Nick Petersen

Rebounding and Trampoline Exercises: Everything You Need to Know

Discover various rebounder exercises and how they can benefit patients. Learn more from Reflex Knee Specialists. Exercise is often associated with cumbersome equipment, such as treadmills, bulky free weights, and complicated weightlifting machines. However, there’s one aerobic exercise that can be effective while minimalizing joint damage, and all you need to perform it is a …

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Physical therapist testing patient's knee mobility

What You Need to Know About Knee Replacement: When It’s Needed and Alternative Treatments

Gain a better understanding of knee replacement surgery and non-surgical treatments. Learn more from Reflex Knee Specialists. A knee that functions well enables a person to run, dance, climb stairs, and enjoy their favorite hobbies. When something’s not right, it can limit a person’s ability to participate in these activities. Whether it’s chronic pain, a …

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Steroid Injections vs. Hyaluronic Acid Injections for Osteoarthritis: Comparing Treatments

For many people, chronic knee pain isn’t just uncomfortable, it can affect their ability to perform even the simplest tasks and hinder their favorite activities. Fortunately, osteoarthritis knee treatments are available for short-term and long-term relief. Two common treatments include steroids and viscosupplementation (hyaluronic acid). Here, the team at Reflex Knee Specialists compares these two …

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Osteoarthritis: Tips on Self-Care Strategies for Knee Pain

    Taking care of yourself when you have knee osteoarthritis (OA) also means taking care of your knee pain. Trying treatments that you enjoy and that reduce knee pain can make your everyday care something to look forward to. Whether your goal is to reduce the amount of NSAID pain relievers you take (like Ibuprofen) or to keep your knees healthy …

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No Knee Pain? Joint Damage Occurs Before Pain Begins

One aspect that makes knee osteoarthritis such a terrible disease is that in its earliest stages, this joint-destroying process usually causes no symptoms. By the time symptoms arise, irreversible structural damage has already occurred. Knee Osteoarthritis is an incurable disease that slowly destroys a joint over time.  The joint most commonly affected is the knee, …

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Knee Injury Treatment: How to Manage the Pain and Heal

According to a 2011 Annals of Internal Medicine article, 25% of American adults suffer from frequent knee pain. This can limit work, life, and mobility. In those adults over age 50, osteoarthritis of the knee is the most frequent cause of knee pain. Adolescent athletes injure the knee joint more commonly than other joints. For these young athletes, injuries …

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The Differences Between Medigap and Medicare Advantage Plans

  You should know the difference before you choose   Given the cost of private insurance, Medicare can be a retiree’s saving grace. We encounter patients who praise their Medicare Advantage plan and others who swear by their Medicare combined with Medigap (also called supplementary plan or supplement). The plans differences are great in helping …

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Supporting Your Knees

  Benefits of an Off-Loading Knee Brace   Knee braces designed to off-load the more diseased compartment of the knee have also been used to provide symptomatic relief. These low-risk, noninvasive unloader braces have increasingly been used as a conservative treatment modality for knee osteoarthritis (OA).   Characterized by persistent pain, chronic inflammation and limited function, knee …

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Skip Arthroscopic Surgery

  An international panel of experts has strongly recommended against arthroscopic surgery for nearly everyone with ‘degenerative knee disease.’   The Center for Disease Control and Prevention reports that more than 5.7 million visits to the doctor each year are due to knee pain. Arthroscopic knee surgery for osteoarthritis is the most common orthopedic procedure …

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Osteoarthritis in Young People

  When mentioning osteoarthritis (OA), many people quickly associate it with old age. Though it is less common, OA and early onset osteoarthritis affects a significant number of younger individuals. Because of these age-centered thoughts, an OA diagnosis can be alarming and confusing. While it can seriously affect a person’s life, OA is a treatable condition. …

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Knee Replacement Surgery: Need to Know

Promising new treatments for knee osteoarthritis (OA) and acute injuries such as meniscal tears are in progress. Researchers are closer than ever to finding the way to regrow cartilage and tissue. But while extensive clinical trials are still underway, regenerative treatments are considered experimental by the FDA which means knee replacement surgery might seem like their best option for many people.   Need …

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Why Get a Personal Trainer?

