Bursitis & tendonitis · North Waterfront & Telegraph Hill
Bursitis and Tendonitis Treatment in San Francisco
Shoulder, elbow, hip, knee and heel pain from an overloaded tendon or an irritated bursa. Our chiropractors treat the tissue and the mechanics that caused it, without medication or surgery.
5.0 from 273 Google reviews · Mon to Fri, 8am to 6pm · No referral needed
Symptoms
Signs of bursitis or tendonitis
Both show up as pain near a joint that gets worse with repeated use, but the pattern is a little different for each. Most people have a mix of these.
Pain with movement, not at rest
Tendonitis tends to hurt most when the tendon is loaded: lifting the arm, climbing stairs, pushing off the foot. Bursitis can ache even sitting still if the bursa is compressed.
A specific tender spot
Pressing directly over the tendon or the bursa reproduces the pain, which is one of the more reliable ways we tell the two apart.
Swelling or warmth over a joint
Bursitis in the elbow, knee or shoulder can visibly puff up. A tendon rarely swells this way unless it has partially torn.
Stiffness after rest
Getting up after sitting, or the first few minutes after waking, often feel worse before they loosen up.
Weakness or a catching sensation
A tendon that has been overloaded for a while can feel like it is giving way, especially in the shoulder or the knee.
Pain that built up gradually
Unlike a sprain, most tendonitis and bursitis has no single injury moment. It builds over weeks of repetitive load.
The basics
What is the difference between bursitis and tendonitis?
A bursa is a small fluid-filled sac that cushions a joint. Tendonitis is irritation of a tendon, the cord that connects muscle to bone. Both are usually caused by the same thing, repeated friction or load on a joint, and both respond to a similar approach: find out what is overloading the area and correct it, not just quiet the pain.
Common causes we see
A repetitive motion at work or in a sport (throwing, typing, lifting overhead)
A sudden jump in training volume or intensity
Poor joint mechanics elsewhere in the chain shifting load onto one spot
Prior injury that never fully resolved
Age-related changes in tendon elasticity
Choosing a provider
Who treats bursitis and tendonitis?
Chiropractor
Looks at the joint mechanics and movement pattern feeding the irritation, and combines hands-on treatment with a loading plan so the tendon or bursa can settle and stay settled.
Physical therapist
Builds supervised strengthening and mobility programs, often used alongside chiropractic care for a more complete recovery.
Orthopedist
A good next step for severe or persistent cases, especially if imaging or a steroid injection is being considered.
Primary care doctor
Can rule out other causes, order imaging, and prescribe anti-inflammatory medication if appropriate.
Sports medicine physician
Specializes in overuse injuries in active people and can coordinate between other specialists.
The question we get most
Should I rest it, or keep moving?
Neither extreme works well on its own. Total rest lets the tendon or bursa calm down, but a tendon that never gets loaded again actually gets weaker and more prone to flaring the next time you use it. Pushing straight through sharp pain just keeps re-irritating the area.
What works is a measured middle path: reduce the specific motion that is provoking it, keep everything else moving normally, and reintroduce load to the tendon in small controlled doses as it improves. That is where a specific plan matters more than general advice.
What to expect
Your first visit
1
History and movement screen
We ask how and when it started, then watch how the joint moves to find the pattern that is loading the tendon or bursa.
2
Hands-on exam
Palpation and a few provocative tests pinpoint the exact structure involved and rule out a tear or fracture.
3
A working diagnosis
You leave the first visit knowing what is actually irritated and why, not just that something hurts.
4
First treatment
Usually a combination of manual therapy, soft tissue work, and guidance on what to avoid for the next few days.
5
A plan with a timeline
Most mild cases improve over two to six weeks with consistent care. We tell you what to expect and when to check back in.
Seek urgent care if you notice
Fever or chills along with joint swelling (possible infected bursa)
A joint that is hot, red, and significantly swollen
Inability to move the joint at all, or a visible deformity
Numbness or loss of circulation in the limb
Weighing your options
Bursitis and tendonitis treatment options, compared
There is no single right answer. Here is how the common paths actually compare.
Rest and ice alone
Low cost, no appointment needed
Often eases mild, early-stage pain
Does nothing to fix the underlying mechanical cause
Pain frequently returns once activity resumes
Chiropractic care
Addresses the joint mechanics driving the overload
Combines manual therapy with a loading plan
Non-invasive, no medication involved
Usually needs a series of visits, not a single fix
Tendons heal slowly because they have a limited blood supply compared to muscle. Resting stops the irritation from getting worse, but it does not correct whatever mechanical imbalance put the extra load on that tendon in the first place, a stiff joint nearby, a weak muscle group, or a movement habit.
That is why the same injury so often comes back once a person returns to their normal activity. Lasting relief usually means correcting the mechanics and gradually rebuilding the tendon or bursa's tolerance to load, not just waiting for a flare to pass.
50 Francisco Street, Suite 257, San Francisco, CA 94133
(415) 421-1115
Telegraph Hill
150 Lombard Street, San Francisco, CA 94111
(415) 421-1115
FAQ
Common questions
What is the difference between bursitis and tendonitis?
A bursa is a fluid-filled cushion near a joint, while a tendon connects muscle to bone. Bursitis is inflammation of the bursa, and tendonitis is irritation of a tendon. Both are usually caused by repetitive friction or overload near a joint.
How long does bursitis or tendonitis take to heal?
Mild cases often improve within two to six weeks with consistent care. More chronic or severe cases can take several months, especially if the underlying mechanical cause is not addressed.
Can a chiropractor help with tendonitis?
Yes. Chiropractic care addresses the joint mechanics and movement patterns that are overloading the tendon, often combined with soft tissue work and a graded loading program.
Should I rest completely or keep moving?
Neither extreme is ideal. Reduce the specific motion that provokes pain while keeping everything else moving, and reintroduce load gradually as the tissue improves.
What causes bursitis and tendonitis?
Common causes include repetitive motion at work or in sport, a sudden increase in training load, poor joint mechanics elsewhere in the body, prior injury, and age-related changes in tendon elasticity.
When should I see a doctor instead of waiting it out?
See a doctor urgently if you have fever or chills with joint swelling, a hot red significantly swollen joint, inability to move the joint, or numbness and loss of circulation.
Does Truspine treat shoulder, elbow, knee, and heel tendonitis?
Yes. We regularly treat rotator cuff tendonitis, tennis and golfer’s elbow, patellar tendonitis, Achilles tendonitis, and trochanteric bursitis at both San Francisco locations.
What treatments does Truspine use for bursitis and tendonitis?
Depending on the case, we use chiropractic adjustment, active release technique, Graston technique, shockwave therapy, dry needling, laser therapy, custom orthotics, and a home loading program.
Get the actual cause looked at.
Not another round of rest and hoping it goes away.
Why does my knee hurt? If you’ve never asked this question, you’re the rare exception. Almost everyone experiences knee pain at some stage in life. But the knee pain causes are many.
For some, simple home exercises and remedies can provide fast and full knee pain relief. For other causes of knee pain, you’ll need to take more significant steps, like seeing a knee pain doctor. Either way, it’s important to identify the reason for your knee pain so you can stop the pain, restore mobility, and get back to doing the things you love pain-free. If you’re in San Francisco and ready to explore treatment options, see how Truspine approaches knee pain relief.
In this post we’ll explore:
How the Knee Works
Why Knees Hurt Where They Do (Side, Back, Kneecap, etc.)
Why Knees Hurt During Certain Activities(Walking, Sitting, Stairs, etc.)
Why Knees Hurt at Certain Times(Nightime, Cold, Rain, etc.)
How A Knee Pain Doctor Can Help
I. How the Knee Works
Your knee is more than just a hinge that allows you to bend and straighten your leg. It’s a complex, weight-bearing joint composed of bones, ligaments, tendons, cartilage, and muscles—all working together to help you move, balance, and absorb shocks.
When even one of these components doesn’t function properly, you can end up asking, “Why does my knee hurt?” Understanding a few key anatomical details will help you see how various issues—ranging from misalignment to wear and tear—can lead to discomfort in different parts of your knee.
According to the Knee Pain Centers of America, 18% of people 18 to 44 experience knee pain, and that rate rises to 37% as people age. 80% of people with osteoarthritis of the knees, a common knee inflammation condition, experience movement limitations.
In fact, knee pain doctor visits represent 1/3 of all visits for musculoskeletal issues.
Basic Structure
Three main bones form your knee joint:
Femur (thighbone): The upper bone that fits into the hip at one end and meets the knee at the other.
Tibia (shinbone): The larger bone of the lower leg forms the main support below the knee.
Patella (kneecap): This small bone sits in front of the knee joint, protecting it and aiding in movement.
Between these bones lie pads of cartilage, known as menisci, which act as shock absorbers. Each meniscus helps spread weight evenly across the joint. Wear or damage to this cartilage can lead to problems like tears, swelling, or pain when you move.
You also have articular cartilage. These form soft caps on the ends of your leg bones. These types of cartilage work together to prevent bone-on-bone rubbing.
Key Supporting Structures
Your knee wouldn’t stay stable without strong bands of connective tissue called ligaments. These ligaments include:
ACL (Anterior Cruciate Ligament) and PCL (Posterior Cruciate Ligament) inside the joint, preventing forward and backward movement of the tibia relative to the femur.
MCL (Medial Collateral Ligament) and LCL (Lateral Collateral Ligament) on the inner and outer sides of the knee, preventing side-to-side motion and adding stability.
Meanwhile, tendons—particularly the patellar tendon and quadriceps tendon—attach muscles to bones, allowing your knee to straighten and bend under muscular control.
Any strain or inflammation in these structures can be a significant source of knee pain.
How Knee Anatomy Ties to Pain
Because the knee has so many working parts, knee pain can arise from various issues:
Cartilage Damage: Injuries or degeneration in the menisci (shock absorber) and articular cartilage (soft bone caps).
Ligament Sprains or Tears: Overstretching or tearing of the ACL, PCL, MCL, or LCL.
Tendon Problems: Tendonitis or small tears commonly affect the patellar or quadriceps tendon.
Muscular Imbalances: Weaker or overly tight muscles can pull the knee out of proper alignment.
Joint Misalignment: Abnormal walking patterns or posture can strain certain areas of the knee, leading to pain on the inside, outside, front, or back of the joint.
A solid grasp of knee anatomy reveals why so many factors can contribute to discomfort.
By pinpointing which part of this intricate system is at fault, we can start to answer the big question: “Why does my knee hurt?”
II. Location-Based Knee Pain Answers
Pain can strike any part of your knee—front, back, sides, or even underneath the kneecap. By focusing on where the pain is, you can narrow down possible knee pain causes. This section addresses each location-based question in detail, helping you pinpoint what might be going on inside your knee.
Why Does My Knee Hurt in the Back?
Pain in the back of your knee could stem from a Baker’s cyst. It’s named after the person who discovered it, not because you get it from baking sourdough. This fluid-filled swelling often appears after knee joint damage or inflammation.
It may also relate to strained hamstring tendons, especially if you’ve been doing a lot of running, biking, or other activities involving repetitive knee bending. In some cases, arthritis can cause swelling in the rear part of the joint, leading to persistent aches or stiffness.
If the pain persists, a professional evaluation can determine if there’s a cyst, tendon injury, or other inflammation.
It’s important to rule out more serious causes before deciding on a treatment plan.
Why Does My Knee Hurt on the Side?
Pain on the knee’s outer side (called: lateral knee pain) can be due to lateral collateral ligament (LCL) strain, which happens if you twist your knee awkwardly or sustain a direct hit. Another frequent cause is iliotibial (IT) band syndrome, where the thick band of tissue running along the outer thigh becomes irritated. This often appears in runners or cyclists who increase mileage too quickly.
Pain on the inside of the knee (called: medial knee pain) often suggests issues with the medial meniscus. This is the C-shaped cartilage that cushions the inner part of the joint. A tear here may lead to swelling, tenderness, and limited range of motion. Another possible culprit is a sprain or strain of the medial collateral ligament (MCL), which stabilizes the inner knee.
Less obvious causes include pes anserine bursitis, where inflammation occurs on the inside of the tibia just below the joint. If you notice stiffness, swelling, or pain when you rotate or pivot, you may need imaging or a clinical exam to confirm the exact problem.
At Truspine Chiropractic, our team can order imaging tests, including MRIs, CTs and X-rays, to view the knee structure and identify the root cause of your knee pain. This allows our knee pain doctors to develop a treatment plan that addresses the cause so you can experience faster and more complete healing and knee pain relief.
When the outer part of the joint hurts, it might be the lateral meniscus, the LCL, or that ever-troublesome IT band. Overuse from running or high-impact sports can lead to inflammation in this area. If you have a job that involves twisting movements or sudden turns, your lateral structures may also get strained.
A chiropractic evaluation can help distinguish between ligament, tendon, or cartilage issues on the outside of your knee.
Identifying the root cause is key to effective, targeted treatment.
Why Does My Knee Hurt Behind It?
Pain “behind” the knee can sound similar to “in the back” but may be slightly different anatomically. For instance, a bursitis or tendon irritation closer to the joint line can make the pain feel deeper than that back of the knee pain we described earlier. Swelling in this region might also suggest internal knee joint damage pressing on nearby tissues.
When in doubt, a thorough evaluation by a knee pain doctor ensures you’re not missing anything, like a subtle ligament sprain or small meniscal tear that can cause occasional flare-ups.
Why Does My Kneecap Hurt?
Pain at or around the kneecap, also known as runner’s knee or patellofemoral pain syndrome, is common when the patella doesn’t track smoothly over the femur. Squatting, climbing stairs, or simply bending the knee can become uncomfortable. Sometimes, the cartilage under the kneecap softens or wears down (chondromalacia patella), causing a grinding sensation.
Patellar tendonitis is another possibility, especially if you’ve been jumping or doing repetitive squats. This inflammation of the tendon connecting your kneecap to your shinbone can lead to localized tenderness.
Why Does My Knee Hurt on the Right Side vs. Left Side?
Sometimes, knee pain is consistently on only one side—your right or left. This could be due to leg-length discrepancies, where one leg is slightly shorter, causing uneven stress on a single knee. Muscle imbalances or old injuries on one side can also lead you to bear weight unevenly.
Have you recently started a sit-stand routine to be less sedentary? Or do you work in retail, education, or food services, where you stand a lot? You might notice your weight shifts more to one leg while you’re standing in one place focused on work. This puts extra strain on the knee on one side of the body. It can stretch and damage the ligament as it tries to keep the knee from bending sideways under pressure.
If you notice you always favor one leg, keep track of when and how pain flares up. A gait analysis can reveal posture and alignment problems, helping you correct any asymmetry before it causes ongoing knee trouble.
Pain under the kneecap typically points to patellar (kneecap) tracking issues or inflammation in the tendons just beneath the patella. When the patella doesn’t move correctly, it grates on the cartilage underneath, which can become a source of chronic pain. Sometimes, fluid or swelling builds in the infrapatellar bursa, causing discomfort beneath the kneecap.
A professional assessment can help you figure out if your pain stems from the tendon, the cartilage, or both. Treatment often involves strengthening exercises, rest, and proper alignment techniques during activities.
Why Does My Knee Hurt in the Front?
Pain in the front often overlaps with kneecap-related issues. Patellofemoral pain syndrome is a leading cause, especially if you feel aches when climbing stairs or sitting for long periods. Repetitive movements that stress the patellar tendon—like running and jumping—can also spark front-of-knee irritation.
Knowing exactly where the pain localizes (above, below, or around the patella) can guide you toward solutions like exercises, orthotics, or chiropractic adjustments. Front-of-knee pain can improve significantly once you address the mechanical issues at play.
Whether you’re experiencing pain on one side, front/back, inside/outside, seeing a knee pain doctor at Truspine Chiropractic helps you get to the root cause of the pain. We can help you restore balance, regrow cartilage, and address knee inflammation and injuries causing you pain.
III: Activity And Movement-Based Knee Pain Answers
Everyday activities—like walking, sitting, climbing stairs, or even running—can reveal a lot about what’s going on inside your knee. When discomfort appears specifically during or after certain movements, it often points to underlying mechanical issues, inflammation, or wear-and-tear in key structures.
Why Does My Knee Hurt Going Down Stairs?
Going downstairs puts extra stress on the patellofemoral joint (where the kneecap meets the thighbone). As you descend, your body weight shifts forward, and your quadriceps work harder to stabilize the knee. This added pressure can irritate the cartilage under your kneecap, leading to sharp or dull pain.
If you have patellar tracking problems, weak quadriceps, or pre-existing knee issues like arthritis, going downstairs can feel especially challenging—even excruciating. Strengthening exercises for your quads and hips—plus ensuring good alignment—often help reduce this discomfort.
Why Does My Knee Hurt Going Up Stairs?
Climbing upstairs puts a similar but slightly different type of load on your knee joint. The strain on the front of the knee can aggravate conditions like patellofemoral pain syndrome or patellar tendonitis. If your knees aren’t tracking properly, each step may grind the kneecap against the femur, creating pain. You might even feel a grinding sensation as structures rub against each other.
Exercises that focus on balancing your leg muscles and improving hip stability can make a real difference. A chiropractor can also help identify any misalignments that heighten this discomfort.
Why Does My Knee Hurt After Sitting?
Have you ever stood up after a long movie or car ride and felt an ache in your knees? That’s often referred to as the “theater sign” or “movie-goer’s knee,” closely tied to patellofemoral pain syndrome. When your knees stay bent for a long time, the pressure behind the kneecap can cause pain or stiffness.
