ORIGINAL BOOK REVIEW: “Got Knee Pain?” by William Ruch (Self-Help)


There is little rational care for knees, yet bad knees are often a factor in falls, one of the leading causes of death for older people. Surgeons do not realign the bones during surgery. Physical therapists do not care that the tibia is out of place in rehab exercises. Yet aligned knees provide stability and ease of movement.

In his book Got Knee Pain? Where Is Your Tibia? William Ruch shares a key finding of his decades of chiropractic work: the tibia misaligned with the femur is a common cause for knee pain. Got Knee Pain? does three things: guides readers to where the tibia is, gives a procedure to realign the tibia, and guide readers about what not to do.

Got Knee Pain? benefits people with injured knees. If you have knee pain, and it is interfering with your life, then you need this book.


Got Knee Pain? by Dr. William J. Ruch, D.C. is a chronicle of ways in which bodies can go wrong, if by “wrong” we are talking about unnecessary pain above and beyond what’s useful to stimulate reflexes and prevent further damage. But as its semi-humorous subtitle (Where is your Tibia?) indicates, this book is also designed to provide easy access to the principles of pain management for those who, like me, are not exactly medical experts themselves.

I say “semi-humorous” because the question of “Where is your Tibia?” is actually quite a serious and recurrent one in Dr. Ruch’s years of working in chiropracty. He opens his introduction by noting that he is continually “appalled by the lack of rational care provided for knee injuries. In my clinical experience I find that in the majority of my patients I encounter with knee pain as a symptom or complaint, the Tibia is not properly aligned with the Femur.” I don’t know about you, but that’s a rather strong start to a book about pain. One of my major bones may not even be lined up correctly? And my orthopedist, physical therapist, chiropractor, and other medical specialists aren’t looking for that first off when I come in for treatment? I’m glad to have heard this can be a thing before I encounter major knee pain myself, knowing that it’s very definitely in my future given the kinds of temporary strains and stresses and aches that I’ve experienced since childhood and how they tally up in respect to my body’s future.

It is, as Dr. Ruch himself points out, somewhat shocking that so many specialists could have received so little training on this one specific issue. But as he also points out, “Evaluation of knee problems requires direct palpation of the joints and bones to fully understand the displacement. You have to have someone, even if it is you, feel what is going on.” If I have one big takeaway from this book, it’s that––not to live in fear of educating myself about my own body, bones, and muscles, and to pursue the kind of hands-on medical care that will get at root causes.

Dr. Ruch repeatedly encourages his readers to consider whether or not they are receiving “rational care,” care that treats causes (injuries) and not just their most disruptive symptom (pain). He sets out to put the power for positive change back in the patient’s hands (sometimes literally) in a world which seems increasingly to divorce patient and power. As Dr. Ruch puts it, “You are the most convenient, and motivated, person available to perform these maneuvers” as laid out in this book.

The maneuvers themselves are simple, straightforward, and easy to understand for a novice like me. Because they require the pain-sufferer to examine the actual position of various bones in relation to one another, they are difficult to get wrong (i.e. to use them incorrectly). They are also rather gentle, at least compared to the kind of chiropractic work I have personally experienced myself (in the wake of a car accident several years back). As long as a reader understands that they should never feel additional pain as a result of these maneuvers, and doesn’t overdo it, I see no danger of additional injury. My only warning would be for those who are from the same school of thought as several of my own relatives who don’t think it’s “working” unless it feels like the body has been strongly worked on. (These are the type of people who emerge from a massage with bruises. I love them very much, but I don’t think added pain is a marker of success in the pursuit of pain management.) I was able to determine that my knees are at present not terribly misaligned, but that I may have a tendency towards one of the displacements illustrated by Dr. Ruch. I’ll have someone I trust double-check me, but I thought it was really interesting to have that confirmation.

I would like to point out as I tidy up this review that I am *not* a medical expert, and my reading of Dr. Ruch’s book probably reflects that. Any mistakes in terminology or concept in this review is entirely mine and does not reflect at all on the quality of Ruch’s writing!


Not to put too fine of a point on things, but Dr. Willaim J. Ruch, D.C. has been practicing and teaching as long as I’ve been alive, and when it comes to muscular and skeletal issues such as knee pain, experience really does show. Got Knee Pain?: Where is Your Tibia? is the summary record of this experience, and gave me much food for thought as I move into the critical time of life when much of my body’s long-term health will be determined. For those who experience chronic pain in the knee area, this is definitely worth a look before pursuing expensive (and sometimes ineffective) treatments.


You can find Got Knee Pain? wherever good books are sold, including Amazon and Barnes and Noble. You can also find out more about Patrick McLean’s work on the book’s Outskirts Press author page.


For my next review, I’ll be tucking into Katherine Zartman’s Cost of Freedom, a novel set in a VA hospital and following the lives and loves of both the soldiers returning from the battlefield and a nurse who knows more about them than even they do. I rarely read romance or war novels (I’m keenly aware of how easily books touch me emotionally, and tend to steer clear), so this should be an interesting experience!

I received a copy of this book in exchange for an honest review. 

* Courtesy of Amazon book listing.


ABOUT KENDRA M.: With nine years in library service, six years of working within the self-publishing world, as well as extensive experience in creative writing, freelance online content creation, and podcast editing, Kendra seeks to amplify the voices of those who need and deserve most to be heard.

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