How to Relieve Hip and Knee Pain with One Powerful Technique

Unlock Pain-Free Movement with This Unique Exercise

By Coach E

How to Relieve Hip and Knee Pain with One Powerful Technique (1)

Are you struggling with hip or knee pain and feeling frustrated by limited mobility? This article introduces the Hinged Knee Flexion-Extension, an exercise designed to address pain at its root while improving strength, stability, and flexibility.

Whether you’re dealing with SI joint pain, anterior hip discomfort, or knee issues, this comprehensive approach could be the missing piece in your pain-relief puzzle.

How Does the Exercise Work?

The Hinged Knee Flexion-Extension is a functional integration technique designed to activate and strengthen multiple muscle groups simultaneously, offering a comprehensive approach to mobility and pain relief.

Unlike exercises that isolate movements, this technique emphasizes coordinated activation across several key areas. By focusing on intrinsic foot muscles, the pelvic floor, glutes, and the psoas, this exercise promotes a stable foundation and improved alignment.

At the same time, it incorporates active hamstring lengthening and quadriceps engagement, ensuring dynamic flexibility and reducing strain on joints.

This holistic integration targets not only the symptoms of hip and knee pain but also their root causes, helping to enhance stability, mobility, and overall movement efficiency.

How Does the Exercise Address Pain?

Pain in the hips and knees often stems from muscular imbalances, joint misalignment, and restricted movement patterns. The Hinged Knee Fl-Ex tackles these issues head-on by reawakening “sleepy” muscles, such as the pelvic floor, psoas, and VMO (vastus medialis oblique). By integrating these muscles into functional movement patterns, the exercise helps:

  • Distribute forces evenly through the joints.
  • Improve joint alignment and reduce wear and tear.
  • Build strength and flexibility for long-term relief.

For example, intrinsic foot muscle activation lays the foundation for proper movement mechanics. Dysfunctional foot mechanics can lead to excessive stress traveling up the kinetic chain, exacerbating knee and hip pain. By addressing this foundational issue, the Hinged Knee Fl-Ex restores balance and reduces compensatory strain.

Step-by-Step Guide to Hip and Knee Pain Relief

Before diving into the exercise, ensure you have a neutral posture and a stable surface. You can use a dowel or hockey stick for alignment feedback.

hinged knee fl-ex - foot activation

  • Stand shoulder-width apart with feet pointing straight ahead.
  • Create an active arch by pulling the metatarsals toward the heel without gripping the toes excessively.

hip and knee pain relief - pelvic floor activation

  • Engage the pelvic floor as if stopping the flow of urine midstream. This activation stabilizes the pelvis.
  • Squeeze your glutes lightly, aiming for 50-70% activation. This builds stability around the hips.

hip and knee pain relief exercise - hip hinge

  • Keeping a neutral spine, hinge at the hips by pushing them backward. The knees should bend softly.
  • Actively use your hip flexors to guide the hinge motion, ensuring proper alignment.

hip and knee pain relief exercise - quad activation

  • In the hinged position, activate the quads, especially the VMO, to straighten one knee fully. Hold for two seconds.
  • Slowly return to the start position while maintaining activation of all engaged muscles.

Tips for Success

  • Perform 2-3 sets of 4-6 repetitions per side, prioritizing quality over quantity.
  • Use a dowel to ensure proper spinal alignment, maintaining three points of contact: tailbone, mid-back, and head.
  • Incorporate slow, controlled movements to maximize muscle engagement and build awareness.

The Science Behind the Exercise

The effectiveness of the Hinged Knee Fl-Ex lies in its ability to engage key muscle groups and integrate their functions into a single movement.

It starts with intrinsic foot muscle activation, which establishes a strong base for movement. The feet are often overlooked, but their role is crucial in absorbing forces and maintaining alignment.

Dysfunction here can lead to strain that travels up the kinetic chain, affecting the knees, hips, and lower back. Adding pelvic floor activation further stabilizes the pelvis, offering essential support for the SI joint and lumbar spine.

This deep layer of stability is reinforced by engaging the glutes, which play a pivotal role in hip extension and maintaining proper alignment.

When paired with the activation of the psoas, the exercise achieves centration of the femoral head, reducing impingement and promoting smooth hip joint motion.

The dynamic nature of the Hinged Knee Fl-Ex also emphasizes spinal alignment, teaching the body to maintain a neutral position during movement. This focus on alignment minimizes undue stress on the vertebrae and promotes better posture.

Finally, by actively lengthening the hamstrings and engaging the quadriceps, the exercise supports terminal knee extension, which is vital for knee health and longevity.

Together, these elements create a harmonious, functional movement pattern that not only alleviates pain but also improves overall strength and flexibility.

hip and knee pain running

Common Questions about the Exercise

“Why Do My Hamstrings Feel Tight Despite Stretching?”

Traditional static stretching doesn’t address underlying neuromuscular imbalances. The Hinged Knee Fl-Ex combines active hamstring lengthening with quadriceps activation, promoting long-lasting flexibility.

“Can Beginners Perform This Exercise?”

Yes! While the exercise involves multiple layers of activation, beginners can start with simplified versions. Isolating elements like foot activation or glute engagement before progressing to the full technique ensures steady improvement.

Integrating and Taking Control of Your Hip and Knee Health

To maximize the benefits of the Hinged Knee Fl-Ex, consider incorporating it into a broader mobility and strength program. Resources like Hip Pain Solution and Knee Pain Solution offer tailored programs for comprehensive relief.

This exercise is more than just a movement – it’s a strategy for reclaiming pain-free motion and building a resilient body. Ready to take control of your hip and knee health? Explore more targeted exercises on our blog or download the ROM Coach app to incorporate daily movement routines into your life.

About the Author

Eric Wong (aka Coach E) is the founder of Precision Movement and has a degree in Kinesiology from the University of Waterloo. He's been a coach since 2005 and spent his early career training combat athletes including multiple UFC fighters and professional boxers. He now dedicates himself to helping active people eliminate pain and improve mobility. He lives in Toronto (Go Leafs Go!) with his wife and two kids and drinks black coffee at work and IPAs at play. Click here to learn more about Eric.

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