When The Joint is Bone on Bone, Can You Still Help Me?


If you have severe muscle and joint imbalances, it is simply a matter of time until the joint suffers irreparable damage from the joint dysfunction and compensating motor patterns throughout the body.  If you continue to stress the affected joint by leaving these imbalances unattended to, you will most likely find yourself in a bone on bone situation at some future point.  


Recently I received an email from a potential new client who wanted to know the following:


"Will the online program be effective when I have had bone on bone for the past 10 years ( I am only 52)?  Because now my knees are coming together,  and I'm not sure if the bone has been digging a new path and can be fixed with the exercises you would recommend. Can you help advise?" 


My job here at Pain Free Posture MN is to be as honest as possible with my clients.  To best answer, we reed to address the TWO distinctly different questions being asked here.  So let's break them down.


  1. Can on line posture alignment therapy effectively alleviate chronic knee joint pain?
  2. Can posture alignment therapy alleviate pain if you are in a bone-on-bone joint situation.


Can on line posture alignment therapy effectively alleviate chronic knee joint pain?

Here's the truth.  Yes and No.  Why do I say that?  Because without meeting you, I have no idea if YOU personally will do well with the on line posture alignment therapy program.


Now, let me first state, that YES, in general, posture alignment therapy can help you alleviate chronic knee joint pain.  Postural Therapy is a very successful and non-invasive way to help people eliminate most chronic pain problems due to muscle and joint imbalances.  


And for individuals who do not live close to a Certified Corrective Exercise Specialist, the on line menus option can be a very successful way to achieve those goals.  Professionally, I've had many clients achieve their posture restoration and pain relief goals with the program.

BUT....


Not all of them.  I'd be lying if I said absolutely every who tries on line postural therapy was successful with it.  


The reality is, there are some who do not do well at all with on line posture alignment therapy.  There is No Magic Pill.  It is a process, not a quick fix, and as such, even with one-on-one private instruction, requires a total commitment to change.


On line posture alignment therapy is simply a service option that analyzes your posture based off of static photos,  and then a corrective exercise menu is written for you based off of the photos and information you send to me.  


It does not account for other variables.  What on line menus do not account for is the fact that YOU are more than just a body.  


On line menus don't allow for physical or verbal interaction.  I simply have to make inferences about you based upon the questions I ask you ahead of time,  then do my best to factor those into your menu creation.  I can't factor in your learning style, your kinesthetic awareness and your ability to set up and execute the exercises correctly to maximize their potential.  


In my professional experience, the individuals that are not as successful with on line menus are the ones with poor kinesthetic awareness, and really in need of coaching and human interaction.  I find that often things can get lost in translation, even with your very best effort.  


Posture Distortion gets in the way.  This is when you think you're doing the exercise right, when in reality, it isn't even remotely close to what you should be doing.  


I've seen this many times where clients think they are doing a corrective exercise correctly and they're not, or they don't understand what should/shouldn't be happening in the exercise, or worse, hey work through old pain symptoms ... I could go on and on. 


Now that said, these hurdles CAN be overcome.  But but in order to do so, the on line option simply isn't the best option to help you alleviate chronic knee pain.  Skype or in studio personal coaching might be what you need so we can interact visually and verbally.  This allows me to see your active movement mechanics, understand your learning style and am better able to modify/change your menu to suit your needs.


So, the honest answer is, I have no idea how you'll do with basic on line menus.   The only way to truly find out is to try it out and see if it's right for you.  You can always modify/change from there.


Can posture alignment therapy alleviate pain if you are in a bone-on-bone joint situation?


If your knees are completely degraded (there is absolutely no cartilage left for re-growth to occur), can posture alignment therapy help alleviate pain?   

No matter what, YES.  It can help reduce pain.  Will it get rid of all the pain?  If the joint is completely gone, more than likely not all of it.  However, you CAN positively affect your joint position for the better, help reduce intensity and duration of pain and help restore the incorrect joint patterns and muscle imbalances which allowed the bone on bone situation to occur.  


If you are reducing stress to the joint by working on correcting your joint position, you are at a minimum, buying yourself some time.  You will be better prepared for surgery if you do ultimately need to have it.  Remember that joint replacement surgery simply gives you new parts.  They won't correct the muscle imbalances and incorrect motor patterns which caused the degradation in the first place.  In the best case scenarios, you might be able to avoid surgery if you come in early enough before irreparable damage occurred.  


Why?  


Two Reasons to Do Postural Therapy Even if You Need Joint Replacement Surgery

  1. Correct the underlying root cause |  If the knee needs replacing, better to fix the reason why the joint got out of balance and degraded in the first place.  Postural therapy helps re-establish proper muscle and joint patterning prior to surgery.  It will help diminish pain prior to surgery and improve overall position to receive the new joint.  You'll decrease the chance of other joint and pain problems post surgery because of decreasing compensations and dysfunctions.
  2. Recover from surgery faster because you pre-rehabilitated.  This allows you to continue with postural therapy to further strengthen and correct mis-alignments. Jack Nicklaus is a great example of this.  He worked for many years to correct the imbalances that lead to his severe back pain, however, he ultimately chose to have his hip replaced.  He eventually did have his hip replaced but came out with flying colors because he did postural therapy before and after to correct the imbalances.


Again, we come down to unknown variables without working together to assess.  I can say that thankfully I've had the opportunity to successfully help clients avoid surgery because they came in early enough to correct the damage.  If there is any cartilage left and you work diligently with your corrective exercises and nutrition to re-align the joint and kinetic chain above and below the area, there is hope for healing.  But I can't guarantee that.


Considering that you know you've been bone on bone for 10 years, I personally believe that you'll do best working with a live human who has experience with such a case as yours.   


Can knee joint pain can be alleviated with an on line postural therapy.  Yes it can.  To what degree will depend on what you bring to the table.  Is on line posture alignment therapy right for you?  The only way to find out it to  start from an informed position and give it a try. For more on the topic see:


No matter what, we will work with you and do our best to find the right service that fits your needs.  That's what we do, correct mis-alignments in the muscle and joint to allow your body to function at it's best!  I hope that helped answer your questions.   



  1. They worked on correcting the underlying cause of why the joint degraded in the first place and re-established proper muscle and joint patterning prior to surgery.  It helped diminish pain prior to surgery and they knew that once given a re-construction, they would heal well and NOT continue with compensations and dysfunctions.
  1. They recovered from surgery faster, and continued with postural therapy to further strengthen and correct mis-alignments. Jack Nicklaus is a great example of this.  He worked for many years to correct the imbalances that lead to his severe back pain, however, he ultimately chose to have his hip replaced.  He eventually did have his hip replaced but came out with flying colors because he did postural therapy before and after to correct the imbalances.

Stock Photo Credit: Shutterstock.com

Head Photo Credit:  Ruby and Roxy Photography

Deb Preachuk is a Chronic Pain Pain Relief, Posture Restoration and Athletic Performance Enhancement pro specializing in corrective exercise, applied biomechanics, STOTT Pilates and functional movement patterns. 

Founder of Pain Free Posture MN,  Deb helps real people transform real-world chronic pain challenges into achievable results. Deb infuses her teaching with an honest, open and down-to-earth mix of chronic pain relief therapeutic modalities training techniques to make the concepts of pain relief and body/mind transformation accessible and achievable!