Hip & Knee Pain in San Antonio, TX

Understanding Hip & Knee Pain: Clinical Analysis

Common Hip & Knee Conditions Treated in San Antonio

Dr. Mendez’s orthopedic training enables precise diagnosis and treatment of complex lower extremity conditions:

Hip Pain Conditions:

• Hip Arthritis (Osteoarthritis): Joint cartilage breakdown causing stiffness and pain
• Hip Bursitis: Inflammation of fluid sacs around the hip joint
• Hip Flexor Strains: Muscle injuries from overuse or sudden movements
• Labral Tears: Damage to cartilage lining the hip socket
• IT Band Syndrome: Tightness causing hip and knee pain
• Piriformis Syndrome: Deep hip muscle irritation affecting movement

Knee Pain Conditions:

• Knee Arthritis: Cartilage wear causing pain, swelling, and stiffness
• Meniscus Tears: Damage to knee cartilage cushions
• Patellofemoral Pain Syndrome: Kneecap pain from tracking problems
• ACL/MCL Injuries: Ligament damage from sports or accidents
• Knee Bursitis: Inflammation around the kneecap
• Post-Surgical Rehabilitation: Recovery after knee replacement or arthroscopy

Combined Hip & Knee Issues:

• Gait Abnormalities: Walking pattern problems affecting both joints
• Leg Length Discrepancies: Anatomical differences causing compensation
• Muscle Imbalances: Weakness or tightness affecting joint alignment
• Overuse Injuries: Repetitive stress from running, sports, or work activities

What Causes Hip & Knee Pain in San Antonio Patients?

1. Biomechanical Dysfunction Poor movement patterns and muscle imbalances create abnormal stress on hip and knee joints. Tight hip flexors, weak glutes, and poor core stability alter weight distribution, gradually damaging cartilage and supportive structures.

2. Repetitive Impact & Overuse Running, jumping, and high-impact activities transmit forces up to 8 times body weight through these joints. Without proper strength, flexibility, and technique, repetitive loading leads to inflammation and tissue breakdown.

3. Degenerative Changes Years of normal wear and tear, previous injuries, or genetic factors contribute to cartilage thinning, bone spur formation, and joint stiffness. Early intervention can slow progression and maintain function.

4. Acute Injuries Falls, sports injuries, or accidents can damage ligaments, cartilage, or bone structures. Prompt, proper treatment prevents complications and long-term problems.

Evidence-Based Hip & Knee Treatment Protocols

Initial Orthopedic Evaluation:

Clinical History & Symptom Analysis

• Detailed pain location, intensity, and triggering activities
• Previous injury history and treatment responses
• Activity limitations and functional goals
• Work, sport, and lifestyle demands assessment

Physical Examination

• Range of Motion Testing: Hip and knee flexibility in all directions
• Strength Assessment: Manual testing of hip, thigh, and leg muscles
• Gait Analysis: Walking pattern evaluation for compensations
• Joint Stability Tests: Ligament integrity and joint stability assessment
• Postural Assessment: Alignment from foot to pelvis evaluation
• Functional Movement Screen: Real-world activity simulation

Advanced Diagnostic Techniques

• Orthopedic special tests for specific conditions
• Neurological screening for nerve involvement
• Imaging review (X-ray, MRI, CT scan) when available
• Biomechanical analysis for movement dysfunction

Specialized Treatment Approaches

Post-Surgical Rehabilitation Comprehensive recovery programs for patients following:

• Total knee replacement surgery
• Total hip replacement surgery
• Arthroscopic knee procedures
• Hip arthroscopy and labral repairs
• ACL reconstruction and ligament repairs

Pilates-Based Rehabilitation Unique combination of physical therapy and Pilates for:

• Core strengthening and stability
• Improved movement awareness
• Enhanced flexibility and mobility
• Low-impact strengthening
• Long-term maintenance and prevention

Frequently Asked Questions About Hip & Knee Pain

Why do I have both hip and knee pain at the same time?

The hip and knee joints are biomechanically connected through shared muscle groups, fascia, and movement patterns. Hip stiffness or weakness often leads to compensatory movements that overload the knee joint. Additionally, the sciatic nerve pathway can cause pain to radiate from the hip down to the knee. Comprehensive treatment addresses both joints simultaneously for optimal results.

How long does it take to recover from hip or knee pain?

Recovery timelines vary based on the specific condition, severity, and individual factors. Acute injuries may improve within 2-4 weeks, while chronic conditions like arthritis require ongoing management. Post-surgical rehabilitation typically takes 3-6 months. Early intervention generally leads to faster recovery and better outcomes.

When should I seek treatment for hip or knee pain?

Seek evaluation if you experience persistent pain lasting more than a few days, significant swelling or bruising after injury, inability to bear weight, severe stiffness limiting daily activities, or pain that worsens despite rest and home care. Early treatment prevents minor issues from becoming chronic problems.

Can physical therapy help with arthritis in my hip or knee?

Yes, physical therapy is highly effective for managing arthritis symptoms. Treatment focuses on maintaining joint mobility, strengthening supporting muscles, improving movement patterns, and providing pain management techniques. Many patients experience significant improvement in function and quality of life without surgery.

What’s the difference between hip bursitis and hip arthritis?

Hip bursitis involves inflammation of small fluid sacs around the joint, typically causing sharp pain on the outside of the hip that worsens with lying on the affected side. Hip arthritis involves cartilage breakdown within the joint, causing deep, aching pain in the groin area that worsens with weight-bearing activities. Proper diagnosis determines the most effective treatment approach.

Will I need surgery for my hip or knee problem?

Most hip and knee conditions respond well to conservative treatment when properly managed. Surgery is typically considered only when conservative treatment has been unsuccessful and pain significantly limits daily function. Pyramid Physical Therapy works closely with orthopedic surgeons to determine the best treatment approach for each individual case.

About Dr. Cynthia Mendez, PT, DPT, OCS

Educational Background:

• Bachelor of Science in Kinesiology – University of Texas at Austin (Health Promotion & Fitness emphasis)
• Master’s in Physical Therapy – UT Health Science Center San Antonio (2006)
• Doctor of Physical Therapy (DPT) – UT Health Science Center San Antonio (2015)
• Board Certification in Orthopedic Physical Therapy (OCS) – 2011
• Certified Pilates Instructor – Body Arts and Science International (2008)

Professional Experience:

• 18+ years of clinical practice in San Antonio
• Owner & Clinical Director – Pyramid Physical Therapy & Pilates (2021-present)
• Former Clinical Director – Pyramid Plaza Physical Therapy (2008-2021)
• Specialist in post-surgical rehabilitation for hip and knee replacements
• Expert in sports injury rehabilitation and return-to-activity protocols

Take Action Against Hip & Knee Pain Today

Don’t let hip or knee pain limit your mobility, sleep, or quality of life any longer. Dr. Cynthia Mendez’s board-certified expertise in orthopedic conditions and proven treatment protocols have helped thousands of San Antonio residents return to active, pain-free lifestyles.

Schedule Your Comprehensive Hip & Knee Evaluation!

Pyramid Physical Therapy & Pilates
Board-Certified Orthopedic Specialist

Dr. Cynthia Mendez, PT, DPT, OCS
Owner & Clinical Director
Board-Certified Orthopedic Clinical Specialist

Hip Pain Relief • Knee Pain Treatment • Post-Surgical Rehabilitation • Sports Injury Recovery

Individual results may vary. This information is for educational purposes and does not replace professional medical evaluation. Please schedule a consultation with Dr. Mendez for personalized assessment and treatment recommendations.