January 25, 2010

Over the weekend, I got an email from a subscriber who complained of a very common problem. So, I thought I’d pass it along, as you may well have, or have had, this same problem yourself.
 
He wrote that he had developed a pop or snapping sensation inside his knee, which had cause him to start having pain, when bending or straightening the joint. He didn’t recall any specific injury to the knee.
 
That’s not at all uncommon, you know. Many is the time that patients came to see me in the office with an obvious injury, yet they couldn’t remember any such trauma in the recent past. In these cases, what I surmised is that they had a minor injury, perhaps a bump into the corner of a piece of furniture, not bad enough to remember, so it didn’t register. 
 
But over a few days, the incident now forgotten, the body set up a “delayed” inflammation, mediated by a cellular response. From the standpoint of the patient, this pain seemed to come out of the blue. But there really WAS an injury–just not one they could recall.
 
I’ve had this happen, myself. It was only when I really made the effort to remember and retrace my steps that I finally recalled the minor bump, several days before, that was the cause of the pain. That’s more likely to happen, now that I’m back on my POWERHOUSE OMEGA FORMULA  http://www.drbillsformulas.com
 
The pharmaceutical grade fish oil has real anti-coagulant properties, among others, like preventing heart attacks and strokes, anti-inflammatory properties, and many others. While that’s usually a good thing, preventing abnormal clots and deep vein thrombosis, the price you pay is a greater tendency to bruise, which is simply bleeding under the skin.
 
Blood in the tissues is a common cause for delayed inflammation and resultant pain. In this case, this person likely had a bruise, which he no longer recalls, which then set up the inflammation, which then resulted in inflammation of the synovial membrane, that lines the knee. 
 
The synovium normally has a few small folds from birth. When these folds are swollen from inflammation, they enlarge into plicae(meaning “folds” in Latin). These plicae can then snap, or pop, as they are rubbed against the bony contours of the end of the femur, within the knee. In effect, they are plucked, like the strings of a guitar, when bending or extending the knee.
 
If the inflammation is chronic, lasting for an extended period of time, the synovial membrane may be replaced by thick, fibrous tissue, thereby becoming a stiff cord of scar. Once that happens, that plica is there for good. It can only be removed by surgery. 
 
Prior to that, however, the irritated and swollen fold in the membrane can be shrunk, by using one, or several, of the many            non-surgical treatments in my newest healing program, HOW TO AVOID KNEE SURGERY http://www.drbillsclinic.com/avoid_knee_surgery.html 
 
In the short term, ice applications, for the first 24-48 hours helps, because the cold constricts the blood vessels, thereby limiting the amount of bleeding and swelling in the injured tissues. After that, intermittent heat is more beneficial. 
 
How do you know when to switch?
 
See how it feels. If heat makes the knee hurt more, then it still needs ice. If, on the other hand it feels good, then heat is what’s needed. Like we used to say in the 60′s and 70′s: “If it feels good, do it.”
 
And, though this may seem like just common sense, you should NOT continue to snap the knee. Continually “plucking the string” will only prolong the ongoing inflammation, maintaining the swelling of the tissues and preventing resolution. To keep the knee still, you may need to place it in a knee immobilizer, which will hold it straight, while still allowing weight bearing.
 
If you follow these few tips and use the methods I outline in HOW TO AVOID KNEE SURGERY, http://www.drbillsclinic.com/avoid_knee_surgery.html  and you will get fast relief, shrink the plica and get rid of that irksome, snapping knee pain. Til next time, my friend, be well. Talk to you again, soon.
 
