Hip and knee pain treatment in Hilversum

Hips and knees carry you all day: stairs, getting up from a chair, a run on the heath. When they hurt, every step reminds you. Our chiropractors and physiotherapists examine the whole leg, from lower back and pelvis to foot, because the cause of hip or knee pain is often not where you feel it.
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Where hip and knee pain comes from

The hip is a deep ball and socket joint surrounded by strong muscles, tendons and several bursae; the knee is a hinge that depends on the menisci, four ligaments and the thigh muscles for stability. Both are loaded with several times your body weight when you climb stairs or run. The most common causes of pain are overload (too much, too soon, or always the same movement), a sports injury, and osteoarthritis, the wear of cartilage that most people develop with age and that hurts mainly when the joint stops moving well.

What many patients do not expect: a large share of hip and knee pain starts higher up. A stiff lower back or pelvis, a pelvis that is tilted, a hip that lacks rotation or weak gluteal muscles change the way the knee tracks and overload tendons, bursae and cartilage. Pain on the outside of the hip that is really a tendon, pain in the groin that comes from the lower back, knee pain that comes from the hip: we see them every week. That is why the examination covers the whole chain, and why treatment combines joints, muscles and movement pattern.

Runners, cyclists, walkers

Hilversum is surrounded by heath and woods, and a lot of our patients run, cycle or walk there. The classic overload injuries: runner’s knee (pain around or below the kneecap), iliotibial band pain on the outside of the knee, jumper’s knee, hamstring and gluteal tendon pain, hip bursitis and groin pain in footballers and hockey players.

Almost all of these come from a mismatch between load and capacity, often with a weak link in the hip or a stiff ankle. We treat the painful structure, fix the weak link and rebuild the load step by step, so you can keep running. See also sports injuries.

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Complaints we treat

Hip osteoarthritis and groin pain

Examination of the hip joint at MoveWell Hilversum

Stiffness after sitting, pain in the groin or deep in the buttock when walking, difficulty putting on socks. Mobilisation of the hip and lower back, strength training for the gluteal muscles and a walking programme reduce pain and postpone or avoid a hip replacement. Read more on osteoarthritis.

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Knee pain and runner's knee

Knee examination by a physiotherapist

Pain around the kneecap on stairs and after sitting, pain on the outside of the knee when running, swelling after sport. We examine kneecap tracking, hip strength and foot position, treat the irritated tissue and correct the pattern. Meniscus and ligament injuries are assessed with ultrasound and referred when needed.

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Bursitis and tendon pain of the hip

Hands on hip treatment by the chiropractor

Pain on the outside of the hip, worse when lying on that side and climbing stairs: usually the gluteal tendons and the bursa, not the joint. Responds well to load management, shockwave therapy and a specific strength programme. Often combined with lower back stiffness, see back pain.

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More information in English

Everything MoveWell offers in English, from complaints to rates: start at MoveWell in English.

Keep moving, but move well

Rest is rarely the answer for hips and knees. Cartilage and tendons need load to stay healthy, and muscles that are not used weaken within weeks. The art is to find the right load: enough to stimulate recovery, not so much that it irritates. We give you a clear plan with what you can do today, and we increase it every week. Most patients keep walking, cycling or swimming throughout.

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How we treat hip and knee pain

Examination of the whole chain

Chiropractor examining the pelvis and hips

Lower back, pelvis, hip, knee, ankle and foot: movement, strength, stability, walking and running pattern, and a diagnostic ultrasound of tendons, bursae or menisci where useful. You get a clear diagnosis and know what to expect.

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Joints and tissue

Physiotherapist treating a knee on the table

Mobilisation of the hip, knee, pelvis and lower back by the chiropractor; muscle techniques, dry needling, shockwave and taping for tendons and bursae by the physiotherapist.

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Strength and movement pattern

Leg strength training in the MoveWell medical fitness centre

Gluteal, thigh and calf strength, balance and control of the knee, and for runners a look at technique and training load. Rehabilitation equipment that measures what you do, and a medical fitness centre to continue in.

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Why MoveWell for hips and knees

Ultrasound and shockwave in house

Cycling and running near Hilversum, movement after knee rehabilitation

A diagnosis in one visit, with ultrasound of the tendon or meniscus where needed, and shockwave for stubborn tendons, all under one roof.

Direct access, fast

MoveWell practice in Medisch Centrum Dudokpark

No referral needed, acute complaints usually within 24 hours, open until 21:00 on Monday, Tuesday and Thursday. Dutch supplementary insurance reimburses chiropractic, no deductible.

Sport and rehabilitation experience

Balance and control training for the knee

Physiotherapists with a sports background, a medical fitness centre and chiropractors who look at the back and pelvis: the whole leg, not one joint.

Our specialists for hip and knee pain

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Frequently asked questions about hip and knee pain

Can a chiropractor treat knee pain?

Yes, especially knee pain that comes from the hip, pelvis or lower back, and knee stiffness after injury or with osteoarthritis. The chiropractor mobilises the joints of the chain; the physiotherapist treats the tendons and builds strength. At MoveWell you get both.

Should I stop running with runner's knee?

Usually not completely. We reduce the load to a level that does not provoke the pain, fix the weak link (often hip strength or technique) and build the distance back up over weeks. Total rest makes the return harder.

Do I need an MRI of my knee?

Only when the examination and ultrasound suggest a meniscus or ligament injury that may need surgery. Most knee pain is diagnosed without imaging. If an MRI is needed, we tell you and help arrange it.

Can treatment postpone a hip or knee replacement?

Often, yes. For osteoarthritis the combination of mobilisation, strength training and a walking programme reduces pain and improves function for years in many patients. When a replacement is the better option, we say so.

Is hip bursitis treatable without an injection?

In most cases yes. Lateral hip pain is usually the gluteal tendons rather than the bursa; load management, a specific strength programme and shockwave therapy work well. Injections are a short term option we can discuss with your doctor.

Is treatment reimbursed?

Chiropractic and physiotherapy are reimbursed from Dutch supplementary insurance without deductible. Hip and knee osteoarthritis are on the chronic list, which can give physiotherapy from the basic insurance after the twentieth session. International insurers usually reimburse.

Why does my knee hurt on stairs and after sitting?

That pattern points to the kneecap: pain when the kneecap is pressed against the thigh bone under load, often with a weak hip or a tracking problem. It responds well to strength training of the hip and thigh and to correcting the movement pattern.

Can a chiropractor treat hip pain?

Yes. The chiropractor mobilises the hip, pelvis and lower back, which are often stiff together, and the physiotherapist builds the gluteal strength that protects the joint. Groin pain and deep buttock pain in particular often come from the lower back and respond to this combination.

Hip and knee pain treatment for Hilversum and the Gooi region

MoveWell, Hoge Naarderweg 3E, Hilversum, in Medisch Centrum Dudokpark. Patients from Bussum, Laren, Naarden, Huizen, Loosdrecht, Baarn, Weesp and Almere, 25 minutes by train from Amsterdam and Utrecht. Move well, feel better!

Would you like to walk, climb stairs and run without pain?

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Call 035 760 06 45