David Canevaro : 07904 153486

davidcanevaro@hotmail.com

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Hip, Knee & Leg Pain

Understanding Load, Movement Chains and Recurrence

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Hip, knee and leg pain rarely exist in isolation. Symptoms often reflect how forces travel through the lower limb and pelvis, influenced by walking, running, posture and fatigue.

At London Osteopathy & Pilates, assessment focuses on identifying where load is mismanaged, rather than simply treating the painful area.

Common Presentations

Patients commonly attend with:

  • hip pain during walking or running
  • knee pain when climbing stairs or training
  • shin, calf or Achilles symptoms
  • asymmetrical leg discomfort
  • pain that improves with rest but returns with activity

Why Lower Limb Pain Keeps Returning

Recurrent symptoms often persist because:

  • gait mechanics are unaddressed
  • hip control is insufficient
  • trunk stability is poor
  • fatigue alters movement strategy
  • return-to-load is rushed

Assessment — What We Examine

1) History and activity demands

  • walking and running volume
  • footwear and surface changes
  • training progression
  • occupational load

2) Physical examination

  • joint mobility (hip, knee, ankle)
  • muscle tone and tenderness
  • balance and coordination
  • strength and endurance

3) Gait and biomechanical analysis

  • foot strike and loading
  • knee tracking
  • pelvic stability
  • asymmetry and fatigue response

Treatment and Rehabilitation

Osteopathic care

Used to:

  • restore joint movement
  • reduce protective tone
  • improve loading patterns

Rehabilitation

Includes:

  • hip and trunk strength
  • knee control
  • progressive loading
  • gait retraining where appropriate

Long-Term Outcomes

The goal is:

  • improved tolerance to walking and running
  • reduced flare-ups
  • confident return to activity
  • prevention of repeated overload