Tag Archive for: knee pain specialist

Holding Knee with Arthritis

Why Your Knee Still Hurts – And What Actually Helps It Heal

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Advice From a Knee Pain Specialist in Portsmouth, NH

Knee pain has an annoying way of sneaking into everyday life. At first, it might just feel a little stiff when you stand up from a chair. Then you start noticing it when walking down stairs or getting in and out of the car. Before long, you realize you’re avoiding things you used to enjoy – long walks, hiking, exercise classes, or even playing with your kids or grandkids.

For many adults over 40 in the Seacoast area, knee pain becomes something they simply learn to live with. And when they finally decide to seek help, they are often given a familiar set of options: rest, pain medication, cortisone injections, or eventually surgery.

Sometimes the advice is even worse.

A woman I recently spoke with was told: “Just look it up online – there are exercises you can do on your own for this.”

Yes – I was horrified.

But here’s what many people in and around Portsmouth don’t realize: most knee pain is far more treatable than people think, and in many cases it can improve naturally. That means you may not need medication, injections, or invasive procedures.

But first, you have to understand what is actually causing your pain.

Most Knee Pain Isn’t What You Think

When people experience persistent knee pain, the first instinct is often to look for structural damage. X-rays and MRIs frequently reveal things like arthritis, meniscus tears, or cartilage degeneration.

Those findings can sound alarming.

But research has consistently shown something surprising – many people with these exact findings have no knee pain at all.

In fact, studies have found that more than half of adults over 50 show signs of meniscus tears or arthritis on imaging even when their knees feel perfectly fine.

This tells us something important.

What shows up on imaging is not always the true cause of pain.

In many cases – nearly 80 percent – knee pain is actually mechanical. This means it is related to how the body moves and distributes force through the joints rather than damage to the structures themselves.

Small issues in movement patterns, muscle strength, flexibility, or joint mobility can place excessive stress on the knee. Over time, that stress leads to irritation, inflammation, and pain.

The encouraging part is that mechanical knee pain is highly treatable once it is identified.

Why Quick Fixes Often Fall Short

Because knee pain can be frustrating and limiting, many people look for fast relief.

Cortisone injections are one of the most common treatments recommended for knee pain. They work by reducing inflammation in the joint, which can temporarily decrease pain.

But cortisone injections come with an important limitation – they do not address the root cause of the problem.

Instead, they simply quiet the symptoms.

This can create a situation where the underlying issue continues to worsen while the pain is temporarily masked. Some people then end up receiving repeated injections over time and eventually undergo total knee replacement due to progressive joint damage.

Research has also shown that repeated cortisone injections may accelerate joint deterioration and contribute to cartilage breakdown over time.

Even more important, cortisone suppresses the body’s natural inflammatory response, which plays a critical role in tissue repair and healing.

In other words, cortisone shots may reduce symptoms in the short term, but they can interfere with your body’s ability to truly recover.

What Actually Helps Knee Pain Heal

The good news is that the body is remarkably capable of healing and adapting when given the right environment.

Instead of masking pain, the goal should be to restore proper movement and support the tissues around the knee so they can function the way they were designed to.

Strengthening the Muscles That Support the Knee

Your knee does not operate in isolation. The muscles of your hips, glutes, and core play a major role in controlling how force moves through your leg.

When these muscles are weak or poorly coordinated, the knee often ends up absorbing more stress than it should.

Strengthening these supporting muscles can significantly reduce pressure on the knee joint and improve stability during walking, climbing stairs, and exercise.

Improving Mobility and Flexibility

Mobility is equally important for healthy knees.

Tight muscles and stiff joints can change the way your body moves. When the hips, hamstrings, or quadriceps lack flexibility, the knee often compensates by taking on additional strain.

Improving mobility throughout the lower body helps distribute forces more evenly and allows the knee to move more efficiently.

Continuing to Move

One of the biggest misconceptions about knee pain is that rest is the best solution.

In reality, too much rest often makes knee pain worse.

Movement helps circulate nutrients through the joint, lubricate cartilage, and maintain strength in surrounding muscles. Low-impact activities such as walking, cycling, swimming, and Pilates can help support joint health without overloading the knee.

Treatments That Support Natural Healing

In some cases, additional treatments can stimulate the body’s natural healing response.

