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 The Physical Therapy Institute, 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!

Our New Bower Hill Location is Now Open
We’re growing to serve you better! Our newest clinic, the Bower Hill location, opened on June 9th. You’ll find us at:
1145 Bower Hill Rd, Suite 305, Pittsburgh, PA 15243
We’re excited to bring the same high-quality care you know and trust to a new part of the community.
Your Guide to Recognizing the Signs and Symptoms of Hip and Knee Pain
At The Physical Therapy Institute, 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!

Our Patients Get Great Results
“I used PTI for rehab for a knee replacement a few years ago and was very pleased. Last April of 2024 I had the other knee replaced and went back to PTI for rehab. I cannot say enough good things about the staff of PTI: friendly, professional, understanding and most of all they really made my knee strong and healthy again! Thank you all! I would not go anywhere else.” – C.M.
Navigating the Path to Recovery with The Physical Therapy Institute

At The Physical Therapy Institute, 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!
Follow These Simple Steps to a Pain-Free Life
Are you ready to embrace a lifestyle that promises better mobility and less pain? At PTI, we are here to guide you every step of the way, fostering a future where you feel better, move better, and live better!
Call today to schedule an appointment!
How Hip-Strengthening Exercises Can Help Alleviate Knee Pain

You may be surprised to know that the functioning of our knees is directly linked to the strength and stability of our hip muscles. Our hip muscles play a vital role in maintaining the alignment and stability of the knee joint.
Hip-strengthening exercises enhance the knee’s support system, helping evenly distribute the forces that travel through it during daily activities. A strong hip musculature can help prevent the knee from adopting faulty movements and positions, often leading to pain. Hip exercises can also help improve posture and alignment, which is vital in preventing knee strain and subsequent pain. At PTI, we’ll guide you in adopting these exercises into your daily routine, a step towards a life marked by greater mobility and less pain.
Seeking Guidance at The Physical Therapy Institute
At PTI, we’ll guide you through the exercises that ensure you reap the maximum benefits while maintaining safety and efficiency. Our approach is always holistic, emphasizing the role of the hips as crucial players in alleviating knee pain and facilitating overall health and well-being.
Here are some highly effective hip-strengthening exercises that have been shown to lessen knee pain:
- Hip Bridges: The bridge focuses on enhancing the strength of the hip extensors (buttock muscles) to help provide better support to the knee structure.
- Clamshells: This exercise is effective in strengthening the hip abductor muscles. By lying on your side and opening and closing your legs like a clamshell, you work on the muscles that are essential in maintaining knee alignment.
- Side-Lying Hip Abductions: This exercise is a powerhouse in bolstering the hip muscles, primarily targeting the gluteus medius. This vital muscle aids in stabilizing the hips and knees. Engaging in this exercise can be a game-changer in alleviating knee pain.
- Quadruped Hip Extensions: Another fantastic exercise that strengthens the hip muscles and promotes a stable core, creating a well-balanced support system for your knees.
These hip-strengthening exercises can provide stability and support to the knee, potentially reducing the strain and consequent pain.
Taking the Next Step
Remember, the journey to wellness is an ongoing process, and we are here to walk with you every step of the way. Ready to take a step towards a brighter, pain-free future?
Recipe of the Month: Egg Roll in a Bowl

Ingredients:
- 1 lb ground turkey or chicken
- ¼ cup yellow onion, chopped
- 3 cloves garlic, minced
- 2 teaspoons fresh ginger, grated or minced
- 1 12-14 oz package coleslaw mix
- ¼ cup low-sodium soy sauce, tamari or coconut aminos
- 2 teaspoons toasted sesame oil
- 1-2 teaspoons sriracha or sambal oelek
- 2 green onions, sliced
- sriracha, for serving (optional)
- sesame seeds and chopped cilantro, for garnish
- cooked cauliflower rice, for serving (optional)
Instructions:
- Heat a large skillet over medium-high heat. Add ground meat and cook until no longer pink, about 5-6 minutes. While cooking, break meat into smaller pieces using a wooden spoon or spatula and season liberally with salt and pepper.
- Add onion, garlic, ginger, coleslaw mix, soy sauce, sesame oil and sriracha to the skillet. Cook for another 5 minutes or so, until cabbage is tender. Taste and add more soy sauce or sriracha, if needed.
- Portion mixture into bowls and top with green onions, sesame seeds and cilantro. Serve with additional soy sauce, sriracha or chili crisp, if desired.
Sources
- https://www.eatingbirdfood.com/egg-roll-in-a-bowl/#tasty-recipes-48718
- 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
- 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