Yours for a pain-free tomorrow,
 
Dr. Bill
 
“The Wellness warrior”       TM
 
P.S. For DR. BILL’S LITTLE GREEN BOOK ON ELIMINATING KNEE PAIN, a concise, but complete handbook on the root causes and the various options for treating knee pain, go to http://drbillsclinic.com/eliminate_knee_pain.html 
 
P.P.S. For DR. BILL’S PAIN-FREE PROGRAM: EXERCISES TO PREVENT OR ELIMINATE KNEE PAIN, please go to
 http://drbillsclinic.com/exercise_eliminate.html 
 
P.P.P.S. For conventional and alternative treatments and exercises to relieve knee pain without surgery click on http://drbillsclinic.com/avoid_knee_surgery.html 
 
P.P.P.P.S. For the giant, comprehensive ADVANCED MASTERS’ COURSE: HOW TO ELIMINATE KNEE PAIN–ONCE & FOR ALL!, everything you need to know on causes and solutions for knee pain and the complete exercise program, too, go to
 http://drbillsclinic.com/advanced_masters.html 
 
FREE BONUS CD with any order: THE HEALING POWER OF POSITIVE PAIN PERCEPTION
 
Copyright, 2010 by William Thomas Stillwell, MD, FACS
All rights reserved

January 21, 2010

The other day, I got another email from one of my subscribers, who had an interesting, but not uncommon story. Seems he had knee pain located right on his inner (medial joint line). He saw his doctor, and was sent for an MRI.
 
Sure enough, he had a torn medial meniscus. He also had some degenerative changes (read that as “early arthritis”), not uncommon in a middle aged guy. His question for me was, do I REALLY need to have an arthroscopic surgery? 
 
He was understandably reluctant to go “under the knife,” and was hoping that I could give him some less aggressive treatments that would relieve his pain, but help him avoid surgery. He also didn’t understand why these structures simply didn’t heal.
 
So, I tried to explain. I used to have to do this a dozen times a week, in my practice–meniscal injuries were the second most common cause of knee pain that I saw, after kneecap problems. So here’s the short story.
 
In each knee, there are two crescent shaped fibrocartilage structures that guide and cushion the knee in motion. They help to spread out the stresses of weightbearing over a larger surface area, kind of the way snowshoes work to keep you from sinking into a snow bank.
 
I have a great illustration of this principle in my LITTLE GREEN BOOK FOR ELIMINATING KNEE PAIN http://www.drbillsclinic.com/eliminate_knee_pain.html  which I drew myself. (I used to work for the comics as an artist, back in the 70′s.) 
 
Here’s the thing he didn’t understand, though, that makes all the difference: These structures are mostly avascular. That means that they mostly lack a blood supply. There is virtually no circulation within these cartilage cushions, at least in the inner 2/3 to 3/4. There IS a marginal circulation at the periphery, where the medial (but NOT the lateral) meniscus attaches to the fibrous capsule of the knee joint.
 
If a tear occurs within this so-called “red zone,” it does have the potential to heal. But only 10% of tears occur there. The remainder occur in the avascular part, and therefore CANNOT heal (at least not without fairly sophisticated surgical help), because nothing heals without blood. 
 
This anatomical fact governs the behavior of meniscal tears AND determines what constitutes effective treatment.
 
Given that he has a positive MRI, he probably SHOULD have an arthroscopic examination. If pathology is confirmed at surgery, it can be fixed on the spot. This is a prime example of what I like to call a NECESSARY surgery. And, it’s a simple, outpatient procedure, with a fairly rapid recovery. I know. I’ve not only done thousands of them, but I’ve had the surgery myself, too.
 
Had he presented with the same pain pattern, but NOT had an MRI, I probably would have urged him to try the non-surgical treatments I teach in my healing program, HOW TO AVOID KNEE SURGERY, which you can get here:
 http://www.drbillsclinic.com/avoid_knee_surgery.html
 
With methods from across the entire medical spectrum, including many effective alternative treatments, it can provide relief of pain and help you avoid surgery, in many cases. 
 
In this way, if pain is relieved, you’ve avoided an UNNECESSARY surgery. If not, you’ve “burned no bridges” and can still get an MRI and if that is positive, arthroscopy, if needed. But it gives your knee a chance to heal itself.
 
