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Knee or Hip Pain: Do I Need Surgery? Expert Insights from Musculoskeletal Medicine

Writer: Dr John GibsonDr John Gibson

Updated: 3 days ago


KNEE PAIN - SOLUTIONS BEYOND SURGERY - MUSCULOSKELETAL SOLUTIONS
KNEE PAIN - SOLUTIONS BEYOND SURGERY - MUSCULOSKELETAL SOLUTIONS


Knee or Hip pain can be a debilitating condition that significantly impacts your quality of life. Whether it’s due to injury, overuse, or age-related wear and tear, hip pain can affect everything from your mobility to your ability to enjoy daily activities. As a senior practitioner in Musculoskeletal medicine, with years of experience resolving hip and knee pain cases without the need for invasive surgery, I can confidently say that surgery is often not the only solution and often not the best solution when conservative non invasive musculoskeletal treatments can solve the condition without the significant risks of invasive surgery.


At Musculoskeletal Solutions, with clinics in Brisbane, Beaudesert & Sunshine Coast, we are professionals in non-invasive treatments that focus on correct restoration and optimal biomechanical alignment, soft tissue health, and overall joint function to help fully resolve hip and keen pain conditions. Many patients who come to us in search of hip or knee pain treatment in clinics in Brisbane or Beaudesert are surprised to learn that surgery is often avoidable with the right comprehensive care and treatment approach.



Understanding Knee Pain:

Causes of Knee Pain in Sports

  • Ligament Injuries: Tears or sprains of the knee ligaments, such as the anterior cruciate ligament (ACL), often result from sudden stops, twists, or direct impacts during sports activities. These injuries can lead to instability and significant pain.

  • Meniscus Tears: The meniscus, a cartilage acting as a cushion between the thigh and shin bones, can tear due to forceful twisting motions, commonly occurring in sports like football or basketball.

  • Patellofemoral Pain Syndrome (Runner's Knee): Characterised by pain around the kneecap, this condition often arises from overuse, improper alignment, or muscle imbalances. It's prevalent among athletes who engage in repetitive knee-bending activities.

  • Tendonitis: Inflammation of the tendons, particularly the patellar tendon, can result from repetitive stress, leading to pain and swelling.

  • Iliotibial Band Syndrome: This occurs when the iliotibial band, running along the outside of the thigh, becomes tight or inflamed, causing outer knee pain, especially in runners.



Chiropractic Perspective on Resolving Knee Pain

  • Joint Adjustments: Chiropractors perform precise manipulations to correct misalignments in the knee joint, aiming to restore proper movement and alleviate pain.

  • Soft Tissue Therapy: Techniques such as massage or myofascial release, Fischer orthoplex, are employed to reduce muscle tension and improve flexibility around the knee.

  • Rehabilitation Exercises: Personalised exercise programmes are designed to strengthen supporting muscles, enhance stability, and prevent future injuries.

  • Gait and Posture Assessment: Evaluating and correcting walking patterns and posture can address biomechanical issues contributing to knee pain.


Osteopathic Perspective on Resolving Knee Pain

  • Manual Therapy: Osteopaths use hands-on techniques to manipulate and mobilise the knee and surrounding tissues, aiming to improve circulation, reduce pain, and enhance mobility.

  • Holistic Assessment: Considering the body's interconnectedness, osteopaths evaluate other areas, such as the hips, lower back, and ankles, to identify and treat contributing factors to knee pain.

  • Exercise Prescription: Tailored exercises are provided to strengthen muscles, improve joint function, and support recovery.

  • Lifestyle and Ergonomic Advice: Guidance on posture, footwear, and activity modification is offered to prevent exacerbation and promote healing.


Shared Recommendations

  • Early Intervention: Addressing knee pain promptly can prevent further injury and facilitate quicker recovery.

  • Individualised Care: Both chiropractors and osteopaths emphasise personalised treatment plans tailored to the specific needs and conditions of the athlete.

  • Collaborative Approach: Integrating care with other healthcare professionals, such as physiotherapists or sports medicine specialists, ensures comprehensive management of knee pain.


By understanding the causes of knee pain and exploring both Chiropractic and Osteopathic treatment options, athletes can make informed decisions to effectively manage and prevent knee injuries.


Understanding Hip Pain: Causes and Symptoms

Hip pain is a common issue that can arise for a variety of reasons, including injury, arthritis, or improper movement patterns. Here are some of the most frequent causes of hip pain that we treat at Musculoskeletal Solutions:

1. Osteoarthritis (OA)

Osteoarthritis is one of the most common causes of chronic hip pain, particularly in older adults. This degenerative condition occurs when the cartilage that cushions the hip joint wears away, causing the bones to rub against each other. Symptoms include stiffness, pain, and reduced range of motion.

2. Tendinitis or Tendonitis

The tendons around the hip joint can become inflamed due to overuse or repetitive movements. Tendonitis often affects the hip flexor tendons, gluteal tendons, or the iliotibial (IT) band, leading to pain and discomfort.

3. Bursitis

Bursae are small fluid-filled sacs that cushion the hip joint. Inflammation of these sacs, known as bursitis, can cause localised pain on the outer side of the hip.

4. Muscle Strains and Sprains

Tight muscles or strained ligaments in the hip and surrounding areas can lead to discomfort. Muscle imbalances due to poor posture or incorrect movement patterns are common contributors to hip pain.

5. Sciatica

Although sciatica is typically associated with back pain, the sciatic nerve also runs down the leg and can cause referred pain in the hip, particularly if the nerve is compressed or irritated.

6. Labral Tears

The labrum is a ring of cartilage that surrounds the hip socket. Tears in the labrum can cause pain, a feeling of instability, and restricted movement in the hip.

