Tag Archive for: mechanical knee pain

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.

Knee Pain

Before You Consider Knee Surgery: Read This

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Before You Consider Knee Surgery – Read This

Arthroscopic knee surgery is one of the most commonly performed orthopedic procedures in the United States, and total knee replacement isn’t far behind. Both procedures are frequently recommended for people suffering from knee pain, especially when imaging shows arthritis, meniscus tears, or other degenerative changes inside the joint.

But here’s what many people don’t realize – the presence of those findings doesn’t automatically mean surgery is necessary. In fact, research over the past two decades has repeatedly shown that many knee surgeries are performed on people who could have improved with conservative treatment like physical therapy and movement-based care.

For people dealing with chronic knee pain in Portsmouth, NH and throughout the Seacoast, understanding your options before committing to surgery is critical.

The Truth About Arthroscopic Knee Surgery

Let’s start with arthroscopic knee surgery.

Arthroscopy is considered minimally invasive. A small camera is inserted into the joint and the surgeon may trim damaged meniscus tissue or “clean up” arthritic debris. Because the incisions are small and recovery is relatively quick, it’s often presented as a simple solution for knee pain.

But research tells a more complicated story.

A landmark study published in the New England Journal of Medicine by Dr. JB Moseley and colleagues compared arthroscopic surgery to placebo surgery in patients with advanced knee arthritis. Some patients received the full procedure – while others only received small incisions without any surgical repair.

The results were surprising. Patients who received the placebo surgery improved just as much as those who had the real operation.

Since that study, numerous others have confirmed similar findings, suggesting that for many cases of degenerative knee pain and arthritis, arthroscopic surgery provides little additional benefit over conservative care like targeted physical therapy, strengthening, and mobility work.

That doesn’t mean arthroscopic surgery never helps. It simply means it’s often used in situations where other treatments could be just as effective.

In some cases, undergoing surgery when it isn’t truly necessary can even accelerate problems inside the knee joint – increasing your likelihood of needing a total knee replacement later on. Ironically, many people choose arthroscopic surgery in hopes of avoiding that major procedure down the road.

When Is Total Knee Replacement Necessary?

Which brings us to total knee replacement surgery – another procedure that has become increasingly common and, in many cases, more avoidable than you might think.

Unlike arthroscopy, knee replacement is a major operation. The damaged joint surfaces are removed and replaced with artificial components designed to restore function and reduce pain.

When performed on the right candidate, knee replacement can be very successful. About 90 percent of patients experience significant improvement, and many implants last 20 years or longer.

However, that doesn’t mean everyone with knee arthritis or chronic knee pain needs one.

Why MRI and X-Ray Findings Can Be Misleading

One of the biggest misconceptions about knee pain is that arthritis on an X-ray automatically explains the symptoms.

What’s not a misconception, however, is that joint degeneration is incredibly common as we age.

Studies show that only about 15 percent of people with evidence of knee osteoarthritis actually experience symptoms. The other 85 percent walk around completely pain free despite having the same findings on imaging.

MRI studies reveal similar patterns.

In one well-known study published in 2012, researchers performed MRI scans on more than 500 people who had no knee pain at all. Seventy-two percent showed signs of arthritis and roughly one quarter had meniscus tears.

In other words – structural changes inside the knee are far more normal than most people realize.

This is why basing a treatment decision solely on imaging can be misleading.

Sometimes Knee Pain Isn’t Actually Coming From the Knee

Over my two decades of treating patients with knee pain, the biggest problems I’ve seen after surgery rarely had anything to do with the procedure itself.

Instead, the issue was an incorrect diagnosis before surgery.

Sometimes the knee wasn’t actually the primary source of pain.

Knee pain can originate from the hip, ankle, or even the lower back. Research has shown that a surprising percentage of people with isolated knee pain actually respond to treatment directed at their spine.

That means someone could have arthritis in their knee and still have their symptoms driven by a problem elsewhere.