  A part of our treatment plan for a vast majority of our patients is physical therapy. Ensuring that the body functions properly is essential to maintaining mobility and eliminating or preventing pain. But after completing physical threrapy patients are often not sure what the next step is in their health and fitness journeys.   You finished Physical Therapy, now …

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Medicare as a Secondary Payer – Understanding Health Insurance, Part 6

  In our last blog entry for our Understanding Health Insurance series, we discussed the general differences between a secondary plan and a supplemental plan. This week, we are taking a look at how it works when Medicare is your secondary payer.   How do you know when Medicare is your Secondary Payer (MSP)?   As we …

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What is an Explanation of Benefits (EOB)? – Understanding Health Insurance, Part 4

The last time you visited the doctor’s office or were treated for a medical issue, you may have received a document in the mail from your insurance company clearly marked, “NOT A BILL.” Although this paperwork can indeed appear as an invoice at first glance, it is actually what your insurance company refers to as …

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Customer Service – Understanding Health Insurance, Part 3

  Previously on the Reflex blog, we discussed out of pocket costs and preauthorization, as they relate to your health insurance coverage. Today we’d like to cover another common question: Where should you turn when it comes to insurance questions?   While most people have a tendency to call the doctor’s office, the most efficient route to immediate …

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Preauthorization – Understanding Health Insurance, Part 2

  Due to changing health care laws over the past couple years, the Reflex team has seen many health insurance companies change their requirements and coverage for Joint Fluid Therapy (HA Injections). Many insurance companies now require pre-approval or preauthorization before any practice can treat you.   Pre-authorization is an extra step that many insurance companies require for their plan …

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Looking for Relief? Learn the Benefits of an Off-Loading Knee Brace

Time and time again at Reflex, we have witnessed the effectiveness of off-loading knee braces in reducing pain and increasing functionality for patients struggling with uni-compartmental osteoarthritis (OA). And the tool’s benefits are backed by other experts in our field – the Journal of Sports Health and the American Academy of Orthopedic Surgeons both report that including …

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Understanding Health Insurance – Determining Out of Pocket Costs

At Reflex, we’re determined to help people dealing with knee pain get back to life through our non-surgical treatments, but many patients have questions about their insurance policy and its’ coverage for our services.   To help you deepen your understanding of insurance complexities, we are launching a series of blog posts. These will guide you in choosing the best plan …

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On the Horizon: A Potential Breakthrough in Cartilage Regeneration

Some exciting news was published earlier this year in the Journal of Arthritis and Rheumatology – researchers from the University of Iowa have discovered that a synthetic gel capable of repairing cartilage may also prevent development of osteoarthritis (OA).   James Martin, Ph.D., assistant professor of orthopedics and rehabilitation at the University of Iowa, and …

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Ultrasound Diagnostic Testing at Reflex

Many of the diagnostic tools currently available have historically made accurately diagnosing knee injuries a challenge.   Traditionally, X-ray images have been used to diagnose some knee injuries and conditions—however, such testing exposes patients to potentially harmful radiation. In addition, X-rays are only able to detect bone injuries—thereby leaving out any muscles, cartilage, and other joint structures …

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How Much Exercise Do You Really Need to Be Healthy?

With the New Year right around the corner, soon you’ll be making resolutions to get healthier, work out more and eat better. While it would be nice to drop a couple pant sizes… what’s more important is how that exercise is actually affecting your health.   Regular exercise is essential for preventing heart disease, type 2 diabetes and certain …

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Get the Facts About Over the Counter Pain Relievers

Over the counter pain relievers are fantastic for the occasional headache or injury. But because these medications are so readily available, it can be easy to overuse them.   Most are classified as NSAIDS – Non Steroidal Anti-Inflammatory Drugs: They’re intended to relieve mild to moderate pain, lower fevers, and reduce inflammation or swelling. NSAIDS do this by …

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Astym: the Remedy for Painful Scar Tissue or Tendinopathy (Tendon Injuries)

Pain from scar tissue associated with trauma and surgery, or from chronic tendonitis (tendinopathy) can be a very debilitating experience. Pain from scar tissue associated with trauma and surgery, or from chronic tendonitis (tendinopathy) can be a very debilitating experience. It can keep a person from moving normally and from being able to participate in …

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ASTYM Treatment: What your Connective Tissues Ordered

  Limitations to your daily activities can be frustrating, especially if pain is involved. Injuries, repetitive motions, faulty movement patterns, tissue degeneration, and surgeries can damage areas of connective tissue in our body, resulting in scar tissue or adhesions. This damage to our tissues results in pain and limited range of motion, which in turn limits our …

