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Orthopedic · Knee Pain & Arthritis

Stairs, squats and getting off the floor — without dreading it

Knee cartilage does not "wear out like a tyre". It responds to load. Loading it correctly is the treatment — and it works better than rest.

Session length
45 minutes
Pricing
Weekly & monthly plans
Home visit
Available
In 20 seconds

What is actually going wrong

Knee cartilage does not "wear out like a tyre". It responds to load. Loading it correctly is the treatment — and it works better than rest.

The knee is a hinge caught between two ball-and-socket joints. When the hip is weak or the ankle is stiff, the knee absorbs forces it was never meant to control — especially rotational ones. Over time the joint surface, the patellar tendon or the meniscus becomes sensitised. In osteoarthritis, the joint is not simply "bone on bone": it is a joint whose capacity has dropped below the demand placed on it. Raise capacity and symptoms fall.

The problem

A weak hip lets the knee collapse inward — the joint absorbs force it cannot handle.

See a doctor today, not a physiotherapist, if you have any of these

  • Knee locked in a bent position and cannot be straightened
  • Hot, red, very swollen knee with fever
  • Inability to bear any weight after an injury
  • Obvious deformity following trauma

These are uncommon, but they need medical assessment rather than physiotherapy. If you are not sure, call us on +91 86193 28981 and we will tell you honestly where to go.

Cause and symptoms

Why it started, and how it shows up

Most people arrive having been told only what is wrong on a scan. What matters clinically is which of these is driving your particular case.

Common causes

  • Hip abductor and quadriceps weakness allowing the knee to collapse inward
  • Osteoarthritic change with reduced joint load capacity
  • Meniscal irritation or degenerative tear
  • Patellofemoral maltracking (runner's / jumper's knee)
  • Sudden increase in walking, running or stair volume
  • Post-surgical stiffness following ACL reconstruction or knee replacement

What patients describe

  • Pain going down stairs more than up
  • Stiffness after sitting for a while that eases in the first few steps
  • Swelling after activity that settles overnight
  • Grinding or clicking with squatting
  • Difficulty getting up from the floor or a low chair
  • Giving way or a sense the knee cannot be trusted
Our approach

What we actually do — step by step

No two programmes are identical, but every one is built from these components in this order.

01

Find the joint that is actually failing

We assess hip strength, ankle dorsiflexion and single-leg control. In a large share of knee pain the knee is the victim, not the culprit.

02

Progressive loading, not rest

Guided strengthening is the most strongly evidence-supported treatment for knee osteoarthritis — stronger than injections for long-term function. We build the dose you can tolerate and raise it weekly.

03

Swelling and pain modulation

Cryotherapy, compression, IFT and manual therapy to keep symptoms low enough that loading can continue uninterrupted.

04

Gait and stair retraining

Cadence, step width and descent mechanics — small changes here cut peak knee load meaningfully with no extra effort.

05

Load management for life

Weight, footwear, walking volume and a two-session-a-week maintenance plan that preserves the gains.

Recovery timeline

How long it usually takes

A typical progression, not a promise. Your plan is set after assessment and re-checked every two weeks — if the line is flat, we change the plan.

  1. Weeks 1–2

    Decompress

    Reduce swelling and pain-on-stairs

    You should be able to: Descending stairs foot-over-foot again

  2. Weeks 2–4

    Range

    Full extension and functional flexion

    You should be able to: Sitting cross-legged or reaching a comfortable squat depth

  3. Weeks 4–10

    Strength

    Quadriceps and glute strength at or above the other side

    You should be able to: Single-leg sit-to-stand without hands

  4. Weeks 10–16

    Capacity

    Return to walking, sport or work demands

    You should be able to: Back to your activity with a maintenance programme

Individual results vary. How long you have had the symptoms, other health conditions, and how consistently you do the home programme all change this timeline — often substantially. We will give you a personalised estimate in writing after your assessment, and revise it honestly if progress is slower than expected.

Expected results

What the numbers typically look like

Typical ranges from clinical evidence and our own caseload. Your results depend on how long you have had the problem, what else is going on, and how consistently you do the programme.

30–40%

Improvement in stair-climb time

Typical at 12 weeks of supervised strengthening

2–3 points

Pain reduction in knee OA

On a 10-point scale, comparable to or better than injection at 6 months

6–12 weeks

Post-TKR full range

With early, consistent rehab

Why patients choose this programme

  • Delays or avoids knee replacement in many osteoarthritis cases
  • Improves function even when the X-ray does not change
  • Reduces dependence on painkillers and repeat injections
  • Post-surgical protocols coordinated with your orthopaedic surgeon
Questions

Knee Pain & Arthritis: what people ask us

If your question is not here, send it on WhatsApp. A physiotherapist answers, usually within the hour during centre hours.

  • Yes — and it is the recommended first-line treatment in every major osteoarthritis guideline. Radiographic severity correlates poorly with pain. Loading, dosed correctly, improves cartilage health and reduces pain; avoiding load accelerates decline.

Ready to deal with your knee pain & arthritis?

A 45-minute assessment, a clear explanation of what we found, and a written plan with an estimated number of sessions. No packages sold on day one.

Open Mon–Sat 9:00–19:00 · Home visits available · Cashless insurance accepted