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Osteoarthritis - cause and therapy

Osteoarthritis – cause & therapy

Topic overview

  1. Osteoarthritis – definition
  2. Osteoarthritis – symptoms
  3. Osteoarthritis – The real cause
  4. Osteoarthritis – correct therapy and treatment approaches
  5. Sufficient exercise for osteoarthritis
  6. Unhealthy exercise for osteoarthritis
  7. Healthy exercise for osteoarthritis
  8. Conclusion

1. Osteoarthritis – definition

Osteoarthritis is the term used to describe premature wear and tear of joints, in which the joint cartilage initially wears away and in later stages bone rubs against bone.

2. Osteoarthritis – symptoms

– Pain
– Movement restrictions
– Joint malpositions
– Crepitation noises (wear noises)
– Swelling conditions (doughy, spongy, without severe inflammation).

3. Osteoarthritis – the real cause

– Misalignments in the body statics
– Lack of movement
– Overweight or underweight
– Untreated or inadequately treated accident-related injuries
– unhealthy diet
– Electrosmog – unidirectional electromagnetic fields
– Overshoot
– extreme competitive sports with strong impacts (e.g. ski jumping, weightlifting, parcours)
– Smoking / Alcohol
– Oxygen deficiency

4. Osteoarthritis – correct therapy, treatment approaches

1. Eliminate joint malpositions, instabilities

The process is actually very similar for each joint:

  • Shortened muscles need to be stretched.
  • Weakened muscles need to be strengthened.
  • Weakened and at the same time shortened muscles must first be strengthened. Only when they are strong enough, some time after that you can start stretching. (The correct order is extremely important!)
  • Overstretched and excessively long ligaments must be stabilized.
  • Joint malpositions must be corrected by manual therapy.

You can find detailed self-guides for each clinical picture in the section Orthopaedic clinical pictures

2. Healthy diet and lifestyle

Be sure to take advantage of the prevention programs “Healthy diet” and “Healthy lifestyle ! An unhealthy diet leads, among other things, to muscle shortening and fascial adhesions. Furthermore, a lack of certain nutrients can lead to an insufficient supply of joint cartilage. An unhealthy lifestyle also leads to osteoarthritis. For example, incorrect and insufficient sleep reduces the regeneration of muscles and joint cartilage.

3. Weight normalization

3.a) Underweight

Our muscles perform all our movements and are irreplaceable as the supporting apparatus of the skeleton. Without muscles, our skeleton would instantly collapse. If our muscles are insufficiently supplied with nutrients, such as amino acids and glycogen, or if our muscles are too weak, then they can no longer fully perform their supporting and holding function.

To be able to determine underweight or anorexia, a measurement of the body mass index (BMI) can be useful. If you are underweight or even massively underweight according to this value, it is advisable to work on it urgently.

3.b) Overweight

If you want to stay permanently free of artificial joints, there is no way around working on this point as well if you are moderately or severely overweight. Our legs carry our entire body weight. A well-developed musculature, which is often reflected in the BMI as “overweight”, is not a cause for the development of osteoarthritis if the arms, trunk and legs are balanced. Since this value makes no distinction between muscle and body fat, it is basically not meaningful. However, every kilogram of excess body fat is like a backpack of rocks. This leads to increased impact on our joints as we run.

4. Repair of affected joints

If a joint is damaged, then it must be repaired. I am not talking about artificial joints or arthroscopies. The human organism is capable to a great extent to repair damaged joints and its cartilage by itself.

For the repair of a joint, our body needs primarily hyaluronic acid and collagen. Unfortunately, with the industrial, highly processed diet, we no longer consume these nutrients in sufficient quantities. Therefore, an additional supply of hyaluron and collagen is necessary. For many years I have been working for this purpose with the product Skindream from Channoine. These two substances are also found to a large extent in the articular cartilage of animals. Unfortunately, the very thought of eating the cartilage from a chicken thigh makes most people nauseous. Nevertheless, the consumption is recommended.

With supplementation of hyaluron and collagen, appreciable results can be achieved after only 2-4 weeks.
However, please note that all other factors, especially joint misalignments, are also treated in parallel or in advance!

5. Get enough exercise

This point is extremely crucial to the progression of osteoarthritis and is often misrepresented in the literature and orthopedics.

This topic is therefore dealt with in great detail below.

5. Sufficient exercise

It is often recommended that arthritic joints be spared and completely unloaded. Any weight that acts on a joint is considered absolutely harmful. This statement is as far from the truth as citing “old age” as the sole cause of osteoarthritis.

Complete relief of a joint leads to the muscles regressing and shortening, joints becoming increasingly immobile and no fluid exchange can take place in the joint cartilage. Appropriate loading is absolutely immeasurable for keeping a joint healthy.