Additionally, those who sit for very long hours, like people with desk jobs, lose lubrication in their knees as they stay in more-or-less one position for two, four, and sometimes eight hours. Lack of lubrication increases the rate at which cartilage breaks down and can exacerbate the stiffness and pain after prolonged sitting.
If your pain lingers once you start moving, you could be dealing with arthritis or soft tissue inflammation. Try consistently stretching your quads and hamstrings, as well as taking regular breaks to stand and walk. If possible, extend one or both legs every several minutes to keep the joints lubricated and to relieve that pressure.
Even a few seconds in a different position every 30 minutes can reduce the risk that you experience this phenomenon. Obviously, we’d like to see you getting up and moving around for five minutes every hour or so if you’re sitting for longer than it takes to watch a movie.
You’ll feel even better if you make THIS a habit!
Why Does My Knee Hurt After Walking?
Walking, while generally healthy, can still stress your knee if there’s an underlying weakness or alignment issue. Overpronation (rolling inward at the ankle), unsupportive footwear, or a sudden increase in distance can cause overuse injuries. Conditions like patellar tendonitis, meniscus irritation, or ligament strains may flare up after longer walks.
Addressing foot mechanics, maintaining a moderate walking pace, and gradually increasing your mileage are simple ways to reduce post-walk discomfort. If pain remains constant, a professional evaluation is your next step.
Squats are a staple exercise for lower-body strength but can be tough on the knees. Improper form—like letting your knees drift too far forward, out, or in—can overload the joint. If you lack hip or core stability, you may be a little wobbly as you go down. This places extra stress on your tendons and ligaments around the kneecap.
It’s definitely something you can overcome by strengthening your legs.
But that may require you to do leg exercises that don’t carry your entire body weight.
Common culprits behind post-squat pain include patellar tendonitis, meniscal strains, or tracking problems. Working with a trainer or chiropractor to perfect your squat form can reduce the likelihood of injury.
The knee pain doctors at Truspine Chiropractic take time to demonstrate proper form when lifting, squatting, walking, and more. We want you to experience complete and profound relief from your knee pain. And very often, that starts with fixing a balance, form, or structural issue.
You deserve to live pain-free! To get your comprehensive knee pain evaluation and first Knee on Trac, schedule an initial consultation.
Why Does My Knee Hurt So Bad After Running?
Running is high-impact, subjecting your knees to repetitive stress. Overuse injuries like patellar tendonitis, iliotibial (IT) band syndrome, or meniscus strains are common among runners—particularly when increasing distance or intensity too fast. If your shoes are worn or don’t match your foot type, your knees may take a beating.
Runner’s knee, also known as patellofemoral pain syndrome (PFPS), is a common condition where pain develops on or under the kneecap. It’s generally the result of musculoskeletal imbalances that can be fixed.
Knee pain after running is not normal. If you love to run, you deserve to keep doing what you love without pain.
Rest, ice, and gentle stretching can relieve minor flare-ups. It’s also smart to analyze your running form, replace your footwear regularly, and incorporate strength training to stabilize your knees.
Why Does My Knee Cap Hurt When I Bend It?
Bending your knee requires smooth gliding of the kneecap along the femoral groove. If something interrupts that glide—like cartilage damage or tight tissues around the kneecap—you might feel pain, popping, or grinding. Patellofemoral pain syndrome is a frequent cause, especially among runners or those who do a lot of knee-bending activities.
Strengthening exercises for the quads and hips, as well as techniques to improve patellar tracking, can bring relief. If bending the knee remains problematic, an assessment can pinpoint the exact cause.
IV. Environmental And Situational Knee Pain Answers
Knee pain isn’t only about what you do; it can also reflect the conditions you’re in. From chilly weather to prolonged stillness, certain scenarios can aggravate discomfort. Let’s tackle how environmental factors and specific situations might trigger knee pain.
Why Does My Knee Hurt in the Cold?
You’ve likely heard someone say, “My knee hurts because it’s cold outside.” There’s some truth to this. Colder temperatures can cause your joints and surrounding tissues to tighten, reducing blood flow. As a result, synovial fluid—which cushions your knee—may thicken, making movement less smooth and more painful.
Dressing warmly and doing light warm-ups before going outside can help. Using a knee sleeve or compression brace can also keep the joint warm and supported. If you consistently feel worse in low temperatures, you might have underlying joint inflammation or arthritis that reacts strongly to the weather.
Why Does My Knee Hurt When It Rains?
Some people’s joints become more sensitive when the barometric pressure drops before a storm, though the exact reasons aren’t fully understood. Some people say they can feel “a storm coming” because their knees ache.
If your knees ache before or during rain, focus on anti-inflammatory strategies like nutrition and leg strengthening while also considering that you may have a structural issue making the inflammation and pain worse.
Why Does My Knee Hurt All the Time?
If you find yourself asking this, chances are your knee pain has turned into more than an occasional ache. Here are a few key reasons why it might be constant:
Chronic Conditions: Arthritis (osteoarthritis or rheumatoid arthritis) can cause persistent inflammation. If left untreated, it may wear down cartilage and lead to ongoing discomfort.
Untreated Injuries: A sprain or tear that never fully healed can evolve into chronic pain, affecting daily activities.
Misalignment or Postural Issues: Poor walking gait or an imbalanced pelvis puts extra pressure on your knees, causing a near-constant ache.
Overuse and Repetitive Strain: People who stand or walk for extended periods—either at work or during sports—may develop lingering pain due to overuse.
If your knee pain feels permanent, it’s time for a professional evaluation. Long-standing problems rarely go away on their own, and a thorough exam is crucial for customized knee pain treatment.
Morning knee pain often indicates stiffness or inflammation that has built up overnight. Conditions like osteoarthritis, rheumatoid arthritis, or even mild tendonitis can feel worse after hours of limited movement. As you start moving around, blood flow improves, helping ease discomfort.
If morning pain persists or intensifies, consider an evaluation. Early-stage arthritis or other chronic inflammatory issues benefit from prompt care before they progress.
Why Does My Knee Hurt Only at Night?
Nighttime knee pain can have several causes. Inflammation from daytime activity might peak when you finally rest. Bursitis, tendonitis, or certain forms of arthritis can become more pronounced once you’re off your feet. Additionally, lying flat might alter knee circulation or nerve pathways, triggering pain.
Keeping a log of when and how the pain occurs can help your knee pain doctor identify patterns—like particular sleeping positions or late-night activity—that worsen symptoms.
Why Does My Knee Hurt So Bad at Night?
If your knee pain is especially severe, you might be dealing with advanced arthritis or a significant injury like a meniscal tear. Swelling in the joint, combined with inactivity while you’re lying down, can make sensations feel more intense. In some cases, nerve irritation also flares up when joints aren’t moving.
Using supportive pillows, gently stretching before bed, and elevating the knee might offer relief. If the pain disrupts your sleep consistently, it’s likely time for professional help to investigate underlying causes.
Recognizing how activity and time of day impact your knee can shine a light on what’s truly behind the discomfort. By matching these clues with the right interventions—adjusting your workout routine, improving your form, or seeking specialized care—you’re closer to overcoming that nagging question: “Why does my knee hurt?”
Why Does My Knee Hurt Randomly?
Sudden or “out-of-the-blue” knee pain can be confusing, especially when you haven’t changed your daily routine. Here’s what might be happening:
Flare-Ups of Old Injuries: Even if an injury seemed to heal, the affected tissues may remain vulnerable and cause occasional pain.
Muscle Imbalances: If your quads and hamstrings are not equally strong, your knee joint might be pulled out of its optimal alignment at unexpected times.
Lifestyle or Minor Overuse: A simple walk on uneven ground or an impromptu run without warming up could trigger pain if your knee wasn’t prepared for it.
Random knee pain doesn’t necessarily mean severe damage is lurking. But it does hint that something isn’t quite right—either structurally or in your movement patterns.
Why Would My Knee Hurt for No Reason?
If there’s pain yet you can’t pinpoint an obvious cause—no recent injury, no intense workout—the culprit could be hidden or subtle:
Early Wear and Tear: Degeneration of joint cartilage often starts slowly, so you might not notice it until it becomes painful.
Low-Grade Inflammation: Low levels of swelling can linger in the joint, especially if there’s an underlying issue like mild arthritis or a past sprain.
Metabolic or Systemic Conditions: Sometimes, conditions like diabetes or thyroid imbalances contribute to joint pain, even if they don’t directly target the knee.
When knee pain seems to come “out of nowhere,” it’s still worth mentioning to your knee pain doctor. Often, there’s a root cause just waiting to be uncovered.
V. Possible Reasons for Knee Pain
Knee pain doesn’t always stem from a single, obvious injury. Sometimes, multiple factors—from your exercise habits to underlying health conditions—converge to create discomfort. Understanding these possible reasons can help you recognize when your lifestyle choices or physical misalignments might contribute to persistent knee troubles.
Overuse and Repetitive Stress
Daily activities like running, squatting, or climbing stairs can place repetitive stress on your knees. If you ramp up your mileage too quickly or repeatedly bend your knees under significant weight, small injuries can accumulate over time. Tendonitis and strains often develop when the body doesn’t get enough rest between workouts.
A key preventive measure is balancing activity with recovery—stretching, proper warm-ups, and rest days. If overuse injuries keep flaring up, consider re-evaluating your form or workout routine with a healthcare professional or coach.
Age-Related Degeneration
As you get older, your cartilage naturally thins, and your joints may lose some of their cushioning ability. Osteoarthritis is the most common form of arthritis in older adults, often causing stiffness and pain that worsen after inactivity or in cold weather. While age-related wear and tear is normal, early intervention can slow its progression.
Maintaining a healthy weight and staying active with low-impact exercises—like swimming or cycling—can help preserve cartilage health. Regular chiropractic visits may also relieve some of the stress on your knees by promoting better joint alignment.
Trauma or Acute Injuries
A sudden twist, fall, or direct impact can lead to ligament sprains, muscle strains, or even fractures. Sports injuries often involve tears to the ACL or meniscus, causing immediate swelling and pain. Prompt diagnosis is crucial, as untreated injuries can worsen and potentially become chronic.
If you suspect a traumatic injury, use the RICE method (rest, ice, compression, elevation) as first aid. Seek professional evaluation to determine the severity of the damage and to prevent long-term complications.
You deserve to pursue the active, pain-free lifestyle you want to live. To get your comprehensive knee pain evaluation and first Knee on Trac, schedule an initial consultation.
Alignment and Gait Issues
Misalignments in your hips, spine, or feet can shift how you distribute weight across your knees. Over time, incorrect gait patterns can contribute to uneven wear on cartilage and ligaments. Bow-legged or knock-kneed postures, for example, put extra stress on specific parts of the joint.
A gait analysis can reveal whether you’re unintentionally favoring one leg or turning your feet in a way that strains the knee. Correcting alignment often involves targeted exercises, orthotics, or chiropractic adjustments to restore proper posture.
Systemic Conditions
Certain diseases and conditions can influence knee health. Rheumatoid arthritis, an autoimmune disease, can cause joint swelling and intense pain. Lupus, gout, and even psoriasis can have similar effects. If your knee pain fluctuates with overall flare-ups or is accompanied by other systemic symptoms—like fatigue or fever—you might need a more comprehensive medical evaluation.
In some cases, managing the underlying condition through diet, lifestyle adjustments, and, when needed, medication can significantly reduce knee discomfort.
Nutritional Deficiencies
Your joints rely on a consistent supply of nutrients—like vitamin D, calcium, and collagen—to maintain bone density and cartilage strength. Diets low in these nutrients may leave you more vulnerable to joint aches and slow recovery after minor injuries.
Consider getting your vitamin levels checked if you experience unexplained pain or if you follow a restricted diet. Incorporating anti-inflammatory foods—such as leafy greens, berries, winter squashes, turmeric, ginger, and omega–3–rich foods—can also support overall joint health.
Lifestyle Factors
Habits like smoking and excessive alcohol consumption can inhibit healing and exacerbate inflammation. Obesity adds stress to the knee joint, making pain more likely in everyday activities like walking or climbing stairs. Sedentary lifestyles also contribute to weaker muscles and stiffer joints, both of which can accelerate knee problems.
Taking small steps—like adopting a balanced diet, quitting smoking, and incorporating moderate exercise—helps lessen your risk of knee pain and supports a healthier, more active life.
When it comes to knee discomfort, pinpointing the root cause isn’t always straightforward. Often, it’s a blend of factors—age, physical strain, alignment issues, or underlying conditions. By exploring how these reasons might interact in your life, you’re more likely to uncover effective solutions, whether that’s changing your workout routine, getting fitted for orthotics, or consulting a knee pain doctor for a thorough examination.
In other words, the vast majority of knee pain is caused by structural issues, damaged tissues, and lost cartilage. Truspine Chiropractors are knee pain doctors who specialize in treating these kinds of issues by addressing the cause of the pain.
In most cases, you can become knee pain-free without potentially harmful medications or surgery.
It’s time to live pain-free without invasive surgeries. To get your comprehensive knee pain evaluation and first Knee on Trac, schedule an initial consultation.
VI: How Chiropractors Treat Knee Pain
Conventional approaches to knee pain often revolve around pain relievers, injections, or surgery. While these methods can bring temporary relief, they don’t always tackle the root cause. For example, an invasive knee surgery might fix the issue for now. But if you’re continuing to move in ways that put uneven stress on the knee, the injury is probable. That knee pain surgery that once provided relief starts feeling like your knee before—or worse.
Chiropractic care offers a holistic, non-invasive alternative. By focusing on alignment and biomechanics, chiropractors aim to restore the body’s natural balance so the knee can function more efficiently and heal more effectively.
Chiropractors look at how the entire musculoskeletal system works together. If your spine or hips are misaligned, your knees may bear uneven weight with every step or prolonged standing, leading to chronic pain or recurrent injuries.
We don’t mask discomfort with medication. Chiropractic adjustments address alignment to reduce stress on the knee joint.
Truspine’s Approach to Knee Pain
At Truspine, we start with a thorough assessment of your posture, gait, and lifestyle habits. If we might find you have tight quads, weak glutes or misalignments in the hips or spine —that may be straining your knees— We’ll create a customized plan. This might include:
Manual Adjustments: Aimed at correcting misalignments in the spine or pelvis that affect knee mechanics.
Soft Tissue Therapies: Techniques like myofascial release can reduce tension in the muscles and tendons around the knee.
Targeted Exercises: Strengthening the hips, core, and thighs can relieve pressure on the knee.
Lifestyle and Posture Coaching: Small changes, such as adjusting how you stand, sit, or walk, can have a big impact on knee health.
Cold Laser Therapy: Non-invasive light therapy can reduce inflammation and speed healing.
Instrument-Assisted Soft Tissue Mobilization (IASTM): Tools like Graston Technique help break down scar tissue and improve circulation around the knee.
Rehabilitative Exercises: Custom exercises that strengthen stabilizing muscles, promoting a balanced knee joint.
Knee on TracTM: Many believe that once cartilage is gone, that’s it! But that simply isn’t true. Cartilage grows new and healthier tissues in the right environment. Knee on Trac is a specialized cartilage-restoring device that gently increases the space in your knees. This encourages cartilage to expand and grow into the space.
Download our Knee on Trac Brochure.
Learn all about the conditions treated, benefits and contraindications.
Addressing the Root Cause
At the end of the day, a chiropractor works to find the root cause, correct it, and stop the pain.
Sometimes, knee pain develops because of foot issues—like fallen arches—or hip imbalances that alter your leg’s alignment. A chiropractor’s job is to pinpoint those underlying problems. By restoring proper movement patterns, chiropractic care may help you avoid repetitive injuries and long-term joint damage.
Get the Pain Relief You Deserve
At Truspine, our knee pain doctors are here to help you get to the root cause of your knee pain. Through non-invasive and innovative knee pain treatments, we can slow and reverse cartilage loss, reduce inflammation, and restore proper movement patterns without dependence on medication.
Knee pain can stop you in your tracks, making everyday tasks feel impossible and unbearable. Loss of mobility leads to loss of enjoyment of life, and often depression. It puts a damper on everything from spending time with loved ones to trying to do the laundry. A knee pain doctor can help!
But choosing a knee pain doctor near me is an important first step to finding relief. But if you’ve Googled knee pain doctor near me and feel overwhelmed, you’re not alone.
That’s precisely why I decided to create the knee doctor guide. If you’re in San Francisco and ready to explore treatment options, see how Truspine approaches knee pain relief. What doctor checks knee pain of unknown knee pain causes? And how to get on the fastest track to pain relief and restore function, so you can get back to living the active lifestyle you want.
What Causes Knee Pain?
At TruSpine, we believe in identifying and addressing the underlying reasons for your discomfort to create a tailored treatment plan. Here are some of those potential causes, each of which may require a different type of knee pain doctor.
Injuries
Knee injuries are among the most common causes of severe pain. These can result from accidents, sports, or overuse. Common injury-related conditions include:
Ligament Tears: Injuries to the ACL, MCL, or PCL can cause instability and sharp pain.
Meniscus Tears: Damage to the knee’s cartilage can lead to swelling, stiffness, and difficulty moving.
Tendon Injuries: Overuse or strain can inflame tendons, causing conditions like tendinitis.
Arthritis
Arthritis is a leading cause of chronic knee pain. It occurs when the joint’s protective cartilage wears down or becomes inflamed. The most common types affecting the knee are:
Osteoarthritis: Caused by wear and tear, leading to stiffness and reduced mobility.
Rheumatoid Arthritis: An autoimmune condition that inflames the joint lining.
