Hip and Knee Pain

Understanding Hip and Knee Pain
Hip and knee pain are two of the most common complaints that can significantly affect daily activities, mobility, and quality of life. These joints bear much of the body’s weight and are essential for walking, running, sitting, and other movements. Pain in these areas can arise from various causes, including injury, overuse, or underlying medical conditions. Whether it’s the result of an acute injury or chronic wear and tear, hip and knee pain can severely limit your ability to function and engage in your favorite activities.

Common Causes of Hip Pain

• Osteoarthritis: One of the leading causes of hip pain, osteoarthritis is the degeneration of the cartilage that cushions the joint. As cartilage wears down, bones can rub together, causing pain, stiffness, and reduced range of motion.
• Hip Bursitis: Bursitis is the inflammation of the small fluid-filled sacs (bursae) that cushion the bones, tendons, and muscles around the hip joint. This condition causes pain and tenderness on the outside of the hip.
• Hip Labral Tear: The labrum is a ring of cartilage that surrounds the hip joint. A tear in this cartilage can cause pain, locking, or clicking in the hip joint.
• Hip Tendinitis: Tendons around the hip can become inflamed due to overuse, especially in athletes or people who perform repetitive activities.
• Muscle Strains or Sprains: Overstretching or tearing of the muscles or ligaments around the hip, commonly due to sports or sudden movements.
• Femoroacetabular Impingement (FAI): Abnormal contact between the bones in the hip joint can lead to pain and restricted movement, commonly seen in younger adults or athletes.

Common Causes of Knee Pain

• Osteoarthritis: Like the hip, osteoarthritis is a common cause of knee pain, especially in older adults. It results from the breakdown of cartilage in the knee joint, leading to pain, swelling, and difficulty moving the joint.

• Meniscus Tears: The meniscus is the cartilage in the knee that acts as a shock absorber between the thigh bone and shin bone. A tear can occur from a twisting motion or wear and tear, leading to pain, swelling, and instability.

• Patellar Tendinitis: Inflammation of the patellar tendon, also known as “jumper’s knee,” is common in athletes who frequently jump, but can affect anyone.

• Anterior Cruciate Ligament (ACL) Injury: A tear or sprain of the ACL, one of the major ligaments in the knee, is a common injury in athletes and can cause significant pain and instability in the knee.

• Runner’s Knee (Patellofemoral Pain Syndrome): This condition is caused by irritation of the cartilage under the kneecap and is common in runners or people who engage in activities that involve repetitive knee movements.

• Bursitis: Inflammation of the bursa in the knee can cause pain, especially when kneeling or bending the joint.

Symptoms of Hip and Knee Pain
Symptoms vary based on the underlying condition but commonly include:

• Pain and stiffness: Especially after activity or sitting for long periods.

• Swelling: Inflammation in and around the joint.

• Limited range of motion: Difficulty moving the joint fully.

• Instability or weakness: Feeling like the joint might give out or is unstable.

• Grinding or clicking sounds: Common with osteoarthritis or cartilage injuries.

• Pain with weight-bearing activities: Walking, running, or even standing may exacerbate pain.

How Active Pulse Physiotherapy Can Help with Hip and Knee Pain
At Active Pulse Physiotherapy, we offer a range of specialized treatments to help manage and relieve hip and knee pain. Our physiotherapists are trained to provide individualized care to address the root cause of your pain, restore function, and improve your quality of life.
1. Comprehensive Assessment and Diagnosis
Our expert physiotherapists will conduct a thorough assessment to determine the underlying cause of your hip or knee pain. This involves reviewing your medical history, conducting physical tests to assess joint mobility, strength, and flexibility, and identifying any contributing factors such as gait abnormalities or postural imbalances. If necessary, we may refer you for imaging tests such as X-rays or MRIs to gain a clearer picture of the problem.
2. Manual Therapy
Manual therapy involves hands-on techniques to relieve pain, improve joint mobility, and restore function. For hip and knee pain, we may use:
• Joint mobilization: Gentle movements to improve joint function and range of motion.
• Soft tissue mobilization: Massage and other techniques to reduce muscle tension and improve blood flow.
• Stretching: Targeted stretching to improve flexibility and reduce stiffness in the muscles around the hip and knee joints.

3. Strengthening Exercises
Strengthening the muscles around the hip and knee joints is crucial for long-term pain relief and injury prevention. Weak muscles can place extra stress on the joints, leading to pain and instability. Our physiotherapists will design a personalized exercise program that focuses on:
• Strengthening the quadriceps, hamstrings, and gluteal muscles: These are the key muscle groups that support the hip and knee.
• Core stability: A strong core helps maintain proper alignment of the pelvis and spine, reducing strain on the hip and knee joints.
• Functional exercises: To improve your ability to perform daily activities without pain, we incorporate functional exercises that mimic real-life movements such as walking, bending, and climbing stairs.

4. Gait and Posture Correction
Poor posture or an abnormal walking pattern (gait) can contribute to hip and knee pain by placing unnecessary stress on the joints. Our physiotherapists will assess your gait and posture and provide exercises and advice to improve your body mechanics. This will help reduce the strain on your joints and prevent further injury.

5. Modalities for Pain Relief
To help manage pain and inflammation, we may use modalities such as:
• Heat or ice therapy: To reduce inflammation and relax tight muscles.
• Ultrasound therapy: Using sound waves to promote tissue healing and reduce pain.
• Electrical stimulation (TENS): To block pain signals and encourage muscle activation.

6. Education and Injury Prevention
We believe that education is key to managing your condition and preventing future injuries. Our physiotherapists will educate you on:
• Proper movement mechanics: How to move safely and protect your joints during daily activities.
• Ergonomic advice: Guidance on adjusting your workspace or daily habits to reduce strain on your hips and knees.
• Activity modification: We’ll teach you how to adapt your activities to prevent further injury and promote healing.

7. Bracing or Orthotics
In some cases, bracing or orthotics may be recommended to provide additional support to your knee or hip joint. This can be especially helpful in conditions like osteoarthritis or ligament injuries. Our team can assess whether you would benefit from these devices and ensure they fit properly for maximum effectiveness.

8. Post-Surgical Rehabilitation
If you’ve had hip or knee surgery (such as a hip replacement or ACL reconstruction), physiotherapy plays a crucial role in your recovery. Our post-surgical rehabilitation programs focus on:
• Regaining range of motion and strength: After surgery, it’s essential to restore flexibility and strength in the affected joint.
• Preventing complications: We’ll guide you through safe and effective exercises to minimize the risk of complications like stiffness or muscle weakness.

• Restoring function: Our goal is to help you return to your normal activities, whether it’s walking, running, or sports, as safely and quickly as possible.

Why Choose Active Pulse Physiotherapy?
At Active Pulse Physiotherapy, we understand the impact that hip and knee pain can have on your daily life. That’s why we provide:

• Personalized treatment plans: We create individualized programs that are tailored to your specific condition and recovery goals.

• Expert care: Our physiotherapists are experienced in treating a wide range of hip and knee conditions and use the latest evidence-based techniques.

• Hands-on care: We focus on manual therapy and exercise-based interventions to ensure long-term relief and recovery.
Whether you’re dealing with chronic hip or knee pain or recovering from an injury, we’re here to help you get back to the activities you love, pain-free and with improved mobility.