Knee pain rarely starts in the knee. At Northwood Chiropractic, we assess the entire kinetic chain — from the spine to the ankle — to identify where the problem is truly originating and address it precisely using the Gonstead System.
The knee is a relatively simple hinge joint designed primarily for flexion and extension. What makes knee pain complex is not the knee itself, but everything connected to it. The lower back, hips, and ankles all play crucial roles in how the knee moves and how much stress it experiences with every step.
Poor hip control caused by nerve pressure from the lower back leads to poor knee alignment during walking and running. Over time, this places excessive and uneven stress on specific structures within the knee — causing pain, inflammation, and eventually structural damage.
This is why assessing and treating the knee in isolation so often fails. Without identifying what is driving the dysfunction in the first place, the same stress continues to be applied with every step, and the problem persists or worsens.
The body moves as a chain. Each joint depends on the one above and below it functioning correctly. When one link in the chain is compromised — whether through nerve pressure from the spine, poor hip mobility, or ankle instability — the knee compensates, and compensation leads to injury.
This is what makes Chiropractic assessment so valuable for knee pain. By examining the entire chain rather than just the symptomatic joint, we can identify the original source of the dysfunction — which is often several links above or below where the pain is felt.
Nerve pressure from the lower back affects the muscles controlling hip and knee movement, altering alignment and loading with every step
Poor hip control caused by spinal nerve interference leads directly to inward collapse of the knee — a major driver of patellofemoral and ligament injuries
Often the most symptomatic joint, but frequently not the primary cause. The site of pain and the source of dysfunction are regularly in different places
Reduced ankle mobility forces compensation at the knee and hip, creating a pattern of abnormal loading that contributes to degeneration over time
We see a wide range of knee presentations in clinic. While each condition has different characteristics, they frequently share the same underlying mechanical and neurological causes. We help with many knee conditions — the following are among the most common:
Our detailed assessment analyses the entire kinetic chain — not just the knee — to understand exactly how your knee functions within the complete movement system. The better we define the cause, the more effectively we can address it.
Understanding when the pain started, what makes it better or worse, and any relevant history of lower back, hip, or ankle problems.
Nervoscope scanning and structural analysis of the lower back to identify nerve pressure affecting hip and knee function.
Assessment of hip, knee, and ankle mechanics and movement patterns to identify the specific compensation patterns driving the problem.
Specific clinical tests to identify which structures in the knee are involved and the nature and degree of the injury.
At your second visit, we explain exactly what we found across the full chain and present a care plan targeting the source, not just the symptom.
I went to see Steve at a time when I was in too much pain to run. Within a few weeks of his treatment I was able to run again and completed the London Marathon. I am so grateful to Steve for his professionalism and expertise and I wholeheartedly recommend his Chiropractic services.
Yes. Contrary to common belief, Chiropractors do not only treat the spine. We assess and treat the entire kinetic chain — including the hip, knee, and ankle — as well as the spinal root cause. Knee pain rarely originates in the knee alone, and addressing both the local joint and the spinal contributors is how we achieve lasting results where knee-only treatments have failed.
Knee pain that develops gradually without a clear injury almost always indicates an underlying mechanical problem that has been building over time. Poor spinal alignment leading to altered hip control, combined with repetitive loading through walking and daily activities, creates cumulative stress on specific knee structures. The knee is often the victim rather than the cause.
The kinetic chain refers to the way the body's joints work together as a linked system. Each joint depends on those above and below it functioning correctly. When the lower back is not functioning well, it affects the hip, which affects the knee, which affects the ankle. Treating the knee in isolation without assessing the full chain means the underlying cause continues to load the joint with every step.
Yes. Both patellofemoral pain syndrome (runner's knee) and patella tendonitis (jumper's knee) frequently have a spinal and hip component. Many people are surprised to learn that Chiropractors treat far beyond the spine — the hip, knee, and ankle are all assessed and treated as part of our approach. Poor hip control caused by lumbar nerve interference leads to inward collapse of the knee with each stride, placing excessive stress on the front of the knee. Identifying and correcting this pattern is central to resolving these conditions lastingly.
No. Chiropractors are primary healthcare practitioners and you can book directly without a GP referral. If your assessment reveals anything outside our scope of care, we will refer you to the appropriate professional promptly.