Post-Traumatic Arthritis: Develops after an injury, even years later.
While arthritis can be a degenerative chronic condition, it’s also important to note that factors like lifestyle, diet, and yes, carrying extra weight can all make it worse and help it progress faster. Even those with substantial knee damage can stop and reverse the damage.
Some knee pain doctors believe this damage is irreversible—and a life sentence of harsh pain medicine. But others know your knees can heal themselves, substantially reducing pain and restoring mobility. As you explore knee pain doctors near me, it’s important to consider which one you’d rather work with.
Overuse and Repetitive Stress
Repetitive motions or prolonged activity can lead to overuse injuries, especially in athletes and active individuals. Common overuse conditions include:
Patellar Tendinitis: Also known as “jumper’s knee,” it is caused by stress on the tendon connecting the kneecap to the shinbone.
Runner’s Knee: Pain around the kneecap from improper tracking or overuse.
Muscle Imbalances
Weak or tight muscles around the knee can create uneven pressure on the joint.
This imbalance can cause pain and increase the risk of injury. Common culprits include:
Weak quadriceps or hamstrings
Tight hip flexors or calves
Obesity
Excess weight places additional strain on your knees. Over time, this can accelerate cartilage breakdown and lead to chronic pain or arthritis. Whether you have weight loss goals or not, a knee pain doctor will support your goals to reduce knee pain. But if you are carrying significant extra weight (muscle or fat), losing some weight can certainly help.
According to the Johns Hopkins Arthritis Center, when you walk, you place roughly 1.5X your weight across your knees. Running puts 4X the weight on the knees. Going upstairs adds 2-3X the weight. Squatting adds 4-5X your body weight. So, someone who weighs 200 lb could potentially put 800+ lbs of weight on their knees. Ouch!
Structural Issues
Sometimes, knee pain arises from the way your body is built or moves. Examples include:
Flat Feet or Overpronation: Can alter your gait and put extra stress on your knees.
Misalignments: Spinal or pelvic imbalances can transfer stress to the knees, leading to discomfort.
This may result in medial knee pain (inner knee), lateral knee pain (outside of the knee), or general discomfort when walking or going up and down stairs.
Aging
As you age, your joints naturally lose strength and flexibility. Cartilage thins, and recovery slows, making you more susceptible to knee pain. With that said, your lifestyle and how you care for your knees can significantly impact how your knees develop as you age. You can have healthy knees well into your 90s and beyond. If you’re interested in having the freedom to move without pain as you age, this is definitely something to discuss with your knee pain doctor.
A Knee Pain Doctor Is Called What?
When knee pain strikes, you might wonder, “A knee pain doctor is called what?” The answer isn’t always straightforward. Some knee pain doctors specialize in knee pain prevention or recovery from sports injuries. Others work more with people with wear and tear-related issues like lost cartilage.
Yet others perform knee surgeries, while yet another type of knee pain doctor’s primary role is managing the pain with medications—some with some miserable side effects.
A lot of the confusion comes from the fact that many people with knee pain don’t know what’s causing it. If they don’t know what kind of treatment they might need, how can they choose? I will provide you with a simple answer. But first, let’s look at what each type of knee pain doctor does.
Knee Pain: What Doctor to See?
Several types of doctors can diagnose and treat knee pain. Each takes a varied approach and set of skills. They also often have different philosophies for managing knee pain. Depending on the cause and severity of your knee pain, you may need to work with one or more of these knee pain specialists.
Orthopedists / Orthopedic Surgeons
Role: This is a knee pain doctor who specializes in the bone and joints, including the knee.
Expertise: They perform comprehensive diagnostic exams on the knee and may recommend interventions such as weight loss, low-impact exercise, chiropractic care, ultrasound therapy, surgery, pain medicine, anti-inflammatory medications, and steroids to promote faster healing.
What They Treat: The knee pain they treat is often severe and may result from a serious injury like a torn ACL (anterior cruciate ligament) or severe bodily misalignment. Those with wear and tear injuries or cartilage reduction might also go to see them, hoping for some relief. In this case, the orthopedist may recommend something drastic like a knee replacement or a cartilage replacement surgery. But this isn’t the best place to start your journey to knee pain relief. And many patients find themselves caught in a whirlwind, barreling toward this expensive, painful, and life-disrupting surgery. There are better options.
Their Philosophy: I can’t speak for all orthopedists. Some will try less invasive treatments first to see if you get adequate relief. Many of these only mask symptoms and don’t actually promote knee healing—which is possible and can provide a lifetime of relief. Other orthopedists may tell you that surgery is your only option.
Knee Pain Doctor Chiropractor
Role: Chiropractors specialize in bone and joint health and can help alleviate pain through adjustments, therapy, and personalized care. They aim to restore your mobility without relying on surgery or medications long-term. They focus on how the whole musculoskeletal system impacts the knees, providing non-invasive treatments that address the root cause of your discomfort.
Expertise: A chiropractic knee pain doctor can also perform a comprehensive exam, including advanced imaging like MRI or CT, to ensure they fully understand the cause of your knee pain.
What They Treat: They can treat knee pain resulting from an injury, post-surgery, wear-and-tear, arthritis, aging, musculoskeletal misalignments, and cartilage loss. Based on your needs, they can personalize a treatment to address the root cause of the knee pain. Sometimes, the root cause is a serious injury that does require surgical intervention. But more often than not, less-invasive treatments can promote natural healing and eliminate the pain—in less time than you think. Chiropractors use innovative and proven treatments to support the human body’s natural ability to heal itself. These might include chiropractic adjustments, knee strengthening exercises, nutrition, tissue-stimulating ultrasound therapy, Graston Technique, and Knee on Trac. Keep reading: Graston Technique for Pain Relief
Their Philosophy: A chiropractor is a functional medicine specialist who knows that many conditions that modern medicine treats with medication and surgery can be treated by helping the body heal itself. For example, misalignments in the spine can lead to an imbalance when standing and walking. This puts added pressure on the knees with every movement and can cause uneven wear and tear. By restoring alignment and stimulating your knee’s natural ability to regenerate, a chiropractor can turn what an orthopedist may think of as a chronic, irreversible condition into one very healthy set of knees.
You can Schedule a knee pain assessment and get your first Knee on Trac treatment the same day if your diagnosis calls for it.
Pain Management Knee Pain Doctor
Role: This specialist specifically supports people who have acute or chronic pain. Their job is to prescribe medications to keep a patient comfortable while striking a balance with the ability to function in daily life. This is easier said than done! Many pain medications impact reaction time, memory, mood, and cognition in negative ways. And some can worsen a condition when taken long term.
Expertise: They may prescribe medications that a patient will continue to take for the rest of their life. Because pain medications lose effectiveness over time, they must continually adjust the dose and try to find new combinations to provide relief.
What They Treat: They work with patients living with debilitating pain from an injury or illness that may not be treatable or reversible.
Their Philosophy: The general way of thinking for a pain management doctor is: Let’s keep the patient comfortable since there’s not much more we can do for them.
which doctor for knee pain: A Multi-disciplinary Approach
What doctor treats knee pain? Which doctor specializes in knees? The answer: Each of these doctors does.
They have different philosophies and sets of skills. If you have miserable knee pain, you may need to see more than one doctor. Chiropractors, Orthopedists, and Pain Management Doctors often work together to support your healing journey—each using their strengths to address your unique needs.
For example, in the case of a torn ACL, an orthopedic surgeon may perform surgery before referring the patient to a chiropractor for ongoing knee strengthening to promote proper healing. After knee surgery, it’s critical to get the knee moving as quickly as possible so that it heals correctly. Scheduling regular visits with your chiropractor can also ensure the knee stays aligned and strong—preventing re-injury or other sports injuries.
During this time, you may also need to take medications for a time. As the knee recovers, your pain management doctor can wean you off the medication until you’re healthy and drug-free.
So, where do you start?
which doctor to consult: Who to See First
If you prefer a natural, drug-free approach, a chiropractor might be your best choice. Regardless of what you think caused your knee pain, starting here ensures you don’t find yourself ushered off toward surgery or a lifetime of pain meds if a less-invasive option would have done the job.
As a chiropractor, I can order the same imaging tests an orthopedist would. I can assess the cause of your knee pain. I can develop a knee pain treatment plan to treat the root cause while helping you get knee pain relief fast.
If you have significant tissue damage beyond my scope of practice, I will refer you to an orthopedist. But by starting here, you work with a knee pain doctor who knows that, in most cases, your body can heal itself with the right care—and without surgery or strong pain medicine.
How Chiropractors Treat Knee Pain: Treatments and Therapies
Chiropractors specialize in the musculoskeletal system and offer non-invasive, drug-free treatments that address the root causes of discomfort. At Truspine, we utilize a variety of innovative therapies to relieve knee pain and restore mobility. Depending on the cause and severity of your knee problems, as your knee pain doctor, we might recommend one or more of these well-established treatments for knee pain.
Chiropractic Adjustments
Chiropractic adjustments focus on realigning the spine and joints to reduce pressure on the nerves and joints and improve overall function. Misalignments can cause improper movement patterns, leading to irregular wear patterns on the joint, resulting in knee pain.
By correcting these issues, we help your body heal naturally and prevent future injuries. Our chiropractors not only adjust your spine. We also show you safer and more aligned ways to move, lift, and do your daily activities to support knee health. Our goal is to teach you how to move better and feel your best so that an occasional chiropractic adjustment is all you need to stay aligned and do what you love.
Knee on Trac Therapy
Our Knee on Trac therapy provides gentle, effective knee decompression. This treatment increases joint space, reduces inflammation, and promotes the healing of damaged tissues. It’s particularly beneficial for conditions like osteoarthritis, meniscus tears, and chronic knee pain.
Knee on Trac is clinically proven to increase cartilage thickness in patients with degenerative knee conditions like arthritis. The researchers additionally found that patients who received the Knee on Trac Therapy showed reduced pain, increased physical function, and lower rates of depression associated with their condition.
Download our Knee on Trac brochure to learn more about this non-invasive answer to knee pain.
Download our Knee on Trac Brochure.
Learn all about the conditions treated, benefits and contraindications.
Graston Technique
The Graston Technique is an evidence-based form of instrument-assisted soft tissue mobilization. Using specialized tools, we break down scar tissue and fascial restrictions in the knee area. This process enhances blood flow, reduces pain, and accelerates recovery.
Graston technique is an important knee pain treatment option in the right hands. Your Graston-trained chiropractor targets adhesions with a special device very precisely. But Graston tools can be dangerous in the wrong hands, leading to extensive tissue damage, often permanent. Do not try this at home or let just anyone attempt this procedure on you.
Shockwave Therapy
Also known as Myofascial Acoustic Compression Therapy (MyACT), this non-invasive treatment utilizes acoustic waves to target deep tissues within the knee. The Piezowave® Shockwave Therapy system delivers focused sound waves that pass painlessly through the body, converging on affected areas to stimulate healing.
This therapy works by increasing circulation, reducing local muscle tension, and promoting the production of collagen—all key components in the healing process. It’s particularly effective for conditions like patellar tendonitis, arthritis, and other chronic knee issues. Sessions are relatively quick, typically lasting between 7 to 10 minutes, and most patients experience significant improvements after a series of treatments without the need for medication or anesthesia.
Ultrasound Therapy
Ultrasound therapy uses high-frequency sound waves to stimulate tissues beneath the skin’s surface. This treatment improves circulation, decreases swelling, and alleviates pain. It’s a painless, non-invasive option that supports your body’s natural healing processes.
Nutritional Counseling
Nutrition plays a vital role in joint health. Our chiropractors provide personalized nutritional guidance to support tissue repair and reduce inflammation. We may recommend dietary changes or supplements to enhance your overall well-being.
Customized Exercise Programs
Strengthening the muscles around your knee can provide stability while also reducing pain, inflammation, and further damage. We develop individualized exercise plans focusing on improving flexibility, balance, and strength. These exercises are easy to perform at home and are essential for long-term knee health.
Acupuncture
As part of our holistic approach, acupuncture may be incorporated to relieve knee pain. This ancient practice stimulates specific points on the body to balance energy flow, reduce discomfort, and promote healing.
How Long Should Knee Pain Last Before Seeing a Doctor?
You might think knee pain will just go away. But how long should knee pain last before seeing a doctor? If your pain persists for more than a week or hinders your daily activities, it’s time to seek professional help. Sudden, intense pain, particularly after a known injury, should be assessed immediately.
Early intervention can prevent further damage and get you back to enjoying life sooner.
When to See a Knee Pain Specialist
Knee pain should never be ignored, especially if:
It persists for more than a week.
Swelling, redness, or warmth develops.
Pain interferes with daily activities.
You experience instability or “locking” of the knee.
You experienced a known sports injury such as a dislocation or sudden pain with or without loss of mobility.
Truspine Chiropractors are knee pain specialists. We assess the root cause of knee pain, develop effective treatment plans, and work with other knee pain doctors to ensure you get the care you need. At Truspine, we believe in treating the whole person, not just the symptoms. Our integrated therapies aim to address the underlying causes of your knee pain, providing lasting relief and improved mobility. We’re dedicated to helping you return to the activities you love, free from discomfort.
“Help! I have knee pain but doctor says nothing’s wrong”
First, know that we believe you. Knee pain can begin long before damage is detected on MRI, which may lead some knee pain doctors to think you’re exaggerating how bad it hurts. And we’ll be honest. It’s good that you’re so aware that something isn’t right. Addressing this early can mean stopping the damage before it becomes visible on MRI.
Just because we can’t see the problem on a test, doesn’t mean your pain isn’t real. And because you’ve caught it early, you probably have the type of knee pain that is easily reversed when we get to the root cause of that pain.
It could be the way you’re standing or walking at work or a particular exercise you’re performing at the gym. You could have a herniated disc leading to misalignment down the kinetic chain—neck to ankle. Even something as seemingly innocent as sitting too much can lead to weak knees that begin to ache.
We’ll take time to figure out what’s causing your pain. We listen. And we look beyond the usual suspects. If you’re having knee pain, we believe you.
Experience True Relief at Truspine
Imagine moving freely without that nagging knee pain. Our team is here to help you achieve that. With innovative treatments and compassionate care, we focus on unlocking your body’s natural ability to heal.
Frequently Asked Questions About Knee Pain Doctors
What are the common causes of knee pain?
Knee pain can result from various factors, including injuries (like ligament tears or meniscus damage), arthritis (such as osteoarthritis or rheumatoid arthritis), overuse, muscle imbalances, obesity, structural issues, and the natural aging process.
What type of doctor should I see for knee pain?
Several specialists can help with knee pain, including chiropractors, orthopedists, and pain management doctors. If you prefer a natural, non-invasive approach, starting with a chiropractor can be beneficial. They focus on addressing the root cause of pain through adjustments, therapy, and personalized care. And many people who’ve been told that knee surgery is their only option may want to get a second option from a knee doctor who understands how the knee can heal itself with the right support.
How can a chiropractor help with knee pain?
Chiropractors specialize in the musculoskeletal system and can alleviate knee pain by correcting misalignments, improving joint function, and enhancing mobility. They use various treatments like chiropractic adjustments, Knee on Trac therapy, and customized exercise programs to address the underlying issues causing pain.
What is Knee on Trac therapy?
Knee on Trac is a non-invasive therapy that provides gentle knee decompression. It increases joint space, reduces inflammation, and promotes healing of damaged tissues. This therapy is particularly effective for conditions like osteoarthritis, meniscus tears, and chronic knee pain. It has been shown to help people regrow cartilage.
What is the Graston Technique?
The Graston Technique is an evidence-based form of instrument-assisted soft tissue mobilization. Chiropractors use specialized tools to break down scar tissue and fascial restrictions around the knee, enhancing blood flow, reducing pain, and accelerating recovery.
How does Shockwave Therapy relieve knee pain?
Shockwave Therapy, or Myofascial Acoustic Compression Therapy (MyACT), utilizes acoustic waves to target deep tissues within the knee. It increases circulation, reduces muscle tension, and stimulates collagen production, aiding in the healing process for conditions like patellar tendonitis and arthritis. As an aside, collagen is a critical structural protein the body uses to regrow cartilage and strengthen bone and joint tissues.
When should I see a doctor for knee pain?
If knee pain persists for more than a week, interferes with daily activities, or is accompanied by swelling, redness, or instability, it’s important to seek professional help promptly to prevent further damage.
Can chiropractors help with arthritis-related knee pain?
Yes, chiropractors can help manage arthritis-related knee pain by improving joint function, reducing inflammation, and enhancing mobility through non-invasive treatments tailored to your specific condition.
What if my doctor says nothing is wrong, but I still have knee pain?
If you’re experiencing pain without a clear diagnosis, a chiropractor can provide a different perspective. They specialize in identifying subtle misalignments and functional issues that might not show up on standard medical tests, offering personalized treatments to address your pain.
How does obesity contribute to knee pain?
Excess weight places additional strain on your knees, accelerating cartilage breakdown and increasing the risk of chronic pain or arthritis. Managing weight through diet, exercise, or —as a last resort—injections or surgery can alleviate pressure on the knees and reduce pain.
Are there natural treatments for knee pain?
Yes, natural treatments include chiropractic care, physical therapy, nutritional counseling, customized exercise programs, acupuncture, and lifestyle modifications aimed at reducing pain and promoting healing without medications or surgery.
What is the difference between an orthopedist and a chiropractor for knee pain?
An orthopedist specializes in the skeletal system and may recommend surgery or medications for knee issues. A chiropractor focuses on the musculoskeletal system’s alignment and function, offering non-invasive treatments to address the root cause of knee pain.
