©2019 Portland Pain Institute LLC

Knee and hip pain

This 70 year-old woman presented with severe, chronic knee pain of over ten years duration, due to advanced osteoarthritis. She also had secondary pain throughout her right leg and hip. She was perhaps eighty pounds overweight, and walked with a pronounced limp. She had been receiving physical therapy in a swim class for more than a year, with little relief.

She sat upright for the session, with her legs elevated. After relaxing, she focused attention on the sensations in her knee. The pain increased, then subsided abruptly, indicating a strong discharge. After the session and during the next week, she experienced slight knee pain while walking. She promptly returned to her swim class and aggressively exercised her legs, which stopped all knee, leg, and hip pain within two weeks. She stopped limping. Over a year later, pain had not yet returned. She continued to exercise regularly.

Unfortunately, the subject did not lose weight and eventually developed osteoarthritis in both knees. Excess weight places enormous stress on the knee joint, which causes chronic inflammation and the degenerative process characteristic of osteoarthritis, the most common form of arthritis. By maintaining her excess weight, the subject re-injured her knee. However, the fact that she had complete and prolonged pain relief suggests that the inflammatory process in her knee was decisively halted, despite her weight. Moreover, several years after her treatment, her secondary hip pain still had not recurred, even after additional years of knee osteoarthritis.

Traditional medical theory attributes osteoarthritis to “wear and tear.” There is no officially recognized cure. Standard treatment reduces local inflammation, but the effect is temporary. Arneson Method results suggest that inflammation is caused by a local stress response, which is readily discharged and relaxed. With slow onset conditions, including osteoarthritis, there's a gradual accumulation of injury memory (local, chronic stress response) versus the sudden formation of memory that occurs with traumatic injuries.