Technologies such as regenerative shockwave therapy and electromagnetic transduction therapy (EMTT) are designed to increase blood flow, stimulate cellular repair, and reduce inflammation without medications or injections.

These treatments work with the body’s natural healing processes rather than suppressing them.

A Different Way to Think About Knee Pain

One of the most important mindset shifts people can make is moving away from the idea that knee pain is simply the result of “wear and tear” that must inevitably worsen with age.

Our bodies are far more adaptable than that.

With the right combination of movement, strength, mobility, and professional guidance, many people can reduce pain, restore function, and return to the activities they love without injections, medications, or surgery.

The knee is a remarkably resilient joint when it is supported properly.

And for many people, the path back to healthy knees begins with restoring the way the body moves.

Dr. Carrie Jose is a Physical Therapy Specialist and Mechanical Knee Pain expert and owner of CJ Physical Therapy & Pilates. She helps active adults across the Seacoast stay mobile, avoid unnecessary surgery, and get back to the activities they love.

For a free copy of her Guide to Knee Pain or information about an upcoming Knee Pain Masterclass, visit cjphysicaltherapy.com or call 603-380-7902.

Physical therapist helping patient with natural knee pain relief in Portsmouth NH

Six Tips for Managing Knee Pain without Medication

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6 Natural Ways to Manage Knee Pain Without Medication or Surgery

When you’re suffering from lingering knee pain that just won’t go away, it can deeply affect your day-to-day life. And when this happens – it’s easy to become desperate and resort to daily medication – or “quick fix” procedures or surgery. But there’s good news – there are plenty of natural, non-medicated ways to manage knee pain successfully and improve how you feel – even if you’ve been dealing with knee pain for years. You don’t always need medication or invasive treatments to find relief – despite what the medical community tells you.

Introduction

When you’re suffering from lingering knee pain that just won’t go away, it can deeply affect your day-to-day life. And when this happens, it’s easy to become desperate and resort to daily medication or “quick fix” procedures or surgery.

But there’s good news — there are plenty of natural, non-medicated ways to manage knee pain successfully and improve how you feel, even if you’ve been dealing with knee pain for years. You don’t always need medication or invasive treatments to find relief — despite what the medical community tells you.

Understanding the Problem: Why Knee Pain Lingers

Knee pain often develops gradually due to muscle imbalances, stiffness, or overuse. It can also stem from poor movement patterns that put excess strain on your knees. Many people turn to medication for temporary relief, but this doesn’t fix the underlying cause.

By addressing the true source of your discomfort — how your body moves, supports, and aligns itself — you can find lasting relief naturally.

Common Causes of Ongoing Knee Pain

  • Weak hips or core muscles that lead to poor alignment

  • Stiffness in the hips, hamstrings, or quadriceps

  • Prolonged sitting or sedentary habits

  • High-impact or improper exercise routines

  • Unsupportive footwear

  • Poor balance or coordination

Understanding these root causes allows you to take meaningful, proactive steps toward recovery — without medications or procedures.

Natural Solutions: 6 Proven Tips to Relieve Knee Pain

1. Strengthen Your Hips and Core

Your hips and core play a crucial role in providing stability and support for your knees. When these muscles are weak or unbalanced, your knees bear the brunt of poor mechanics during movements like walking, running, and squatting.

Strengthening your hips and core improves body alignment, reduces strain on your knees, and promotes long-term joint health. Try exercises such as glute bridges, side leg lifts, and planks for better stability and reduced pain over time.

2. Improve Your Flexibility

Mobility comes before stability when it comes to joint health. Stiff joints force surrounding muscles to overcompensate, leading to more discomfort and inefficiency in movement.

Improving flexibility—especially in your hips, hamstrings, and quadriceps—helps distribute forces evenly through your body and reduces strain on your knees. Regular stretching, yoga, or mobility exercises can enhance your joint motion and reduce chronic knee discomfort.

3. Don’t Sit Too Long

Sitting for extended periods can cause stiffness in your knees and reduce circulation. It may also create or worsen imbalances in your hips and back that contribute to knee pain.

Make it a habit to stand up and move every 30 minutes. Light stretching, short walks, or even standing for a few minutes can help keep your knees flexible and pain-free.

4. Stay Active

Regular, low-impact exercise is one of the best ways to manage knee pain naturally. Activities like swimming, cycling, and walking increase blood flow, reduce inflammation, and lubricate the joints.