How can I find a knee pain specialist near me?
You can search for local chiropractors or knee pain clinics specializing in non-invasive treatments. Truspine Chiropractic in San Francisco offers personalized care and innovative therapies for knee pain relief.
Can knee pain be reversed, or is it permanent?
Many causes of knee pain can be effectively managed or even reversed, especially when addressed early. Treatments focusing on healing and strengthening can restore function and reduce or eliminate pain.
What can I expect during a chiropractic visit for knee pain?
During your visit, the chiropractor will perform a thorough assessment, which may include a physical examination, reviewing your medical history, and ordering imaging. They will develop a personalized treatment plan that may involve adjustments, therapies, and recommendations for exercises or lifestyle changes.
Is chiropractic treatment safe for knee pain?
Yes, chiropractic treatment is generally safe and non-invasive. Chiropractors are trained professionals who use precise techniques to improve joint function and alleviate pain. They tailor treatments to each patient’s needs to ensure safety and effectiveness.
Do I need a referral to see a chiropractor for knee pain?
In most cases, you do not need a referral to see a chiropractor. You can directly schedule an appointment to address your knee pain concerns.
How can muscle imbalances cause knee pain?
Muscle imbalances occur when some muscles are stronger or tighter than others, leading to uneven pressure on the knee joint. This can cause pain and increase the risk of injury. Addressing these imbalances through targeted exercises can alleviate pain.
Can aging lead to knee pain, and how can it be managed?
Aging can lead to natural wear and tear of the knee joint, causing pain. However, proactive care like regular chiropractic treatments, exercise, and healthy lifestyle choices can manage symptoms and maintain knee function.
What lifestyle changes can help reduce knee pain?
Lifestyle changes such as maintaining a healthy weight, engaging in low-impact exercises, improving posture, wearing supportive footwear, and following a balanced diet can significantly reduce knee pain and improve joint health.
Neuropathy Doctor: What Kind of Doctor Treats Neuropathy?
Quick answer: neuropathy is treated by several kinds of doctors, including neurologists, primary care doctors, endocrinologists and podiatrists, who diagnose it and manage symptoms. But a diagnosis is only half the answer. TruSpine's chiropractic neuropathy program looks for why your nerves are struggling and treats it without drugs. This guide explains who does what and how our approach differs. See our neuropathy treatment in San Francisco.
5.0 from 272 Google reviewsReviewed by Supreet Shah, DCUpdated October 2026
Approach
Treats the cause
Medication
None required
First visit
Evaluation + first treatment
Referral
Not needed
The basics
What is a neuropathy doctor?
"Neuropathy doctor" is a search term, not a medical specialty. Neuropathy means damage or dysfunction of the nerves, most often the peripheral nerves of the feet, legs, hands and arms. Because it has many possible causes, from diabetes to vitamin deficiencies to pinched nerves, treating it usually takes a team.
Finding the cause comes first, because that decides the treatment. Some causes are reversible. Others can be controlled to slow the damage. Symptoms can be eased in both cases.
Several kinds of providers treat neuropathy, and each covers a different part of the problem. Here's what each does, and where TruSpine fits.
Root-cause, drug-free approach
TruSpine chiropractic neuropathy care
We examine the spine, joints, nerves and circulation to find what's irritating or starving your nerves, then treat it with a drug-free program of infrared light, electrostimulation, nutrition guidance and hands-on care. See our neuropathy treatment program.
First stop for most people
Primary care doctor
Reviews your symptoms and medications, orders blood tests (blood sugar, B12, thyroid, kidney and liver) and refers you onward. Can start treatment for common causes.
Nerve testing and complex cases
Neurologist
Diagnoses the type of neuropathy with nerve conduction studies and EMG, and manages rapidly progressing, autoimmune, inherited or unexplained cases.
Diabetes or thyroid problems
Endocrinologist
Controls blood sugar and hormone-related causes. Since diabetes is the most common cause of neuropathy, this specialist is often part of the team. Learn about medical weight loss if weight is a factor.
Foot symptoms and foot safety
Podiatrist
Checks sensation and circulation, treats calluses and wounds, and helps prevent ulcers and infections when your feet are numb.
Pain that isn't controlled
Pain medicine specialist (physiatrist)
Manages nerve pain with medication, nerve blocks and rehabilitation, and coordinates care between specialists.
Balance, strength and daily function
Physical or occupational therapist
Builds strength, balance and safe movement, and teaches ways to protect numb hands and feet.
Nutrition and blood sugar
Registered dietitian
Corrects deficiencies such as B12 and builds a diet that steadies blood sugar and supports nerve health.
Why TruSpine
Why patients with neuropathy come to TruSpine
If you've been tested, medicated or told to wait, here's how our approach is different.
Told your tests are "normal"?
Many people with neuropathy are tested extensively and still leave without a clear plan, or are told to live with it. A normal result doesn't mean your symptoms aren't real, and it doesn't mean nothing can be done.
Medication isn't the whole answer
Nerve pain medicines such as gabapentin can ease symptoms for some people, but they don't repair nerves or remove what's irritating them. We look for the causes that can still be addressed.
We look for the cause
Spinal nerve compression, poor circulation to the nerves, nutrition gaps and blood sugar swings can all keep nerves from recovering. We check each one and build a plan around yours.
Drug-free, and alongside your doctor
Our neuropathy program uses infrared light, electrostimulation, nutrition guidance and hands-on care, and works with your doctor. No referral needed.
Your first visit
What a neuropathy evaluation at TruSpine includes
1
Your story, and your records
Bring any labs, nerve tests or imaging you've had. We review them so nothing is repeated unnecessarily, and ask about your symptoms, medications, diet and daily activity.
2
A hands-on exam
We check sensation, reflexes, strength, balance and circulation in your feet and hands, plus your spine and joints for nerve compression.
3
Your plan, in plain English
We explain what we found, which factors are driving your symptoms, what we can treat, and what to expect.
4
First treatment, often the same day
When it's safe, treatment starts at your first visit, and you leave with a short home plan.
5
Re-test and adjust
We re-measure sensation and symptoms as you go and adjust the plan, so you can see your progress.
Ready to find out what's behind your symptoms?
Book a neuropathy evaluation. No referral needed, and we work with your doctor.
Go to the ER or call 911 for sudden weakness or numbness, trouble speaking or walking, loss of bladder or bowel control, or numbness in the groin or inner thighs. See a doctor promptly for symptoms that spread quickly over days, a foot sore or infection that won't heal, or new weakness or falls.
Diagnosis
How is neuropathy diagnosed?
A good diagnosis finds the type and the cause. Here's what to expect.
Step 1
Medical history and exam
Your doctor asks about symptoms, medications, alcohol use, family history and other conditions, then tests reflexes, strength, balance and how well you feel touch, vibration and temperature.
Step 2
Blood tests
Common ones check blood sugar or HbA1c, vitamin B12, thyroid, kidney and liver function, and signs of inflammation or infection.
Step 3
Nerve function tests
Nerve conduction studies and electromyography (EMG) measure how well signals travel along nerves and muscles, and help identify the type of neuropathy.
Step 4
Imaging, skin or nerve biopsy
An MRI or CT can look for a pinched nerve. A skin biopsy can check small nerve fibers. These are used only when other tests don't give an answer.
Causes
What causes neuropathy?
There's rarely just one cause, and finding yours is the first step of treatment. These are the most common.
Diabetes
The most common cause. Years of high blood sugar damage small blood vessels and nerves, usually starting in the feet.
Chemotherapy & other medications
Some cancer drugs, certain antibiotics and some HIV medicines can damage nerves as a side effect.
Vitamin deficiencies
Low B12 is a classic cause, and B6, B1 and E also matter. Metformin use, a vegetarian diet and age raise the risk of low B12.
Alcohol
Long-term heavy drinking is toxic to nerves and also depletes B vitamins.
Autoimmune & inflammatory disease
Conditions such as lupus, rheumatoid arthritis, Sjogren's syndrome and Guillain-Barre syndrome can attack nerves.
Infections
Shingles, Lyme disease, hepatitis C and HIV can cause nerve damage.
Kidney, liver & thyroid disease
Waste buildup or low thyroid hormone can interfere with nerve function.
Conditions such as Charcot-Marie-Tooth disease run in families.
Unknown cause
In a notable share of people, no cause is found even after testing. Treatment then focuses on symptoms and protecting nerves.
Treatment
Neuropathy treatment options
Treatment has two jobs: protect the nerves by treating the cause, and relieve symptoms. These are the standard medical options.
Treat the underlying cause
Controlling blood sugar, replacing a vitamin deficiency, changing a nerve-damaging medication or treating an infection can stop the damage and sometimes allow recovery.
Nerve pain medicines
Guidelines such as NICE's list amitriptyline, duloxetine, gabapentin and pregabalin as first-line medicines for neuropathic pain. They help many people but can cause drowsiness or dizziness, so work with your prescriber on dose and duration.
Topical treatments
Lidocaine and capsaicin creams or patches can ease localized nerve pain with fewer whole-body effects.
Therapy & procedures
Physical therapy, TENS, nerve blocks and, for compression neuropathies, sometimes surgery.
At TruSpine
Drug-free options we offer in San Francisco
We work alongside your doctor, not instead of them. Our neuropathy program starts with an exam to find which nerves are affected and why, then combines these therapies.
Infrared light therapy
Low-level infrared light that supports circulation to struggling nerves in the feet and hands.
Electrostimulation
Gentle electrical signals meant to stimulate under-active nerves and help quiet pain signals.
Nutrition guidance
Targeted nutrition to steady blood sugar, reduce inflammation and supply the nutrients nerves use to repair.
Chiropractic care
When a nerve is compressed or irritated in the spine, adjustments can take pressure off it.
Acupuncture
Acupuncture can ease neuropathic pain for some people, alongside conventional care.
At-home program
Daily at-home therapy plus regular in-office visits, so progress continues between appointments.
What the research says: evidence for non-drug therapies varies. A 2023 meta-analysis of 25 trials found acupuncture added to conventional care reduced pain in diabetic neuropathy more than conventional care alone, though the authors call for more research. Results vary by person and cause, and we don't promise a cure. We'll tell you honestly whether we expect to help, and refer you when another specialist is the better fit.
Outlook
Is neuropathy curable?
The honest answer depends on the cause. The sooner it's found and treated, the more nerve function can be protected.
Sometimes reversible
When the cause is fixable, such as a B12 deficiency, a medication side effect, a pinched nerve or an infection, nerves often recover once it's treated.
Often controllable
In diabetic and many other neuropathies, nerve damage usually can't be fully undone, but controlling blood sugar and other causes can slow or stop progression, and symptoms can improve.
Slow to heal
Damaged nerves regrow slowly, roughly a millimeter a day, so improvement is measured in months, not days. Earlier treatment protects more nerve function.
Wondering where you fit?
Book a neuropathy consultation. We'll look for the cause and explain your options, and we'll tell you honestly if we're not the right fit.
No single specialty owns neuropathy. Most people start with a primary care doctor or neurologist to find the cause, and the care team often adds an endocrinologist (for diabetes), a podiatrist (for the feet), a pain medicine specialist, a physical therapist and a dietitian. Chiropractors and acupuncturists can add non-drug options, especially when a compressed nerve or chronic nerve pain is involved.
What doctor treats neuropathy in the feet?
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A podiatrist treats foot problems from neuropathy, such as calluses, sores and infections, and a primary care doctor or neurologist finds the cause. If diabetes is involved, an endocrinologist manages blood sugar, which is the key to protecting your feet. Non-drug therapies like infrared light and electrostimulation are also used for foot neuropathy.
Which doctor should I see first for neuropathy?
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You can book directly with TruSpine, and no referral is needed. We review any labs or nerve tests you've had, examine you, and start looking for the cause right away. Many people also keep their primary care doctor or specialist involved, and we work alongside them. See a doctor promptly for sudden weakness, symptoms that spread quickly or a foot sore that won't heal. See our neuropathy treatment program.
Do I need a neurologist for neuropathy?
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Not always. A neurologist is most helpful for nerve testing and for severe, fast-progressing or unexplained cases. Many people with ongoing symptoms, including those who've already been tested, benefit from a program that looks for treatable causes such as spinal nerve compression, poor circulation and nutrition gaps. That's what we do at TruSpine.
Can a chiropractor treat neuropathy?
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A chiropractor can help when neuropathy-like symptoms come from a compressed or irritated nerve in the spine, and can offer non-drug therapies for nerve pain. For neuropathy caused by diabetes, chemotherapy or other medical conditions, research on non-drug therapies is more limited, so chiropractic care works best alongside your doctor's treatment of the cause. See our neuropathy treatment program.
Does acupuncture help neuropathy?
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It may. A 2023 meta-analysis of 25 trials involving 1,561 people with painful diabetic neuropathy found that acupuncture added to conventional treatment reduced pain more than conventional treatment alone. The authors note limitations and call for more research. Acupuncture is considered low risk when done by a trained provider.
Can neuropathy be cured or reversed?
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It depends on the cause. Neuropathy from a fixable cause, such as low B12, a medication, a pinched nerve or an infection, may improve or resolve. Diabetic and many other neuropathies usually can't be fully reversed, but controlling the cause can slow or stop progression and reduce symptoms. Nerves heal slowly, so treat early.
What tests diagnose neuropathy?
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A medical history and exam, blood tests (blood sugar, B12, thyroid, kidney and liver), and nerve conduction studies with EMG are the most common. An MRI, skin biopsy or nerve biopsy is used in selected cases.
What is the best treatment for neuropathy in the feet?
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The best treatment depends on the cause. Controlling blood sugar, correcting vitamin deficiencies and protecting the skin of your feet come first. Nerve pain medicines, topical creams, physical therapy and non-drug options such as infrared light, electrostimulation, acupuncture and nutrition can add relief.
What is a neuropathy specialist called?
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Neurologists, especially those who focus on neuromuscular disease, are the specialists most associated with neuropathy. Podiatrists, endocrinologists and physiatrists (rehabilitation and pain medicine doctors) also treat neuropathy and its effects.
How do I find a neuropathy doctor near me in San Francisco?
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Ask your primary care doctor for a referral to a neurologist, endocrinologist or podiatrist, depending on your symptoms. If you want to add drug-free options, TruSpine offers a neuropathy program at two San Francisco clinics, and no referral is needed. See our neuropathy treatment page.
When is neuropathy an emergency?
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Go to the ER or call 911 for sudden weakness or numbness, trouble speaking or walking, or loss of bladder or bowel control. See a doctor promptly for symptoms that spread quickly, a foot sore or infection that won't heal, or new weakness or falls.
Find out what's behind your nerve symptoms.
Book a neuropathy consultation at either of our San Francisco clinics. We'll look for the cause, explain your options and work with your doctor.
Individual results vary. This page is for general information and is not medical advice. Our neuropathy program is designed to complement, not replace, care from your primary physician, endocrinologist, neurologist or oncologist. Never stop or change a prescribed medication without talking to your prescriber.
You wake up one morning, and there it is again—the nagging ache in your knee. Or maybe it was with you all night, tossing and turning, you couldn’t find relief. It’s been bothering you for weeks, maybe months—years. Walking up the stairs feels like climbing a mountain. You wonder, “How do I relieve knee pain?” “How can I make this pain go away?”
You’re not alone. Knee painaffects people of all ages and walks of life. But here’s the good news: you can live pain-free without dangerous medications or invasive surgeries.
There are some effective and innovative ways you can start experiencing relief right now—and see that discomfort improve over time. Some of these methods you can do at home. For others, you’ll need to schedule an appointment. But I want you to know that you don’t have to live like this. You can reclaim your movement and enjoy the activities that may seem no longer possible because THEY HURT.
Sedentary lifestyle or as I like to call it “sitting too damn much.”
As we age, these stressors and events add up. And they can be made worse by excess weight that we either carry on our bodies or lift during work, sports, home improvement projects, and daily life. we ask a lot of our knees, regardless of BMI.
According to Johns Hopkins Arthritis Center, when you walk, the force on your knees is roughly 1.5X the weight you’re carrying internally (body weight) and externally (weight belts, a small child, groceries, etc). When you run, your knees experience 4X your weight. Going upstairs is 2-3X weight. Squatting is 4-5X your body weight. And I won’t even mention jumping. This is just physics (science) and there’s no getting around it. So, a 150 lb person would be putting the force of 300-600 lbs on their knees with various activities.
And this is certainly a testament to how strong and resilient knees are when we take care of them. Often, knee pain—even the kind you’ve had for a while now—can be stopped with a combination of knee pain relief exercises and innovative knee pain treatments.
You might ask, “How do I relieve knee pain after a fall?” or “What can I do to relieve some pain behind my knee?” But the first step is understanding what’s causing the pain. That tells you what you need to do next.
How Can I Relieve Knee Pain with Innovative Treatments?
As a chiropractor, I’m an expert in functional medicine. This primarily involves assessing how misalignments, scar tissues, etc. in your musculoskeletal system alter the way the body functions. These deviations from how the body is supposed to work may be causing your pain or making it worse.
Sometimes, trapped nerves in the spine or hips or poor circulation exacerbate the situation. Each of these can be addressed by adjusting how your body is functioning. Here are some of the innovative knee pain relief treatments I use to help clients with knee pain finally experience pain-free movement.
Because at the end of the day, I believe your body has the amazing ability to heal itself when we address the root cause of the pain and stop that irritation.
