David Koonce's Contact Details

David Koonce's Company Details

Personal Fitness & Rehabilitation

Louisville/Jefferson County metro go, KY, US • 5 - 9 Employees
Hospital/Clinic

All-in-one specialty encompassing FUNCTIONAL MEDICINE, PHYSICAL THERAPY and FUNCTIONAL FITNESS while providing nutritional and dietary counseling in conjunction with a software platform to manage a patient through an entire episode of care.Every pound of body weight places four to six pounds of pressure on each knee joint. Individuals with unsatisfactory weight are 20 times more likely to need a knee replacement than those who are not overweight. From 2002 to 2009, the number of total knee arthroplasty (TKA) procedures performed on patients with obesity DOUBLED.The detrimental effects of obesity on surgical outcome results and complication rates are well-documented in medical literature. These effects include higher rates of infection and prosthesis failure/loosening of the implant when compared to patients of normal weight.In addition to contributing to arthritis and other musculoskeletal health issues, obesity also is linked to diabetes, heart disease, sleep apnea, liver disease, pancreatitis, certain tumors and cancers, and psychiatric disorders. Obesity, in the absence of these conditions, does not appear to significantly increase the risk of orthopaedic pre- and postoperative complications. However, in combination with any of these conditions, obesity can adversely affect orthopaedic surgical outcomes.Pre- and postoperative complications may include wound healing, infections, blood clots, blood loss, and dislocation of the replacement joint, especially in the hip.We are here to answer the CHICKEN and EGG question for primary care, orthopaedic and spine specialists. Does your back, hips or knees hurt because you gained weight, or did you get injured and less active, therefore putting on some weight? Personal Fitness & Rehabilitation can help treat pain and dysfunction of the spine and joints.