If that underlying cause isn’t identified first – surgery may be unnecessary, and it certainly won’t solve your problem.

3 Things to Consider Before Knee Surgery

Before considering any type of knee surgery – whether arthroscopic or a full replacement – there are several important things to evaluate.

1. The severity of your pain

If your discomfort is manageable and you can still participate in most of the activities you enjoy, rushing into surgery may not make sense.

Even successful knee replacements involve risks such as infection, blood clots, or complications related to anesthesia. Full recovery can take six to twelve months.

2. Whether your spine could be involved

If your knee pain fluctuates, appears suddenly, or occurs alongside back discomfort, it is worth having your spine evaluated by someone trained in diagnosing mechanical pain patterns.

In many cases, addressing the spinal issue resolves the knee pain without any treatment directed at the knee itself.

3. How stiff your knee actually is

With truly advanced arthritis, stiffness tends to be constant and progressive.

But if your knee mobility improves with movement, stretching, or specific exercises, the limitation may be mechanical rather than structural.

When that happens, restoring the right movement patterns can dramatically improve symptoms without surgery.

The Bottom Line: Surgery Should Be a Last Resort

To be clear – knee surgery is not always avoidable. For some patients, particularly those with severe arthritis and significant functional limitations, knee replacement can be life changing.

But surgery should almost always be considered a last resort, not the first step.

Before going down that road, it’s essential to make sure your knee pain has been accurately diagnosed and that you have explored all appropriate conservative treatment options.

Arthroscopic surgery and knee replacement may be among the most commonly performed orthopedic procedures in the country, but that does not mean they are always the right solution.

In many cases, the right diagnosis and treatment approach can restore knee function and eliminate pain without ever needing surgery.

Knee Pain Treatment in Portsmouth, NH

Dr. Carrie Jose is a Physical Therapy Specialist and Mechanical Knee Pain expert. She is the owner of CJ Physical Therapy & Pilates in Portsmouth, NH, where she helps people across the Seacoast of New Hampshire overcome chronic knee pain and avoid unnecessary surgery through specialized movement-based treatment.

She also hosts educational workshops and classes for people struggling with knee arthritis, meniscus injuries, and persistent knee pain.

To get a free copy of her Guide to Knee Pain or learn about the next Knee Pain Masterclass in Portsmouth, visit cjphysicaltherapy.com or call 603-380-7902.

skiing

Ski Season Isn’t Over Yet: How to Keep Your Knees Strong and Stable on the Slopes

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Ski Season in New Hampshire Isn’t Over: How to Prevent Knee Pain on the Slopes

Ski season in New Hampshire isn’t over yet – and if your knees are already starting to “talk” to you after a day on the mountain, it’s time to pay attention.

Whether you’re skiing in the White Mountains or making weekend trips north from Portsmouth, NH, your knees take on significant stress with every turn, carve, and correction on uneven terrain.

Skiing is one of the most knee-intensive recreational sports. Add speed, rotation, moguls, and the occasional fall – and your knee joint works overtime.

The good news?

Most ski-related knee pain is mechanical. And mechanical knee pain is often predictable – and preventable.

At our Portsmouth, NH physical therapy clinic, we help active adults stay strong on the slopes by focusing on two essentials: mobility and stability.

Why Knee Pain Happens While Skiing

Your knees need two key things to stay healthy during ski season:

Mobility – the ability to fully bend and straighten to absorb force
Stability – the ability to control rotation and handle load without collapsing inward

When one (or both) is missing, your knee becomes vulnerable to irritation, swelling, or injury.

If you’re experiencing knee pain after skiing in New Hampshire, one of these factors is likely contributing.

1. Don’t Skip Your Warm-Up Before Hitting the Slopes

If you’ve driven an hour or more from Portsmouth to the mountains, your knees have likely been compressed in a bent position the entire time.