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Guest Blog: Improving Knee Function with a Comprehensive Physical Therapy Program

  Have you been told that you have both osteoarthritis (OA) and a meniscus tear? Before you schedule a surgery, take a look at this recent research…   Dr. Jeffry Katz, of Harvard University, and his colleagues performed research and recorded their findings in an article titled Surgery versus Physical Therapy for a Meniscal Tear and …

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All About Runners Knee

Healthy knees are easy to take for granted, but the second you injure them you realize how dramatically you rely on them to do just about everything from getting out of bed to driving the car. While some injuries are serious and may need professional medical attention, others can be healed through home remedies. This …

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Post HA Injection Care

One of the most commonly asked questions we receive here at Reflex is “What should I anticipate after my first Hyaluronic Acid injection?”   When Hyaluronic Acid (HA) is injected directly into a knee joint it helps reduce inflammation as well as cushion and lubricate the movement of your knee. It is important for patients to understand the preventative …

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Why Is Osteoarthritis in Women More Common Than in Men?

Osteoarthritis (OA) is a leading cause of disability in the United States, and individuals with the disease experience a great amount of pain and loss of function. Osteoarthritis (OA) is a leading cause of disability in the United States, and individuals with the disease experience a great amount of pain and loss of function. Interestingly, studies show …

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Stretching: Static vs. Dynamic Exercises

Recently, the New York Times indicated that through the latest evidence, static stretching (stretching while the body is at rest) does not prevent injuries as so commonly thought. Recently, the New York Times indicated that through the latest evidence, static stretching (stretching while the body is at rest) does not prevent injuries as so commonly thought. Based on two recent studies, …

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What is Platelet Rich Plasma (PRP) Therapy?

PRP stands for Platelet Rich Plasma Therapy.     It is a newly emerging procedure that was previously only available to elite athletes such as golf’s Tiger Woods, tennis’s Rafael Nadal and basketball’s Kobe Bryant. Fortunately, Platelet Rich Plasma Therapy is now becoming available in the United States for people who suffer from chronic joint pain caused by arthritis.   Newer treatment …

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Guest Blog: Strengthening to Help Manage Knee Joint Pain

Strengthening your knee muscles can help to reduce joint pain and increase function. That’s because stronger muscles are better able to absorb the pressure placed on the joints in weight bearing. Strengthening your knee muscles can help to reduce joint pain and increase function. That’s because stronger muscles are better able to absorb the pressure placed on the …

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Guest Blog: The Benefits of Aquatic Exercise

Many people with joint pain resulting from osteoarthritis feel trapped because they are told that becoming more active, stronger, and losing weight will help reduce their symptoms; however, joint pain makes movement and exercise difficult. Many people with joint pain resulting from osteoarthritis feel trapped because they are told that becoming more active, stronger, and …

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Better Living with Arthritis Seminar

We’d like to thank everyone who came out on the 5th to our “Better Living with Arthritis” seminar; especially Cindy from the Arthritis Foundation for all her help organizing and promoting the event. We’d like to thank everyone who came out on the 5th to our “Better Living with Arthritis” seminar; especially Cindy from the Arthritis Foundation for all her help organizing and …

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Phyto-4: Combatting Chronic Inflammation and Pain

You may have never heard about Phyto-4 before visiting Reflex. Phyto-4 is one of the supplements we recommend to many of our patients who are experiencing inflammation associated with arthritis. You may have never heard about Phyto-4 before visiting Reflex. Phyto-4 is one of the supplements we recommend to many of our patients who are experiencing inflammation associated with arthritis. It …

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Healthy Sleeping Habits

Your sleep schedule, bedtime routine, and daily lifestyle choices can make a huge difference in the quality of your sleep. Regardless of your age proper sleep is imperative to overall health. Your sleep schedule, bedtime routine, and daily lifestyle choices can make a huge difference in the quality of your sleep. Regardless of your age proper sleep is imperative …

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RICE for Injuries

When we pull a muscle or strain a tendon the soft tissues in that area are damaged. Immediately following the injury, fibers of the muscle, tendon, or ligament affected become disturbed. When we pull a muscle or strain a tendon the soft tissues in that area are damaged. Immediately following the injury, fibers of the muscle, tendon, …

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High-Activity Occupations at Risk for Knee Osteoarthritis