Chiropractic Adjustments
These adjustments help align your body, reducing stress on your knees. By correcting misalignments, a knee pain doctor can change how you walk to relieve knee pain. These adjustments involve more than “cracking your back”. I am trained to see and feel vertebrae that have moved out of place or are putting stress on the cushions in your spinal column.
Through chiropractic adjustment and other chiropractic treatments, I can move these vertebrae back into place, improving your alignment from top to toe.
But this is only the beginning.
Musculoskeletal Movement Assessment & Whole Body Correction
When you come to see me, I’ll ask you to walk, lift, and perform other actions so that I can see how your body moves. You have a kinetic chain that runs down your body from your neck and down your backbone to your ankles and feet. If even one part of this chain is not functioning well, it forces other body parts to compensate, worsening wear and tear and amplifying pain.
These misalignments force some of your muscles to pull more weight than they should, while the muscles that should naturally carry that weight become weaker. This can cause the knee joint to become unstable. They’re not being properly supported. And that hurts!
Our team takes time to show you how to improve your form to not only reduce pain now but to prevent more damage to the knees, giving them a chance to heal. We want you to not only feel better fast but also avoid getting into this painful situation again by developing better movement habits that properly distribute weight.
Knee on Trac Therapy
Knee on Trac is a non-invasive therapy that gently stretches the knee joint, increasing space and reducing pain. At the same time, it helps to strengthen the muscles around the knees so they can better support the joints. You might wonder, “How do I relieve knee pain when there is no cartilage?” Knee on Trac could be the answer. By increasing the space, we can encourage cartilage expansion and new growth.
For a long time, the common knowledge in the medical community was that cartilage does not grow back. But ongoing research has shown that given the right circumstances, cartilege is very resilient. It’s even been likened to salamanders regrowing their limbs by Duke University Researchers.
So, let’s stop talking as if a total knee replacement is your only option to fight cartilage loss.
Download our Knee on Trac brochure to learn more about this non-invasive answer to knee pain.
Download our Knee on Trac Brochure.
Learn all about the conditions treated, benefits and contraindications.
Personalized Home Exercise Plans
Exercises strengthen the muscles around your knee, providing better support. We’ll create a plan just for you so you can work on relieving pain at home—and keep pain from coming back. We even share some of our favorite knee pain relief exercises at the end of this post. But please start slow to improve the range of motion and lessen discomfort over time. And the best thing you can do is to schedule your knee pain assessment and first Knee on Trac treatment today.
How Do I Relieve Knee Pain with a Comprehensive Treatment Plan
The above are examples of therapies that may be part of your personalized and comprehensive knee pain treatment plan, which could also include acupuncture, ultrasound therapy, Graston technique, among other treatment options.
When you come for your knee pain relief assessment, we can discuss how other therapies and treatments can support your goals and answer your question, “how do I relieve knee pain?”
How Can I Relieve Knee Pain If Already Working with a Doctor?
Your health is our top priority. We collaborate with your doctors and can order imaging tests if needed. This team approach ensures you’re getting comprehensive care. If you’re currently taking pain medications with miserable side effects, we can work with the prescribing physician to reduce your dose as you start to experience knee pain relief.
How Do I Relieve Knee Pain with Home Exercises?
Exercise is a powerful tool in relieving knee pain. Strengthening the muscles around your knee provides better support and reduces stress on the joint. You might be wondering, “How do I relieve knee pain fast?” Here are some simple exercises you can try at home that can often do the trick.
1. Straight Leg Raises
How to do it:
Lie on your back with one leg bent and the other straight.
Lift the straight leg about six inches off the ground.
Hold for five seconds, then lower it slowly.
Repeat 10 times on each leg.
Benefits: Strengthens your quadriceps without putting stress on the knee joint.
2. Hamstring Curls
How to do it:
Stand behind a chair for support.
Lift one foot toward your buttocks, bending at the knee.
Hold for five seconds, then lower it.
Do this 10 times on each leg.
Benefits: Strengthens the muscles at the back of your thigh, providing better knee support.
3. Wall Squats
How to do it:
Stand with your back against a wall and feet shoulder-width apart.
Slowly bend your knees, sliding down the wall until you’re in a slight squat.
Hold for five seconds, then slide back up.
Repeat 5-10 times.
Benefits: Builds strength in your thighs and hips, reducing pressure on the knees.
4. Calf Raises
How to do it:
Stand with your feet shoulder-width apart.
Slowly rise up onto your toes.
Hold for a few seconds, then lower your heels back down.
Do this 10-15 times.
Benefits: Strengthens the calf muscles, which can improve balance and walking.
5. Step-Ups
How to do it:
Use a sturdy step or platform.
Step up with one foot, then bring the other foot up.
Step back down, one foot at a time.
Repeat 10 times on each leg.
Benefits: Enhances strength and coordination in your legs.
Remember: Always perform these exercises gently and avoid any movements that cause pain, especially if you have not yet been assessed by a doctor. If you’re dealing with severe issues like having no cartilage in your knee or water on your knee, it’s crucial to consult a professional before starting any exercise routine. We can help you choose the exercises that deliver the best benefits while reducing your risks of worsening knee inflammation.
How These Exercises Help
By regularly performing these exercises, you can:
Improve joint flexibility
Reduce stiffness and pain
Enhance muscle strength around the knee
Change how you walk to relieve knee pain
Personalized Exercise Plans
We understand that everyone’s situation is unique. That’s why we offer personalized home exercise plans tailored to your specific needs. Whether you’re trying to relieve pain in your knee after a fall or dealing with chronic issues, we’ll design a program that fits you.
Take the First Step Toward Knee Pain Relief
Don’t let knee pain hold you back any longer. With the right exercises and treatments, you can regain your mobility and enjoy life again. You don’t have to live with knee pain. Together, we’ll create a path to healing that’s right for you.
How can I relieve knee pain? Start by incorporating these exercises into your daily routine and reaching out to us for a personalized treatment plan.
How can I relieve knee pain from water on my knee?
Fluid buildup can cause swelling and discomfort. Treatments like Knee on Trac and specific exercises can help reduce the fluid and alleviate pain while promoting a healthier knee.
My doctor told me I had water stuck behind my knee. How do I relieve the pain from it?
We can work with your doctor to develop a treatment plan that addresses the fluid buildup and eases your pain. Knee on Trac may be a good place to start.
How do I relieve severe knee pain?
Severe pain requires careful attention. We’ll assess your condition and recommend therapies that target the root cause, not just the symptoms.
How do I relieve mild to moderate knee pain?
If you have not sustained a known injury, one of the most effective ways to improve knee discomfort is by gentle knee movements and strengthening the muscles around your knees. Get your knees moving, and avoid sitting for long periods. If you try this for a couple of weeks, and the knee pain persists, it’s like to schedule a knee pain assessment with Truspine chiropractor in San Francisco and consider Knee on Trac.
How Much Does a Chiropractor Cost? San Francisco Pricing
Quick answer: a new patient visit at Truspine is $200 without insurance. That single visit covers your consultation, a full exam, and same day treatment. The $200 rate applies per service, so chiropractic and acupuncture are billed separately if you use both.
5.0 from 272 Google reviews·Reviewed by Supreet Shah, DC·Updated October 2026
New patient visit
$200
Without insurance, per service
Includes
Consult, exam, treatment
Same day, one visit
Insurance
PPO accepted
Confirmed before treatment
FSA / HSA
Accepted
For medically necessary care
What’s included
What the $200 visit includes
A consultation to understand what is going on and what you have already tried
A full physical examination to find the actual cause, not just the symptom
Treatment the same day, whether that is a chiropractic adjustment, acupuncture, or another therapy we use
Insurance & payment
Using insurance, FSA, or HSA
Truspine accepts PPO insurance plans. We do not currently accept Covered California plans. After your exam, we tell you what your plan is expected to cover before any treatment begins, so there are no surprises on your bill.
If you have a flexible spending account (FSA) or health savings account (HSA) through your employer, you can use those pre-tax dollars for chiropractic and acupuncture visits, as long as the treatment is for a medical reason rather than general wellness. FSA and HSA funds can also cover copays or deductibles your insurance does not pay.
Why it’s worth it
Why ongoing care is worth the cost for most patients
Chiropractic and acupuncture rarely work as a one time fix, and that is by design. One patient came in for lower back pain and nearly skipped her first visit over the cost, worried it would be a one time expense with no lasting benefit. A few visits in, her posture had improved, her headaches eased, and she was sleeping better. That is the pattern we see most often: the value shows up in what stops happening, not just in what the visit costs.
Chiropractor cost FAQs
How much does a chiropractor cost per visit in San Francisco?
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At Truspine, a new patient visit without insurance is $200, covering the consultation, exam, and same day treatment. With PPO insurance, your cost is often lower once your benefits are confirmed.
How much is a chiropractor visit without insurance?
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Without insurance, a new patient visit at Truspine is $200. That price includes the consultation, exam, and your first treatment, so there is no separate visit fee added afterward.
How much does a chiropractic adjustment cost per session?
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A session, which includes the adjustment along with any exam or treatment needed that visit, is $200 without insurance at Truspine. We do not charge separately per adjustment within a visit.
Do you accept insurance?
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We accept PPO plans. We do not accept Covered California plans. We confirm your coverage before treatment starts, so you know your cost in advance.
Can I use FSA or HSA funds for chiropractic care?
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Yes, as long as the treatment is for a medical reason. FSA and HSA funds can also cover copays and deductibles.
Does the $200 rate cover both chiropractic and acupuncture in one visit?
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No. The $200 cash rate is per service. If you see both a chiropractor and an acupuncturist, each visit is $200.
Does Truspine offer package or membership pricing?
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Yes. We offer packages for most services that discount your follow up visit pricing below the standard per visit rate. If your care plan calls for multiple visits, we will walk you through package options and what your insurance is expected to cover before you commit to anything.
What is the average price of a chiropractor visit in San Francisco?
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Prices vary by clinic and by what is included. At Truspine, the $200 new patient rate covers the consultation, exam, and treatment in one visit, so there are no hidden add-on fees for that first appointment.
Visit us
Book your visit in San Francisco
Both Truspine clinics offer the same $200 new patient rate. Call or book online, and we will confirm your insurance benefits before your visit if you have PPO coverage.
Knee pain can be a major hurdle, whether you’re an athlete, a weekend warrior, or just someone just trying to live pain-free as you go about your daily life. Luckily, Graston Technique offers a knee pain treatment that’s gaining popularity for its effectiveness as a non-surgical knee pain treatment option. But how does this technique work (you want the science!), and how often should you get it for the best results? Let’s dive into the details.
What Is Graston Technique?
Graston Technique is a form of manual therapy chiropractors perform in our offices. And you thought we only cared about backs!
This technique involves using specially designed stainless steel tools to help break down scar tissue, adhesions, and fascia restrictions. Each of these leads to tissues sticking together in abnormal ways, preventing fluid movement and causing strain and pain.
Also called Instrument assisted soft tissue mobilization (IASTM), Graston technique is often used to treat soft tissue injuries, making it an excellent choice for those suffering from knee pain. The technique can be particularly beneficial for conditions like runner’s knee, torn meniscus, knee tendonitis, and even post-surgery recovery, such as after a total knee replacement.
It’s important to mention that Graston does not involve scraping the actual kneecap with these Graston tools. That would hurt!
Rather, it works by improving the function of the muscles, tendons, ligaments, and fascia that support the knee, These tissues could include around the knee, plus thigh and calf muscles that pull on the knee, causing knee pain. Once these adhesions are broken down, tissues can re-form in more harmonious ways. Of course, this happens over several Graston sessions, targeting a small section at a time. This can improve mobility and reduce knee pain over time.
Graston Technique for Knee Pain: Does It Work?
You might be wondering, “Does Graston work for knee pain?” The short answer is yes. Graston knee therapy is effective for reducing pain, improving range of motion, and speeding up recovery. By targeting specific areas around the knee, the Graston Technique helps to:
Break down scar tissue
Improve blood flow
Enhance healing
Reduce inflammation
Whether you’re dealing with chronic knee pain or recovering from surgery, Graston for knee pain can be a game-changer.
The Compelling Evidence for Graston Technique for Knee Pain
A meta-analysis found improvements in functional fitness, lower body muscle strength, and mobility, particularly when combined with an exercise program and chiropractic care and other interventions like Knee on Trac.
In a randomized controlled trial of female athletes with asymptomatic knee valgus (also called knock-knee because the knees lean inward) showed that Graston technique reduced knee valgus and improved squat form
A common question we get is: “How often should you get Graston Technique?” The frequency of treatments depends on the severity of your condition and your overall health. Generally, patients start with two sessions per week. After a few weeks, your chiropractor may reduce the frequency as your condition improves.
Here’s a general guideline:
Acute Injuries: 1-2 times per week
Chronic Conditions: 2-3 times per week for the first few weeks, then gradually taper off
Post-Surgery (e.g., Knee Replacement): Start with 2 times per week, then adjust based on recovery
It’s important to listen to your body. If you’re wondering, “How often can you use Graston Technique?” or “How often should Graston be done?”, know that your chiropractor will tailor the treatment to your specific needs. Over-treating is rare but can occur, so it’s crucial to follow professional guidance.
Graston Technique with Exercise
Graston is highly effective when combined a home exercise program, which the chiropractors at Truspine can help you design. We take time to show you the movements and proper exercise form.
Graston with Knee on Trac
Another useful tool is Knee on Trac. This in-office therapy uses a specialized machine to slowly bend and extend your knee while retaining perfect alignment. It trains your knee to use the correct form as it heals. At Truspine, our chiropractors take a comprehensive approach to helping you heal. This is just one technique your chiropractor may recommend with Graston (or rather than the Graston Technique) as part of your personalized treatment plan.
Graston Technique is versatile, making it suitable for various knee-related issues. Here’s how it can help:
Torn Meniscus: Graston Technique for torn meniscus injuries helps break down scar tissue and promotes healing, reducing pain and improving knee function.
Knee Tendonitis: Graston Technique for knee tendonitis targets inflammation and adhesions in the tendons, offering relief and preventing further damage.
Runner’s Knee: For those with runner’s knee, Graston can help to alleviate the discomfort by addressing muscle imbalances and scar tissue that contribute to the condition.
Total Knee Replacement: Post-surgery, Graston Technique for total knee replacement recovery can aid in reducing scar tissue formation, improving range of motion, and speeding up the rehabilitation process.
The Bottom Line: Should You Try Graston Technique for Knee Pain?
If knee pain is holding you back, Graston knee therapy might be the solution you’ve been looking for. With its proven effectiveness in treating various knee conditions, from knee tendonitis to post-surgery recovery, it’s a versatile and powerful tool in the fight against pain. Every day, our Truspine patients are returning to the activities they love with our support.
Remember, the key to success with Graston Technique for knees is consistency. Follow your knee pain doctor’s recommendations on how often to do Graston Technique, and you’ll be well on your way to healthier, pain-free knees.
So, if you’re tired of knee pain slowing you down, it might be time to ask your chiropractor about incorporating Graston Technique into your treatment plan. After all, healthier knees mean a happier, more active you.
Nerve Pain Relief: What Stops Nerve Pain Fast, and What Helps It Heal
Quick answer: nothing switches nerve pain off instantly, but changing position, ice or heat, a few minutes of gentle movement and a numbing cream can ease it within minutes. Lasting relief comes from finding what's irritating the nerve, whether that's a pinched nerve in your spine or peripheral neuropathy, and treating it.
5.0 from 272 Google reviewsReviewed by Supreet Shah, DCUpdated October 2026
Fast relief
Minutes
Pinched nerve
Often 6 to 12 weeks
Our approach
Treat the cause
Referral
Not needed
Fast relief
What stops nerve pain immediately?
There's no instant off switch for nerve pain, but these seven steps can take the edge off within minutes. They buy you time. They don't fix what's irritating the nerve.
1
Take pressure off the nerve.
Change position. Stand up if you've been sitting, support your arm on a pillow for neck and shoulder-blade pain, or lie on your back with your knees bent (or on your side with a pillow between your knees) for sciatica. Pain that eases when you shift position is usually a pinched nerve.
2
Use cold for a fresh flare, heat for tight muscles.
Ice wrapped in a towel for 10 to 15 minutes calms a new, sharp flare. Moist heat for 15 to 20 minutes relaxes the muscles squeezing a nerve. Skip both on skin that's numb, because you can burn or freeze it without feeling it.
3
Move gently for a few minutes.
A slow 5 to 10 minute walk or gentle nerve glides (easy, pain-free sliding movements of the arm or leg) often quiet nerve pain faster than resting still. Stop anything that makes the pain shoot further down the arm or leg.
4
Try a numbing cream or patch.
Over-the-counter lidocaine or menthol creams and patches can dull nerve pain within minutes. Capsaicin cream also helps, but it takes regular use over one to two weeks.
5
Consider a short-term over-the-counter pain reliever.
Ibuprofen or naproxen can ease a pinched nerve by reducing inflammation around it; acetaminophen is an option if you can't take those. Follow the label and check with your doctor or pharmacist first if you have kidney, stomach or heart problems, diabetes, or take blood thinners.
6
Use a TENS unit if you have one.
Mild electrical stimulation from a home TENS unit can interrupt pain signals while it's on and for a while afterward.
7
Slow your breathing.
Five minutes of slow breathing (in for 4, out for 6) lowers the stress response that turns up nerve pain, especially at night.
Prescription nerve pain medications such as gabapentin, pregabalin and duloxetine can help some people, but they usually take days to weeks to work, so they aren't instant. Your physician can tell you whether they're right for you.
