Knee pain — when the scan doesn’t explain it

Knee pain that persists, or that came back as soon as you returned to running, is often driven from above and below the joint. We assess the hip and the foot alongside the knee — because between them they determine what the knee has to absorb.

60-minute initial consultation · No referral required · Suite 30, Level 1, 93 Wells Road, Chelsea Heights

Knee assessment at Elevate Health Care covers the knee itself, the hip that controls it and the foot beneath it — because both change how load reaches the joint. Conditions commonly assessed include patellofemoral pain (runner's knee), patellar tendinopathy (jumper's knee) and ITB-related lateral knee pain. Treatment combines Fascial Manipulation by Stecco with movement rehabilitation and graded loading.

Is your knee pain actually coming from your hip?

Very often, yes — at least in part. The knee is a relatively simple hinge caught between two joints that rotate: the hip above and the foot below. It has limited ability to control the forces they pass through it.

When the hip abductors and rotators don't control the thigh well, the knee falls inward under load — running, landing, going down stairs, standing up from a chair. That changes how the kneecap is loaded against the groove it runs in, and it's one of the most consistent findings in people with pain around the front of the knee. From below, how the foot contacts the ground and how the ankle moves alters the same chain from the other end.

This is why treatment aimed only at the knee often gives short-lived relief, and why our assessment covers the hip and foot as a matter of routine rather than only when the knee looks normal.

→ Why knee pain is rarely just a knee problem — the full explanation, with references

→ Hip pain — if the hip itself is also painful, not just contributing


Runner's knee, jumper's knee, or something else?

Three presentations account for most of the knee pain we see, and they're told apart by where it hurts and what provokes it more reliably than by imaging.

They're managed differently, which is why the distinction matters more than it might seem. Getting it wrong is a common reason a program doesn't work.


What we assess


Knee conditions we commonly assess and treat

Conditions in this region

When knee pain needs a different kind of assessment

Most knee pain is musculoskeletal and load-related. A few presentations need prompt medical or orthopaedic assessment rather than ours.

Seek urgent medical care if knee pain comes with:

If you're unsure, call your GP or present to an emergency department. This page is general information, not advice about your situation.


Your first visit

A 60-minute initial consultation: history, physical assessment of the knee, hip and foot, an explanation of what we've found, and treatment starting the same visit where appropriate.

No referral is required. If imaging is needed, we'll arrange it. If someone else is better placed to help, we'll say so.


Not ready to book? Start with the free program

Pencil sketch of a person holding a sore knee
Free
2-Week Rehab Program

Patellar Tendinopathy

Best forPain at the bottom of the kneecap that warms up, then bites after jumping or squatting.

A structured two-week plan for jumper's knee — isometrics to settle the pain first, heavy slow resistance to rebuild capacity — and a clearer sense of whether you can manage it yourself or need an assessment.

It's built specifically around the patellar tendon, so it's the wrong starting point if your pain sits around the kneecap or on the outside of the knee. Use the patterns above to check which one you're dealing with first.

  • What Patellar Tendinopathy Is
  • Load Management & What to Avoid
  • Phase 1 — Isometric Loading (Days 1–7)
  • Phase 2 — Heavy Slow Resistance (Days 7–14)
  • Return to Sport & the Long Game
5 modules · ~15 min/day · 2 weeks
Enrol Free →
Free · No card required · Unsubscribe anytimeBuilt from the same approach we use with patients in clinic.

Frequently Asked Questions

Can a chiropractor help with knee pain?
Chiropractors assess and manage musculoskeletal knee problems, including patellofemoral pain (runner's knee), patellar tendinopathy (jumper's knee) and ITB-related lateral knee pain. Our approach looks at the hip and foot as well as the knee itself, because both change how the knee is loaded, and combines manual treatment with movement rehabilitation. Some knee problems need an orthopaedic opinion instead, and we'll tell you if yours is one of them.
Why does my knee hurt when the scan looks normal?
This is common, and it usually means the problem is how the knee is being loaded rather than damage to a structure. Patellofemoral pain in particular often shows nothing on imaging — the pain comes from load distribution across the joint, which is influenced by hip control, foot mechanics and training volume. A normal scan is genuinely reassuring about serious pathology; it just doesn't explain the pain, and it isn't meant to.
What's the difference between runner's knee and jumper's knee?
Location and what provokes it. Runner's knee (patellofemoral pain) is felt around or behind the kneecap, and is typically worse going down stairs, sitting for long periods, squatting or running downhill. Jumper's knee (patellar tendinopathy) is felt as a precise, tender point at the bottom tip of the kneecap, and is provoked by jumping, landing and deep squatting — classically warming up with activity and biting afterwards. They're managed differently, which is why the distinction is worth making.
Do I need a scan or a referral before my first visit?
No referral is required to see a chiropractor in Australia, and you don't need imaging to book. Assessment comes first — imaging is arranged only if the clinical picture calls for it. Bring any scans you already have.
How long does knee pain take to settle?
It varies with the structure involved and what's loading it. Tendon problems in particular respond to graded loading over months rather than weeks — the research consistently supports exercise-based management over that timeframe. Patellofemoral pain often changes faster once hip and foot contributions are addressed. We'll give you a clearer picture after the assessment, and reassess as we go rather than committing you to a fixed number of visits upfront.
Should I stop running or training?
Usually not completely. Tendons and joints need load to stay healthy, and complete rest tends to reduce capacity and make the return harder. The aim is to reduce what provokes it while keeping the tissue stimulated — often by changing volume, surface, gradient or the specific movement rather than stopping altogether. What that looks like depends on which structure is involved, which is part of what the assessment is for.

Please note: The information on this page describes our general clinical approach and is intended for educational purposes only. Individual presentations vary, and your assessment and management will be tailored specifically to you. Nothing on this page constitutes clinical advice for your individual situation. Please consult a registered health practitioner for advice about your specific condition.