Certain occupations with repeated squatting, kneeling, and heavy lifting can place a lot of stress on your knees. Over time, this can cause deterioration of your knee cartilage and lead to osteoarthritis. Certain occupations with repeated squatting, kneeling, and heavy lifting can place a lot of stress on your knees. Over time, this can cause …

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Glucosamine, Chondroitin, and MSM: Alleviating Knee Pain

  Inside your joints, cartilage is undergoing a constant process of breakdown and repair. The body requires the building blocks of cartilage to be present and available. Glucosamine, Chondroitin, and Methylsulfonylmethane (MSM) are three of these natural substances found in and around the cells of cartilage that help this process.   Glucosamine     Glucosamine is …

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Reflex Knee Clinic’s Dr. Greg Carroll Featured on KATU’s AM Northwest

If you’ve been told the only way to fix your knee pain is with knee-replacement surgery, now there’s another option — Reflex Knee Clinic. KATU’s Tammy Hernandez spoke with Clinic Director, Dr. Greg Carroll, about their game-changing approach to treating knee pain forever — without surgery! You can click here to watch the interview on KATU’s …

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Are HA Injections Painful?

One of the most commonly asked questions here at Reflex is, “How painful are HA injections?” Nobody likes pain, and we take several measures to prevent as much discomfort as possible. Here are several steps that we add to the injection process to minimize knee injection discomfort:  Numbing: Before injection, the area is prepped, sterilized, and …

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What Are Essential Fatty Acids (EFAS) and What Do They Do?

Essential fatty acids (EFAs) are polyunsaturated fats that our bodies need but cannot produce. Therefore, they must be consumed through food or supplements. There are two families of EFAs: omega-3 and omega-6, which need to be consumed in a balanced ratio.   Our body must receive a balanced supply of omega-3 and omega-6 EFAs to ensure proper …

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What Are the Different Types of Hyaluronan

Hyaluronan (HA) is a naturally-occurring protein in our synovial fluid (joint fluid). There are several HA products on the market. They differ by: molecular weight, number of injections needed, and the manufacturing/production process.   There are five forms on the market right now: Synvisc, Orthovisc, Hyalgan, Supartz, and Euflexxa. All of these products utilize either …

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Dietary Sources of Omega-3 Fatty Acids

As we mentioned in our previous blog post on Omega-3 fatty acids, increasing one’s intake of Omega-3 fatty acids is a well established way to decrease the inflammation associated with osteoarthritis. As we mentioned in our previous blog post on Omega-3 fatty acids, increasing one’s intake of Omega-3 fatty acids is a well established way to decrease the inflammation associated with …

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Why Are the Knees So Vulnerable to Chonic Injury and Pain?

Knees are brilliantly designed and amazingly functional. Why are the knees so vulnerable to injury?   There’s a fantastic article on Runner’s World about the design of the knee and its inherent vulnerabilities. It discusses the pounding our knees take every day, especially in runners or other athletes.   Here’s a small portion of the article:     I …

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Healthy Running

After one of Reflex’s patients completed a marathon this spring, I decided to sign up for the Portland Marathon. As my training progresses, I’ll give regular updates.   I encourage everyone to sign up for some organized athletic event this summer. It’s a great time of year to get out on the trails, track, or …

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The FLEXX Teleconference with Dr. Jeffrey Kauffman

The Reflex team recently participated in a teleconference with orthopedic surgeon, Dr. Jeffrey Kauffman, who has been a principle investigator in multiple clinical research trials on chronic knee pain and osteoarthritis. The Reflex team recently participated in a teleconference with orthopedic surgeon, Dr. Jeffrey Kauffman, who has been a principle investigator in multiple clinical research …

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Non-surgical Options for Knee Osteoarthritis

There is a common myth that the only treatment options for arthritis of the knee are Tylenol, Ibuprofen, steroid injections, or surgery. Amazingly, few people are aware of the many effective non-surgical treatments available for osteoarthritis in the knees There is a common myth that the only treatment options for arthritis of the knee are Tylenol, Ibuprofen, steroid injections, or …

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Yoga Helps Relieve Inflammation from Arthritis

A recent article in Arthritis Today, suggests that regular yoga may also reduce body wide inflammation – the driving force behind many conditions, including arthritis, heart disease and type-2 diabetes.   A recent article in Arthritis Today, suggests that regular yoga may also reduce body wide inflammation – the driving force behind many conditions, including arthritis, heart …

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