Except in case of a completely locked knee, which is a surgical emergency, it can buy you time, perhaps heal you, and you lose nothing. 
 
For other causes of knee pain, like chondromalacia patellae, or arthritis of the knee, it may be definitive treatment. I teach you how to relieve pain fast, but also how to stay pain-free for the long term, with special, modified exercises and the anti-inflammatory properties of my pharmaceutical grade fish oil, DR. BILL’S POWERHOUSE OMEGA FORMULA:   http://www.drbillsformulas.com 
an ultra pure, highly concentrated omega 3 formulation, with a special enteric coating that prevents virtually all the fishy aftertaste and fish burps that plague other, lesser brands. 
 
But in this man’s case, he already had a demonstrated, through and through tear in the avascular zone. The probablity of healing was poor to none. And further delay would accomplish nothing good, but might result in degenerative damage to the articular cartilage, which is permanent damage. This must be avoided. 
 
THAT’S why I recommended that he proceed with surgery. And now, you can understand the thought processes that led me to that conclusion, too.
 
In the end, judgment has to be based on the anatomical and pathological facts. And that’s another good reason to get your doctor involved early in the course of your knee problem. Til next time, my friend, be well.
 
Yours for a pain-free tomorrow and optimal health,
 
Dr. Bill
 
“The Wellness Warrior”        TM
 
P.S. For DR. BILL’S LITTLE GREEN BOOK ON ELIMINATING KNEE PAIN, a concise, but complete handbook on the root causes and the various options for treating knee pain, go to http://drbillsclinic.com/eliminate_knee_pain.html 
 
P.P.S. For DR. BILL’S PAIN-FREE PROGRAM: EXERCISES TO PREVENT OR ELIMINATE KNEE PAIN, please go to
 http://drbillsclinic.com/exercise_eliminate.html 
 
P.P.P.S. For conventional and alternative treatments and exercises to relieve knee pain without surgery click on http://drbillsclinic.com/avoid_knee_surgery.html 
 
P.P.P.P.S. For the giant, comprehensive ADVANCED MASTERS’ COURSE: HOW TO ELIMINATE KNEE PAIN–ONCE & FOR ALL!, everything you need to know on causes and solutions for knee pain and the complete exercise program, too, go to
 http://drbillsclinic.com/advanced_masters.html 
 
FREE BONUS CD with any order: THE HEALING POWER OF POSITIVE PAIN PERCEPTION
 
Copyright, 2010 by William Thomas Stillwell, MD, FACS
All rights reserved

January 19, 2010

Last week, while I was perusing my emails for Dr. Bill’s Clinic, I came across a request from one of my older subscribers. By older, I mean (quite naturally) older than ME. Ever notice how when anyone talk about “old guys,” they always mean older than THEM. Right?
 
Anyway, this man is, shall we say, in late middle age, has stayed in good shape and has been a runner for years. Problem is that he recently had a sudden onset of severe knee pain, after running to catch a bus, or something.
 
He was seen by an orthopaedist, who after examining him, decided that he may well have a torn meniscus. 
 
As you may know, there are two crescent shaped fibrocartilages, called menisci, which lie between the end of the femur (thigh bone) and the upper tibia (shin bone), inside the knee. 
 
They act as cushions and guides for motion of the joint, especially in twisting, or cutting movements. For more about these and other causes of painful knee pathology, please refer to my LITTLE GREEN BOOK:  http://www.drbillsclinic.com/eliminate_knee_pain.html
 
Because these cartilage structures are invisible on standard x-rays, the doctor ordered an MRI scan of the offending knee. This scan is terrific, because it can show the structures and can predict if they are torn, with an accuracy of about 90-95%, on the medial (inside) compartment of the knee.
 
Sure enough, he had a torn medial meniscus. But he also had a surprise–he had almost completely bare bone exposed on the end of his femur, in the medial compartment. The guy was understandably shocked. How could he have such bad arthritis and not have felt it before this injury?
 