If arthritis is a concern, consider Pilates or resistance band exercises to build strength without overloading your knees. Avoid high-impact movements that cause pain and focus on maintaining flexibility, balance, and muscle endurance.

5. Wear Supportive Footwear

Footwear plays a big role in knee health. Shoes that don’t support your feet properly can cause poor alignment and extra stress on your knees.

Choose shoes with good arch support, cushioning, and proper alignment. Replace worn-out footwear regularly, and consider custom orthotics if needed to optimize foot and knee mechanics.

6. Optimize Your Balance

Good balance isn’t just about preventing falls—it also helps your knees function efficiently. When your body is well-balanced, the load is distributed evenly across muscles and joints.

Practice simple balance exercises such as standing on one leg, using a balance board, or doing yoga. Improving your balance helps reduce knee strain, enhances coordination, and promotes overall stability.

Next Steps: Find Natural Relief in Portsmouth, NH

If you’ve been dealing with knee pain for a while and haven’t incorporated these tips yet, now is a great time to start. Try these strategies first before resorting to something invasive—or accepting a life on daily pain medication.

And if you need guidance, it’s a good idea to consult with a physical therapy specialist who focuses on natural treatments for knee pain.

Are you local to Portsmouth, NH?

 CLICK HERE to speak with one of our specialists at CJ Physical Therapy & Pilates. We’ll help you figure out which strategies will get you back to doing all the activities you love—while avoiding medications and procedures.

About Dr. Carrie Jose

Dr. Carrie Jose is a Physical Therapy Specialist and Mechanical Pain Expert, and owner of CJ Physical Therapy & Pilates in Portsmouth, NH. She also writes for Seacoast Media Group.

To get in touch—or to request a free copy of her guide, “7 Easy Ways to Get Rid of Knee Pain”— CLICK HERE.

For the Dad Who Has Everything… Except Good Knees

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It’s that time of year when we celebrate the dads in our lives – and if the one in your life is anything like mine – then he’s probably a little tough to shop for. Maybe he already has all the tech toys and grilling gadgets he wants. Maybe he’s not one to ask for much. But if there’s one thing a lot of dads over 40 don’t have – but wish they did – is good knees.

Knee pain is one of the most common complaints I hear from the men over 40 who walk into my clinic – and it’s also the most common form of osteoarthritis. For some, it’s been a nagging issue for years. For others, it creeps in gradually – starting with a little stiffness when getting up from the couch, or a strange “click” here and there. Then one day, it hits you… Playing golf isn’t fun anymore, and going up and down stairs now feels more like a chore – because your knees just hurt all the time.

Yes, knee pain does become more common as we age – but not necessarily for the reasons you think.

People love to blame arthritis and “wear and tear” for just about everything. And while a previous injury or underlying arthritis might be present, they’re not always the primary culprits. What most people don’t realize – including dads – is that the root cause of knee pain is often mechanical. In other words, it has more to do with how your body moves (or doesn’t move) than what’s actually going on inside the joint.

Let me explain.

Your knees sit between your hips and ankles – two areas that are meant to move a lot and absorb shock. But if the hips or ankles aren’t doing their job properly (which is surprisingly common), that stress has to go somewhere – and the knees usually pay the price. Over time, poor mechanics can lead to pain, inflammation, and breakdown of the joint. But here’s the good news – if the pain is mechanical, it’s very treatable – and sometimes even reversible – all without drugs, injections, or surgery.

So why don’t more dads know about this?

For one, we’ve normalized knee pain – especially in men over 40. There are societal and cultural beliefs like, “You’re getting older, it’s supposed to hurt a little.” Or worse, “If it hurts too much, you can always replace it.” That kind of thinking is unproductive, unnecessary, and can even be dangerous. Yes, knee replacements are sometimes the right call – but far too often, they’re offered before the right conservative options have been fully explored. And with so many cutting-edge, non-invasive technologies now available that promote longevity and let you keep your original parts – dads should absolutely be exploring these options first.

But another big reason? Men – especially dads – tend to avoid asking for help. They’re used to being the fixers, not the ones getting fixed. Many try to “tough it out,” hoping the pain will go away on its own. Others pop ibuprofen or throw on a brace and carry on. But these strategies are just band-aids. They might provide temporary relief, but they don’t address the actual cause of the pain – and in some cases, they can even make things worse.

