Yoga & Dry Needling for knee Arthritis

Are you tired of knee arthritis pain affecting your life?!

Want to avoid medication, injection & surgery?!

We have the best of the best for you!

Knee Arthritis Yoga Class combined with Dry Needling

Class Time: 10:00am on Mondays or 5:00 pm on Thursdays

Dry Needling Appointments: Schedule with Physical Therapist

4 week series starts February 4, 2019

Speciality Yoga Class

Yoga has the potential to do so much good–improving strength, flexibility, core, and mental focus.  The class concentrates on the ignored muscle groups that are typically very weak & tight in individuals with knee arthritis. The strength, flexibility and balance you develop on the mat–namely in the quadriceps, glutes, hamstrings and calves, –can help you move better and feel better!

But wouldn’t exercise make my arthritis worse?

This is a very good question and common myth!

Exercise is important to build muscle strength and protect your joints but understandable to think exercising painful joints is overwhelming!

There are some exercises that are better than others for knee arthritis (we recommend not high impact exercise such as running); therefore, with the guidance of our Physical Therapist Team, we incorporated the proper Yoga poses and moves that improve stiffness and pain!

Couldn’t I just ride a bike for exercise?

You certainly could! Riding a bike is better than nothing!

The difference between riding a bike and our Program is that the Yoga Knee Arthritis Class targets multiple muscle groups that can be stretched and strengthened in the same time-frame. A bike only works the body in a sagittal plane (forward and backward) and just muscles of the knee.

The power of our Yoga Knee Arthritis Class is that your body is progressively trained in multiple planes, which is a more functional movement pattern to help you get around easier in day to day life!

Our instructors grade your exposure to postures and exercises to be sure you do not overload your joints and positions of pain. This approach stems from our Feel it to Heal it Physio Method, which makes sure you feel the right muscles when you exercise to get the most out of your workouts!

Dry Needling

Dry Needling is a technique physical therapists use for the treatment of pain and movement impairments.   The technique uses a “dry”needle, one without medication or injection, inserted through the skin into areas of the muscle.

Dry needling involves a thin filiform needle that penetrates the skin and stimulates underlying myofascial trigger points and muscular and connective tissues. The needle allows a physical therapist to target tissues that are not manually palpable.

What does Dry Needling do?

The needle is moved up and down within the muscle, exactly at the myofascial trigger points (MTrPs) areas. Indeed, an MTrP may be considered as a hyperirritable spot in a taut band of skeletal muscle that may produce sensitive, motor, or autonomic symptoms and signs, whose prevalence may reach the 100% level of patients with Knee Osteoarthritis.

Dry Needling can reduce pain, decrease muscle spasm and tension, activate muscles, improve muscle contraction, and relax tight muscles. It’s a great way to loosen stiff and sore muscles while improving your range of movement. You will get better blood and oxygen circulation around the body. 

Why combine Dry Needling with Yoga Class?

Through research (see research section below specifically for Knee Arthritis) and 20 years of combined experience, Drs. Vaughan have found the combination of manual therapy and exercise provides the best results.

We have also found specific exercises and specific manual techniques, such as dry needling, work extremely well for knee arthritis.

We combined the two procedures, which is typically performed in an usual physical therapy regimen, but in a time saver for you as the manual treatments only take 30 minutes and cost saver for you as the exercise is in a group format with individuals having the same symptoms as you!

Why do I have to have an Evaluation alongside treatments and studio classes?

To ensure the health of the musculoskeletal system with knee arthritis, all participants must undergo a comprehensive physical examination by an experienced physiotherapist before taking part in the dry needling treatment and Yoga class. We want to make sure the class and treatment is indicated for your condition.


Exercise and Yoga Therapy

It has become clear that physical therapy through therapeutic exercise is effective in delaying or avoiding the need for total knee joint replacement surgery.

Centers for Disease Control and Prevention and the Arthritis Foundation recommends exercise programs for OA should include flexibility, strengthening, endurance, and balance components.

People with knee osteoarthritis may benefit from exercise prescriptions that minimize knee loads in the frontal plane. 

Evidence supports low impact muscle training such as yoga to reduce knee pain and improve physical function in knee OA

Evidence suggests yoga may help sedentary individuals with arthritis safely increase physical activity, and improve physical and psychological health and HRQOL (health-related quality of life ).

Per OARSI Guidelines (clinical guidelines for healthcare providers), Exercise reduces symptoms, comorbidity, and improves physical function in people with knee osteoarthritis.

Strengthening of the lower limbs has been shown to reduce the severity of osteoarthritis.

In a 2009 randomized control trial, Tai Chi was found to reduce pain and improves physical function, self-efficacy, depression and health-related quality of life for knee OA.

A 2013 systematic review (highest level of evidence), expressed moderate evidence for short-term improvement of pain, physical function and stiffness in patients with osteoarthritis of the knee practicing Tai Chi.

Squatting and lunging postures could improve leg strength while potentially minimizing exposure to high knee adduction moments. 

Specific Yoga Program showed that a strengthening program designed to minimize exposure to large magnitude KAMs had promise in improving self-reported symptoms and physical function, and strength among women with clinical knee OA. 

A weekly yoga program with home practice is feasible, acceptable, and safe for older women with knee OA, and shows therapeutic benefits.

Dry Needling for Knee Osteoarthritis

Henry et al found MTrP may be considered as a hyperirritable spot in a taut band of skeletal muscle that may produce sensitive, motor, or autonomic symptoms and signs, whose prevalence may reach the 100% level of patients with Knee Osteoarthritis.

Itoh et al compared 3 types of needling techniques in 30 older adults diagnosed with KO using the American College of Rheumatology criteria. The patients were divided into 3 groups: a first group of 10 patients was treated by acupuncture, a second group was treated by sham acupuncture, and a third group was treated by DN at MTrPs in the musculature involved in the clinical features. The authors found lower pain intensity measured by the visual analogue scale (VAS) and less disability by the Western Ontario and McMaster Universities Osteoarthritis Index questionnaire (WOMAC) questionnaire (highest score) in the group of patients who had undergone treatment by DN technique in MTrPs.

Kuntz et al found the biomechanically-based yoga exercise program produced clinically meaningful improvements in pain, self-reported physical function and mobility in women with clinical knee OA compared to no exercise. 

Dunning et al found the inclusion of electrical dry needling into a Manual Therapy and exercise program was more effective for improving pain, function, and related-disability than the application of Manual Therapy and exercise alone in individuals with painful knee OA.