HEALTHY KNEES

Manual on knee pain

and different therapeutic approaches
Dear Customers,
First of all, we would like to thank you for your trust in us and for choosing our chair cushion.

he aim of this eBook is to provide you with handy tips so that you and your knees will soon
feel better. The book is full of interesting information and advice about the topic “knee”,
as well as simple exercises and tips, which will help you improve your lifestyle day to day and
leave you feeling healthy.

We hope you enjoy our product and advice,

The bonmedico Team

2
Table of Contents
Our Guiding Principle 4
Anatomy of the Knee 5
Home Care for Knee Pain 7
Knee Pain Diagnosis 9
Causes, Symptoms, Signs, Treatment, Prognosis, and Types of Acute Knee Pain 11
• Fractures (broken bones) 11
• Sprained and torn collateral ligaments 11
• Sprained and torn cruciate ligaments 12
• Tendon ruptures 12
• Meniscal injuries 13
• Knee dislocation 13
• Dislocated kneecap (patella) 14

Arthritis 14
• Osteoarthritis 14
• Rheumatoid arthritis 15
• Crystalline arthritis (gout and pseudogout) 15
• Bursitis 15
• Cayenne Pepper and Arthritis Relief 17
• Consider more natural ways to seek relief from Arthritis 18
• Foods That Can Help Arthritis Sufferers 18
• Osteoarthritis in the Knees: 10 Pain Relief Options 20
• Seek Arthritis Relief with Apple Cider Vinegar 22

Prevention of Knee Pain 23

Common knee injuries 24
11 Knee Pain Dos and Don’ts 26
Knee Exercise Program 28
Unsere Helfer fürs Knie 33
• Bonmedico Gensano Knee Brace 33
• Bonmedico Kenu Knee Support 34
• Bonmedico Knee Cushion 34

More bonmedico products 35

Service 36
• Returns & Guarantee 36
• Feedback 36

DISCLAIMER
Note that the contents here are not presented from a medical practitioner, and that any and all health
care planning should be made under the guidance of your own medical and health practitioners. The
content within only presents an overview based upon research for educational purposes and does not
replace medical advice from a practicing physician. Further, the information in this manual is provided
„as is” and without warranties of any kind either express or implied. Under no circumstances, includ-
ing – but not limited to – negligence, shall the seller/distributor of this information be liable for any
special or consequential damages that result from the use of, or the inability to use, the information
presented here. Thank you.

3
Our Guiding Principle

The most important thing for us is that you are healthy and feel good. This is why we use
our expertise to provide anatomical and ergonomic products, which will support a healthy
lifestyle and provide you with maximum comfort. Since 2015, we have been developing ver-
satile products in the heart of Munich according to our guiding principle, “We care about
your health”. Our goal is to protect you from the negative effects of constant pressure by
offering targeted relief and support. We also aim to heighten your awareness and to quickly
help you with any acute problems.

4
ANATOMY OF THE KNEE

The knee joint’s main function is to bend

and straighten for moving the body. The
knee is more than just a simple hinge.
It also twists and rotates. In order to per-
form all of these actions and to support the
entire body while doing so, the knee relies
on a number of structures, including bones,
ligaments, tendons, and cartilage.

Bones
• The knee joint involves three bones.

• The thighbone or femur comprises the top portion of the joint.

• One of the bones in the lower leg (calf area), the tibia, provides the bottom portion of the joint.

• The kneecap or patella rides along the front of the femur.

• The remaining bone in the calf, the fibula is not directly involved in the knee joint but is close to
the outer portion of the joint (sometimes this bone is included in the knee joint, and therefore
the joint will be described as involving four bones).

Ligaments
• Ligaments are fibrous bands that connect bones to each other.

• The knee includes four important ligaments, all four of which connect the femur to the tibia:

1. The anterior cruciate ligament (ACL) and posterior cruciate ligament (PCL) provide front and
back (anterior and posterior) and rotational stability to the knee.

2. The medial collateral ligament (MCL) and lateral collateral ligament (LCL) located along the inner
(medial) and outer (lateral) sides of the knee provide medial and lateral stability to the knee.

Tendons
• Tendons are fibrous bands similar to ligaments.

• Instead of connecting bones to other bones as ligaments do, tendons connect muscles to bones.

• The two important tendons in the knee are:

1. The quadriceps tendon connecting the quadriceps muscle, which lies on the front of the
thigh, to the patella, and

2. The patellar tendon connecting the patella to the tibia (technically this is a ligament because
it connects two bones).

• The quadriceps and patellar tendons as well as the patella itself are sometimes called the
extensor mechanism, and together with the quadriceps muscle they facilitate leg extension
(straightening).

5
Cartilage
• Cartilaginous structures called menisci (singular is meniscus) line the top of the tibia and lie
between the tibia and the two knuckles at the bottom of the femur (the femoral condyles).

• Menisci provide both space and cushion for the knee joint.

Bursae
• Bursae (singular is bursa) are fluid-filled sacs that help to cushion the knee. The knee contains
three important bursae:

1. The prepatellar bursa lies in front of the patella.

2. The anserine bursa is located on the inner side of the knee about 2 inches below the joint.

3. The infrapatellar bursa is located underneath the patella.

Femur

Quadriceps Lateral Patella

Tendon Collateral
Ligament
Medial
Collateral
Ligament
Iliotibial
Band

Medial
Lateral Retinaculum
Retinaculum
Anterior
Crucuate
Pateral Posterior
Ligament
Ligament Crucuate
Ligament

Fibula
Tibia Tibia

6
HOME CARE FOR KNEE PAIN

In treating many types of knee pain, a common goal is to break the inflammatory cycle.
The inflammatory cycle starts with an injury. After an injury, inflammation invades the knee,
which causes further injury, and further inflammation, and so on. This cycle of inflammation
leads to continued or progressive knee pain. The cycle can be broken by fighting the inflam-
mation (through medications or other therapies) and by limiting further injury to tissue.

Some common home-care remedies that control inflammation and help to break the inflam-
matory cycle are protection, rest, ice, compression and elevation. This regimen is summa-
rized by the mnemonic PRICE.

PROTECT the knee from further trauma

This can be done with knee padding. A pad over the kneecap, for example, helps to con-
trol the symptoms of some knee injuries (an example is a form of bursitis sometimes called
housemaid’s knee) by preventing further repetitive injury to the prepatellar bursae.

REST the knee

Rest reduces the repetitive strain placed on the knee by activity. Rest both gives the knee
time to heal and helps to prevent further injury.

ICE the knee

Icing (cold application) the knee reduces swelling and can be used for both acute and chron-
ic knee injuries. Most authorities recommend icing the knee two to three times a day for
20-30 minutes each time.

Use an ice bag or a bag of frozen vegetables placed on the knee.

COMPRESS the knee with a knee compression sleeve or wrap

Compression helps accomplish two goals:

1. compression is another way to reduce swelling.

