For individuals with permanently compromised joints, rehabilitation should focus on strengthening adjacent areas like the foot, ankle, hip, and pelvis.

“A lot of times if I have a joint that I know is permanently compromised, let's say someone with total knee replacement, I'm not going to actually beat up the knee a lot. What I'm going to go for first is the foot, the ankle, the hip, and their pelvis in general because if there's a lot of low fruit there, I can enhance the pelvis strength or the foot strength and I can actually buffer that knee to where it doesn't have to work nearly as hard and those people get a reduction in symptoms overnight.”