7. Pelvic Imbalances and Misalignment

In many cases, hip pain is not isolated to the hip joint itself or knee joint but is a result of pelvic misalignment or poor posture. Misalignments in the pelvis and spine can lead to uneven stress on the hip joint especially, resulting in discomfort.


When Should I Consider Surgery for Hip / Knee Pain?

While surgery may seem like the only solution for some types of hip pain, it is not always necessary. At Musculoskeletal Solutions, our approach emphasises non-surgical treatments that focus on improving biomechanical alignment, relieving soft tissue tension, bring blood flow back into the joint to heal the affected area and restoring joint function.

However, surgery will be considered in certain circumstances, particularly when:

  • Conservative treatments, such as Sports Chiropractic advanced physical therapy joint alignment treatments or soft tissue release, have not provided relief.

  • There is significant structural damage to the hip joint, such as (not minor) a Meniscus tear, advanced severe arthritis or a large labral tear.

Even in some of these cases, surgery is often a last resort, and many patients can benefit from non-invasive approaches before considering more invasive options.


The Importance of Biomechanical Alignment in Hip Pain Treatment

One of the key aspects of successfully treating hip pain is addressing biomechanical alignment. The body is a complex system, and the alignment of one area, such as the spine or pelvis, can have a direct impact on another area, such as the hip. When the body’s alignment is off, it can cause uneven stress on the muscles, joints, and ligaments, leading to pain and dysfunction.

Pelvic and Spinal Alignment

The pelvis plays a critical role in hip health. When the pelvis is misaligned—often due to poor posture, injury, or muscle imbalances—it can affect the position and function of the hip joint. This misalignment may lead to uneven load distribution across the hip, causing pain and restricting movement.

For example, an anterior pelvic tilt (where the front of the pelvis tilts forward) can lead to tight hip flexors, overstretched glutes, and increased pressure on the hip or knee joint. A posterior pelvic tilt, on the other hand, can lead to weak hip flexors and glutes, resulting in instability.

Leg Length Discrepancies

A slight difference in leg length, often undiagnosed, can lead to compensations that affect the hips and lower back. These small imbalances can cause pain and discomfort over time as the body works harder to correct the uneven distribution of weight.

Foot and Ankle Alignment

The alignment of the feet and ankles can also influence hip & knee pain. For example, overpronation (when the foot rolls inward) or underpronation (when the foot rolls outward) can cause misalignments further up the kinetic chain, leading to hip or knee pain. Proper foot alignment ensures that the hips and knees receive even pressure during walking, running, and other activities.

At Musculoskeletal Solutions, we take a holistic approach to assessing and correcting these biomechanical misalignments to prevent further strain on the hip or knee joint and surrounding tissues.

Soft Tissue Release: A Key Treatment for Hip Pain

In addition to improving alignment, soft tissue release techniques are incredibly effective in treating hip pain. Soft tissue release focuses on alleviating tension in the muscles, tendons, ligaments, and fascia that surround the hip joint. Tight or restricted soft tissues can lead to pain, limited movement, and poor biomechanics.

Trigger Point Therapy

Trigger points are tight knots of muscle that can refer pain to other areas of the body. For instance, tightness in the hip flexors or glutes can refer pain to the front or side of the hip. Through trigger point therapy and manual muscle release, we can target these painful areas to restore normal function and alleviate discomfort.

Myofascial Release

Fascia is the connective tissue that surrounds muscles and organs. When fascia becomes tight or restricted, it can lead to pain and decreased range of motion. Myofascial release techniques aim to release tension in the fascia, improving flexibility and allowing for better movement in the hip joint.


These soft tissue treatments, when combined with biomechanical realignment, can help restore balance and function to the hip joint, reducing the need for invasive procedures like surgery.


Musculoskeletal Solutions: The 5-Star Rated Clinic for Hip Pain and Knee Treatment in Brisbane & Beaudesert

At Musculoskeletal Solutions, we are proud to offer highly effective, non-surgical treatments for hip pain and knee pain at our clinics in Brisbane and Beaudesert. Our patients trust us for our holistic approach and consistent results, and we are proud to maintain a 5-star rating for our hip pain treatments.

Our treatment approach combines:

  • Comprehensive biomechanical assessments to identify misalignments and movement dysfunctions

  • Soft tissue release techniques like myofascial release and trigger point therapy to alleviate muscle tightness and restore mobility

  • Orthoplex Fischer technology to resolve arthritic pain and inflammation, stimulate flow of blood and regeneration of cells.

With our expert care, many of our patients experience significant relief from hip pain and are able to avoid surgery, returning to their normal activities pain-free.


Conclusion: Avoiding Hip Surgery with Non-Surgical Treatment

In many cases, hip or knee pain treatment in our Brisbane & Beaudesert clinics can be effectively achieved without surgery. At Musculoskeletal Solutions, we focus on restoring correct biomechanical alignment, releasing soft tissue tension, and improving joint function through non-invasive comprehensive treatments. Whether you’re dealing with osteoarthritis, tendonitis, or muscle strains, our personalised approach can help alleviate pain, improve mobility, and prevent the need for surgery.

If you’re struggling with hip or knee pain, don’t wait for it to worsen. Contact us today at Musculoskeletal Solutions to schedule a diagnostic consultation and treatment in the first appointment - start your journey toward complete restoration and renewal to pain-free movement. Our clinics in Brisbane and Beaudesert are ready to help you get back to living your best life, without the need for invasive procedures.

 
 
 

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113 Wickham Tce, Spring Hill,  Brisbane

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Breakwater St, Peregian, Sunshine Coast 

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Beaudesert 115 Brisbane St, 8b Post Office Square

support@headachetendon.com.au

T 07 3260 1466

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