The answer is, this is not an uncommon picture. Sometimes, the articular cartilage becomes degenerative and gradually erodes away, exposing the bone. Though most people will feel this as significant pain, as it happens, a few will compensate (high pain threshhold, endorphins, etc.) and will feel nothing, at all. Until something happens, as did here, to DE-compensate his defenses against pain. THEN, he felt it.
 
Naturally, as a believer in natural healing, he was leery of knee surgery. And studies have demonstrated that arthroscopic surgery added nothing to just medicine, physical therapy and exercises, like those I teach in my newly updated and expanded PAIN-FREE PROGRAM & DVD:  http://www.drbillsclinic.com/exercise_eliminate.html 
 
HOWEVER…in this case, I DID recommend that he go ahead with surgery. Here’s why.
 
This man is very active and wants to remain so. He has exposed bare bone and therefore, will need at least a partial knee replacement, perhaps a total knee replacement, when his symptoms warrant it. But then, he will NOT be able to run or do any exercises involving impact, which could damage, or loosen the artificial implants.
 
He also has a significant tear, easily fixed, in addition to his arthritis. It seems reasonable to conclude that if the tear were “fixed,” he might well “buy time” and return to his asymptomatic state, at least for a while.
 
The studies that recommended against knee surgery for arthritis were talking about a general “clean out,” or debridement, NOT addressing a specific torn meniscus, with very specific mechanical symptoms, directly attributed to that damaged structure. When dealing with arthritis and knee pain, it IS best to be conservative, in most cases, where there is diffuse disease and no specific mechanical symptoms, as seen here.
 
That’s why I wrote my newest healing program, HOW TO AVOID KNEE SURGERY, which you can get here: http://www.drbillsclinic.com/avoid_knee_surgery.html 
 
The many treatments from both conventional and alternative medicine are designed to help you avoid the UNNECESSARY procedure. but if the surgery IS necssary, as it was here, then it should be done.
 
Well, he DID have the arthroscopy, he did, in fact have the tear that the MRI predicted, and he DID do very well. He’s now glad he did it, as he has returned to his preoperative state of virtually no pain. And the procedure has bought him time, which he can continue to enjoy, until further progress of his disease makes a total knee unavoidable.
 
I love being right. 
 
And the only other recommendation I gave him that I would give you, too, is to get on my Powerhouse Omega Formula, an ultra pure, highly concentrated, pharmaceutical grade fish oil, with a special enteric coating that prevents any fishy aftertaste and the dreaded “fish burps.”
 
http://www.drbillsformulas.com  
 
Omega 3′s have potent, long term anti-inflammatory properties that help to control the pain of arthritis, a as well as many heart and brain healthy effects, as well.
 
I also advised him to consider giving up the running, in favor of power walking, or hill sprints, which avoid the damaging shocks to the weight bearing joints, seen with running. If he listens to me, these measures may buy him even more time….
 
Til next time, my friend, be well.
 
Yours for a pain-free tomorrow,
 
Dr. Bill
 
“The Wellness Warrior”    TM
 
P.S. For DR. BILL’S LITTLE GREEN BOOK ON ELIMINATING KNEE PAIN, a concise, but complete handbook on the root causes and the various options for treating knee pain, go to http://drbillsclinic.com/eliminate_knee_pain.html 
 
P.P.S. For DR. BILL’S PAIN-FREE PROGRAM: EXERCISES TO PREVENT OR ELIMINATE KNEE PAIN, please go to
 http://drbillsclinic.com/exercise_eliminate.html 
 
P.P.P.S. For conventional and alternative treatments and exercises to relieve knee pain without surgery click on http://drbillsclinic.com/avoid_knee_surgery.html 
 
