The Connection Between Hip and Knee Pain

The Connection Between Hip and Knee Pain

Did you know that for a lot of people, their knee pain is not actually due to a problem with the knee, but one with the hip? At ESPT, we frequently observe that a problem originating in the hip can be first felt as knee pain and vice versa. 

You might wonder how this is possible. The answer lies in what’s known as the kinetic chain, where the hip and knee joints work together. The interconnection means that an imbalance or dysfunction in one joint can lead to compensation and pain in the other. The good news is our therapists can help you figure out the source of your pain and, more importantly, guide you back to health.

To move towards a healthier, active life, we recommend you consult with one of our physical therapists as soon as possible!

Your Guide to Recognizing the Signs and Symptoms of Hip and Knee Pain

At ESPT, we believe in a holistic approach to healing. As musculoskeletal experts, we are trained to pinpoint the root cause of your condition, differentiate between hip and knee pain, and develop a plan that addresses the whole person, not just the symptom.

The Telltale Signs of Hip Pain

  • Localized Discomfort and Stiffness: Hip pain generally starts as a localized discomfort in the groin area, often accompanied by stiffness restricting the range of motion. As the severity worsens, this pain can sometimes extend to the thigh and even the knee.
  • Morning Stiffness: One of the most commonly reported symptoms is morning stiffness, which typically eases as the day progresses. 
  • Difficulty in Performing Daily Activities: Individuals with hip pain often find it challenging to bend over to tie shoes or pick up objects from the floor. This pain can intensify during movements like getting up from a seated position or walking uphill.

Classic Indicators of Knee Pain

  • Localized Pain and Swelling: A primary indicator of knee issues is localized pain, often accompanied by swelling. This can be especially noticeable after prolonged periods of activity. 
  • Stiffness and Reduced Range of Motion: Another hallmark of knee pain is stiffness, which often restricts the knee’s range of motion. 
  • Popping or Crunching Noises: Experiencing popping or crunching noises during knee movement is a sign that shouldn’t be ignored, as these sounds often signify underlying knee issues. 
  • Difficulty in Bearing Weight: A large number of individuals with knee pain report difficulty bearing weight on the affected knee. This is often described as a feeling of weakness or instability, making activities such as climbing stairs or even simple walking difficult.

While interconnected, the hip and knee are distinct structures with unique roles in our body’s movement and different responsibilities. Understanding these differences is vital in diagnosing and treating pain effectively. This is where the expertise of our physical therapists can help!

Exercise of the Month

Lie on your back with knees bent. Bring both knees toward your chest, holding them gently with your hands. Hold the stretch for a few seconds, then release to improve lower back flexibility.

Navigating the Path to Recovery with ESPT

At ESPT, our physical therapists will conduct a comprehensive evaluation, and distinguish whether you’re dealing with an issue in your hip, knee, or both. 

After completing the evaluation, we’ll design a program focusing on the actionable steps you can take to ensure long-term relief and prevention of future injuries, including the following: 

  • Tailored Therapeutic Exercises: Our therapists will provide you with stretching and strengthening exercises to help restore your mobility and function. For example, eccentric training focuses on elongating a muscle under tension, proving particularly effective in strengthening muscles and improving mobility. 
  • Neuromuscular Re-education: This involves using exercises and manual techniques to restore normal muscle function and movement patterns. These techniques are especially effective in reducing pain and enhancing function, especially in individuals with hip and knee pain.

Our therapists go beyond the surface, digging deep into your symptoms to identify the underlying issues and determine the true origin of your pain, whether the hip, the knee, or both. Our goal is to build a program that helps you get back to living your best life!

Sources: https://pubmed.ncbi.nlm.nih.gov/32643252/, https://pubmed.ncbi.nlm.nih.gov/31621559/, https://pubmed.ncbi.nlm.nih.gov/30407271/, https://journals.lww.com/jgpt/fulltext/2020/04000/hip_muscle_strengthening_for_knee_osteoarthritis_.6.aspx, https://www.jospt.org/doi/10.2519/jospt.2018.7877

5 Easy Tips for Sneaking in Physical Activity

  1. Park at the far end of the parking lot, so you have to walk a little further to get to the store.
  2. Take the stairs whenever possible.
  3. Do some stretches or core exercises while you’re watching TV.
  4. Go for a quick walk around your building during your lunch break.
  5. Try a micro-workout. Micro-workouts are short, 10-minute circuit-style workouts that pack a big punch. Keep a set of dumbbells by your desk and work out on your break!

Visit ESPT for More Tips!

Our physical therapists can work with you to develop a program for daily physical activity, no matter your needs. We can show you efficient strength training routines, suggest daily mobility exercises, and help you set movement goals.

Incorporating movement into your daily routine helps exercise feel like second nature. Schedule an appointment to get started!

Delicious Healthy Spinach Dip

  • 2 x 10 oz packages chopped spinach, frozen
  • 1/2 large onion, finely chopped
  • 2 large garlic cloves, minced + 1 small garlic clove, grated
  • 2 tbsp oil, for frying
  • 1 medium carrot, finely grated
  • 2 cups Greek or regular plain yogurt, at least 2% fat
  • 1/4 cup mayo
  • 1 tsp salt
  • Ground black pepper, to taste

Defrost spinach in a colander overnight or microwave it. Squeeze out excess water and place in a medium bowl. In a non-stick skillet over medium heat, sauté onion, 2 minced garlic cloves, and carrot in a bit of oil for about 7 minutes. Add to the spinach along with yogurt, mayo, salt, and pepper. Mix well. Grate in more garlic to taste. Chill for a few hours if possible. Serve with pretzel chips or brown rice crackers.