2. in some knee injuries, compression can be used to keep the patella aligned and to keep joint
mechanics intact.

ELEVATE the knee

Elevation also helps to reduce swelling. Elevation works with gravity to help fluid that would
otherwise accumulate in the knee flow back into the central circulation.

7
When to Go to the Hospital
for Knee Pain
If you cannot walk on your knee and if you have
had a traumatic injury, you should immediately
go to the hospital’s emergency department or
urgent care center to be evaluated by a doctor
because of the possibility of a fracture or sig-
nificant ligamentous or tendon injury.

Many fractures may require immobilization in

a specific position or surgery. Putting off see-
ing a doctor may hinder healing.

Other signs and symptoms that

demand emergency evaluation:

• fever (which may indicate infection)

• unbearable pain

• drainage

• large wounds

• puncture wounds

• swelling, associated with redness and heat, if you

are on a blood thinner (Warfarin or Coumadin) or if
you have a bleeding disorder (such as hemophilia).

8
KNEE PAIN DIAGNOSIS

Even in today’s world of technology, physicians rely on a detailed medical history and exam-
ination more than on any single test.

The doctor will typically want to know the exact nature of the pain:
• Where in the knee is your pain?

• What does the pain feel like?

• Has it happened before?

• What makes it better or worse?

• How long have you had pain in the knee?

The doctor will also want to know a bit about you:

• Do you have any major medical problems?

• How active is your lifestyle?

• What are the names of the medications you are taking?

The doctor will want to know about any related symptoms:

• Do you still have normal sensation in your foot and lower leg?

• Have you been having fevers?

Physical examination
The doctor will likely have you disrobe to completely expose the knee. The doctor will then in-
spect the knee and press around the knee to see exactly where it is tender.

In addition, the doctor may perform a number of maneuvers to stress the ligaments, tendons,
and menisci of the knee and evaluate the integrity of each of these. An experienced health
care professional will be able to make a preliminary diagnosis based on this examination.

These maneuvers can establish potential tendon, ligament, or meniscus injuries.

X-rays and CT scans

Depending on your particular history and
examination, the doctor may suggest
X-rays of the knee. X-rays show fractures
(broken bones) and dislocations of bones
in the knee as well as arthritic changes
and abnormally large or small joint spaces.

9
Rarely, the doctor may order a CT scan (a three-dimensional X-ray) of the knee to precisely
define a fracture or deformity.

Both X-rays and CT scans are excellent for diagnosing fractures. They both are also poor,
however, at evaluating soft-tissue structures of the knee such as ligaments, tendons, and
the menisci.

MRT
Magnetic resonance imaging (MRI) uses large magnets to create a three-dimensional image
of the knee. In contrast to CT scans, MRIs do not image bones and fractures well.

Also in contrast to CT scans, MRIs are excellent for evaluating ligaments and tendons for
injuries.

Fluid removal
The knee and all bursae of the knee are filled with fluid. If your symptoms suggest infection,
inflammation, or certain types of arthritis, your physician may use a needle to remove fluid
from the knee.

The removal of the fluid will sometimes decrease the pain you have been experiencing and
make it possible for you to bend your knee.

This fluid will then be analyzed to better clarify the diagnosis and detect infection. Crystals,
which suggest crystalline arthritis, often can be seen under the microscope.

Arthroscopy
The orthopedic surgeon may elect to perform arthroscopy if you have chronic knee pain.
This is a surgical procedure where the doctor will insert a fiberoptic camera into the knee
joint itself.

By doing so, the surgeon may be able to detect small particles in the knee or to look more
closely at damaged menisci or cartilage. The doctor may also be able to repair damage by
shaving down torn cartilage or by removing particles from within the knee while the camera
shows the inside of your knee.

10
CAUSES, SYMPTOMS,
SIGNS, TREATMENT,
PROGNOSIS, AND TYPES
OF ACUTE KNEE PAIN

The nerves that provide sensation to the knee

come from the lower back and also provide hip,
leg, and ankle sensation. Pain from a deeper inju-
ry (called referred pain) can be passed along the
nerve to be felt on the surface. Therefore, knee
pain can arise from the knee itself or be referred
from conditions of the hip, ankle, or lower back. All of the following sources of knee pain arise
from the knee joint itself.

In general, knee pain is either immediate (acute) or long-term (chronic). Acute knee pains can
be caused by an acute injury or infection. Chronic knee pains are often caused by injuries or
inflammation (such as arthritis), but can also be caused by infection.

Fractures (broken bones)

DESCRIPTION: Fractures of any of the bones of the knee are traumatic injuries typically
caused by moderate to high forces (such as car accidents or contact sports).

SYMPTOMS AND SIGNS: Fractures may sometimes be accompanied by swelling or bruising,

but are almost always extremely painful and tender. The pain is typically so severe that
people are unable to walk or even put weight on their knee.

EVALUATION: Fractures are an emergency and should be checked by a doctor. This evalu-
ation will generally include an X-ray and other relevant examinations. A delay in evaluation
can result in fracture fragments being moved as well as associated injuries.

Sprained and torn collateral ligaments

DESCRIPTION: The medial collateral ligament (MCL) is the most commonly injured ligament in
the knee. Like all ligaments, this ligament may be sprained or torn. A sprained ligament may
be partially ruptured. A torn ligament is completely ruptured.

SYMPTOMS AND SIGNS: Severe MCL sprains or tears often produce a tearing or ripping
sensation along the inner joint line of the knee. You may also notice knee instability and
swelling. A force from the outer (lateral) knee to the inner (medial) knee is typically respon-

11
sible for this injury in contrast to the more rarely injured LCL, which is typically a result of
an inner to outer force. In general, bruises occur at the point of impact. Sprained and torn
ligaments occur opposite the point of impact. Both MCL and LCL injuries are common in con-
tact sports but can also result from twisting the knee with a planted foot such as in skiing.
Injured medial and lateral collateral ligaments are typically tender at the inner and outer
knee respectively.

EVALUATION: After a medical history and physical examination, conservative treatment with
rest, application of cold packs, and elevation of the involved extremity is often recommend-
ed. With persisting symptoms, the doctor may suggest an MRI scan or arthroscopy to fur-
ther evaluate an injured ligament.

Sprained and torn cruciate ligaments

DESCRIPTION: An anterior cruciate ligament (ACL) injury is a common sports injury general-
ly caused by a hard stop or a violent twisting of the knee. The posterior cruciate ligament
(PCL) is stronger than the ACL and much less commonly torn. The PCL requires strong
forces to tear, such as those produced in car accidents, when the dashboard strikes the
knee to tear. Due to these severe forces, PCL injury is often associated with other liga-
ment and bone injuries.