P.P.P.P.S. For the giant, comprehensive ADVANCED MASTERS’ COURSE: HOW TO ELIMINATE KNEE PAIN–ONCE & FOR ALL!, everything you need to know on causes and solutions for knee pain and the complete exercise program, too, go to
 http://drbillsclinic.com/advanced_masters.html 
 
FREE BONUS CD with any order: THE HEALING POWER OF POSITIVE PAIN PERCEPTION
 
Copyright, 2010 by William Thomas Stillwell, MD, FACS
All rights reserved

January 15, 2010

Earlier this month just after the New Year, when I was still in the early stages of recovery from my hernia repair surgery, I had mentioned that there were going to be some changes coming down the pike, with Dr. Bill’s Clinic. One of them will be coming up just next month. I’ll be switching this daily email and the daily blog that it becomes, to another server.
 
This will mean a bit of chaos at first. But I can’t tell you how many people have told me that they’ve signed up, multiple times, to get my emails, but never received one. That includes my webmaster.
 
Now you may like my commentary, stories and health tips and find them valuable. Or you may find they’re not your cup of tea and move on. And that’s fine. I realize I can’t be all things to all people. And I realize that not everyone is going to agree with me. 
 
(Of couse, I tend to think of these latter people as narrow, ignorant, misguided, jealous bastards, while those who agree with me are highly intelligent, morally superior and perceptive, discriminating individuals, who are excellent specimens of the species, but I suppose that’s only natural.) 
 
But if you DO want to keep receiving these daily messages from me, you will have to take action, when it’s called for and OPT-IN AGAIN. Now, I know it’s a nuissance. And I know I’m going to lose some of my flock. Everyone who does this, does. But, whether you like my emails or you don’t, the fact remains that I work my butt off to knock them out, day after day. And I work too hard at it to accept that my efforts are, in large part, being wasted.
 
It’s far more likely that the “mail will get through” with this move and that you will receive your daily dose of Dr. Bill, without interruption. But, as I said, this will require some effort on your part, when the time comes.
 
Since you are here, that already tells me that you’re different from the herd. And so, instead of simply accepting that I will lose a number of my friends, through inaction or lack of information, I decided to give you a heads-up early, BEFORE the transition, so you will be expecting it and take the appropriate action, ie., sign up again and confirm that you WANT to continue to receive communications from me.
 
I will periodically make a number of repeat announcements over the next few weeks, which I hope will minimize the predicted loss of subscribers. It has to be done, though. And I hope you will want to make the transition with me.
 
But anyway, you have been warned.
 
The other big change is that, very soon, I will be posting PODCASTS on various medical topics on iTunes. The show will be called “The Wellness Warrior” and will feature episodes on health related topics that will help you be healthier, happier and live longer.
 
Some episodes will be 20 to 30 minutes long, mainly audio. Some will be short video tips, maybe a minute or two. But I hope that all of them will be interesting to you. Oh, and you can leave comments and ask questions and stuff, too. So, I hope you’ll sign up for them when they’re up and ready to go. I’ll keep you posted.
 
My first podcast will be an episode about Fish Oil–The Omega-3 Solution. I’ve already recorded it. I’m just fine tuning it, before it goes live. In this podcast, I’ll go over the many health benefits of pharmaceutical grade fish oil, especially my POWERHOUSE OMEGA FORMULA  http://www.drbillsformulas.com 
 
This will be an overview, explaining exactly what omega-3′s are, why you need them and how you can benefit from taking them. The following podcasts will continue in that vein, boiling down all the latest information to the essentials that you can use.
 
Later episodes will focus on the ways you can relieve your pain in simple, non-operative ways, that I cover in more depth in my healing program,  HOW TO AVOID KNEE SURGERY   http://www.drbillsclinic.com/avoid_knee_surgery   and still others will feature interviews with other physicians, surgeons and health care practitioners, to give you a well-rounded variety of opinions on a given topic. For example, I may interview a cardiologist on coronary artery disease and the things you can do to prevent clinical heart disease, or a rheumatologist, about how to cope with arthritis.
 
