
The Connection Between Hip and Knee Pain
January 2025 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 PacificPro Physical Therapy & Sports Medicine, 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 PacificPro Physical Therapy & Sports Medicine, 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 PacificPro Physical Therapy & Sports Medicine
At PacificPro Physical Therapy & Sports Medicine, 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 PacificPro Physical Therapy & Sports Medicine, we are here to guide you every step of the way, fostering a future where you feel better, move better, and live better!
Contact us today to schedule an appointment!


Our Patients Get Great Results
“I cannot say enough great things about PacificPro and the incredible therapists as well as assistants. After undergoing a total knee replacement this year, I was unsure if I would ever feel like myself again. Thanks to their expert guidance, patience, and encouragement, I am thrilled to say I’m on my way back to nearly 100%!
From the very first session, it was clear that they genuinely cared about my recovery. They tailored a program specifically to my needs, gradually helping me rebuild strength, improve flexibility, and regain confidence in my knee. Each visit was not only effective but also motivating, as they struck the perfect balance between challenging me and ensuring it wasn’t too much.
All the staff members are professional and friendly. I’ve had experiences with other PT places in the past, and PacificPro has been the best for me. If you’re looking for a team that will walk alongside you every step of the way on your recovery journey, look no further, PacificPro is your place. I’m so grateful for their dedication and expertise.”
– Paul B.

Staff Spotlight
Rujuta Shah, PT, OCS
Rujuta has been a physical therapist since 2012 and worked in different settings including acute care, sub-acute and in outpatient clinic for the last 6 years. Growing up in India, she was always inclined to helping people and making a difference in their lives. Choosing physical therapy as a profession was an easy decision for this reason along with her love for better understanding of human body and its function. Seeing her patients recover from their injuries and helping them return to the activities they love to do gives her an immense satisfaction.
After finishing her Bachelor’s in Physiotherapy, she moved to the United States for a Master’s in Exercise Science. Her drive to learn more and further enhance her orthopedic skills led her to pursue this specialty. After completing a yearlong orthopedic seminar series, she took and passed the Orthopaedic Clinical Specialty exam in 2020, becoming a Board-Certified Orthopedic Clinical Specialist.
In her free time, Rujuta enjoys spending time with her husband and two kids, running, traveling, and watching Bollywood movies!

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 PacificPro Physical Therapy & Sports Medicine, 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 PacificPro Physical Therapy & Sports Medicine
At PacificPro Physical Therapy & Sports Medicine, 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 Bridge

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? Contact PacificPro Physical Therapy & Sports Medicine today to get started!
Exercise of the Month
Figure 4 Stretch
Lie on your back with your knees bent, feet flat, and in line with your hips. Bring either ankle to the opposite knee forming a figure four (i.e. cross your legs). Reach through your bent knee and grasp the back of the leg still on the ground and pull it towards your chest. You should feel the stretch in your buttocks. Keep your head and neck relaxed and hold the position. Repeat for both sides.



Feel Better by Eating Better!
Anti-Inflammatory Ginger & Turmeric Carrot Soup
This delicious ginger and turmeric carrot soup is as comforting as it is healing. Packed with strong flavors like garlic, fennel, and ginger, and full of anti-inflammatory ingredients, this is the perfect winter soup.
Directions: Heat the olive oil in a large dutch oven or saucepan. Add the fennel, leeks, carrots, and squash. Sauté for 3-5 minutes until the veggies start to soften. Add the garlic, ginger, turmeric, salt, and pepper, and sauté for a few more minutes. Add the broth and coconut milk. Bring the mixture to a boil, cover, and simmer for 20 minutes. Once the soup is cooked, add it to a blender and blend until creamy. You could also use an immersion blender. Taste and adjust the seasonings to your taste. Serve immediately with a dollop of coconut yogurt and enjoy!
https://www.simplyquinoa.com/anti-inflammatory-ginger-turmeric-carrot-soup
Ingredients
- 1 tablespoon olive oil
- 1 leek, cleaned and sliced
- 1 cup chopped fennel bulb (1 small head)
- 3 cups chopped carrots
- 1 cup chopped butternut squash (or more carrots)
- 2 garlic cloves, minced
- 1 tablespoon grated ginger (about a 2-inch piece)
- 1 tablespoon turmeric powder
- Salt & pepper to taste
- 3 cups low-sodium vegetable broth
- 1 can lite coconut milk (14.5 ounces)
The PacificPro Team

Coral Montes
Front Office Manager

Trace Power
PT, MPT, CSCS

Bret Fairbanks
PT, DPT

Mason Nebrija
PT, DPT

Alyssa Raineri
PT, DPT

Michelle McClure-Smith
PT, DPT, OCS

Heather Snyder
PT, DPT, OCS

Erin Skrettingland
PT, DPT, OCS

Rujuta Shah
PT, OCS

Erika Rothfeld
PT, DPT

Tre Duplechan
PT, DPT

Johnny Kiskin
PT, DPT

Karli Baker
PT, DPT

Amanda Baxter
Director of Marketing

Kortney Croker
Director of Front Offices

Amanda Hurst
PT, DPT

Dean Loomis
PT, DPT

Jessica Sparschu
PT, DPT

Cade Vinsky
PT, DPT

Allan Anolin
PT, DPT

Stephani Quijano
PT, DPT

Spencer Ly
OTR/L, CNS

Josephine Nguyen
PT, DPT

Kylie Mann
PT, DPT

Shawn Troutman
PT, DPT, CSCS-NSCA

Torey Perez
PT, DPT

Are You In Pain?
Come Back to PT!
1. Keep up with your physical therapy exercises to relieve pain and prevent further injuries.
2. If your pain doesn’t subside, consult with your therapist about what other things might be causing your pain.
3. Contact PacificPro for an appointment. We will guide you so you can get back to the activities you love.



















