Knee Pain

Where Knee Pain Comes From

Most knee pain is a knee problem. Osteoarthritis, meniscal injury, ligament sprains, patellofemoral pain and tendinopathy are all common, and each is managed on its own terms. Establishing which is present — and whether the presentation warrants imaging or an orthopedic opinion — is the first job of the examination.

Knee symptoms can also be referred. Hip pathology and lumbar nerve-root irritation both refer to the knee, and a knee that examines normally while the symptoms persist is a reason to look further up the limb rather than to keep treating the joint.

Where Loading and Alignment May Be Relevant

Beyond diagnosis, how the limb is loaded influences what the knee tolerates. Pelvic position, lumbar alignment, leg-length difference, hip and ankle mobility and movement control all affect the forces passing through the joint. These are contributing factors worth measuring in some presentations — not a predetermined explanation for the pain.

Structural findings we assess where the examination suggests they are relevant:

• • Pelvic tilt or unleveling: May contribute to uneven load distribution through the lower limbs
• • Lumbar alignment: Relevant where lower-back findings or referred symptoms are present
• • Leg-length difference: Measurable, and relevant in some presentations — small differences are common and often asymptomatic
• • Movement and loading patterns: How the hip, knee and ankle share load during walking and squatting

Our Structural Correction Approach

• •Full-Body Structural Analysis: We measure your pelvic alignment, lumbar curve, and leg length to identify measurable structural contributors.
• •Pelvic Correction: Specific adjustments aimed at pelvic position and lumbar alignment where those findings are relevant.
• •Lower Extremity Stabilization: Exercises to strengthen the muscles supporting the hip, knee and ankle.