The real solution starts with a deeper understanding of why your knee pain is happening in the first place. Remember – 80% of all knee pain is mechanical in nature.

So if you or someone you love is dealing knee pain – here are a few important things to keep in mind:

  1. Rest isn’t always the answer.
    It might seem like common sense to rest an aching knee – but too much rest can lead to stiffness, weakness, and poor circulation. In many cases, strategic movement is far more helpful than immobilization.
  2. Pain doesn’t always mean damage.
    This is one of the most misunderstood aspects of musculoskeletal pain. Just because something hurts doesn’t mean it’s permanently damaged – and just because an X-ray shows “bone-on-bone” doesn’t mean surgery is inevitable.
  3. The site of the pain isn’t always the source.
    Knees often hurt because of a problem elsewhere – such as limited hip mobility, poor ankle mechanics, or even an undiagnosed problem in your spine. That’s why a full-body movement assessment is key to figuring out what’s really going on.
  4. Most knee pain is preventable – and fixable.
    With the right combination of movement-based therapy, strength training, hands-on treatment, and regenerative therapy – many people are able to not just reduce their pain – but eliminate it entirely.

So what does all of this have to do with Father’s Day?

If you’re looking to give your dad something meaningful this year, consider giving him a nudge to take care of himself.

Not with another gadget or tie – but with a shift in mindset. One that reminds him that pain isn’t something he just has to live with. One that encourages curiosity about his health, and reinforces that aging doesn’t have to mean giving up the activities he loves.

Because the truth is – most dads don’t want to sit on the sidelines. They want to stay active, strong, and capable. They want to travel, hike, golf, chase their grandkids around the yard, and keep doing the things that make life fun. And they can – if they learn to listen to their bodies and get the right kind of help.

So if the dad in your life has everything… except for good knees… Maybe this is the year to give him something more lasting than another toolset or polo shirt. Maybe this is the year to give him the reminder that his health is worth paying attention to. And that it’s never too late to move better, feel better, and get his knees back.

syringe

Why You Should Avoid a Cortisone Shot in Your Knee (And What to Do Instead)

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Knee pain can be debilitating, making simple tasks like walking, climbing stairs, or even standing up a painful experience.

For many, the quick fix seems to be a cortisone shot – an anti-inflammatory injection that offers temporary relief from knee pain. When injected into the knee, the cortisone (a type of steroid) targets the inflamed tissues and aims to reduce the symptoms of pain and swelling.

But there are significant risks and downsides to this approach to resolving knee pain that are often overlooked. Let’s take a look at why you should avoid a cortisone shot in your knee and what you can do instead…

The Problem with Cortisone Shots:

1. Temporary Relief, Not a Cure

Cortisone shots offer pain relief for a limited period, ranging from a few weeks to a few months. The problem? They don’t address the underlying cause of the knee pain. Instead, they mask the symptoms, allowing the root problem – whether it’s osteoarthritis, tendonitis, or a mechanical imbalance in the knee joint – to worsen over time. By numbing the pain, cortisone shots may allow you to continue harmful activities that could exacerbate your condition, leading to long-term damage.

2.  Potential for Joint Damage

Since the relief from cortisone shots is temporary – they are often repeated. And repeated cortisone injections can lead to cartilage degeneration and weaken the tendons and ligaments in your knee. Studies have shown that frequent cortisone use can accelerate the wear-and-tear process, potentially hastening the need for knee replacement surgery down the line. This is particularly alarming for active individuals who are hoping to preserve their knees for as long as possible so they can keep doing all the activities they love and enjoy.

3. Delayed Healing

Cortisone’s anti-inflammatory effects can actually interfere with the body’s natural healing processes. Inflammation, while uncomfortable, is an essential part of how the body repairs itself. Reducing inflammation with steroids (like cortisone) can disrupt tissue repair, meaning that any existing damage to your knee could take longer to heal. And when you mask your symptoms with cortisone – it makes this even harder to detect.

4. Risks of Infection and Other Side Effects

Like any injection, cortisone shots come with the risk of infection. Additionally, they may cause side effects such as increased blood sugar levels, skin thinning, or changes in pigmentation around the injection site. While these risks may seem minimal to some, they should be weighed carefully against the short-term benefits of temporary pain relief.