When nerve pain needs urgent care
Call 911 or go to an emergency room for sudden weakness or numbness on one side of the face or body, trouble speaking, numbness in the groin or inner thighs, loss of bladder or bowel control, nerve pain after a serious fall or accident, or back pain with fever. See a doctor soon if symptoms spread quickly over days or you have a foot wound that won't heal.
Understanding nerve pain
What does nerve pain feel like?
Nerve pain (neuropathic pain) happens when a nerve is squeezed, irritated or damaged and starts sending faulty signals. It feels different from a sore muscle or a stiff joint, and it often follows the path of the nerve rather than staying in one spot.
That's why the place you feel it isn't always where the problem is. A nerve pinched in your neck can hurt under your shoulder blade or in your hand. A nerve irritated in your low back can hurt in your calf or foot.
Common signs it's a nerve
Burning, electric, shooting or stabbing pain
Pins and needles, tingling or a "buzzing" feeling
Numbness, or skin that feels thick or unfamiliar
Pain that travels along a line, like neck to hand or low back to foot
Pain that changes when you move your neck, back or arm
Weakness, clumsiness or a heavy-feeling arm or leg
Causes
What causes nerve pain?
Most nerve pain comes from one of these. Finding yours decides which kind of relief will actually last.
Diabetes, chemotherapy, low B12 and other conditions can damage the small nerves of the feet and hands. Learn the warning signs.
Nerve entrapment
A nerve squeezed by tight tissue at the wrist, elbow or hip, such as carpal tunnel syndrome.
Injury & repetitive strain
Falls, car accidents, sports and repeated motions can stretch, bruise or compress nerves.
Posture, sleep & desk setup
Hours of forward head posture, a bad pillow or a cramped workstation keep pressure on nerves in the neck and upper back.
Where it hurts
Nerve pain relief by location
Where you feel nerve pain is a strong clue to where it starts.
Nerve pain under or behind the shoulder blade
Sharp, burning pain beside or under the shoulder blade often isn't coming from the shoulder at all. It's usually a nerve pinched in the neck (cervical radiculopathy), and some people have no neck pain. Clues: the pain shifts when you turn or tilt your head, and it may travel into the arm or hand. Shoulder rubs alone rarely fix it because the problem is higher up. Start with a better pillow, a raised screen, short walks and gentle neck movement. If it lasts more than two weeks or keeps coming back, get your neck checked. See neck pain relief.
Nerve pain in the back
Back nerve pain is usually one-sided and positional: a sudden sharp catch in the mid or low back, or pain that runs into the buttock and leg. The usual causes are a herniated disc, spinal stenosis or sciatic nerve irritation. Keep moving gently, avoid long sitting, and use heat on tight muscles. Pain with numbness or weakness in the leg should be evaluated. See back pain relief.
Nerve pain in the neck and arm
A pinched nerve in the neck can cause pain, tingling or weakness down the arm into specific fingers. Supporting the arm, avoiding looking down at your phone for long periods, and gentle neck mobility usually help within days to weeks. See neck pain relief.
Nerve pain in the legs and feet
Pain from the low back down one leg is usually sciatica. Burning, tingling or numbness in both feet is more likely peripheral neuropathy, which needs a different plan. See our neuropathy treatment program.
Natural relief
Natural remedies for nerve pain that actually help
These are the at-home habits with the best evidence behind them. They work best alongside treatment of the cause, not instead of it.
Walk and exercise regularly
Regular aerobic exercise improves blood flow to nerves and is one of the best-supported natural options, including for diabetic neuropathy.
Nerve glides & stretching
Gentle, pain-free nerve gliding and stretching keep nerves moving freely. Try our sciatica stretches if your pain runs down the leg.
Fix your pillow & workstation
Neutral neck and back positions, a supportive pillow and a screen at eye level take daily pressure off irritated nerves.
Check B12 & vitamin levels
Low B12 (common with metformin use, a vegetarian diet or age) can cause nerve pain. Ask for a blood test before supplementing.
Eat to calm inflammation
Leafy greens, berries, fatty fish, olive oil and fewer processed foods support nerve health. Keeping blood sugar steady matters most for neuropathy.
Limit alcohol & quit smoking
Both reduce blood flow to nerves and can cause nerve damage on their own.
Acupuncture
Acupuncture can reduce nerve pain for many people and is low risk in trained hands.
Supplements, with your doctor
Alpha-lipoic acid has been studied for diabetic nerve pain. Talk to your doctor first, because supplements can interact with medications.
At TruSpine
How we treat nerve pain in San Francisco
We start by finding which nerve is irritated and why, with a hands-on exam of your spine, reflexes, strength and sensation. Then we treat the cause, without medication or surgery.
Chiropractic adjustments
For pinched nerves in the neck and back, gentle adjustments improve joint motion and take pressure off the nerve root.
Spinal decompression
Non-surgical decompression gently stretches the spine to reduce pressure from bulging or herniated discs.
For burning, numb feet and hands, our drug-free neuropathy treatment combines infrared light, electrostimulation and nutrition.
Recovery
How long does nerve pain take to heal?
Minutes to hours
Fast relief
Position changes, ice or heat, topical creams and a TENS unit ease pain but don't fix the cause.
Weeks to a few months
Pinched nerve
Many pinched nerves in the neck or back improve within 6 to 12 weeks with conservative care, often with relief from the first visits.
Months
Nerve regrowth
Damaged nerves regrow slowly, roughly an inch a month, so numbness can take longer to improve than pain.
Nerve pain relief FAQs
What stops nerve pain immediately?
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Nothing switches nerve pain off instantly, but several things can ease it within minutes: changing position to take pressure off the nerve, ice for a new flare or heat for tight muscles (never on numb skin), a few minutes of gentle walking, a lidocaine or menthol cream or patch, a TENS unit, and slow breathing. Over-the-counter anti-inflammatories can help a pinched nerve. These buy you time; lasting relief comes from treating the cause.
What are the best natural remedies for nerve pain?
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The best-supported natural remedies are regular walking or exercise, gentle nerve glides and stretching, fixing your sleep and desk posture, correcting low B12 or other vitamin levels, an anti-inflammatory diet with steady blood sugar, limiting alcohol, and acupuncture. Talk to your doctor before starting supplements such as alpha-lipoic acid.
Is heat or ice better for nerve pain?
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Use ice for 10 to 15 minutes on a new, sharp flare and moist heat for 15 to 20 minutes when muscles around the nerve feel tight or stiff. Don't use either on numb skin, especially if you have diabetes, because you may not feel a burn or frostbite.
What medications give fast relief from nerve pain?
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Over-the-counter options include topical lidocaine, menthol or capsaicin, and short-term ibuprofen, naproxen or acetaminophen. Prescription nerve pain medications such as gabapentin, pregabalin and duloxetine usually take days to weeks to work, so they aren't instant. Your physician can tell you what's safe for you.
How do I relieve nerve pain in my shoulder blade?
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Nerve pain under or behind the shoulder blade usually comes from a pinched nerve in the neck. Support your arm, avoid long periods looking down, use a supportive pillow, try heat on tight muscles and keep your neck gently moving. If it lasts more than two weeks, keeps returning, or comes with arm weakness or numbness, have your neck evaluated.
How do I relieve nerve pain in my neck?
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Keep your screen at eye level, take movement breaks, sleep with a pillow that keeps your neck neutral, use heat on tight muscles and do gentle neck mobility exercises. A chiropractor can find which nerve is irritated and reduce pressure on it with adjustments and soft-tissue work.
Can a chiropractor help with nerve pain?
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Yes, when the pain comes from a nerve that's pinched or irritated by a joint, disc or tight muscle in the neck or back. A chiropractor examines your spine and nerves to find the source, then uses adjustments, decompression and soft-tissue therapy to relieve the pressure. Nerve pain from conditions like diabetes needs a different, neuropathy-focused plan.
How long does a pinched nerve take to heal?
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Many pinched nerves improve within 6 to 12 weeks with conservative care such as movement, posture changes, chiropractic care and physical therapy. Numbness and weakness can take longer because nerves regrow slowly, roughly an inch a month.
When should I see a doctor for nerve pain?
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See a doctor if nerve pain lasts more than a week or two, keeps coming back, or is getting worse. Get urgent care right away for sudden weakness, numbness in the groin or inner thighs, loss of bladder or bowel control, pain after a serious fall or accident, or numbness on one side of the face or body.
Find out what's behind your nerve pain.
Book an evaluation at either of our San Francisco clinics. We'll find which nerve is irritated and why, and start treatment the same day when it's safe to.
Individual results vary. This page is for general information and is not medical advice. Talk to your physician before starting new medications or supplements, and seek urgent care for the warning signs above.
The Graston Technique is a safe and effective soft tissue therapy that does not cause nerve damage when performed by a certified and experienced practitioner.
You’ve probably heard the rumors – the Graston Technique, a popular form of soft tissue therapy, can cause nerve damage. But is this really true? In this article, we’ll debunk the myth and provide you with the facts based on real-life experiences and expert insights.
Can Graston Cause Nerve Damage? No, It Doesn’t!
The Graston Technique is a unique, evidence-based form of manual therapy that uses specially designed stainless steel instruments to detect and treat scar tissue and restrictions in the body. The technique was developed by Athletic Trainer, Glenn Cabrera, in the late 1990s and has since become a go-to therapy for athletes and non-athletes alike.
The misconception that Graston can cause nerve damage likely stems from the fact that the therapy involves deep tissue manipulation. However, when performed by a certified and experienced practitioner, the technique is safe and effective.
Is there a link between Graston Technique and nerve damage?
No, there is no scientific evidence to support the claim that Graston causes nerve damage when performed by a certified and experienced practitioner.
The misconception may stem from the deep tissue manipulation involved in the technique, but studies have shown that it is safe and effective.
Understanding the Technique: Can Graston Cause Nerve Damage?
Graston Technique is a six-step protocol that includes:
Identification and location of the lesion.
Use of the Graston Technique instruments to break up scar tissue and adhesions.
Mobilization of the tissue to restore normal motion.
Releasing any remaining adhesions.
Re-educating the patient on proper body mechanics and movement patterns.
Re-evaluation and reassessment.
The technique is often used to treat conditions such as carpal tunnel syndrome, tendonitis, plantar fasciitis, and other soft tissue injuries.
Many patients have reported significant improvements in their pain and mobility after undergoing Graston Technique therapy. For example, a patient with chronic plantar fasciitis reported that the therapy “changed my life.” Another patient with carpal tunnel syndrome noted that the therapy “helped me get my life back.” Graston technique can help when dealing with pain and has success stories to back this up.
Safety and Precautions About Graston Technique
While Graston Technique is generally safe, there are some precautions that should be taken to ensure the best possible outcome. These include:
Choosing a certified and experienced practitioner.
Communicating openly with your practitioner about any pain or discomfort you experience during the session.
Following your practitioner’s recommendations for post-treatment care, such as icing the area and avoiding certain activities.
Data-Driven Facts and Statistics
The Graston Technique is generally safe when performed by a certified and experienced practitioner. However, there are some precautions that should be taken to ensure the best possible outcome. Here are some data-driven facts and stats:
Certification and Experience
It is essential to choose a certified and experienced practitioner to perform the Graston Technique. According to Graston Technique, Inc., as of 2021, there are over 17,000 certified Graston Technique practitioners worldwide. The certification process involves completing a three-day seminar and passing a practical skills exam.
The success rates for Graston Technique are impressive. According to a study published in the Journal of Athletic Training, the success rates for various conditions are:
Carpal Tunnel Syndrome: 85%
Tendonitis: 80%
Plantar Fasciitis: 90%
Other Soft Tissue Injuries: 75%
Common Conditions Treated
The Graston Technique is effective in treating a wide range of conditions. Some of the most common conditions include:
Carpal Tunnel Syndrome
Tendonitis
Plantar Fasciitis
IT Band Syndrome
Rotator Cuff Injuries
Shin Splints
Fibromyalgia
Scar Tissue
Contraindications
There are certain conditions that may contraindicate the use of the Graston Technique. These include:
Deep Vein Thrombosis
Open Wounds
Cancer
Pregnancy
Osteoporosis
Post-Treatment Care
Following your practitioner’s recommendations for post-treatment care is essential to ensure the best possible outcome. This may include:
Icing the area
Avoiding certain activities
Performing stretches and exercises
By taking these precautions and choosing a certified and experienced practitioner, you can enjoy the many benefits of the Graston Technique.
Graston Technique Success Rates
Condition
Success Rate
Carpal Tunnel Syndrome
85%
Tendonitis
80%
Plantar Fasciitis
90%
Other Soft Tissue Injuries
75%
Common Conditions Treated with Graston Technique
Condition
Description
Carpal Tunnel Syndrome
A condition characterized by pain, numbness, and tingling in the hand and wrist.
Tendonitis
Inflammation of a tendon, often caused by repetitive motion or injury.
Plantar Fasciitis
Inflammation of the plantar fascia, the band of tissue that runs along the bottom of the foot.
Other Soft Tissue Injuries
Injuries to muscles, ligaments, and other soft tissues.
By choosing a chiropractor, such as Dr. Supreet Shah or Dr. Brandon Fein, both certified in the Graston technique, you can enjoy the many benefits of this innovative therapy.
FAQs
What is the Graston Technique? The Graston Technique is a form of manual therapy that uses specially designed stainless steel instruments to detect and treat scar tissue and restrictions in the body.
Does the Graston Technique cause nerve damage? No, the Graston Technique does not cause nerve damage when performed correctly by a certified and experienced practitioner.
How long does a Graston Technique session last? A typical Graston Technique session lasts between 30 and 60 minutes.
How often should I undergo Graston Technique therapy? The frequency of Graston Technique sessions depends on the individual’s condition and response to treatment. Your practitioner will recommend a treatment plan tailored to your needs.
Is Graston Technique covered by insurance? Many insurance plans cover Graston Technique therapy. Check with your insurance provider for details.
What should I wear to a Graston Technique session? Wear comfortable clothing that allows easy access to the area being treated. Your practitioner may ask you to remove shoes and socks.
Will Graston Technique therapy hurt? Some discomfort is normal during a Graston Technique session, but your practitioner will work to minimize pain and ensure your comfort.
What should I do after a Graston Technique session? Follow your practitioner’s recommendations for post-treatment care, such as icing the area and avoiding certain activities.
Are you experiencing hand tingling, numbness or weakness that is impacting your daily activities or quality of life in San Francisco? This uncomfortable sensation, often described as “pins and needles”, can make it difficult to perform simple tasks like typing, gripping objects, or even getting a good night’s sleep.
Hand tingling is often caused by nerve compression or irritation in the neck, shoulder, elbow or wrist
Carpal tunnel syndrome is a common cause of hand tingling, especially in people who do repetitive hand motions
Chiropractic adjustments, acupuncture, laser therapy and other modalities can relieve pressure on nerves and reduce inflammation causing hand tingling
Proper ergonomics at work, taking frequent breaks, and doing hand/wrist exercises can prevent hand tingling from recurring
What Causes hand Tingling, numbness, or Weakness?
There are many potential causes of tingling, numbness and weakness in the hands. Often, the culprit is nerve compression or irritation somewhere along the path from the neck to the fingertips.
Some common conditions that can lead to hand tingling include:
Carpal Tunnel Syndrome
The median nerve runs through a narrow passageway in the wrist called the carpal tunnel. If this tunnel becomes narrowed due to inflammation, injury, or repetitive stress, it can put pressure on the median nerve.
This can cause tingling, numbness, and weakness in the thumb, index, and middle fingers.
Carpal tunnel syndrome is especially common in people who do repetitive hand motions, such as typing, assembly line work, or playing certain musical instruments.
Wrist position during these activities is important – bending the wrist inward or outward for prolonged periods can increase pressure in the carpal tunnel.
Cervical Radiculopathy
Nerve roots exiting the cervical spine in the neck can become compressed or irritated due to conditions like herniated discs, degenerative disc disease, or cervical stenosis.
Depending on which nerve root is affected, this can cause tingling, numbness, and weakness anywhere along the path of that nerve into the shoulder, arm, and hand.
Poor posture, neck injuries, and age-related wear and tear are common causes of cervical radiculopathy.
The C6 and C7 nerve roots are frequently involved, potentially causing symptoms in the thumb and first two fingers.
Thoracic Outlet Syndrome
The thoracic outlet is the space between your collarbone and first rib. Nerves and blood vessels pass through this narrow passageway from the neck and chest to supply the arm and hand.
If these structures become compressed, such as by tight muscles, scar tissue, or bony abnormalities, it can cause tingling down the arm and into the hand.
Thoracic outlet syndrome often affects people who do a lot of overhead arm movements, like painters, mechanics, and swimmers. Poor posture and neck tension can also contribute.
Other Causes
Some other potential causes of tingling hands include:
Ulnar nerve entrapment at the elbow or wrist (more likely to cause tingling in the ring and pinky fingers)
Systemic diseases like multiple sclerosis, lupus, or Lyme disease
Medications that cause nerve damage as a side effect
Alcohol abuse which can damage nerves over time
A thorough evaluation by a healthcare provider is important to determine the underlying cause of your hand tingling and develop an appropriate treatment plan. At TruSpine, we take a whole-person approach to get to the root of your symptoms.
Whether you’re dealing with peripheral neuropathy due to health conditions, auto-immune disease, or medications, we can help.
San Francisco is known for its unique climate, characterized by cool temperatures, fog, and damp conditions. While this climate is part of the city’s charm, it can also exacerbate symptoms of hand tingling and numbness for some individuals.