So, I hope you’ll stay tuned to the changes coming in Dr. Bill’s Clinic in the very near future. 
 
And if you have any particular topics you’d like me to address, or ideas about how I can make this more beneficial for you, please drop me an email. 
 
Meanwhile, thanks for all your support and for the kind remarks and comments that I often get from enthusiastic subscribers. I hope you’ll continue to want to be a part of my little health “family” and will take the necessary action, when the time comes.
 
Have a great weekend, my friend and be well. I’ll talk to you again soon. Til next time,

Yours for a pain-free tomorrow and your optimal health,
 
Dr. Bill
 
“The Wellness Warrior”    TM

P.S. For DR. BILL’S LITTLE GREEN BOOK ON ELIMINATING KNEE PAIN, a concise, but complete handbook on the root causes and the various options for treating knee pain, go to http://drbillsclinic.com/eliminate_knee_pain.html 
 
P.P.S. For DR. BILL’S PAIN-FREE PROGRAM: EXERCISES TO PREVENT OR ELIMINATE KNEE PAIN, please go to
 http://drbillsclinic.com/exercise_eliminate.html 
 
P.P.P.S. For conventional and alternative treatments and exercises to relieve knee pain without surgery click on   http://drbillsclinic.com/avoid_knee_surgery.html
 
P.P.P.P.S. For the giant, comprehensive ADVANCED MASTERS’ COURSE: HOW TO ELIMINATE KNEE PAIN–ONCE & FOR ALL!, everything you need to know on causes and solutions for knee pain and the complete exercise program, too, go to
 http://drbillsclinic.com/advanced_masters.html 
 
FREE BONUS CD with any order: THE HEALING POWER OF POSITIVE PAIN PERCEPTION
 
Copyright, 2010 by William Thomas Stillwell, MD, FACS
All rights reserved

January 13, 2010

Just last night, as I was listening to the news, it was reported that a massive earthquake hit the island nation of Haiti, with a magnitude of 7.0 on the Richter Scale. This is the largest, most devastating quake in over 200 years and promises to be a major disaster for the Haitian people. Its epicenter was near the capital of Port-Au-Prince and reportedly, every other building was knocked down.
 
Though the weather services are watching closely for potential tsunamis, the real danger remains the series of powerful aftershocks. One such hit last night, causing a number of buildings to collapse. The chaos is near total, with no food, services, medicine, or medical care.
 
By the time you read this, the relief effort will be in full swing, spearheaded, no doubt, by the good ol’ USA. We have our faults, especially lately, but there has never been, in the history of the world, as decent and benevolent a hegemonic power as the United States. And, as Martha would say, “that’s a good thing.”
 
Even under the best of circumstances, Haiti is an exceptionally poor country, one of the poorest backwaters in the world, certainly the poorest in the Western Hemisphere. Ironic, because the other country that shares the same island of Hispanola, the Dominican Republic is a garden spot of the Caribbean. Perhaps it has something to do with their respective governments, or in the case of Haiti, its conspicuous absence.
 
The poor people there have rarely been cut a break. They always have some a$$hole trying to run them down, everyone from drug lords to Papadoc, to the last guy our State Department was trying to prop up.
 
I’ve been there a few times, usually as a day trip during a Caribbean cruise, often to the beach at Labadie, and I’ve always been impressed with the grinding poverty. It’s been reported that the average person there lives on two bucks a day–unbelievable! So, the last thing these folks needed was a disastrous earthquake.
 
My brother-in-law, John, is a master diver, or was when he was in shape. He had been hired, along with another friend, Pete, to search for buried treasure off the coast of Haiti. No, really. Salvage companies have the records of ships lost off the coast of the island and often organize diving expeditions, to search for lost vessels and their valuable cargos, based on their manifests. He told me that, between the drug problem and the Voodoo, he never wanted to return there. 
 