So… What Should You Do Instead?

I’m a huge fan of natural treatments whenever possible. And when it comes to knee pain, there are plenty of natural alternatives that not only promote healing , but address the root cause of your knee pain – allowing for more long-term relief instead of short-term.

1. Shockwave Therapy

Shockwave therapy is a non-invasive treatment that uses acoustic sound waves to stimulate the body’s natural healing processes. The waves create micro-traumas in the tissues surrounding your knee joint, which triggers increased blood flow and promotes tissue regeneration. Shockwave therapy has been shown to reduce pain, improve mobility, and even help with conditions like calcific tendonitis and knee osteoarthritis.

What’s especially beneficial about shockwave therapy is that it not only reduces pain but also works to heal the damaged tissues. Unlike cortisone shots, which only offer symptom relief and can even damage tissue, shockwave therapy targets the underlying problem, making it a great option for those looking to fix their knee pain for the long term.

2. Dry Needling

Dry needling is another natural treatment that can help alleviate knee pain by targeting trigger points in the muscles around the joint. This technique involves inserting thin needles in and around your knee joint to release tension and improve blood flow. By relieving muscle tightness, dry needling helps restore proper alignment and function in your knee joint, reducing pain and preventing further injury.

This approach works particularly well for those with knee pain caused by muscle imbalances, tendonitis, or chronic stiffness. Since dry needling promotes muscle relaxation and better circulation, it helps the knee heal from within, supporting long-term recovery.

3. Work with a Mechanical Knee Pain Specialist

A mechanical knee pain specialist is a healthcare professional trained to assess and diagnose the root cause of your knee pain through specialized movement analysis. Unlike traditional healthcare providers who may prescribe pain relief or general exercises without fully understanding the mechanics of your knee, mechanical pain specialists take a deep dive into how your body moves. By pinpointing issues such as improper joint alignment, muscle imbalances, or overuse patterns, they can design a customized treatment plan to address the root cause of your pain, versus just chasing symptoms.

The key benefit of working with a mechanical knee pain specialist is that they focus on the underlying biomechanics of your knee as well as surrounding joints/muscle groups that may be contributing to your pain. It’s a more holistic approach designed to restore normal function in your knee joint, alleviate pain, and teach you how to prevent future injuries as well.

While a cortisone shot is routinely recommended by medical doctors, and may offer quick relief, they don’t contribute to the healing process and can, in fact, cause long-term harm.

Opting for natural treatments like shockwave therapy, dry needling, or working with a mechanical knee pain specialist who can often integrate these treatments in with corrective, targeted exercises – has several advantages – and it’s much healthier for your knees. Most importantly, these natural approaches address the root cause of your knee pain rather than just masking it. 

If you’re suffering from knee pain, and need help finding reputable healthcare providers in your area who can offer these natural treatment alternatives with success and expertise – reach out – we can help direct you toward what to look for – and what to watch out for.

Are you local to Portsmouth, NH? If so, consider speaking to one of my specialists in a free Discovery Session. This 30-min session is a designed to: 1. Make sure we can help you 2. Make sure you’re a good fit for what we do 3. Make sure we’re a good fit for you

Dr. Carrie Jose, Physical Therapy Specialist, and Mechanical Knee Pain Expert, owns CJ Physical Therapy & Pilates in Portsmouth and writes for Seacoast Media Group. To get in touch – or request a seat in her upcoming Masterclass to end Knee Pain naturally – without pills, procedures, or surgery – CLICK HERE.

Holding Knee with Arthritis

Four Overlooked Reasons Your Knee Pain Won’t Go Away

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If you’re one of the many people out there suffering from chronic knee pain – and wondering why it won’t just go away – you’re not alone.

Most of the folks I speak with in this situation have been told it’s simply due to arthritis, old age, or general wear and tear – and there isn’t much that can be done about it. First of all, that’s not true. But second – one of the biggest reasons people are led to believe that there’s nothing that can be done about their chronic knee pain is because they’ve tried just about every treatment out there – and nothing has worked.

What’s the biggest culprit for that? Almost always – it’s misdiagnosis.  Meaning, something crucial was overlooked when it comes to the underlying reason for your knee pain (and structures in and around your knee joint get blamed instead).