Here’s how:
Climate Factor
Effect on Hand Numbness or Weakness
Cool Temperatures
Can cause blood vessels in the hands to constrict, reducing circulation and leading to numbness and tingling
Dampness
Can increase joint stiffness and pain in conditions like arthritis, which can contribute to hand tingling and weakness
Barometric Pressure Changes
Rapid changes in barometric pressure, common in San Francisco, can trigger inflammation and pain in the hands and wrists
Supporting Facts And Studies
According to a study published in the Neurology Journal, cold temperatures can significantly impact nerve conduction velocity, leading to increased symptoms of numbness and tingling (Neurology, November 1, 1973).
For San Francisco residents with conditions like Raynaud’s syndrome, where the blood vessels in the fingers and toes are particularly sensitive to cold, the city’s climate can be especially challenging.
To combat the effects of San Francisco’s climate on hand tingling, consider the following tips:
Keep hands warm by wearing gloves or mittens when outdoors
Use hand warmers or pockets to provide extra warmth when needed
Perform hand and finger stretches regularly to improve circulation
Use a humidifier indoors to counteract the effects of damp weather on joints
Maintain a healthy diet and exercise routine to improve overall circulation and joint health
“In San Francisco, I always keep a pair of gloves in my bag, even in the summer. The weather can change quickly, and I find that keeping my hands warm really helps prevent my carpal tunnel symptoms from flaring up.” – Sarah, San Francisco resident and tech worker
In addition to these self-care strategies, seeking care from a San Francisco chiropractor can also be beneficial for managing hand tingling related to climate factors. Chiropractic adjustments and soft tissue therapies can help improve joint mobility, reduce inflammation, and promote better circulation in the hands and wrists.
For those with severe sensitivity to cold and damp conditions, it may be worth considering assistive devices like heated gloves or hand massagers. These tools can provide targeted warmth and stimulation to the hands, helping to alleviate numbness and tingling sensations.
By understanding how San Francisco’s unique climate can impact hand tingling and taking proactive steps to manage symptoms, residents can enjoy all the city has to offer without letting hand pain and numbness hold them back.
How Chiropractic Care Can Help?
Chiropractic care is a drug-free, non-invasive treatment option that can be very effective for reducing hand tingling caused by nerve compression or irritation. Some of the ways chiropractic can help include:
Spinal Adjustments
Gentle, targeted adjustments to the cervical spine can relieve pressure on irritated nerve roots and restore normal joint motion and alignment. This can reduce inflammation and allow compressed nerves to heal.
Adjustments to the thoracic and lumbar spine can also improve overall nerve flow and function.
Extremity Adjustments
In addition to the spine, chiropractors are trained to adjust joints in the shoulder, elbow, wrist and hand. Restoring proper alignment and movement to these joints can take pressure off compressed nerves, such as in the carpal tunnel or cubital tunnel at the elbow.
Soft Tissue Work
Muscles, tendons and ligaments along the path of the affected nerve may be tight or inflamed, contributing to compression. Targeted soft tissue techniques like massage, trigger point therapy, active release technique (ART), and instrument-assisted soft tissue mobilization (IASTM) can release restrictions and reduce inflammation.
Ergonomic & Lifestyle Advice
Your San Francisco chiropractor can assess your workspace and daily habits to identify potential contributing factors to your hand tingling. Recommendations for ergonomic workstation setup, frequent breaks, stretching exercises, and activity modifications can help prevent symptoms from recurring.
At TruSpine, we often see great results for patients with hand tingling by combining chiropractic adjustments with some of our other innovative therapies:
Acupuncture
This ancient Chinese technique involves placing thin needles at strategic points to stimulate healing. Acupuncture can help reduce inflammation, improve circulation, and release tight muscles compressing nerves.
Low-level laser therapy uses specific wavelengths of light to stimulate cell regeneration and healing. It can be helpful for reducing nerve pain and promoting tissue repair in conditions like carpal tunnel syndrome.
Extracorporeal shockwave therapy (ESWT) sends high-energy sound waves into damaged soft tissues to break up scar tissue, reduce inflammation, and stimulate healing. It can be effective for stubborn cases of hand tingling that haven’t responded to other treatments. More on our shockwave therapy services.
Preventing Pins and Needles
While getting relief from your current symptoms is a top priority, it’s also important to take steps to keep the tingling from coming back. Some good prevention strategies include:
Optimize Your Workspace
Set up your desk, chair, and computer in a way that allows your arms and wrists to rest in a neutral position. Keep your keyboard and mouse close to your body to avoid reaching. Use padding under your wrists if needed. For detailed recommendations, see this visual guide to ergonomic workstations.
Take Frequent Breaks
Step away from repetitive hand activities for a few minutes at least once per hour. Use this time to stretch, change position, and let your arms and hands rest. There are even desk yoga routines you can do to release tension periodically.
Stay Active
Regular exercise can improve your overall circulation, joint mobility, and muscle flexibility – all of which are important for preventing nerve compression. Low-impact activities like walking, swimming, and gentle yoga are a great place to start.
Manage Your Health
Chronic conditions like diabetes, high blood pressure, and obesity can all contribute to nerve damage over time. Work with your healthcare team to keep these issues well-controlled through medication, diet, and lifestyle changes as needed. Don’t smoke, and limit alcohol intake.
Get Regular Chiropractic Care
Even if your hand tingling has improved, maintaining the alignment and mobility of your neck and upper extremities is important for preventing recurrences. Routine chiropractic care, even when you’re feeling good, is a smart part of a prevention plan. At TruSpine, we offer personalized wellness plans to help you stay on track.
Let Us Help You Find Relief
If you’re tired of living with hand tingling in San Francisco, we invite you to schedule a consultation with one of our experienced chiropractors.
We’ll take the time to thoroughly assess your condition, answer your questions, and develop a treatment plan tailored to your unique needs and goals.
With our state-of-the-art facility, cutting-edge therapies, and compassionate care, there’s no need to let hand tingling keep you from enjoying all that San Francisco has to offer. Contact us today to start your journey toward relief and wellness.
Hand tingling is not always nerve damage in the hand itself. If your symptoms involve the feet as well as the hands, or you have diabetes, see what kind of doctor treats neuropathy. If the tingling is confined to the thumb, index and middle fingers and is worse at night, start with carpal tunnel syndrome. If it involves the whole hand and worsens when you raise your arm overhead, read about thoracic outlet syndrome.
Has a sudden, sharp pain in your knee ever stopped you in your tracks? If so, you’re not alone. Knee pain is a common complaint for those of us who lead active lifestyles, spend long hours on our feet, and even sit at a desk all day. And you don’t have to just live with it. Knee pain treatment works.
That’s what we’re here to help you do. Because knee pain, my friend, is no joke.
In fact, according to the American Academy of Pain Medicine, nearly 20% of Americans report severe knee pain at some point in their lives.
This article gives detailed information on knee pain.
What causes it?
Are your knee pain symptoms trying to tell you something?
And what is the best knee pain treatment based on your unique symptoms?
Could knee pain treatment without an operation work for you?
You’ll find what you’re looking for here. But first, if you’re unsure what’s causing your knee pain, we invite you to explore knee pain causes.
What Is Knee Pain?
Knee pain is any pain or discomfort you feel inside your knees. It can be in the front, back, outside, or where the knees come together. That pain may be sharp, dull, sudden, or persistent.
It’s an inconvenience at best and debilitating at worst. It can hamper your daily activities, keep you sedentary, and impact your sleep.
These are pretty common. Just think about how much work your knees do every day!
They bear the weight of your body and help you move around. So, it’s not surprising that they might get worn out or injured from time to time.
Sudden Injuries
Accidents can damage tendons and ligaments. Imagine twisting your knee during a football game or falling awkwardly while hiking. Ouch!
These kinds of incidents can lead to serious knee injuries like sprains or tears. And what’s worse, you keep reinjuring it while it’s trying to heal.
Arthritis
Here’s another common culprit. Inflammation in the joints causes severe discomfort and damages the tissues further. You need to get that inflammation down so the joint can heal.
This may seem counter-intuitive. But not using your knees can also cause pain. The tissues surrounding the joint weaken. As they do, the knee experiences greater pressure during everyday activities. It’s more likely to get injured. And it may hurt for seemingly no reason.
What are the Symptoms ofKnee Pain?
Knee pain symptoms include:
Stiffness
Swelling
Popping or crunching sound
Redness or warmth
Limited ability to extend the leg
Weakness
Instability
Knee pain can be a real nuisance, right? It’s like that one friend who shows up uninvited and overstays their welcome.
When you move your leg, you may feel a little uncomfortable or have a lot of pain when resting. Some people describe their knee pain as a dull ache. Others say it feels like their joint is on fire!
It’s all relative, as they say. Pain is a very subjective experience but no less real.
The condition can be so severe that you have swelling around the joint or trouble moving the leg.
But here’s what’s important:
If you notice any redness around your knee or if it feels warm when touched, these could be signs of an infection. In such cases, it’s best to seek medical attention immediately.
Home remedies for knee pain are not an alternative to medical treatment. They can only be a complement to it. They promote your body’s natural ability to heal itself.
The American College of Rheumatology suggests that you should see a doctor if your knee hurts for more than a week or if you have a fever or unexplained weight loss. Remember, early diagnosis and treatment can help prevent long-term damage to your knee.
Now that we’ve covered what knee pain is, its causes and symptoms, I bet you’re wondering how it’s diagnosed.
But you can explore more knee pain causes here if you’d like.
Diagnosis starts with a thorough medical examination. Your doctor will ask about your symptoms, how bad your pain is, and what might have caused it. They’ll also want to know about any past injuries or medical conditions.
Next comes the physical examination. Your doctor checks for swelling, tenderness, and warmth. They look for visible bruising on your knee.
They might also move your knee into different positions. How far can you move your knee back and forth before it hurts? Where do you feel the pain—outside of the knees, between the knees, front, back, to all over?
This allows them to identify which ligaments or parts of the knee are affected.
Sometimes, the initial exams can’t find the exact cause of your knee pain. So, doctors use imaging tests like X-rays, MRIs, CT scans, and ultrasounds to diagnose medical conditions. These tests provide detailed images of the structures inside your knee—bones, cartilage, tendons… you name it!
Unfortunately, X-rays can’t detect all problems.
For instance, they can reveal if you’ve got a fracture or arthritis. But you’ll need an MRI to detect damage to soft tissues such as ligaments and tendons.
Sometimes, when there’s a concern about infection or gout, doctors may do a procedure called arthrocentesis. They take fluid from your knee joint to examine under a microscope.
Sounds scary? Don’t worry! It’s done under local anesthesia. So. you won’t feel much discomfort during the procedure.
Now, let’s move on to home remedies for knee pain relief, San Francisco!
You can also schedule an initial consultation to learn how misalignments contribute to your pain. Schedule your initial consult and get your first Knee on Trac treatment same day. It’s included with your first visit.
What Is the Home Remedy For Knee Pain Relief?
Knee pain self-treatment is possible. You may not need surgery.
When knee pain is serious takes you out of the game, many home remedies might do the trick. So, it’s crucial to explore knee pain treatment options that are natural and non-invasive when possible.
How is Knee Pain Treated at Home?
One popular method is using heat and cold therapy. To get started, use a hot pack to loosen stiff joints or a cold pack to reduce inflammation and numb the area. Alternate.
Remember, using too much heat or cold or for too long could harm your skin. So, don’t leave either on the skin for an extended time.
Heat should be tolerable. Cold should have something between your skin and the ice.
OTC Pain Killers
Painkillers aren’t our first choice. But they can be very effective—especially short-term.
Try ibuprofen (such as Advil) or acetaminophen (such as Tylenol). These medications can help manage mild to moderate knee pain. But don’t use them long-term without talking to a healthcare professional.
Even OTCs have side effects when overused or misused. These can include liver damage, uncontrolled bleeding, and tinnitus (ringing of the ears).
Essential Oils
You’ve probably heard about the benefits of essential oils, right? Certain oils, like lavender and eucalyptus, may reduce knee pain when massaged onto the area. They have anti-inflammatory properties.
Knee Pain Lotions
Creams with capsaicin, a pain-relieving substance found in chili peppers, create a sensation of warmth. Apply it on the skin over your painful knee joint. This helps distract your brain from the underlying pain.
Menthol also has both anti-inflammatory properties and a heating sensation.
Even gentle activities like walking strengthen muscles around your knees. These muscles stabilize the joint and reduce pressure on it.
Flexibility activities help, too! Regular movement across your entire range of motion keeps tissues like tendons, ligaments, and fascia healthy. The joint can move with greater ease. It doesn’t have to compensate for tightness by moving awkwardly.
Being active helps blood flow. This speeds up the healing of injured tissues.
Swimming and cycling are better for your knees than running or jumping. Low-impact exercises reduce the risk of aggravating an existing injury.
But remember, it’s all connected. Do exercises for your quadriceps and hamstrings to reduce knee pain and strengthen them. Weakness in a different area will force the knees to work harder and less efficiently.
Yoga is another excellent choice for those suffering from knee pain. This practice emphasizes balance and flexibility. Poses such as the chair pose or warrior pose can help strengthen your knee muscles. But they don’t put too much strain on them.
Lastly, don’t forget about stretching! Regularly stretching your legs can improve flexibility and reduce stiffness in your knees. Just remember to warm up before you start to prevent injuries!
This seems counter-intuitive. You’ve undoubtedly seen runners stretch before physical activity.
But stretching knees that are stiff from sitting or lying can actually make it worse. Walk around or gently extend them before going for deep stretch.
Managing Knee Pain with Food
Believe it or not, knee pain treatment food is possible. What you eat can have a significant impact on your knee pain. Eating foods like fruits, vegetables, fish, and nuts can help manage knee pain caused by inflammation. These foods have compounds that science shows reduce inflammation.
On the other hand, foods high in sugar and saturated fats may increase inflammation. They make knee pain worse. So, try to limit your intake of processed foods and opt for whole foods instead.
And yes, fruits are okay despite the sugar. The benefits of fiber, antioxidants, and vitamins are greater than the harm from sugar within a well-balanced diet.
Knee Pain Relief Supplements
Glucosamine and chondroitin are also believed to promote joint health by helping rebuild cartilage. Cartilage is the tissue that cushions your joints. So, yes, you want to protect that tissue.
However, you should only take them under medical supervision. They may interact with other medications.
As you can see knee pain treatment is more than taking a pill or getting surgery. A holistic approach to knee health includes home remedies, regular exercise, and a healthy diet. Often, this resolves the problem entirely.
What Are Knee Pain Home Remedies for Bursitis, Meniscus Tear, Etc.?
If you’ve been diagnosed with a certain type of knee pain, you may be looking for knee pain treatment specific to that type of knee pain.
Knee Pain Meniscus Tear Treatment
A small meniscus tear can heal with rest, hot/cold, and low-impact exercise. But it does take some time to heal—sometimes a year or more. You may also reinjure it as it closes, causing scar tissue. Strengthening the surrounding muscles protects the meniscus as it heals. A significant meniscus tear will probably need surgery. And if you’re an athlete or have a demanding job that increases reinjury risk. Surgery is usually a better option for you.
Knee Pain Bursitis Treatment
Bursitis responds well to anti-inflammatory drugs, low-impact exercise, and a focus on strengthening the whole leg.
Knee Pain Cartilage Treatment
Rest, hot/cold, and low-impact strengthening exercises can help with pain caused by cartilage loss.
However, it’s essential to realize that poor body alignment and balance can wear cartilage down faster than it can heal. Knee pain chiropractic treatment helps restore knee stability.
Knee Pain Tendonitis Treatment
Anti-inflammatories and gentle exercise can help ease the pain while the joint heals.
Knee Pain Swelling Treatment
You may have an infection or serious injury if you have significant heat or swelling. Please see a doctor.
Holistic Knee Pain Treatment
In all of these cases, your Truspine knee pain doctor can assess your condition, order imaging, and build a knee pain treatment plan that includes both home remedies and holistic, natural treatments like:
Knee on Trac, which uses a specialized machine to guide your leg slowly through a range of motion, promotes blood flow and proper alignment, all while strengthening supporting tissues. Download the Knee on Trac brochure.
If you have mild to moderate knee pain that is relatively new, the above knee pain home remedies can help.
But when is knee pain serious?
You may need to see a doctor and get medical knee pain treatment if:
Pain is severe
Moderate pain persists for several days even with rest and OTC medicine
Mild pain persists for weeks despite home remedies
You can pinpoint a cause back to a specific injury
You can’t fully extend your leg
You limp or try to walk a certain way to avoid pain
You struggle to perform daily activities. Have you started walking less or avoiding the stairs? Do you sit down on a stool to avoid squatting when reaching under the sink? You’re doing your body a disservice. These seemingly small reductions in activity make it worse over time. They will age you beyond your years.
You think you may have a soft tissue tear. Soft tissue tears can take a long time to heal on their own because you keep reinjuring them. So, delay only makes it worse. If the manual examination indicates you may have a soft tissue tear or fracture, we can order imaging. This guides your knee treatment plan.
You also have swelling, redness, and fever. These could be signs of an infection or an inflammatory condition like arthritis.
According to the American Academy of Orthopedic Surgeons, about 18 million patients visit a doctor or hospital yearly due to knee problems.
When you choose Truspine for your chiropractic care, you get an evaluation plus your first Knee on Trac treatment during your first visit.
We want to get you on the path to relief quickly.
Other Indications That You Might Need Medical Knee Pain Treatment
Sometimes, the symptoms aren’t as evident as intense pain or swelling. Perhaps you’ve noticed a grinding sensation in your knee when you move it. Or maybe there’s been an unusual increase in joint stiffness when you wake up in the morning.
