Weeks 1–2
Pain
Calm the pain down.
Joint mobilization, soft tissue work and functional dry needling settle the irritated joint and the muscles bracing around it, starting visit one.
What We Treat
Stairs one at a time, and you take the rail. Getting out of a low chair takes a plan. Hips and knees hurt together for a reason, and finding yours is what the first visit is for.
Sound Familiar?
Two or more? Keep reading.
Why It Happens
Your hip and your knee work as one system, which is why they so often hurt together. The glutes steer the thigh from above. When those muscles weaken, the thigh drifts inward, the kneecap stops tracking cleanly in its groove, and the front of the knee grinds on the way down stairs. The same weakness loads the outside of the hip, which is the reason lying on that side hurts. Add cartilage that has thinned over the years and an unevenly loaded joint feels every single step.
Wear on an x-ray is not a sentence. But a weak, unloaded leg makes that joint hurt more than it has to, and resting it lets the quad and the glute shrink further. The limp you picked up to protect the joint is the other half of the problem: your body learns that pattern, and it outlasts the flare-up that started it. An evaluation that looks for the cause measures strength side to side, checks hip and knee motion, and watches you walk and step, so we treat the reason the joint is overloaded instead of only the spot that hurts.
The Honest Truth
Nobody regrets starting too early.
How We Fix It
Every plan has an endpoint. Here’s what the four phases look like for hip and knee pain.
Weeks 1–2
Pain
Joint mobilization, soft tissue work and functional dry needling settle the irritated joint and the muscles bracing around it, starting visit one.
Weeks 2–6
Prime
Hip and knee motion come back, and the quad and glute wake up first, so they take the work instead of the joint.
Weeks 6–10
Perform
Strength gets evened out side to side, then stairs, squatting and walking mechanics get retrained under real load.
Weeks 10+
Prevent
You get retested on the things that hurt today: the stairs, the low chair, a long walk. That’s the endpoint, not just another appointment.
My knees have never felt like this in some time now. The program that was set for me have work greatly. I am walking faster, and straighter then when I started still have a limp with less pain. My legs where bent at the knee and now I am standing much straighter.
Shared by Dan · Knee pain
Knees bent, walking with a limp, and pain on every step
Standing much straighter, walking faster, with less pain
Questions, Answered
Usually not, and it’s rarely the first step. Imaging finds joint wear in people who walk around with no pain at all, so the picture and the symptoms don’t always match. It also can’t show what treatment actually changes: how strong that leg is, how the joint moves, and what your knee does when you take a step. Those come out of a hands-on evaluation. We screen for the findings that belong with a physician, and if imaging is warranted, we help you get it.
No, and this is the fear worth clearing up. A joint isn’t a tire tread, and cartilage is living tissue that depends on movement to stay healthy. What wears a joint down is being loaded badly by a weak leg, not being loaded well by a strong one. Hurt doesn’t always mean harm here either. The work is dosed to what your knee and hip tolerate right now, one-on-one with a licensed physical therapist, and it gets adjusted in the room.
Strength takes the time strength takes, and we’ll be honest about that at your evaluation instead of guessing now. What you get is a plan with an endpoint: four phases, Pain, Prime, Perform, Prevent, each with a job and a way to know you’ve earned the next one. Progress gets measured against real things, like the stairs and getting out of a chair. We go over what it takes and what it costs before you commit to any of it.
No referral needed. Louisiana is a direct access state, so you can be evaluated by a licensed physical therapist without going through a physician first. We run a benefits check before your first visit, so you know your coverage in advance, and a Good Faith Estimate is available if you’re paying out of pocket. We accept Medicare, Medicaid, Blue Cross Blue Shield, Aetna, Cigna, Humana, UnitedHealthcare, TRICARE, TriWest and Peoples Health, plus workers’ compensation and auto accident claims.
Yes, and it counts either way. If surgery is in your future, the strength and motion you build now is exactly what you’ll be rehabbing from, and going in with a strong leg gives you a better starting point. If it isn’t, or isn’t yet, then loading that joint properly and getting the muscles around it doing their share is the treatment. Your surgeon and a licensed physical therapist aren’t competing here. We’ll tell you honestly what your exam shows.
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That’s the hard part done. We’ll call during business hours to lock in your time.
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