Here are 5 of the most common overlooked reasons that can lead to misdiagnosis of your knee pain – causing it to linger and not go away:

1. You’re Focusing On Knee Strength Over Mobility

Focusing on knee strength and overlooking mobility is something I see far too often – and it’s a big reason knee pain lingers longer than it should.  Mobility refers to the joint’s ability to move through its full range of motion, which is crucial for proper alignment and injury prevention. Without sufficient mobility, strength exercises can place undue stress on the knee, leading to compensations and pain.

When it comes to mobility, it’s important to compare right and left knees, as well as look at “hypermobility” – because it all matters. You want to make sure you’re optimizing mobility according to the person, and not a “textbook” definition. By improving and optimizing mobility in your knee first, you ensure that your knee can move freely and efficiently, reducing the risk of strains or overuse injuries when you begin to load the joint with strength training.

2. The Real Culprit Could Be Your Back

Did you know that 25% of the time – pain in your knee can come from a source in your lower back – even when you don’t have any back pain? Pain that moves around your knee, is challenging to pinpoint, or aches into your thigh or lower leg are all signs that your knee pain could actually be a back problem. Specialized movement screening of your lower back should be required for anyone suffering from any kind of knee pain – but it’s not.

Precautionary low back screening by a mechanical pain expert is rarely done – and it’s one of the biggest reasons I see for knee pain misdiagnosis. When knee pain is coming from your back – and you miss it – people not only suffer from knee pain longer than they should – but they risk being prescribed unnecessary cortisone shots, procedures, and surgeries in knees that never even had a problem to begin with.

If your knee pain isn’t going away and especially if the pain moves around – consider your lower back.

3. Your Knees Are Compensating For Weak Core Muscles

Your core – made up of four major muscle groups (your abdominals, lower back muscles, glutes, and hip muscles) plays a critical role in stabilizing your body, supporting proper posture, and distributing weight evenly during movement. When any part of your core is weak or not functioning optimally, your body will compensate by placing excess strain on other areas, such as your knees. Workload that is normally better handled and supported by say – your hips and glutes – will be taken over by your knees.

The result is increased stress in your knee joints and surrounding structures – which can lead to pain, inflammation, and even injury over time. Additionally, when you lack adequate core strength, your body lacks the stability needed to control movements efficiently, which can be another factor in forcing your knees to work harder than they should. If you’ve got lingering knee problems and never looked at strengthening your core properly – get started now. This could be one of the overlooked factors leading to a misdiagnosis of your knee problem and subsequent chronic knee pain.

4. Stiff Ankles Are Putting Stress on Your Knees

We already talked about how important it is to focus on knee mobility. But it’s equally important to focus on the mobility of joints above and below your knees, namely, your ankles. Ankle stiffness can be due to a number of factors – such as footwear, poorly rehabilitated injuries (like chronic ankle sprains), and repetitive/overuse activities that involve heavy use of your feet, ankles, and calves.

When your ankles are stiff, especially during activities like running, squatting, or even walking – your knees will compensate.

The result may not be noticeable right away – but over time – this extra compensation can result in unwanted knee pain. And if you never identify that the cause might be stiff, overused ankles – then you’ll continue to blame the irritated structures of your knee joint instead. If your ankles always feel tight, or your lower legs get fatigued frequently during repetitive movements, this could be a sign that your lingering knee pain is the result of compensation for stiff ankles. Improving ankle mobility might be the missing solution to freeing up your knees.

Chronic knee pain does not have to be something you accept – and it certainly doesn’t require a cortisone shot, procedure, or surgery to fix it. Most knee pain (at least 80%) can be resolved naturally. But it starts with the correct diagnosis. If you’ve been suffering from knee pain for a long time and feel like you’ve already tried everything – consider one of these four overlooked reasons. And to be sure – visit a mechanical knee pain specialist who can check all of these things out and give you an accurate diagnosis of your lingering knee pain.

Are you a local to Portsmouth, NH?

If so, CLICK HERE to speak to one of my specialists. They can help you discover effective strategies to finally relieve your knee pain and get back to doing what you love!

Dr. Carrie Jose, Physical Therapy Specialist and Mechanical Knee Pain Expert, owns CJ Physical Therapy & Pilates in Portsmouth and writes for Seacoast Media Group. To get in touch – or request a seat in her upcoming Masterclass to end Knee Pain naturally – without pills, procedures, or surgery – CLICK HERE.