Movement of the joints leads to a strengthening of the muscles, an increase in the range of motion of a joint and to fluid exchange in the articular cartilage.

Why is this fluid exchange so important?

Think of articular cartilage or an intervertebral disc as a sponge soaked in blue ink and placed in a bucket of water. You would notice that there is almost no fluid exchange between the sponge and the bucket of water. Only when you press the sponge, the ink will spread in the water and the sponge will fill with water from the bucket. The same thing happens to the cartilage in a joint.

It therefore absolutely needs pressure so that used, nutrient-poor fluid is squeezed out of the cartilage and nutrient-rich fluid is drawn in. This nutrient-rich fluid now ensures that the articular cartilage is maintained healthy and, if necessary, repaired. However, the pressure necessary for fluid exchange need not be excessive.

6. Unhealthy exercise at osteoarthritis:

– Exercises standing or running with weights

– Jerky deceleration of motion sequences

– Shocks

– Jumps

– unilateral movement patterns


  • Boxing
  • Ski jumping
  • Marathon
  • Course
  • all ball sports, especially soccer, handball and basketball
  • Athletics

7. healthy exercise for osteoarthritis

7.1. Walks in the forest

You should walk at least three kilometers every day. For an osteoarthritis patient, nothing is better than doing this on soft ground in the forest.

The advantage here is that the forest floor has a damping effect. So you have a “light squeezing of the cartilage” for optimal fluid exchange. However, you do not have hard impacts on the joints.

Particularly worth mentioning is also the oxygen-rich, “clean” air, which has a beneficial effect not only on arthritis.

7.2. Water gymnastics

This form of exercise is particularly advisable, especially for people who are very overweight.
During water gymnastics, the body weight acting on the joints is reduced many times.

Nevertheless, here you have the desired “light pressure” on the cartilage, which contributes to fluid exchange. Furthermore, one has here an excellent strengthening of the musculature.

Patients and trainers should ensure that the joints and muscles are not strengthened and loaded in a very one-sided manner.
Water temperatures below 19 degrees can also be unfavorable.

7.3. Cycling

Admittedly, cycling has caused knee osteoarthritis in some people. So why does it still fall under the “healthy movements” for osteoarthritis?

For patients in whom pain has started a few days after a long, intense cycling session, there is a very simple explanation. Cycling strengthens the anterior thigh muscles and calf muscles.

In principle, of course, this is good, but intense strengthening also causes muscles to shorten if you never stretch them. And shortening in turn narrows the joint space where cartilage or menisci are located.

So the solution to avoid this is simply and solely to stretch the muscles intensively after prolonged cycling. In principle, cycling is a very healthy sport in osteoarthritis, because this “light squeezing of the cartilage” is fulfilled, but no strong blows and impacts on joints.

Make sure you have an upright posture when cycling! Road cycling is very nice, but not necessarily back-friendly and not suitable for all people.

Don’t forget to stretch your thigh and calf muscles after frequent or prolonged cycling!

7.4. Rebounding – Trampoline

Trampolining strengthens all muscles in the human body, it stimulates joint mobility and fluid exchange in joint cartilages.

Furthermore, the energy flow and metabolism is stimulated enormously, as the body is literally “set in vibration”. These vibrations are very similar to the pulsating electromagnetic fields of the human body, the earth and magnetic therapy.

What many people don’t know is that, for example, when jogging or running a course, there are not only strong degradation processes in joints and bones, but also enormous build-up processes. The human organism is intelligent enough to strengthen and stabilize the skeletal system when it is subjected to increased stress, just as it does with muscles.

Rebounding takes advantage of this effect. Through the many jumps and “loads” on the skeletal system, it is activated to build up and stabilize. Compared to jogging, however, you have only a fraction of the impact and degradation.
This gives trampolining a clearly positive relationship between dismantling and construction.

As with cycling, I still recommend making sure to stretch your leg muscles occasionally, as rebounding also involves a tremendous amount of strengthening, especially of the calf muscles.


That osteoarthritis is a purely age-related condition for which nothing can be done but surgery or pain medication is simply a lie told by the industry.

Age is unfortunately an influencing factor that is significantly less causal for the development of osteoarthritis than errors in diet and lifestyle, environmental factors, malpositions in the body statics and ergonomic factors.

The focus should always be first on correcting misalignments and imbalances in the skeletal system. For this purpose, it is advisable to consult a professional physiotherapist or sports physiotherapist or to use the self-treatment programs of alternatively self-treat.

Nevertheless, the human organism must always be viewed holistically. All other influencing factors should be included and optimized in the therapy.