SYMPTOMS AND SIGNS: If you tear your ACL, you may hear a pop. You will also notice your
knee give way or become unstable and feel pain. This will almost always be followed by
noticeable knee swelling over the next couple of hours, because the ACL bleeds briskly
when torn.

TREATMENT: Surgical repair is recommended for athletes who require return to competition.
Conservative treatment and knee braces may prove sufficient for those who do not de-
mand quite so much from their knees.

Tendon ruptures
DESCRIPTION: Both the quadriceps and patellar tendons may rupture partially or complete-
ly. Quadriceps tendon rupture typically occurs in recreational athletes older than 40 years
(this is the injury President Clinton suffered while jogging), and patellar tendon rupture typ-
ically occurs in younger people who have had previous tendonitis or steroid injections into
the knee.

SYMPTOMS AND SIGNS: Rupture of either the quadriceps or patellar tendon causes pain
(especially when trying to kick or extend the knee). Those people with complete ruptures are
unable to extend the knee. The patella is also often out of place either upward (with patel-

12
lar tendon rupture) or downward (with quadriceps tendon rupture). The patient can usually
notice a difference in appearance when comparing his/her knees.

TREATMENT: Tendon ruptures should be evaluated urgently. Tendon ruptures generally re-
quire surgical repair. A partial rupture may be treated with splinting alone.

Meniscal injuries
DESCRIPTION: njuries to the meniscus are typically traumatic injuries but can also be due to
overuse. Often, a piece of the meniscus will tear off and float in the knee joint.

SYMPTOMS AND SIGNS: Meniscal injuries may cause the knee to lock in a particular position
or either click or grind through its range of motion. Meniscal injuries may also cause the knee
to give way. Swelling typically accompanies these symptoms although the swelling is much
less severe than with an ACL injury.

TREATMENT: Meniscal injuries often require arthroscopic surgical repair. A locking knee or
a knee that “gives” should be evaluated for arthroscopic repair.

Knee dislocation
DESCRIPTION: Dislocation of the knee is a true limb-threatening emergency. This is also
a rare injury. Dislocation of the knee is caused by a particularly powerful blow to the knee.
The lower leg becomes completely displaced with relation to the upper leg. This displace-
ment stretches and frequently tears not only the ligaments of the knee but also arteries
and nerves. Untreated arterial injuries leave the lower leg without blood supply. In this case,
amputation may be required. Nerve injuries, on the other hand, may leave the lower leg via-
ble, but without strength or sensation.

This injury can be due to a motor vehicle accident where the patient’s knee or leg hits the
dashboard.

SYMPTOMS AND SIGNS: Knee dislocations are severely painful and produce an obvious
deformity of the knee. Many dislocations are reduced or put back into anatomic alignment
spontaneously. As this occurs, many will report feeling a dull clunk.

TREATMENT: If the knee dislocation has not been put back into place (reduced), the doc-
tor will immediately reduce the dislocation. Medical treatment, however, does not stop
here. Whether a dislocation reduces by itself or is put back into place in the hospital,
it requires further evaluation and care. After reduction, people with these injuries are ob-
served in the hospital, where they usually do a number of tests to ensure that no arterial
or nerve injury has occurred. If such an injury is found, it must be repaired immediately
in the operating room.

13
Dislocated kneecap
(patella)
DESCRIPTION: A common injury caused by
direct trauma or forceful straightening of the
leg, such as an injury that happens when serv-
ing in volleyball or tennis. Patellar dislocation
is more common in women, the obese, knock-
kneed people, and in those with high-riding
kneecaps.

SYMPTOMS AND SIGNS: If you have this injury,

you will notice the patella being out of place
and may have difficulty flexing or extending
your knee.

TREATMENT: The doctor will pop the patella

back into place (reduce the dislocation). Even if
the patella goes back into place by itself, how-
ever, it needs to be X-rayed for a fracture.

ARTHRITIS

Arthritis of the knee is an inflammatory disorder of the knee joint that is often painful. Arth-
ritis has many causes:

Osteoarthritis
DESCRIPTION: Osteoarthritis is caused by degeneration of cartilage in the knee. In its extre-
me form, the menisci (cartilage) will be completely eroded, and the femur will rub on the tibia,
bone on bone.

SYMPTOMS AND SIGNS: Osteoarthritis (OA) causes a chronically painful knee that is often
more painful with activity. It can be stiff with prolonged sitting and may become enlarged
from new bone formation at the edge of the degenerated cartilage.

TREATMENT: Treatment is aimed at pain control with over-the-counter pain relievers. Anti-
inflammatory medications, either over the counter, or by your doctor’s prescription, are also
quite helpful. Knee bracing can be beneficial for more mobile patients.

14
Rheumatoid arthritis
DESCRIPTION: Rheumatoid arthritis (RA) is a disease of the whole body that affects many
joints, often including the knee. People with this disease commonly have family members
who suffer from it as well.

SYMPTOMS AND SIGNS: In addition to knee pain, rheumatoid arthritis may produce mor-
ning stiffness and pain in other joints. The knee can be warm to the touch and swollen.

TREATMENT: Medical therapy includes pain medications, anti-inflammatory medications, and

prescription drugs. (These drugs either try to slow the progression of the disease or try to
suppress the immune system or decrease inflammation). Your health care professional will
need to evaluate which one of these medications is best suited for you.

PROGNOSIS: It is essential that patients with rheumatoid arthritis be evaluated and treated
aggressively early for best outcomes. This generally will include a thorough evaluation by
a rheumatologist.

Crystalline arthritis (gout and pseudogout)

DESCRIPTION: These severely painful forms of arthritis are caused by crystals that form in
the knee and other joints. These crystals can result from defects in the absorption or me-
tabolism of various natural substances such as uric acid (which produces gout) and calcium
pyrophosphate (pseudogout).

SYMPTOMS AND SIGNS: Gout and pseudogout cause a rapid-onset, markedly inflamed knee
joint. The knee can be exquisitely painful, swollen, and warm with loss of range of motion.

TREATMENT: Medical treatment is aimed at controlling inflammation with anti-inflammatory

medications and at aiding the metabolism of the various chemicals that may lead to crystal
formation. Alcohol should be avoided and gout-specific dietary changes can be successful
in avoiding flare-ups.

Bursitis
DESCRIPTION: As a result of trauma, infection, or crystalline deposits, the various bursae of
the knee may become inflamed.

SYMPTOMS AND SIGNS: Acute or chronic trauma causes a painful and often swollen knee
from the inflammation of the bursae. A particularly common bursitis is prepatellar bursitis.
This type of bursitis occurs in people who work on their knees. It is often referred to as
housemaid’s knee or carpet layer’s knee. Another type of bursitis is anserine bursitis. The
anserine bursa is located about 2 inches below the knee along the medial side of the knee.
Though it occurs more commonly in overweight people and in women, it also affects athle-

15
tes and others. Anserine bursitis often causes pain in the region of the bursa and often
gets worse with bending the knee or at night while sleeping.

