1:00): Can you do anything for me if my knee is “bone-on-bone?” Myth DEBUNKED.
  • (2:45): Sometimes one knee hurts more than the other, but the one that hurts less actually LOOKS worse on the Xray. So, is the bone-on-bone actually causing the pain?
  • (5:20): The pain response to knee pain is actually coming from the soft tissues AROUND the knee.
  • (7:20): Quad muscles help to support the front of the knee, but the gluteus muscles are very important to support the whole knee – 360 degrees.
  • (9:40): If you can get your knee into complete extension and hyperextension, you likely do NOT need a knee replacement.
  • (10:30): When the knee is slightly bent, you cannot activate the gluteus muscles – which are the main stabilizers!
  • (12:40): Debunking the thought that “bad knees” is genetic!
  • (13:30): We typically mirror our parents posture and mannerisms.
  • (14:50): Popping and grinding of the knee is called Crepitus – this does not mean you have to have a knee replacement! The crepitus is not the bone grinding.
  • (16:25): Torn Meniscus – does this require surgery? NOT always!!
  • (17:20): If your knee is not locking and you can get full knee extension – you may NOT need surgery for the meniscus!
  • (18:30): Meniscus repair versus Menisectomy…
  • (19:00): A Traumatic tear versus chronic tear – this also matters!
  • (20:35): Physical therapy is important after ANY surgery – no matter the extent! You need to get the quadriceps and gluteus muscles working again!!
  • (22:00): If you’re still having pain after surgery it is likely because you have not gotten full knee extension and you have not reactivated the butt muscles!!



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Dr. Jake Berman

Dr. Jake Berman

After graduating from the University of Florida, Dr. Jake Berman, PT, DPT sought out mentorship first from Bob Seton in Destin, FL and then from Aaron Robles in Jacksonville, FL. Both of these mentors have 20+ years of experience helping people keep active and mobile so they can enjoy high quality active lifestyles. What Jake found was that back pain was by far the most debilitating pain and the highest factor leading to decreased physical activity later in life. These experiences are what inspired Jake to specialize in helping people aged 50+ keep active, mobile and pain free despite the aging process. There is nothing more rewarding than being able to alleviate somebody’s back pain so that they can get back to living their best life- especially in Naples! Over the years of helping 100’s of people aged 65-75 become stronger and pain free, one thing for sure has become apparent: “he who rests rots”. Jake is a firm believer that we become stiff then old, not old then stiff. Seriously, think about it...
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