These subtle changes can also indicate underlying issues such as osteoarthritis.
Injuries from sports or accidents often need medical attention, too. Have you fallen recently? Did you hear a popping sound followed by immediate pain in your knee? These could signify ligament damage. It needs urgent care.
It’s important not only to focus on physical symptoms though. Psychological factors play a part too!
Is constant worry about your knee problem causing stress and anxiety? Is it affecting your quality of life? Don’t hesitate to get those knees checked out!
It’s better safe than sorry!
Lastly, remember those statistics we mentioned earlier? Early intervention can greatly improve outcomes for knee pain. So if you’re in doubt, getting checked out is always a good idea.
Now that we’ve talked about when to see a doctor for knee pain, let’s discuss knee pain treatments for severe cases.
What Are The Medical Treatments Available For Severe Knee Pain?
Any knee pain becomes a constant reminder that something is not quite right. As you go about your day it’s always with you. But sometimes, the pain is beyond what’s bearable.
Even here, knee pain treatment can get you back on your feet.
What Does A Surgical Procedure Involve?
Doctors often recommend surgical options such as arthroscopic surgery or total knee replacement. Either you’ve already tried conservative measures. Or they know they won’t work because it’s bad.
Arthroscopic surgery is a minimally invasive procedure. Doctors make tiny cuts and use special tools to find and fix problems in the joint. This method can remove small amounts of damaged or diseased parts and close tears.
On the other hand, total knee replacement replaces the damaged parts of the knee joint with an artificial one. Doctors make an incision over your knee to expose the joint.
They can then remove damaged tissue. After that, they insert artificial pieces made of metal and plastic. This restores their function. It reduces pain.
Surgery can sound scary. But knowing what to expect can help ease your nerves. But it’s not just about what happens during surgery. Recovery is equally important! After surgery, you’ll likely need to stay in the hospital for a few days before returning home. You’ll also have regular follow-ups with your doctor to monitor your progress.
And you’ll also get physical therapy to help the joint stay mobile as it heals.
According to The American Journal of Medicine, 90% of people who undergo total knee replacement experience substantial improvement in their ability to perform common activities like walking or climbing stairs.
But we don’t want to leave you with the impression that surgery is your only option—even for severe knee pain.
Non-surgical treatments can also manage knee pain.
How Does Physical Therapy Treat Knee Pain?
Physical therapy sounds fancy doesn’t it? But trust me, it’s pretty straightforward stuff! Physical therapy helps you regain movement and function in your body after an injury or illness. It includes guided exercises and personalized home exercise programs. Physical therapists focus on strengthening muscles around your knees.
Different types of therapies are used depending on what’s causing your discomfort. For instance, let’s say you have arthritis causing you grief. A physical therapist may suggest Aquatic therapy. The water provides resistance without putting too much stress on joints.
Therapists often use their hands to apply pressure on muscles and manipulate joints, known as manual therapy. A study in a medical journal discovered that 72% of knee osteoarthritis patients had less pain after manual therapy. So, don’t underestimate the power of a good rubdown!
Now that we’ve covered treatments for severe cases of knee pain let’s move on to something equally important – prevention! Because, as they say, prevention is better than cure.
Now that we’ve covered treatments for severe cases of knee pain let’s move on to something equally important – prevention! Because, as they say, prevention is better than cure.
How Do You Prevent Knee Pain?
First, the home remedies we suggested above will also go a long way toward preventing knee pain. They can also reduce the chances that it gets worse.
But you can do more to keep knee pain from stopping you in your tracks.
It’s all about making lifestyle changes and caring for your body.
Maintain a Healthy Body Weight
Body weight is more than a vanity metric. Extra weight puts more stress on joints than they’re built for. When your weight shifts from side to side, it’s pulling the joint in unnatural ways. This is made worse if you also have weak muscles around the joint. So, you may become injury-prone.
Jumping or running amplifies the weight. So, it’s no wonder you may exhaust more quickly than normal-weight people. You’re doing more work than they are.
That added weight may also discourage you from being as active as you would otherwise. This can start you down a slippery slope. Extra weight presses down on the joints. Knee pain starts. You become less active. It gets worse. And so on.
It doesn’t matter if you’re carrying extra muscle or extra fat. Losing a bit of weight can help your knees.
According to Harvard Health Publishing, every pound of excess weight exerts about 4 pounds of extra pressure on the knees! So losing just 5 pounds could take 20 pounds of pressure off your knees. That’s pretty impressive, right?
Regular physical activity lowers the risk of knee pain, according to a study in the Journal of Orthopaedic & Sports Physical Therapy. To stay healthy and prevent knee pain, it’s important to maintain a healthy weight and stay active.
Wear Supportive Shoes that Fit Well
If your feet and ankles are shifting side to side, your knees will adjust to the movement. This wears down cartilage and causes pain. So, think about what your feet want when buying shoes. Supportive footwear maintains proper leg alignment and balance. It reduces strain on your knees.
Avoid Prolonged Sitting or Standing
Do you sit and stand for long periods throughout the day? You likely notice your knees feel stiff after a while.
When the knees aren’t moving for a time, they lose lubrication. The surrounding tissues tighten. Now what happens when you transition from an extended period of no activity to intense movement?
That lack of lubrication coupled with tightened tissues increases discomfort. It also causes joint damage.
A better strategy for sitting or standing in one place for a long time is to change your position several times an hour. Tools like a footstool, balance board, or massaging mat can help. Try walking in place or tapping your foot for a period.
Maintain Good Posture
Good posture goes a long way toward keeping those pesky knee pains away!
Avoid letting yourself settle into slumping positions, Whether sitting, standing, or running. These “lazy” body positions don’t engage muscles, making them weak.
Weak soft tissues make hard structures like your spine, or pelvic bones misaligned. Knee pain occurs because they must compensate.
Get Knee Pain Relief with Effective Knee Pain Treatment
Many home remedies can effectively reduce your knee pain. But to get the right treatment, you need to know what’s causing the pain and know when home remedies don’t work.
We invite you to find out what’s causing your knee pain. To get your comprehensive knee pain evaluation and first Knee on Trac treatment, schedule an initial consultation.
Download our Knee on Trac Brochure.
Learn all about the conditions treated, benefits and contraindications.
Frequently Asked Questions About Knee Pain Treatment
What are the most common causes of knee pain?
Injuries cause ligament tears or cartilage damage from sports or accidents. Osteoarthritis causes cartilage breakdown. Overuse can lead to Meniscus tears, tendinitis or bursitis.
How many types of knee pain?
Many, all with different causes.
Sharp and stabbing. This means there may be an injury like a tear.
Dull and Aching. This is usually from arthritis or overuse. Bone-on-bone contact in arthritis causes a grinding sensation.
Swelling and stiffness can occur from injuries or joint inflammation.
Instability and Giving Way may be due to ligament damage.
When should I see a doctor about knee pain?
You should see a doctor if the pain is severe or persists for more than a few weeks despite self-care. If it worsens over time or you have swelling, redness, or warmth in the joint, it’s time to check it out.
If knee pain prevents you from doing your normal activities, causes instability, or you have clicking or giving way of the knee, don’t delay scheduling an appointment. Sudden onset of severe pain after an injury also requires prompt medical evaluation.
What tests will the doctor do to diagnose knee pain?
Common tests to diagnose knee pain include a physical exam where the doctor checks for swelling, range of motion, ligament stability and meniscus function. Imaging like X-rays can check for arthritis or fractures. MRIs can see soft tissues like cartilage, ligaments and tendons. Finally, an arthroscopy uses a tiny camera through a small incision to look inside the joint. Lab tests can confirm infections and measure inflammatory markers for arthritis.
Which treatment is best for knee pain?
The treatment for knee problems depends on the cause. Home remedies include rest, ice, compression, and anti-inflammatories. Other non-invasive treatments include physical therapy, injections, and braces. If pain or knee damage is severe, you may need surgery for tears or loose bodies. In extreme cases, knee replacement for severe arthritis. Avoid reaching this stage through lifestyle changes. Weight loss, low-impact activities, and diet can all directly impact knee health.
What is the best knee pain relief at home?
Common home remedies include RICE therapy. That stands for Rest, Ice, Compression, and Elevation. Knee braces, a knee pain relief sleeve, or tape for support are temporary solutions. They can cause weakened muscles with everyday use.
Over-the-counter pain relievers can reduce inflammation and pain for a short time. This gives you a window to exercise or receive knee pain therapy like Knee on Trac to strengthen knee muscles and promote healing.
Knee pain topical medication creams containing menthol or capsaicin have a burning sensation. They work by distracting the brain.
Knee wraps, low-impact exercises like swimming or biking, knee pads, and losing weight if overweight are also effective. Invest in good footwear. A doctor, physical therapist, or chiropractor who knows about your knee pain cause can suggest the safest exercises for it.
When is surgery recommended for knee pain?
Surgery is usually recommended if non-surgical treatments like physical therapy, knee pain treatment injections and braces have failed. For surgery to work there must be a clear mechanical problem like a torn meniscus or ligament. Or x-rays/MRI show significant arthritis damage. Some common knee surgeries include arthroscopy for tears, loose bodies or debris removal, meniscus repair or removal, ligament reconstruction, and total knee replacement for end-stage arthritis.
What are some exercises for knee pain?
To help with knee pain, try gentle exercises like swimming, water aerobics, or stationary cycling. You can also try knee-friendly yoga, walking in a pool or on soft surfaces, or leg lifts without weights. Physical therapy exercises that focus on range of motion, strengthening, and proprioception can also be helpful. Avoid high-impact activities like running that may aggravate knee problems.
Will knee pain go away?
Knee pain can go away through knee pain treatment at home. Strategies like low-impact exercise, diet improvement, and weight loss can help. But it’s important to realize some knee injuries require medical attention. If you experienced a known injury or if the pain is severe, accompanied by heat, or doesn’t resolve in a few weeks with home remedies, you should get it checked out.
What is the recovery time after knee surgery?
The time it takes to recover depends on the surgery. For arthroscopy, it’s usually 2-6 weeks. Meniscus repair takes 6-12 weeks. Ligament reconstruction takes 6-9 months. Total knee replacement takes 4-6 months. Physical therapy is vital after all surgeries to regain motion, strength and function. After minor procedures, most people can go back to their daily activities within a few weeks. However, returning to sports may take longer.
How can I prevent knee pain from getting worse?
Lose weight if you’re overweight. This works wonders. Start or maintain a low-impact exercise routine, including stretches and strength. Wear proper shoes and use braces during more intense activities. But don’t wear them all the time. This has a worsening effect. If you’re injured, get treatment.
Avoid high-impact activities if possible. Manage arthritis with medications and lifestyle. See a doctor for an early evaluation to identify and address the underlying cause.
Is knee pain your ever-present companion? Or maybe you’ve just started experiencing knee pain symptoms? Either way, it’s crucial to consider where the knee hurts. It gives you clues about what’s causing knee pain and what to do about it. Knee pain medial (or medial knee pain if you prefer) should never be ignored.
It not only brings discomfort. Lack of mobility keeps you from doing what you love, which can make the pain worse over time.
Medial knee pain refers to the discomfort felt on the inner side of the knee closest to the other knee.
So, which side is the medial side of knee? Left or right? This can cause some confusion when you Google search “what causes knee pain left side” or “knee pain right side”.
Instead of thinking right or left, realize that the knees mirror each other!
This part of the knee is called “medial” because the medial collateral ligament (MCL) connects the thigh bone to the shin bone on the inner sides of each knee. If you’re experiencing knee pain inside (between your knees), this ligament is what you feel.
On the other hand, if you have knee pain on the outside, that’s lateral knee pain. You’re feeling the Lateral Collateral Ligament (LCL).
Anatomy of Medial Knee Pain
Where is medial knee pain? That’s not a trick question.
It often originates as knee pain inside below the kneecap. But it can extend to the upper leg.
The pain might worsen with specific movements. So, you may have knee pain walking up stairs, knee pain on the side when bending, or medial knee pain with flexion (trying to bend your knee as far as it goes).
The inner side of your knee might be tender to touch.
To learn more about the anatomy of knee pain, here are more resources you’ll want to check out.
Sports injuries, like a medial collateral ligament injury
A sudden increase in activity without adequately preparing the body
Chances are one of the above culprits is to blame if this is a new pain.
Ongoing Inner Knee Pain
Knee pain medial can also be an ongoing issue with the musculoskeletal system, like these:
Osteoarthritis is a slow degeneration of joint tissue accompanied by a slowing repair rate as you age. While it’s associated with age, factors like excess weight (muscle or fat), lack of exercise, and poor spinal alignment can significantly hasten the degeneration an individual experiences, if any.
Torn meniscus (cartilage) may occur when the knee is not properly supported by strong leg muscles.
Pes anserine bursitis is inflammation of the fluid-filled bursa that reduces ligament friction, usually caused by improper knee alignment or weak leg muscles.
Medial plica irritation. Media plica are folds in the joint that cover the knee. The constant rubbing can cause them to thicken and become less pliable, usually caused by poor body alignment.
As you can see, it’s all connected. The musculoskeletal system is complex. When something goes wrong in one area, other tissues must overcompensate. This leads to chronic pain throughout the body.
You can learn more about how these misalignments contribute to your pain, and what we can do about it when you Schedule an initial consultation for evaluation and first treatment.
What Are the Symptoms of Knee Pain Medial?
Symptoms of inner knee pain include:
Sudden pain on the inside of the knee (injury-related)
Swelling
Knee pain inside when bending.
Bruising
Instability
Stiffness
Difficulty walking
Locking of knee joint
Feeling like your knee is going to “give out” when you stand up
Cracking in the knee
how to treat medial knee pain
Chiropractic care offers non-invasive, drug-free, and effective options for alleviating medial knee pain. We first perform a thorough examination to identify the root cause of your pain. We then apply manual techniques to adjust and manipulate the affected areas, promoting natural healing.
Treatments for Medial Knee Pain
Each chiropractic treatment plan is unique. We design one specifically to help you achieve your goals. A chiropractic treatment plan for knee pain may include:
You may think of the back when we say “chiropractor”. And we won’t diminish the importance of the back because that’s where the spine is. But chiropractors are trained in “whole body” alignment. When the mechanical issues with the body are fixed, the body can start healing itself.
Learning Proper Form
Posture is more than how you sit or stand upright. You need to move so your posture is dynamic. Every activity you perform requires posture. When you bend, lift, squat, reach, pick something up, turn, and more, you’re applying a posture technique.
If this technique is off-balance, weight is unevenly distributed. Some tissues strengthen more than others, causing misalignment. So, re-learning how to move effectively is essential.
We show you how as part of your knee pain treatment plan! And we send you home with an exercise plan to practice and strengthen supporting tissues.
Ultrasound is a well-established healing practice. We use a device to send sound waves at 800,000 Hz and 2,000,000 Hz through your knee. This can reduce swelling and promote blood flow to oxygen and nutrient-starved tissues.
Stretching for Relief
Stretches targeting the inner side of your knee can help alleviate knee pain medial. Gently stretching the muscles around the knee joint and hip can improve flexibility and reduce tension. Your Truspine knee pain doctor guides you with specific medial knee pain stretches that suit your condition.
Knee on Trac
Knee on TracTM is a specialized traction device we use in the office to isolate and strengthen knee tissues. It ensures your knee movements use proper form while taking the knee through a set of static and intermittent movements. At the same time, it increases the space in the knee joint, allowing cartilage to thicken for better comfort. This helps ensure the knee is not re-injured during exercises, while reducing any discomfort you may feel.
Download our Knee on Trac Brochure.
Learn all about the conditions treated, benefits and contraindications.
In the short term, our focus is reducing pain and helping your body heal. But we also want to prevent future injuries. Your inner knee pain treatment plan may include developing a training strategy to reduce your risk of future injury. Sports medicine is for everyone. Athletes and weekend warriors alike.
Getting Back to What You Love
With each treatment, you’ll feel less pain. You can move with ease and get back to activities you enjoy. This “getting back to what you love” is vital to the healing process. As you do, you’ll strengthen the surrounding muscles and other tissues to support and maintain alignment. This can provide you with long-term relief from the annoyance of knee pain.
Why Chiropractic Care for Knee Pain Is Different
Chiropractic care stands out due to its emphasis on functional healing without medications. Unlike medications that may have side effects, chiropractic treatments target the root cause of the pain.
This means that as chiropractors, we not only focus on the symptoms. We aim to identify any underlying issues contributing to your medial knee pain. This approach can lead to long-term improvement and prevention of future injuries.
Let’s fix this at the source!
Sometimes, pain in the knee can be referred from the hip. Very often, misalignments in the spine contribute to poor knee alignment.
So, we address all of it to provide whole-body pain relief, increased mobility, and improved function.
What’s more, when you choose Truspine for your chiropractic care, you get an evaluation plus your first treatment on the same day. We want to get you on the path to relief quickly.
Embracing a Life without Knee Pain
Medial knee pain shouldn’t hold you back from living your life to the fullest. With chiropractic care, you can address the pain on the inner side of your knee and regain your mobility.
If you’re struggling with knee pain on the inner side, chiropractic care provides a promising avenue for relief. By targeting the root causes of your pain, chiropractors can help you overcome discomfort and improve your overall quality of life. Say goodbye to persistent knee pain and embrace a pain-free, active lifestyle with chiropractic solutions.
Let our Truspine chiropractors get to the root cause of your knee pain. Schedule an initial consultation and get your first treatment same day!
