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Hip Ex vs Knee Ex for Knee Pain

For years, the rehab world has been arguing: Is Patellofemoral Pain Syndrome (PFP) a HIP problem or a KNEE problem?

Stop the tribalism, people. The evidence is clear.


A massive 2024 Network Meta-Analysis in JOSPT just delivered a Level 1 answer: COMBINED Hip & Knee exercise is the superior strategy for pain and function.


This is a game-changer for your clinical practice. You can now confidently prescribe a dual-focus program knowing it has the highest probability (a whopping 90%!) of being the single BEST intervention.


Check the data below and update your playbook. Stop treating in silos and start treating the whole kinetic chain.

Dr. E's Guide: The Knee Pain Exercise Playbook
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KNEE PAIN: THE HIP vs. KNEE DEBATE IS OVER.

THE WINNER IS... BOTH.

A 2024 JOSPT Network Meta-Analysis confirms a combined approach is the most effective strategy for patellofemoral pain (PFP).

THE CLINICAL QUESTION

We all treat knee pain. But what's the best evidence-based exercise prescription for PFP? Do we isolate the quads, or go all-in on the glutes? A new network meta-analysis gives us a clear answer.

PFP HIERARCHY OF EFFECTIVENESS (Du et al., 2024)

Probability of Being the BEST Treatment for Pain & Function

65%

Knee-Focused Only

78%

Hip-Focused Only

90%

COMBINED
Hip + Knee

**Conclusion:** A combined hip-and-knee-focused exercise program was the most effective intervention for reducing pain and improving function at all time points.

YOUR CLINICAL PLAYBOOK

This is Level 1 evidence to stop the tribalism and start integrating.

STOP THE "ONE CULPRIT" MYTH

Patellofemoral pain isn't *just* weak glutes or *just* poor VMO. This NMA proves a multifactorial exercise approach is superior.

PRESCRIPTION CONFIDENCE

You can confidently prescribe *both* hip (abduction, extension, ER) and knee (quads) exercises as the gold standard, evidence-based approach.

EDUCATE TO EMPOWER

Use this to explain to patients *why* you're giving them a comprehensive program. It builds adherence and shows a modern understanding of the kinetic chain.

Earn CEUs & Get Unlimited Access to Dr. E's Flagship Course Online

REFERENCE

Du, P., Wang, J., Han, B., Liu, H., Wang, J., & Ma, Y. (2024). Effectiveness of exercise therapy in patients with patellofemoral pain: a systematic review and network meta-analysis. *Journal of Orthopaedic & Sports Physical Therapy*, *54*(6), 1–13.

Learn my full Eval, Reset, and Stabilize system and how to easily assess and treat most conditions from head to toe!

Modern Manual Therapy: The Eclectic Approach to UQ and LQ Assessment and Treatment Online Seminar

Modern Manual Therapy: The Eclectic Approach to UQ and LQ Assessment and Treatment Online Seminar

5.0

My easy to learn system will get you fast results! Get unlimited access and earn CEUs.

 


 

The course will cover:

  • The principles of Eval, Reset, and Stabilize

  • Movement Screen and Repeated Motions based evaluation

  • Neurodynamic testing ­ median, radial, ulnar nerves and sciatic and femoral nerves

  • Instrument Assisted Soft Tissue Massage (IASTM) with the EDGE Tool

  • Neurodynamic treatment

  • Functional mobilization of the hip, knee, and ankle

  • Home exercises, repeated motions based resets and using the EDGE Mobility Bands

  • An emphasis on patient education and self treatment

Note: this course is fully online and is digital only like all our media. Upon purchase you will immediately receive instructions on how to watch and get your handouts to follow along. 



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$ 399.99

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$ 199.99

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