
The Connection Between Hip and Knee Pain
And How Physical Therapy Can Help!
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 Lycoming Physical Therapy, 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 Lycoming Physical Therapy, 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 Lycoming Physical Therapy
At Lycoming Physical Therapy, 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 Lycoming Physical Therapy, 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 to schedule your initial appointment today!

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 Lycoming Physical Therapy, 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 Lycoming Physical Therapy
At Lycoming Physical Therapy, 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 Lycoming Physical Therapy today to get started!
No insurance?
No problem!
We ensure that our cash pay rates are as low as possible to make physical therapy accessible for everyone.
Call our team to learn more!
Montoursville
570.231.3510
Muncy
570.277.5526
Meet Tom Janca, PT

“Having been born in the Chicagoland area back in 1967, I vowed from a very early age to grow up and move away to a “big city” area of the country without sub-zero freezing weather and ice storms in the winter. So how did I end up moving to the little hamlet of Arnot, PA (pop. 350) and working in Montoursville? Earning my BS degree in Exercise Science at Southern Illinois University seemed to be my ticket to independence.
Unfortunately, I found personal fitness training less fulfilling than I thought it would be. Years later, after I completed prerequisite coursework in the midwest, I moved to Philadelphia to attend Arcadia University and earn a Master’s degree in physical therapy by 2000. Wouldn’t you know it…my first physical therapy job offer was in a little town called Wellsboro, PA. From Chicago to…little town Wellsboro? Since I was a “big city kind of guy”, small town charm didn’t seem too charming. But I took the job anyway (determined to move back to a big city the next year). As fate would have it, two months after moving to Wellsboro, I met my “wife to be” in November 2000. We married in November 2001 and moved to Arnot, PA in 2003. Since then we’ve had three kids — Joshua, Abigail, and Josiah. In time, I learned that many of the “perks” of city life (crowded streets, pollution, traffic congestion and high taxes) weren’t as attractive as hunting, hiking, trees, wide-open spaces, and wildlife. We still reside in Arnot but now I work at Lycoming Physical Therapy in Montoursville and very much appreciate rural life and small town charm.”
Our Patients Get Great Results
“I accomplished more than I ever
expected to be able to do…”
“Everyone at Lycoming Physical Therapy was exceptional! My total knee replacement recovery went smoothly because of the physical therapy I received which was geared towards my activities and what I wanted to be able to do. At the end of my therapy, I accomplished more than I ever expected to be able to do because of the excellent care I received at Lycoming Physical Therapy.” —Beth H.

Feel Better by Eating Better!
Winter
Citrus Smoothie
Directions:
Fill one ice-cube tray with pineapple juice and one tray with orange juice. Place both trays in the freezer for several hours until frozen or overnight. Place yogurt, banana, honey, and cinnamon in a blender and process until smooth. Transfer mixture to a bowl, and set aside. Rinse blender, fill with pineapple ice cubes and remaining pineapple juice, and process until smooth. Divide pineapple mixture among four glasses, top with reserved yogurt mixture, and place in the freezer. Process the orange-juice cubes with the remaining orange juice. Remove filled glasses from freezer and top with orange ice mixture. Garnish each glass with cinnamon and a slice of an orange, if desired. Share with your friends before it begins to melt! Yields 4 smoothies.
Ingredients
- 2 1/2 cups pineapple juice
- 2 1/2 cups freshly squeezed orange juice, plus orange sections for garnish (optional)
- 3/4 cup plain yogurt
- 1 banana, peeled and halved
- 3 tablespoons honey
- 1/4 teaspoon ground cinnamon, plus more for garnish