TREATMENT: Medical therapy will usually include home care with PRICE therapy and NSAIDs.
Severe forms, however, can be treated with periodic steroid injections into the bursae.

PROGNOSIS: With optimal treatment and management, patients generally do very well.

Cartilage to begin Bone erosion

breaking down

Swollen
Cartilage
inflamed
remnants
synovial
membrane
Eroding
meniscus
Cartilage
wears away
Narrowed
joint space

Bone spurs Bony ankylosis

Osteoarthritis Rheumatoid arthritis

16
CAYENNE PEPPER
AND ARTHRITIS
RELIEF

Most arthritis sufferers turn to their

medicine cabinet to seek relief. A med-
ical professional typically offers this
suggestion. If you suffer from arthritis,
your physician does have your best in-
terest at heart. They truly believe over-the-counter or prescribed pain medication is best for
you. While this may be true in some cases, many natural remedies relieve pain too. One of
them is cayenne pepper, also known simply as red chili pepper. As great as it is to hear that
some individuals are able to seek arthritis pain relief from red chili peppers, you likely have
many questions. What type of red pepper? What form should I opt for? How much should
I consume? Do I eat it or apply it to the skin, and how often? If you have any of these questions,
please continue reading for answers.

Cayenne pepper is available in many different forms, including capsules, oil, creams, and pep-
per. Where you purchase yours will depend on the remedy selected. For example, if you wish
to try a topical cream, head to the drug store. If you wish to increase your cayenne pepper
intake naturally, head to your local supermarket or organic food store.

Cayenne Pepper Remedy #1

Mix a small amount of red pepper with a small amount of castor oil. Use a paper towel or
cloth to soak in the mixture. Apply the damp paper towel or cloth to the painful area. Some
recommend applying and leaving on overnight. Castor oil has many health benefits, al-
though it is not right for everyone. Try this home remedy for a couple of hours during the
day first. If you notice a decrease in pain with no adverse reaction, aim for overnight relief.

Cayenne Pepper Remedy #2

Purchase the cayenne pepper spice (the dry mixture) and add to your food. If you have diges-
tive problems, you may notice a few complications at first. For many, their body needs to adjust
to the pepper, as it can be difficult to digest. Start slow, like with 1/8 tablespoon. Overtime, work
your way towards two teaspoons a day. You can distribute this dosage over several meals. Red
pepper can be added to most foods.

Cayenne Pepper Remedy #3

Purchase hot sauce that is made from cayenne pepper. The hot sauce label should state
the main ingredient is “aged cayennes”.

Apply to the painful areas of your body at least two times a day. Many report this home
remedy does work, but beware of stained clothes.

17
Cayenne Pepper Remedy #4
Purchase an over-the-counter topical cream with capsaicin as the main ingredient. This is an
alternative to using the above mentioned hot sauce. Many creams contain capsaicin, which
is derived from cayenne pepper. If on a budget, try the above mentioned hot sauce remedy
first. If it does not work, try this alternative.

As with any natural and home remedy, it is important to consider risks and speak with a trust-
ed medical professional. The active ingredient in cayenne pepper is capsaicin. It can interact
with a number of drugs, including acid reducers, aspirin, blood thinners, and ACE inhibitors.
If taking these medications, hold off. First, speak to your primary care physician or a pharmacist.
He or she can inform you of the dangers or the risks of mixing with your current medications.

With all natural and home remedies, it is important to remember variance. Our bodies process
food differently. Cayenne pepper may provide relief for some, but not others. It is best to ex-
periment to find the best pepper remedy and dosage.

CONSIDER MORE NATURAL WAYS

TO SEEK RELIEF FROM ARTHRITIS

Foods That Can Help Arthritis Sufferers

Do you suffer from arthritis? So, what should you do? Consider more natural ways to seek
relief. In fact, start in your kitchen. Although there are no guarantees, many arthritis patients
see success by incorporating certain foods into their diets.

What type of foods may help those, like you, suffering from arthritis?

Pineapple. Pineapple is recommended for arthritis because it contains a chemical called Bro-
melain. Many claim this helps to prevent inflammation. In fact, some athletic trainers recom-
mend its consumption to keep joints
pain free and flexible. As with any oth-
er health foods, it is best to consume
fresh instead of canned or frozen.

Oily fish. Those suffering from rheuma-

toid arthritis are often encouraged to
avoid meat. Meat contains fatty acids
that are known to produce inflamma-
tion agents in the body. The only ex-
ception to this is fish. Oily fish, such as

18
mackerel and salmon, are rich in omega-3 fatty acids. These acids have many health benefits.
They inhibit the release of joint destroying chemicals and compounds. Supplements can be
bought in most retail stores, but it is best to get these oils directly from the source.

Celery. The celery plant contains many different anti-inflammatory agents. These can lessen
the suffering of arthritis pain and discomfort. It is best to eat the celery seeds. Most recom-
mend placing up to one teaspoon of celery seeds into a cup with warm, but not boiling water.
Let stand for a few minutes and drink. This can provide almost instant relief during an attack.
The celery plant as a whole contains anti-inflammatory agents; so eating fresh celery regu-
larly has benefits too.

Red chili pepper. Red pepper, also known as cayenne pepper, can help relieve the joint pain
associated with most types of arthritis. You may be amazed at how this is done. Many claim
the pepper causes the release of natural endorphins. Essentially, your body itself stops the
pain. Not only should patients consume red chili pepper, but a topical mixture works too. Many
recommend mixing up to one quart of rubbing alcohol with once ounce of cayenne pepper.
It is important to note that this mixture is to be applied to the skin during bouts of pain. Under
no circumstances should you drink the mixture due to the rubbing alcohol.

Sesame seeds. The Chinese have long believed and used sesame seeds to combat the in-
flammation caused by arthritis. As with oil, sesame seeds contain healthy fatty acids. For the
best results, eat sesame seeds straight. If you dislike taste or texture, opt for incorporating
them into your meals. Eat sesame rolls and use them to prepare dinner at home. They can be
added to most foods.

Ginger. Ginger is well-known and widely used to fight inflammation. Most commonly used as
a cooking spice, it has many health benefits. In addition to reducing inflammation, it assists
in treating diarrhea and nausea. Available in spice form, it can and should be sprinkled atop
cooked vegetables and other foods. As with omega-3 fatty acids, it is best to go directly to
the source. Fresh ginger is easy to peel and cook. It can be wrapped in a towel, bagged, and
freezed for months. It is also an ingredient of the non-carbonated ginger ale drink.

Raw cabbage. Although not as well-known and as popular as the above mentioned foods,
many also claim raw cabbage assists with arthritis relief. Some recommend the regular con-
sumption of raw cabbage or cabbage juice. They claim this relieves both joint pain and
swelling.

