Knee Arthritis Program


Step 1: Click HERE to schedule as a new patient with Dr. Alex Tapplin. You can select the location from the scheduling link.
Step 2: You will receive an email to confirm the appointment. Click confirm in the email.
Step 3: You are all set. Show up 10-15 minutes early to fill out information on the ipad prior to your visit.

Click Here to fill out a brief online form if you have questions. We will email you back within a day or two.

Knee Osteoarthritis (KOA) Treatment Program

Do you experience chronic knee pain or have been diagnosed with knee osteoarthritis?  Looking for a conservative treatment program to help your pain? Even if you have not been formally diagnosed with knee osteoarthritis, the KOA Treatment Program at Valley Spine and Sport can help reduce pain and restore function in the knee.

Statistics About Knee Osteoarthritis (Arthritis Foundation)

  • 14 million individuals in the U.S. with symptomatic knee osteoarthritis
  • 2 million people under the age of 45 have symptomatic knee osteoarthritis
  • More than half of all individuals with diagnosed symptomatic knee osteoarthritis (OA) have had sufficient progression of osteoarthritis that would make them eligible for a knee replacement.
  • Program Highlights

    Our program offers a multi-faceted treatment approach that combines traditional therapy techniques like rehabilitation exercises and manual therapy with more innovative, research-backed treatments including high intensity laser therapy and blood flow restriction training.


    • 10-12 treatment sessions including an initial comprehensive evaluation and assessment of the problem
    • Rehabilitation exercises focusing not only on the knee, but the entire kinetic chain to help improve mobility, stability, and strength
    • Knee OA has a negative effect on the ROM, coronal motion arc, and joint moment of the ankle joint and hip joint.1
    • Traditional physical therapy that consists of stretching and strengthening exercises has been shown to significantly benefit patients with knee osteoarthritis.2
  • High intensity laser therapy (HILT)
    • High-power laser can reduce pain through its effects on peripheral nerves as well as its ability to reduce inflammation in arthritic joints through its effects on cytokines.2
    • HILT seems to be efficient in reducing pain and for providing functional improvements in patients with knee OA.3
  • Manual Therapy
    • A combination of manual therapy and exercise therapy was found to be more effective in reducing pain and improving function for patients with knee osteoarthritis, compared to exercise therapy alone.4,5
  • Blood Flow Restriction Training (BFRT)
    • Rehab programs that utilize BFRT combined with low-load exercise had similar results in improving muscle strength and knee functionality when compared to a conventional rehab exercise program for patients with knee osteoarthritis, however the BFRT patients reported less knee pain and joint stress during training sessions.6,7

    Benefits of the Program

    • An affordable, yet innovative alternative to traditional physical therapy
    • Totally non-invasive treatment protocol to reduce pain and inflammation
    • Reduces the need for oral medications or injections for pain control, both of which can have harmful side effects
  • Avoid or at least delay the potential for a partial or total knee replacement surgery 

    The Knee Osteoarthritis Treatment Program at Valley Spine and Sport is a great affordable alternative to traditional physical therapy and much more cost effective than other experimental treatments such as stem cell therapy. 


    If you still have questions and would like to speak with one of the providers, call the main line and leave a message. We will call you back to answer your questions. Click the scheduling link above to book your initial visit with Dr. Alex or visit the scheduling page HERE for other scheduling options.  


    1. Ro, D. H., Lee, J., Lee, J., Park, J. Y., Han, H. S., & Lee, M. C. (2019). Effects of Knee Osteoarthritis on Hip and Ankle Gait Mechanics. Advances in orthopedics, 2019.
    2. Callanen, M. (2019).  Benefits of high-power laser therapy in treating knee OA.  The American Academy of Sports Physical Therapy.
    3. Wyszynska, J., & Bal-Bochenska, M. (2018).  Efficacy of high-intensity laser therapy in treating knee osteoarthritis: a first systematic review.  Advances in Orthopedics, 36 (7).
    4. Pollard, H., Ward, G., Hoskins, W., & Hardy, K. (2008). The effect of a manual therapy knee protocol on osteoarthritic knee pain: a randomised controlled trial. The Journal of the Canadian Chiropractic Association, 52(4), 229–242.
    5. Deyle, G.D., Henderson, N.E., Matekel, R.L., Ryder, M.G., Garber, M.B., Allison, S.C. (2000).  Effectiveness of Manual Physical Therapy and Exercise in Osteoarthritis of the Knee: A Randomized, Controlled Trial. Annals of Internal Medicine, 132(3), 173–181.
    6. Ferraz, R., Gualano, B., Rodrigues, R., Kurimori, C., Fuller, R., Lima, F., De Sa-Pinto, A,. Roschel, H. (2018).  Benefits of Resistance Training with Blood Flow Restriction in Knee Osteoarthritis. Medicine & Science in Sports & Exercise, 50(5), 897–905.
    7. Flavio Fernandes Bryk, F.F., dos Reis, A.C., Fingerhut, D., Araujo, T., Schutzer, M., Cury, R.D., Duarte Jr, A., Fukuda, T.Y. (2016).  Exercises with partial vascular occlusion in patients with knee osteoarthritis: a randomized clinical trial.  Knee Surgery, Sports Traumatology, Arthroscopy, 24(5), 1580-1586.