The Connection Between Hip and Knee Pain
April Newsletter

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 Fitness Lab, 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 The Fitness Lab, 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!

Navigating the Path to Recovery with The Fitness Lab
At The Fitness Lab, 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 The Fitness Lab, 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!
Move with Ease – Open Gym Memberships Now Available at Our Rino Clinic

Movement is one of the best ways to reduce stiffness, improve joint function, and keep doing the activities you love. That’s why The Fitness Lab offers an Open Gym Membership at our Rino Clinic designed to help you stay active, safely and confidently—on your own schedule.
With 24/7 access, you can enjoy our full facility, including cardio machines, strength equipment, and turf space, in a supportive environment that prioritizes movement and recovery.
Membership Options:
- 10-visit punch pass: $200
- Month-to-month: $99 / month
- 6-month commitment: $89 / month
- 12-month commitment: $79 / month
- Current PT or training client rate: $50 / month
- Drop-in daily fee: $30 / day
- 5-visit punch pass: $125
Why it helps:
- Gentle, regular movement can ease joint stiffness and pain
- Strength training supports better balance and mobility
- Cardio exercise improves endurance and circulation
- Access to top-tier equipment including Rogue, Matrix, Life Fitness, and Concept2
- Flexible hours let you work out when your body feels best
Limited memberships available. We cap participation to keep the gym comfortable and uncrowded for every member.
Next step: Stop by the front desk or contact our team to learn how open gym access can help you move better, feel stronger, and stay active this winter. Gym memberships are for our Rino clinic only at this time.
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 The Fitness Lab, 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 Fitness Lab
At The Fitness Lab, 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.te a tailored treatment plan that addresses your unique needs and goals.

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? Call The Fitness Lab today to get started!
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
Patient Testimonial
“They care about your recovery!
Matt is so knowledgeable and fun to train with! His enthusiasm and encouragement are propelling my journey to reaching my physical goals!”
—Meg J.
Exercise of the Month
Clamshells (Exercise Band)
(Hips, Glutes)
Lie on your side with your knees bent and feet together. Position an exercise band above your knees. The side you want to exercise should be on top. While keeping your feet together, lift your top knee away from your bottom knee. Slowly return to the starting position. (Materials needed: exercise band) 3 Sets, 10 Reps.

Chicken Quinoa Soup with Lemon and Turmeric
- 2 tablespoons extra-virgin olive oil
- 3 cloves garlic, minced
- 1 large yellow onion, diced
- 1 cup diced carrot
- 1 teaspoon salt
- 1 teaspoon ground turmeric
- 8 cups reduced-sodium chicken broth
- 1 red bell pepper diced
- 1/2 cup diced celery
- 2 teaspoons herbs de Provence or Italian seasoning
- 1 pound boneless skinless chicken breast
- 1/2 cup rinsed quinoa
- 2 cups chopped mustard greens or baby spinach
- 1/2 teaspoon lemon zest
- 1 tablespoon lemon juice
- 3 tablespoons chopped fresh dill
Instructions:
- Heat oil in a large heavy bottomed soup pot over medium-high heat. Add garlic, onion, carrot, salt and turmeric and cook, stirring occasionally until the vegetables are softened and starting to brown, 6 to 8 minutes.
- Add broth, bell pepper, celery and herbs de Provence and bring to a simmer over high heat. Add chicken and quinoa and return to a simmer. Reduce heat to medium-low to maintain a gentle simmer, and cook stirring occasionally, until the chicken is cooked through and the quinoa is tender, 15 to 17 minutes. Remove from the heat.
- Remove the chicken from the soup with tongs. Set on cutting board, and shred with two forks. Stir the chicken, greens, lemon zest, lemon juice and dill into the soup and stir until the greens are wilted. Serve hot.
Why it’s heart-healthy:
Chicken Quinoa Soup with Lemon and Turmeric is loaded with fresh veggies, mustard greens and fresh dill. It is a super flavorful and healthy one-pot soup for the cold season with natural anti-inflammatory benefits.
Our Team

Matt Oster
MS, NKT, MEP

Dr. Bill Gregoire
Clinic Manager, PT, DPT

Dr. Spencer Barnes
PT, DPT, OCS

Dr. Alex Brateman
PT, DPT

Dr. Laike Damman
PT, DPT

Dr. Alice M Davis
PT, DPT, OCS, FAAOMPT

Dr. Connor Devin
PT, DPT

Dr. Kaitlyn Dobbertin
PT, DPT, CSCS, SCS

Dr. Kamryn Klepper
PT, DPT

Dr. John Lee
PT, DPT, OCS

Dr. Colton Litle
PT, DPT

Dr. Caroline Marnin
PT, DPT

Dianna Cole McNitt
PT, COMT

Dr. Allison Shane
PT, DPT, OCS, FAAOMPT

Dr. Hayden Ray
PT, DPT

Dr. Reilly Reed
PT, DPT

Dr. Melanie Kos
PT, DPT
Clinic / Admin

Amanda Mundt
Patient Care Coordinator

Veronica Jennings
Patient Care Coordinator