The above mentioned foods may assist those suffering from arthritis. Unfortunately,
there are no guarantees. Our bodies each process food in different ways. For example, celery
can work to reduce joint pain in one individual, but it may actually trigger additional pain in
another. In fact, some forms of rheumatoid arthritis are triggered by certain foods. For that
reason, be prepared to experiment. Trial and error can help you determine which foods are
best at relieving your own, unique pain.

19
OSTEOARTHRITIS IN THE KNEES:
10 PAIN RELIEF OPTIONS

Do you suffer from osteoarthritis in the knees? If so, you

know pain and you know it well. Luckily, your suffering does
not have to be constant or last for long. There are many
ways to seek relief. In fact, just ten of your options are out-
lined below. These particular options were selected due to
ease and practicality – just about anyone can seek relief
with these methods.

OVER-THE-COUNTER PAIN RELIEVERS

1.
There are plenty of over-the-counter alternatives.
Look for a drug that is both affordable and effective. If you
have had good experiences with ibuprofen, for example,
test the medication against arthritis complaints.

TOPICAL ARTHRITIS CREAMS

2.
For instant arthritis pain relief, it is best to go directly to the source. Topical arthritis
creams enable you to do so. You apply the cream directly to the hurtful joints. At first, you
may notice a slight tingle or sting, but then comes the relief. This relief usually lasts as long
as over-the-counter pain relief pills.

When examining the active ingredients in over-the-counter arthritis creams, you are likely to
find capsaicin. This ingredient is also found in cayenne pepper. Many not only recommend
a capsaicin cream, but adding the pepper spice to foods for flavor and health benefits.

PRESCRIBED MEDICATION
3.
Many times, physicians only write prescriptions for severe pain. This is pain that
cannot be treated with over-the-counter products. Opioids are prescription pain relievers,
but there is a risk of addiction or problems from improper use. If your doctor deems you
a responsible and low-risk taker, codeine, hydrocodone, or oxycodone may be prescribed.

HEAT
4.
For most people, heat provides pain relief. So, give it a try. Draw a warm bath, use
a warm washcloth, or purchase a heating pad. As always, caution is advised to prevent
burns. Although most individuals benefit from heat, some do better with cold. Some medical
professionals, according to Arthritis Today, recommend alternating between the two.

20
 EXERCISE
5.
To reduce joint pain, proper muscle strength is needed. With strong muscles, you are
able to rely on them and use them more effectively. This puts less pressure on achy knees.
In fact, strong muscles give the joints extra protection and cushion. Therefore, exercise is ad-
vised. If it is painful to work out, start out slow with low-impact exercises. For some, stretching
and light walking is enough. If still too painful, consider low-impact water exercises.

PHYSICAL THERAPY
6.
As previously stated, some osteoarthritis patients may find it too painful to exer-
cise. Your goal is to avoid and prevent pain, so why do something that causes it? Exercise
has long-term health benefits. Not only does it promote an overall healthy body, but it does
provide the joints protection through increased muscle strength. You can exercise at home,
but physical therapy is good. In some cases, this gives you easy access to water exercises.
You can also learn safe low-impact exercises to do at home.

WEIGHT LOSS
7.
Not all patients suffering from osteoarthritis are overweight, but those who are in-
crease the risk of pain. The more weight one carries around, the more pressure is applied to
the knees. If you can lose weight without compromising your health, do so. The best way to
lose weight is to combine exercise with healthy eating.

KNEE BRACES
8.
Those who suffer from osteoarthritis in the knees are more likely to experience walk-
ing troubles. It can be painful to walk from one room to another, let alone to leave the
house. A knee compression sleeve can provide support and stability. A proper fitting knee
compression sleeve not only makes it easier to walk, but less painful too! Knee braces are
available for sale at most health and drugstores, but talk to your physician first.

WALKING AIDS
9.
Those with mild osteoarthritis in the knees can benefit from a cane. Those with se-
vere osteoarthritis in the knees may need crutches. As previously stated, walking is difficult
with arthritis in the knees. It is painful and there is an increased risk of falls, due to instability.
Canes or crutches can provide support.

A STRONG SUPPORT SYSTEM

10.
Many arthritis patients believe they reach the point of no return. This is when the
pain is so unbearable, it seem as if nothing will work. Those individuals are more likely to
suffer in silence than seek treatment. If you are one of those or if you just need a push to
lose weight or to exercise, a strong support system is vital. For many, talking about their
pain helps to ease it. Ensure you have someone at home to discuss your arthritis with or
find local support groups.

21
SEEK ARTHRITIS RELIEF WITH APPLE CIDER VINEGAR

Do you suffer from arthritis? Are you tired of the aches, pains, difficulty moving, and trouble
sleeping? Your physician will recommend pain relievers and exercise. Yes, these do help, but
you may also want to try something new. If and when you reach that point, turn to apple cider
vinegar. For many years, arthritis patients, just like you, have claimed it relieved their pain and
discomfort. As nice as it is to know that apple cider vinegar can give you arthritis relief, you
may be looking for more information on this natural remedy.

What type of apple cider vinegar? How much of it? Should you drink it?

Apple cider vinegar is made from apple must and cider. The apples are crushed and the liquid
is squeezed out. Later, yeast and sugar are added. This starts the fermentation process. The
alcohol is later converted into vinegar. Your best bet is to purchase from a health and nutri-
tion or organic food store. With that said, apple cider vinegar is available for sale at many retail
stores, both on- and offline.

When buying apple cider vinegar to relieve the pain and discomfort associated with arthritis,
opt for the fresh kind. It is found in most health and nutrition stores. When looking at the
package, you should see sediments at the bottom. This is natural apple cider. Yes, the kind
sold at the grocery store does look more enticing, but it has been altered and strained, losing
some of its helpful properties.

Apple Cider Vinegar Remedy #1

Combine up to three tablespoons of the vinegar in a large cup with water. If you cannot
stomach the taste, add a few drops of honey. You can do this anytime throughout the day,
but most recommend before bed. Some recommend drinking the mixture two to three times
a day.

Apple Cider Vinegar Remedy #2

Combine ¼ cup of apple cider with one to two cups of warm water.
Place the combination in a bowl and soak the achy joints. For
example, if it is your fingers or toes that hurt, soak them.
Do so for at least ten minutes.

Apple Cider Vinegar Remedy #3

Combine ¼ cup of apple cider vinegar with one to
two cups of warm water. This is a variation of rem-
edy #2. If your achy joints are too large to soak, put
a cloth in the bowl. Let it soak up the mixture, wring
to prevent dripping, and apply to the achy area.
Keep the wrap on for at least ten minutes.

22
Apple cider vinegar is full of acid. For that reason, never drink it straight. Always mix with
water. This should not be a problem, as most people are unable to stomach the sour taste
anyways. Like most natural supplements, it is also available in form of capsules. You can
take these, but it is best to opt for the real thing. You receive added health benefits and get
a better value for your money.