Prolonged sitting increases stiffness and pressure in the front of the knee – especially for adults over 40.

Then what happens?

You step out of the car, click into your skis, and immediately head downhill.

That’s a massive transition for your joints.

Instead, spend 5-10 minutes warming up your knees, hips, and ankles before your first run:

  • Bodyweight squats
  • Controlled lunges
  • Gentle hip mobility drills
  • Ankle mobility work

Your first run should never be your warm-up. Preparing your joints ahead of time improves blood flow, activation, and control – all of which help your knees better tolerate the demands of the day.

2. Build Strength Where Your Knee Needs Support

Your knee does not function in isolation. It relies heavily on the muscles above and below it for protection and control.

Strong quadriceps and hamstrings provide balanced stability to the joint, while strong glutes and a stable core help maintain proper alignment, manage rotation, and prevent the knee from collapsing inward.

When these muscles are weak or not functioning well – your knees are forced to absorb stress they were never meant to handle on their own.

If you want to ski confidently into your 50s, 60s, and beyond, lower body and core strength training are not optional – they are foundational.

Strong, well-coordinated muscles reduce unnecessary strain on your joints and improve both performance and longevity on the slopes.

3. Maintain Full Knee Mobility

Mobility is just as important as strength.

Your knees must be able to fully bend and fully straighten in order to function properly. Any loss of extension or flexion – even minor – compromises the surrounding ligaments and joint structures, forcing them to work harder than they were designed to.

These subtle mobility restrictions become even more apparent under the higher demands of skiing.

If your knee already feels stiff during everyday activities – it will not magically improve once you are on the mountain. In fact, the added stress often exposes underlying limitations.

A consistent mobility routine – particularly one that restores full knee extension – can significantly reduce strain and allow your knee to adapt more effectively to the dynamic demands of skiing.

4. Address Mechanical Knee Pain Early

Approximately 80 percent of knee pain is mechanical in nature, meaning it is driven by how the joint is moving – or not moving – rather than simply wear and tear.

The good news is that mechanical pain responds extremely well to specific corrective movements designed to address the root cause of the problem.

Once the correct movement is identified – it can act like medicine for your knee. Completely natural and highly effective.

The right prescriptive movement will reduce pain quickly, improve motion, and restore confidence in your knee again. It also gives you a tool you can use on your own – so you don’t have to rely on anti-inflammatory medications just to get through the rest of ski season.

If your knee swells after skiing, catches with certain movements, or flares up after a long day on the mountain – it may very well be the result of a mechanical dysfunction.

Small mechanical issues rarely remain small when repetitive stress – like skiing – continues. Addressing them early can prevent more significant problems down the line.

For this, it is important to consult with a specialist trained in mechanical knee pain. Identifying the correct prescriptive movement is key. When done properly – it is the difference between managing symptoms and truly correcting the underlying issue.

Finish Ski Season Strong in Portsmouth, NH

Skiing should feel powerful and controlled – not unstable or uncertain.

Most injuries do not occur because people are too active. They occur because the joint was underprepared for the demand placed upon it.

If you are experiencing knee pain after skiing and live in Portsmouth, NH or the Seacoast area, the specialists at CJ Physical Therapy & Pilates can help.

Led by Dr. Carrie Jose, our team specializes in mechanical knee pain treatment and helping active adults return to skiing with confidence – without relying on injections or surgery.

To request a Free Discovery Visit or receive a free copy of our guide to managing knee pain, visit cjphysicaltherapy.com or call 603-380-7902.

Ski season isn’t over yet. There is still time to protect your knees, ski strong, and finish the season with confidence.

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.

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

Why Cortisone Shots Often Fail in the Knee

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When you’ve got nagging, persistent knee pain, it’s common for doctors to recommend a cortisone shot in the knee.

A cortisone shot in the knee, also known as corticosteroid injections, or “steroid shots”, works by reducing inflammation in your knee joint in an effort to alleviate pain. Sounds pretty straightforward, right?  Well… not so fast.