The bottom line is, the place is dirt poor and this catastrophe will only make it worse. The toll in human lives and miserie is only beginning to be counted. Let’s hope for the best for the people of Haiti in this trying time.
 
I’ve never been in an earthquake, myself. But I have freinds who have. And they tell me that it has to be one of the most frightening and disorienting sensations you can imagine. With the very ground unreliable, shifting beneath you, rockin’ ‘n’ rollin’ it has got to be one scary situation.
 
If it’s anything like being at sea in a major storm, though, which I HAVE experienced, I should think that having strong legs and stable knees might make the difference between safety and falling, with broken hips, or worse. 
 
The best way I know of, to ensure that your knees are up to any challenge, is to develop the muscles and tendons around them, by using the strategic, knee pain exercises that I teach in my new, greatly expanded PAIN-FREE PROGRAM and DVD
 
  http://www.drbillsclinic.com/exercise_eliminate.html 
 
By strengthening those muscles, you not only relieve knee pain, and prevent it, but you make your knees as stable as they can possibly be. It’s not only good for you, it’s cheap insurance of stability, when the world around you is going to Hell.
 
Meanwhile, our thoughts and prayers will be for the People of Haiti. Let’s hope the relief effort and an end to the aftershocks will minimize the human casualties and misery.
 
On another note, today is just shy of two weeks since my surgery for a hernia repair. I’m doing much better, and improving daily. I got the OK to start walking for exercise, as tolerated, but no lifting, or serious abdominal exercises for 6-8 weeks. Well that makes sense. The protein collagen (ie., scar or fibrous tissue, of which we’re all made, and which is the substance of the hernia repair, takes about 6-8 weeks to fully heal, and then another 6-12 months to mature, so…).
 
The surgeon gave me the OK to restart my pharmaceutical grade fish oil, so I have. But I have to start slowly, just as though I were starting out, which I am, after a fashion. Too much, too soon and I’ll get diarrhea, which would really stress my new repair and probably not be too comfortable, either.
 
My POWERHOUSE OMEGA FORMULA is an ultra pure, but very concentrated fish oil. I need to take one capsule a day, for a few days, then one, twice a day. As I reacclimate to the dose, I can increase in a week or so to two caps in the AM, one in the PM. And after another week, finally back to my maintenance dose of two caps, twice a day.
 
http://www.drbillsformulas.com 
 
By that time, its full anti-inflammatory effects should be in full swing, with relief of my chronic back and knee pain. Makes a real difference, I can tell you. You don’t really appreciate what it does, until you have to do without. Believe me, I know.
 
Til next time, my friend, be well.
 
Yours for a pain-free tomorrow and your optimal health,
 
Dr. Bill
 
“The Wellness Warrior”   TM
 
P.S. For DR. BILL’S LITTLE GREEN BOOK ON ELIMINATING KNEE PAIN, a concise, but complete handbook on the root causes and the various options for treating knee pain, go to http://drbillsclinic.com/eliminate_knee_pain.html 
 
P.P.S. For DR. BILL’S PAIN-FREE PROGRAM: EXERCISES TO PREVENT OR ELIMINATE KNEE PAIN, please go to
 http://drbillsclinic.com/exercise_eliminate.html 

P.P.P.S. For conventional and alternative treatments and exercises to relieve knee pain without surgery click on  http://drbillsclinic.com/avoid_knee_surgery.html
 
P.P.P.P.S. For the giant, comprehensive ADVANCED MASTERS’ COURSE: HOW TO ELIMINATE KNEE PAIN–ONCE & FOR ALL!, everything you need to know on causes and solutions for knee pain and the complete exercise program, too, go to
 http://drbillsclinic.com/advanced_masters.html 
 
FREE BONUS CD with any order: THE HEALING POWER OF POSITIVE PAIN PERCEPTION
 
Copyright, 2010 by William Thomas Stillwell, MD, FACS
All rights reserved