Now that you have three different apple cider vinegar remedies, you may wonder what ex-
actly they can do for you. As previously stated, results will vary. With that said, most noticed
a decrease in or even elimination of pain. Users also noticed an increased mobility. So, not
only was it less painful to move around, but easier too!

PREVENTION OF KNEE PAIN

Knee pain has a host of causes. Many types of pain are dif-
ficult to prevent, but you can take some general precau-
tions to reduce the likelihood of sustaining a knee injury.

Stay slim
Staying slim reduces the forces placed on the knee dur-
ing both athletics and everyday walking and, according
to some medical research, may reduce osteoarthritis.

Keeping your weight down may also reduce the num-

ber of ligament and tendon injuries for similar reasons.

Keep limber, keep fit

Many knee problems are due to tight or imbalanced mus-
culature. Therefore, stretching and strengthening also
helps to prevent knee pain.

Stretching protects your knee from becoming too tight and

aids in preventing both patellofemoral syndrome and ilioti-
bial band syndrome. Strengthening exercises particularly of
the quadriceps (straight leg raises and leg extensions are two
excellent exercises, but please see a book on exercise and training for more) can help prevent
knee injury.

Exercise wisely
If you have chronic knee pain, consider swimming or water exercises. In water, the force of
buoyancy supports some of our weight so our knees do not have to. If you don’t have access
to a pool or do not enjoy water activities, at least try to limit hard pounding and twisting activ-
ities such as basketball, tennis, or jogging.

23
You may find that your aching knees will act up if you play basketball or tennis every day but
will not if you limit your pounding sports to twice a week. Whatever you do, respect and listen
to your body. If it hurts, change what you are doing. If you are fatigued, consider stopping –
many injuries occur when people are tired.

Protect the knee

Wearing proper protection for the activity at hand can help avoid knee injuries. When playing
volleyball or when laying carpet, protecting your knees may include knee pads.

When driving, knee protection may include wearing a seat belt to avoid the knee-versus-dash-
board injuries as well as injuries to other parts of your body.

COMMON KNEE INJURIES

The knee is one of the joints most prone to injury.

Its structure and many components put it at risk
of many types of injuries, which can result in knee
pain or loss of function.

Sometimes a knee injury happens suddenly as

a result of the knee being hit, fallen on, twisted or
moved beyond its intended range of motion. Sud-
den knee injuries are common among athletes and
may result in tearing of one of the three major liga-
ments of the knee – the anterior cruciate ligament (ACL),
medial collateral ligament (MCL) or posterior cruciate ligament
(PCL) – or the menisci, crescent-shaped wedges of cartilage within
the knee designed to distribute your body weight across the joint.

At other times, knee injuries happen slowly. For example, a problem such as a leg-length
discrepancy or arthritis in the hip that causes you to walk awkwardly can throw off the
alignment of the knee, leading to damage. Constant stress to the knee – from sports or
jobs that require bending and lifting, for example – can cause joint cartilage to wear down
over time.

24
The following are some of the more common knee injuries:

Meniscal Injuries
Menisci can be torn when the knee is bent and then twisted, such as turning to hit a tennis
ball. If the outside of the knee is hit, during contact sports, for example, the ligaments can be
torn as well. Meniscal injuries that are not repaired increase the risk of developing osteoar-
thritis years later.

Anterior Cruciate Ligament and Posterior Cruciate Ligament Injuries

A sudden twisting motion or change in direction can lead to injury of the anterior cruciate
ligament, whereas the posterior cruciate ligament is more likely to be damaged from direct
impact, such as being tackled in football. Medial cruciate ligament injuries are often the result
of a direct blow to the outside of the knee. The anterior cruciate ligament is the ligament most
commonly injured.

Tendon Injuries
Ranging from inflammation (tendinitis) to ruptures, tendon injuries can be a result of over-
working or overstretching your tendon. Activities that can injure tendons include running,
jumping, dancing and squatting, especially lifting heavy items.

Bursitis
Some injuries to the knee can lead to inflammation of the bursae, small fluid-filled sacs that
normally cushion the knee and reduce friction between the joint and surrounding ligaments
and tendons. Injury to bursa can lead to swelling, warmth, pain and stiffness.

Loose bodies
Sometimes an injury to the knee can cause a piece or multiple pieces of bone or joint cartilage
to break off into the joint space. These loose bodies may interfere with joint movement and
cause pain.

Osgood-Schlatter disease
Usually affecting preteen and young teenage boys, this condition is caused by repetitive
stress on the upper area of the tibia, where the bone is growing. In children with this condi-
tion, the patellar tendon (which connects the knee cap and tibia) becomes inflamed and may
even tear away from the tibia.

Dislocated kneecap
This occurs when an injury causes the patella, or kneecap, to move out of position. The move-
ment of the kneecap is always visible and, often, intensely painful.

Iliotibial band syndrome

This syndrome occurs when a band of tissue rubs against the outer portion of your femur
(thigh bone), causing sharp, burning pain on the outer side of the knee. Although this can
result from a direct injury to the knee, often the cause is the stress of long-term overuse, such
as long-distance running.

Plica syndrome
This condition occurs when bands of synovial tissue, called plica, are irritated by overuse
or injury. Symptoms may include knee pain, swelling, locking and weakness.

25
11 KNEE PAIN DOS AND DON’TS

There are many things you can do to relieve knee pain, whether it’s due to a recent injury or
arthritis you’ve had for years.

Follow these 11 dos and don’ts to help your knees feel their best.

Don’t rest too much. Too much rest can weaken your muscles, which can worsen
1.
joint pain. Find an exercise program that is safe for your knees and stick with it.
If you’re not sure which motions are safe or how much you can do, talk with your doctor or
a physical therapist.

Do exercise. Cardio exercises strengthen the muscles that support your knee and
2.
increase flexibility. Weight training and stretching do, too. For cardio, some good
choices include walking, swimming and water aerobics, stationary cycling and elliptical ma-
chines. Tai chi may also help ease stiffness and improve balance.

Don’t risk a fall. A painful or unstable knee can make a fall more likely, which can
3.
cause further knee damage. Curb your risk of falling by making sure your home is well
lit, using handrails on staircases, and using a sturdy ladder or foot stool if you need to reach
something from a high shelf.

26
 Do use “RICE”. Rest, ice, compression, and elevation (RICE) is good for knee pain
4.
caused by a minor injury or an arthritis flare. Give your knee some rest, apply ice to
reduce swelling, wear a compressive bandage, and keep your knee elevated.

Don’t overlook your weight. If you’re overweight, losing weight reduces the stress
5.
on your knee. You don’t even need to reach to your “ideal” weight. Smaller changes
still make a difference.

Don’t be shy about using a walking aid. A crutch or cane can take the stress off
6.
your knee. Knee splints and braces can also help you stay stable.

