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KNEE PAIN THAT WON'T GO AWAY? THE CAUSE IS OFTEN NOT THE KNEE

Writer: Nick Brennan
Nick Brennan
Apr 28
4 min read

Updated: Jul 29


physiotherapy assessment of knee

If your knee pain keeps coming back despite rest and exercises, the reason is often that the knee is not where the problem starts. In this post I explain how your hips, ankles and the way you move can be the real cause and why that is actually good news for getting it sorted.



THE KNEE: A JOINT THAT RELIES ON OTHERS


The knee sits between the hip and the ankle. It does not work alone.


Every time you walk, climb stairs, squat, or change direction, your knee depends on the joints above and below it to share the load.


If those areas are not doing their job efficiently, the knee often has to compensate.


Over time, this can lead to:

  • Increased strain through the joint 

  • Irritation of surrounding tissues 

  • Changes in movement patterns 

  • A gradual build up of discomfort 


So while the knee is the place that hurts, the cause may be coming from somewhere else.


HOW THE HIPS INFLUENCE KNEE PAIN


The hips play a major role in controlling how your leg moves.

If the muscles around the hips are not providing enough support or control, it can affect how the knee tracks during movement.


This might show up as:

  • The knee moving inward when walking or squatting 

  • A feeling of instability or lack of control 

  • Increased pressure on certain areas of the knee 


Over time, this can lead to discomfort, especially during activities like climbing stairs, getting up from a chair, or exercising.


Improving hip strength and coordination can often reduce the load placed on the knee and change how it feels during movement.


THE ROLE OF THE ANKLES AND FEET


It is easy to overlook the feet and ankles when thinking about knee pain, but they are just as important.


They are your point of contact with the ground. Every step you take starts here.

If the ankles are stiff or the feet are not moving efficiently, it can affect how force travels up the leg.


This might lead to:

  • Reduced shock absorption 

  • Altered walking patterns 

  • Increased stress through the knee joint 


Something as simple as limited ankle movement can cause the knee to compensate in ways that create irritation over time.


MOVEMENT PATTERNS: THE HABITS YOU DON'T NOTICE


One of the biggest contributors to ongoing knee pain is how you move day to day.

Most of us are not aware of our movement habits. They develop over time based on lifestyle, past injuries, and daily routines.


For example:

  • Sitting for long periods can influence how your body moves when you stand 

  • Favouring one side can create imbalances 

  • Previous injuries can lead to subtle changes in movement 


These patterns are not necessarily wrong, but they can place repeated stress on certain areas, including the knee.


Over time, this repetition can lead to discomfort, even if there was no single injury that caused it.


WHY TREATING THE KNEE ALONE OFTEN FALLS SHORT


If knee pain is coming from a combination of factors, focusing only on the knee may not fully resolve the issue.


This is why some people experience temporary relief, only for the pain to return later.


You might have tried:

  • Resting the knee 

  • Applying ice or heat 

  • Doing general exercises 

  • Avoiding certain activities 


These can help manage symptoms, but if the underlying cause is not addressed, the cycle can continue.


A more effective approach often involves looking at the bigger picture.


A WHOLE BODY APPROACH TO KNEE PAIN


At Choose Health, we look beyond the knee to understand how your body is working as a system.

This includes:


Assessing Movement

We look at how you walk, squat, and move through everyday tasks. This helps identify patterns that may be contributing to your knee pain.


Understanding Strength and Control

Rather than focusing only on the knee, we assess the hips, core, and lower leg to see how well they are supporting movement.


Identifying Contributing Factors

This might include lifestyle habits, activity levels, or previous injuries that are influencing how your body is functioning.


Creating a Personalised Plan

No two people are the same. Your plan should reflect your goals, your lifestyle, and what you want to get back to doing.


WHAT THIS MEANS FOR YOU


If you have been dealing with knee pain for a while, this perspective can be both reassuring and empowering.


Reassuring because it explains why the problem may not have resolved yet.

Empowering because it means there are other avenues to explore that could make a real difference.


Instead of feeling limited by your knee, you can start to understand:

  • What your body needs to move better 

  • How to reduce unnecessary strain 

  • How to build confidence in your movement again 


REAL LIFE IMPACT: MORE THAN JUST PAIN


When knee pain is influenced by the whole body, it can affect more than just one joint.

You might notice:

  • Reduced confidence when walking or exercising 

  • Avoiding certain activities without realising 

  • Feeling stiff or restricted in multiple areas 

  • Frustration with recurring symptoms 


Addressing the bigger picture can often lead to improvements not just in the knee, but in overall movement and comfort.


KNEE PAIN IN SOUTHAMPTON AND WINCHESTER: A SMARTER WAY FORWARD


If you are in Southampton and Winchester and struggling with knee pain that does not seem to fully go away, it may be time to look at things differently.


You do not have to keep guessing or trying random solutions.

Understanding how your body works as a whole can provide clarity and direction, helping you move forward with confidence.


At Choose Health, we are here to guide you through that process in a way that feels clear, supportive, and tailored to you.


Take the Next Step With a Free Discovery Visit


If you are ready to understand your knee pain properly and explore what might really be driving it, we are here to help.


A Free Discovery Visit at Choose Health gives you the opportunity to:

  • Talk through your experience in detail 

  • Gain insight into how your body is contributing to your knee pain 

  • Understand what steps you can take next 

  • Ask questions in a relaxed, no pressure environment 


There is no treatment involved, just a conversation designed to give you clarity and confidence.


To book your Free Discovery Visit, click here. Your knee pain might not be just about your knee and that could be the key to finally moving forward.


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ABOUT THE AUTHOR

Nick Brennan is a chartered physiotherapist and medical acupuncturist, and the founder of Choose Health & Wellbeing. He has 16 years of experience across the NHS and private practice, and is registered with the Health and Care Professions Council (HCPC) and the Chartered Society of Physiotherapy (CSP).

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