What We Treat

Hip and knee pain treatment in Honolulu.

The stairs you now take one at a time, good leg first. The minute you sit on the edge of the bed before the first step. It’s fixable, and it starts with a cause-first evaluation, not a guess.

Knee replacement recovery Hip impingement Stairs and squats Talk to a Specialist

Sound Familiar?

Does this sound like you?

  • Taking the stairs one at a time, leading with the good leg, every single time
  • Pushing off the armrests to get out of a low chair, because the knee won’t do it alone
  • Sitting through a whole movie, then needing a few steps before the leg works right
  • Swinging both legs out of the car together, because that’s the only way it doesn’t catch
  • A deep ache in the hip that shows up in bed and won’t let you settle on either side
  • Grabbing the wall to put your pants on, because standing on that leg isn’t a sure thing

Two or more? Keep reading.

Why It Happens

Hip and knee pain is a symptom. Something causes it.

Your hip and knee don’t hurt for no reason. And it’s almost never one thing. It’s usually a mix of four: a joint surface or a tendon carrying more load than it is currently set up to carry. A joint that stiffened after an injury, a long layoff or a surgery, and stopped sharing the work. Glute and quad weakness that lets the knee drift inward on every step down. And mechanics, how you walk, squat and take stairs, reloading the same spot before it ever settles.

None of that shows up in a quick glance. It takes a real, cause-first evaluation to sort out which one is driving your pain right now. That’s why a brace, a sleeve and a few weeks off keep falling short: they answer the symptom, not the source. You have spent years getting everyone else where they needed to go. This is the part of the list that keeps getting moved to next month. Find the actual cause and the fix stops being a guess.

Physical therapist assessing a patient's hip and knee movement and mobility

The Honest Truth

Waiting on a knee doesn’t make it wait on you.

If you keep waiting

  • The other leg carries the load all day, and the good knee starts to complain
  • Hills, stairs and getting up off the floor quietly move onto the list of things you avoid
  • You walk less to stay ahead of the pain, which weakens the exact muscles that protect the joint

If you start this week

  • You leave visit one knowing whether it’s the joint, the strength or the mechanics
  • Hands-on work on the hip and knee starts before you leave the building
  • You get a plan with an endpoint, not an open tab of visits

Nobody regrets starting too early.

How We Fix It

The same four phases. Built for your hip and knee.

Every plan has an endpoint. Here’s what the four phases look like for a hip and a knee.

First, relief

Pain

Calm the pain down.

Hands-on work and gentle, well-chosen loading settle the irritated joint or tendon and the muscles guarding around it. That starts your first visit.

Then, motion

Prime

Get your motion back.

Targeted mobility gives back the bend and the full straightening you have been getting by without, which is what makes a normal stride possible again.

Then, capacity

Perform

Make it strong enough to trust.

Progressive glute, quad and calf strengthening rebuilds the support the joint has been short on, one controlled step down at a time.

Last, staying power

Prevent

Return better than before.

Stairs, hills, squatting and getting up off the floor get tested under real load before you’re cleared to go all in. That’s the endpoint, not another appointment.

I have been going to action rehab after a total knee replacement and have only good things to say about their awesome and knowledgeable therapists and staff. They are hugely responsible for the success of my recovery.

Shared by Jeff and Chrissie P. · Total knee replacement

Before: a total knee replacement

After: the success of my recovery

Total knee replacement In their own words

Questions, Answered

What people ask before booking for hip and knee pain.

Usually not to get started. Imaging can show wear in hips and knees that walk and climb without complaint, so a picture on its own doesn’t explain why yours hurts on stairs and not on flat ground. In Hawaii you can start physical therapy without a referral, so we begin with a hands-on, cause-first evaluation: what the joint will and won’t do, what the muscles around it can hold, and how you move through a step. If a scan turns out to be genuinely necessary, we help you get it and coordinate with your doctor.

A replaced joint still has to be taught to bend, straighten, carry you and climb, and that work is rehab, not time. We treat both before and after joint replacement, and we follow your surgeon’s protocol rather than working around it, coordinating with your primary care doctor, your orthopedic doctor and your insurance company. Jeff and Chrissie P. came to us after a total knee replacement and left the review further up this page. If you are years past your surgery and still favoring that leg, that is worth an evaluation too.

You get a plan with an endpoint, and you hear it at the end of the first visit. Your evaluation is what sets the number, because a knee that swelled up after a hike and a hip that has ached for three years are not the same job. From there you move through four phases, Pain, Prime, Perform and Prevent, and you always know which one you are in and what is left. No open tab of appointments, and no vague “come back next week.”

Book Your Visit

Ready when you are.

Request a time and a real person calls you back. No phone tree. No ‘someone will reach out.’ Just a plan.

  • Hours Monday to Friday, 7am to 6pm
  • (808) 597-1555 Prefer to talk now? Call us.
  • No referral needed to book your first visit

5.0 · 20+ Google reviews

A real person calls you back

Step 1 of 5

So we know who to look for when you walk in.

Kakaʻako · Plenty of parking

Care this good, this close.