Do consider acupuncture. This form of traditional Chinese medicine, which involves

7.
inserting fine needles at certain points into the body, is widely used to relieve many
types of pain and may be useful for knee pain.

Don’t let your shoes make matters worse. Cushioned insoles can reduce stress
8.
on your knees. For knee osteoarthritis, doctors often recommend special insoles that
you put into your shoes. To find the appropriate insole, speak with your doctor or a physical
therapist.

Do play with temperature. For the first 48 to 72 hours after a knee injury, use a cold
9.
pack to ease swelling and numb the pain.

A plastic bag of ice or frozen peas works well. Use it for 15 to 20 minutes three or four times
a day. Wrap your ice pack in a towel to be kind to your skin. After that, you can heat things up
with a warm bath, heating pad, or warm towel for 15 to 20 minutes, three or four times a day.

Don’t jar your joint(s). High-impact exercises can further injure painful knees. Avoid
10.
jarring exercises such as running, jumping, and kickboxing. Also avoid doing exercis-
es such as lunges and deep squats that put a lot of stress on your knees. These can wors-
en pain and, if not done correctly, cause injury.

Do get expert advice. If your knee pain is new, get a doctor to check it out. It’s best
11.
to know what you’re dealing with ASAP, so you can prevent any further damage.

27
KNEE EXERCISE PROGRAM

1. ANKLE ABC’s:
Using the big toe as an imaginary pencil, write the letters of the alphabet moving only the
ankle and foot. Try to make the letters as large as possible. Repeat as often as possible throughout
the day.

2. PATELLA MOBILIZATION:
With leg straight and muscles relaxed, place two fingers on either side of the kneecap and
gently move kneecap side-to-side for 1 - 2 minutes. Repeat, moving the kneecap up and down
for 1 - 2 minutes. Repeat as often as possible.

3.
HEEL SLIDES:
While sitting on a smooth surface, pull heel of injured
leg toward buttocks, flexing knee as much as tolerable. Hold
and straighten leg by sliding heel downward. Use hands to
put pressure on leg above kneecap, trying to make the knee
as straight as possible. Repeat 30 times, 2 - 3 times daily.

4. PASSIVE KNEE FLEXION:

While seated in a chair or on a table, gently push
involved foot back as far as tolerable with opposite leg.
Hold for 5 seconds and slowly relax. Repeat 30 times,
2 - 3 times daily.

5.
QUAD SETS:
With leg as straight as possible, tighten thigh muscles, trying to pull kneecap toward hip.
Hold for 10 seconds contracting the muscles as tight as possible. Relax and rest 2 seconds.
Repeat as often as possible.

6.
HAMSTRING STRETCH:
While seated with legs straight and heels resting on
a book or rolled up towel, slowly lean over involved leg
touching toes with hands and nose to knee. Hold for 10 - 30
seconds and slowly return to start position. DO NOT BOUNCE!
Repeat as often as possible.

7.
PROGRESSIVE RESISTANCE EXERCISE (PRE):
Begin all PRE’s doing 3 sets of 10 repetitions. Upon completion of 3x10 with little difficulty,
progress to 3x15 for the next session, then 3x20. When 3x20 can be completed with little difficulty,
add 1 - 2 lbs. of resistance and return to 3x10. Work back up to 3x20, add another 1 - 2 lbs, and
repeat cycle.

8.
STRAIGHT LEG RAISES (SLR) — SUPINE:
While lying on back or sitting with hips flexed less than
90 degrees, flex ankle to 90 degrees. Tighten thigh muscles
and raise leg upward, keeping knee straight. Lift leg 12” - 18”
off of floor and hold 1 second. Slowly lower leg to floor. Repeat
and progress as detailed under exercise 7.

28
 STRAIGHT LEG RAISES — ABDUCTION:
9.
Repeat process used for Supine SLR while
lying on uninvolved side and raise injured leg 10 - 18”
off floor. Repeat and progress as detailed under
exercise 7.

10.
STRAIGHT LEG RAISES — ADDUCTION:
Repeat process used for Supine SLR while lying
on involved side and raise injured leg 6 - 12” off floor.
Repeat and progress as detailed under exercise 7.

11. STRAIGHT LEG RAISES — PRONE:

Repeat process used for Supine SLR while
lying on stomach and raise injured leg 6-12” off floor.
Repeat and progress as detailed under exercise 7.

12. PRONE FLEXION:

Lay on stomach and flex knee, bringing heel
toward buttocks. Hold and slowly lower leg. Repeat
and progress as detailed under exercise 7.

13. STANDING FLEXION:

Standing, using an object for balance, flex
knee, bringing heel up to buttocks. Keep thighs
parallel. Hold and slowly lower leg. Repeat and
progress as detailed under exercise 7.
45˚

45˚

14. SEATED EXTENSION: 45˚

In sitting position, slowly extend lower leg until 45˚

straight. Hold, contracting thigh muscles as tight as
possible, and slowly lower. Repeat and progress as
detailed under exercise 7. 45˚

15.
90 - 45 DEGREE EXTENSION:
In sitting position, slowly extend lower leg to
a 45 degree angle. This can be seen when the shin
is in line with the kneecap. Hold and slowly lower leg.
Repeat and progress as detailed under exercise 7.
45˚ 45˚

29
 45˚

SEATED CORD EXTENSION:

16.
In sitting position with sport cord placed under ball
of involved foot, extend knee against cord pushing down
and away, to -5 degree of full extension. Repeat 3x10,
3x15, 3x20, then progress by increasing 45cord
˚ density and
returning to 3x10.

HIP FLEXION:
17.
Sit on edge of firm surface with feet resting on
floor. Lift involved knee toward chest, while keeping knee
comfortably bent. Hold and slowly lower. Repeat and
progress as detailed under exercise 7.

18. TERMINAL KNEE EXTENSION:

Place a coffee or paint can under involved knee,
allowing knee to bend about 30 degrees. Slowly extend
lower leg until it is straight and contract thigh muscles as
tight as possible for 3 seconds. Slowly lower heel to floor.
Repeat and progress as detailed under exercise 7.

19. STANDING TERMINAL KNEE EXTENSION:

While standing with sport cord placed just above
the joint line on back of involved knee. Slowly straighten
knee (without locking knee) against sport cord. Repeat and
progress as detailed under exercise 7.

PARTIAL SQUATS:
20.
Standing with feet shoulder width apart and toes pointing slightly
outward, bend knees and slowly squat down. Maintain upright posture and
do not allow thighs to go below parallel to floor. Hold and slowly return to start
position and repeat. Progress by increasing reps to 3x20, then begin one-leg
squats.

21.
SPORT CORD SQUATS:
Stand with heels on sport cord. Squat down and grasp sport cord
handles, stretching cord snugly. Slowly stand erect pulling on cord. Slowly
return to squat position against cord. Repeat as directed and progress as
for Seated Cord Extensions (#16).