Assuming your knee pain is truly due to inflammation, then yes, a cortisone shot can be a successful treatment option. For example, it’s often used as a pain management strategy when you’re awaiting a major joint replacement surgery.

Advanced osteoarthritis is a common cause of knee inflammation.  The only real “cure” for this is joint replacement. Periodic cortisone shots may help give you the pain relief you need to pass the time until surgery. But this is a very specific and not common circumstance.

What we see more often than not is cortisone shots either working temporarily, or not working at all in your knee joint.

Patients are often told they need up to three cortisone shots to see results. There’s a problem with this approach. Every time you get a cortisone shot, you risk damaging the cartilage and tissue in your knee joint. This not only leads to irreversible joint damage, but more persistent pain in your joint that gets harder and harder to fix.

So when it comes to whether or not you should get a cortisone shot in your knee – you really want to make sure that the root source of your problem is inflammation.

The reason why so many cortisone injections “fail” is because quite often – they weren’t needed in the first place. Even though the knee pain you are experiencing might be due to inflammation, the underlying cause leading to that inflammation could be something else entirely. Eight percent of the time the knee pain you’re experiencing is due to a mechanical or movement problem.

So while the symptoms you’re experiencing could be inflammatory in nature, the root cause of your issue is not. A cortisone shot is not going to help your knee in this case. Or worse, you’ll get temporary relief that fools you into thinking it worked. This only delays treatment that will give you the long-lasting relief you’re looking for.

If cortisone shots aren’t working for you, find out how we can help relieve your pain.

So how do you know if you have a true inflammatory problem in your knee?

Let me explain.

Let’s say you have some arthritis and general wear and tear in your knee joint. You have good days and bad days. The pain comes and goes. Certain movements and exercises make your knee feel better while others seem to really aggravate it.

This is a pretty classic presentation of a mechanical knee problem. The mechanical issue (aka movement problem) in your knee can irritate certain structures within your knee joint (like a meniscus or ligament) and cause it to be inflamed.

If you go ahead and just inject cortisone into this knee, it might relieve the inflammation for a short time. It won’t help the underlying movement problem. It’s only a matter of time before the cortisone wears off and the structures in your knee feel irritated again. Not only have you masked the problem, but now you risk creating actual damage to those structures from the cortisone. Studies have shown that repeatedly injecting cortisone into your knee (or any joint) can advance the formation of osteoarthritis.

Another interesting statistic is that 41% of knee pain has been shown to be coming from your spine – even when there is no back pain present.

In this case, your knee could really hurt and appear to be inflamed. If a doctor can’t find any real explanation for this from an X-ray or an MRI (because the real problem is coming from your spine), he or she may assume it’s just inflammation from wear and tear and suggest a cortisone shot. This is not going to help your knee. Once again you risk causing real damage to an otherwise healthy knee joint.

These are just a few examples of where cortisone shots are unnecessary and can go wrong when incorrectly prescribed.

Have you recently had a cortisone shot in your knee and it didn’t work? It could  be that you never actually needed it. Or that the symptoms (inflammation) was being addressed instead of the underlying cause.

If you are considering a cortisone shot in your knee, it’s always a good idea to get a second opinion to make certain you really need it. A mechanical pain expert can tell you whether or not your knee pain is truly due to inflammation. If your knee pain is due to a movement problem (80% of time it is) then a proper movement prescription is your answer.

Are you local to Portsmouth, NH and looking for help with your knee pain NOW?

Consider speaking to one of my specialists.

Tell them about your knee pain and they’ll see if we would be a good fit to help you!

Dr. Carrie Jose, Physical Therapist and Pilates expert, owns CJ Physical Therapy & Pilates in Portsmouth and writes for Seacoast Media Group. Request a free copy of her Knee Pain Free Report or to get in touch, email her at [email protected].