30
 22.
ONE-LEG SQUATS:
Using chair or table for balance assistance, slowly
squat down on involved leg as far as possible – not exceeding
90 degrees of knee flexion. Then slowly raise up to start
position and repeat as directed.

23.
SIDE STEP-UPS:
Stand sideways with involved leg next to 3 - 6”
step. Place involved foot on step and slowly lift body
weight with involved leg. Slowly lower body back to
start position, gently touching heel on ground, then
repeat by slowly lifting body with involved leg. Repeat
as by increasing repetitions for 3x10 to 3x15 to 3x20,
increase step height 2 - 3” and begin with 3x10 reps,
increasing to 3x20.

24. FRONT STEP-UPS:

Stand directly behind 4 - 6” step or box. Step
up on box with involved leg followed by uninvolved
leg. Step back down with involved leg followed by
uninvolved leg. Repeat as directed, increasing reps and
box height as directed in Side Step-Ups (#23).

25.
BALL SQUEEZE:
Seated on edge of chair, place an 8 - 10” rubber
ball between knees. Slowly contract inner thigh muscles,
squeezing ball as tightly as possible, hold for 5 - 10
seconds. Relax and repeat as directed.

26.
HEEL RAISES:
Stand with feet shoulder width apart and toes
pointed forward. Raise up on toes, lifting heels off floor as
high as possible. Hold for one second and slowly lower to
start position. Progress by increasing reps, placing balls of
feet on 2 - 4” board (elevated), then progressing to one-
leg calf/heel raises.

31
 27.
CHAIR WALK:
Sit on a rolling chair or stool. Reach out in front
of body as far as possible with involved heel. Slowly
pull body and chair toward heel and repeat with
opposite leg. Fully extend leg on each cycle and
DO NOT EXCEED 90 DEGREES OF KNEE FLEXION.
Repeat as directed.

28.
SLIDE BOARD:
Begin at one end of slide board with
knees bent and one foot pressed against
block. Maintaining a squatting position, use
outside leg to push body sideways across
board, sliding to opposite side. Bring both feet
together when opposite block is reached
and repeat.

29.
STATIONARY BICYCLING:
Adjust seat height so that legs are almost straight
at the bottom pedal position. Tension should provide low
to moderate resistance. Ride for 10 - 20 minutes. Progress
by lowering seat height as tolerable and increasing
resistance and time.

30.
SWIMMING/RUNNING/STAIRCLIMBER:
These activities may be beneficial to your knee rehabilitation. Please consult your therapist
or doctor to determine if these forms of exercise are recommended for your condition.

31.
ICE:
Apply ice to the involved area before and after exercise to reduce swelling, pain, and reduce
the chances of aggravating the condition. Ice massage is preferable if there are no open wounds.
Massage the affected area with ice cup until it becomes numb, this may take between 4 to 10
minutes. Ice bags may be used when placed over a wash cloth, and the treatment time
is 15 - 20 minutes.

32
UNSERE HELFER FÜRS KNIE

In the following, you will find out how your purchase and other bonmedico products support
you in everyday life and what you have to pay attention to when using them.

Bonmedico Gensano
Knee Brace

The Gensano knee brace stabilises your knee joint,

supports overused muscles and provides relief for knee
pain. Our knee support is made using a brand new flat
knit process. The flexible material ensures effective
compression and a perfect fit.

The slip bandage stabilises the knee and reduces pain

caused by incorrect movement and stress. The band-
age supports your knee joint both during sport and in
everyday life and can be worn comfortably under cloth-
ing thanks to the lightweight, breathable knitted fabric.
If the doctor prescribes protection, the knee brace com-
plements the therapeutic process and compensates
for existing damage.

The material is free from neoprene and absorbs mois-

ture and dries very quickly. The support stocking is par-
ticularly soft at the back of the knee. A silicone support
ring and integrated stabilising bars provide additional
support in the joint area. Putting this unisex knee sup-
port on and taking it off is extremely easy. Please read
the following information to find out how your purchase
and other bonmedico products can support you in
everyday life and for guidance on using it.

33
Bonmedico Kenu
Knee Support

Kenu provides stability and relief – not only when you are
active but in your everyday life. Compression prevents
pain in the knee and relieves the muscles. The knee brace
helps relieve knee pain and prevent stress. It will also com-
pensate for existing damage.

The bandage is made from a special compression knit and

is tight without constricting the knee. It adapts flexibly to
your movements. The material is particularly elastic at the
knee joint, allowing you tob end your knee. The functional
silicone ring provides support and stabilises your joints.
The integrated aid for putting the bandage on and taking
it off makes the Kenu particularly easy to use.

The breathable mix of material containing no neoprene

ensures your comfort: The bandage dries quickly, absorbs
moisture and releases it in a controlled manner. The unisex knee support can be worn on
either leg and, thanks to the lightweight material, can be worn inconspicuously underneath
your trousers as well as for jogging.

Bonmedico
Knee Cushion

Our leg cushion for side sleepers fixes

your knees comfortably in a lateral posi-
tion and ensures a restful night’s sleep
on your side. By relieving the pressure on
the knees, the knee cushion ensures neu-
tral alignment of the spine. Our innovative
technology combines memory foam with
a layer of cooling gel and thus provides
soft padding for your knees.

34
MORE BONMEDICO PRODUCTS

In addition we also have other great products in our range that have been especially devel-
oped to increase your wellbeing, such as:

Here is a small excerpt:

Medical Seat Cushions, class 1 medical device

ORTHOPEDIC ORTHOPEDIC
SEAT CUSHION HAEMORRHOIDS COMFORT CUSHION
FOR PRESSURE RELIEF SEAT CUSHION

Ergonomic pillows for increased sleep comfort

STOMACH SLEEPER PILLOW COMFORT PILLOW DREAMY CUSHION

See our complete range at our web shop at

bonmedico.com

35
SERVICE

Returns & Guarantee

We want you to be completely satisfied with your order. Thanks to our 30-day return guarantee,
there is no hurry. Should something not fit or if you are not happy, you can return all bonmedico items
within 30 days of receipt and receive a full refund. On receipt of your return, we usually process re-
payment within a few working days.

Feedback
By combining trusted and innovative technologies and manufacturing techniques, we ensure that
our products meet the highest quality standards and meet people’s current needs. Purely functional
products are not enough for us. We deliver products that fully meet your needs and are appealing
at the same time as well as being suitable for everyday use. We strive tirelessly for perfection and
are never satisfied with what we have. We are constantly looking for new ways to make our products
even better. That is why we welcome feedback and take your opinion very seriously.

Our customer service is available for you 24 hours a day, should something not fit as you imagined.
We do our best to answer your questions and concerns within 12 hours. Do you have a question or
feedback? We look forward to hearing from you.

+49 (0) 89-124149680

service@bonmedico-health.com

36
06 / 2020