Knee Pain Treatment in Dallas
If your knee hurts when you run, squat, jump, or even just walk down stairs, you do not have to live with it. At RXN Performance in Uptown Dallas, we work with active adults to find the actual driver of knee pain and build a plan that gets you back to training, sport, or daily life.
What types of knee pain do we treat?
We work with the full range of knee issues you would expect to see in active adults, including:
- Runner’s knee (patellofemoral pain syndrome) — front-of-knee pain, often worse downhill or after sitting for long periods.
- IT band syndrome — lateral knee pain, common in distance runners and cyclists.
- Patellar tendinopathy (jumper’s knee) — pain just below the kneecap, common in CrossFit, basketball, volleyball, and lifters.
- Post-meniscus surgery returns — once cleared by your surgeon, we help rebuild strength, range of motion, and confidence in the joint.
- Arthritic knees — conservative care to manage symptoms, restore function, and slow progression.
- Acute injuries — strains, sprains, mild ligament injuries, and overuse flares.
Why is your knee hurting?
Knee pain almost never starts at the knee itself. The hip and the ankle dictate how the knee tracks, loads, and absorbs force. Weak glutes, restricted ankle dorsiflexion, poor hip mobility, and inefficient movement patterns all show up as knee pain. Until those are addressed, the knee keeps getting overloaded. Adjustments and rest alone will not fix that.
How do we treat knee pain at RXN?
Treatment is built on a full assessment of how you move, not just where it hurts. A typical plan combines:
- Movement assessment to find what is actually driving the knee pain (hip control, ankle mobility, single-leg stability, movement patterns).
- Manual therapy including adjustments, soft-tissue release of the quad, IT band, calves, glutes, and surrounding tissues.
- Targeted strengthening of the glutes, deep hip stabilizers, and quad to address the actual weakness.
- Loading progression so you can return to your sport, training, or activity at full capacity.
How long does knee pain treatment take?
Honest answer: full resolution typically takes 3 to 5 months of consistent work. Most patients feel meaningful improvement in the first 4-6 visits, but knees are slower-healing tissues than muscle, and lasting fixes require time for tendons, joint cartilage, and movement patterns to actually adapt. We will give you a realistic timeline at your discovery visit.
When does knee pain need surgery?
Most knee pain does not. Conservative care — manual therapy, rehab, and progressive loading — resolves the majority of cases. Surgery is appropriate for specific scenarios: full ligament tears, certain meniscus injuries that do not respond to conservative care, and severe arthritis that limits function. If we think your case warrants surgical evaluation, we will refer you to a qualified orthopedic surgeon.
What about cortisone injections?
Injections can buy time and reduce inflammation, but they do not fix the underlying movement and strength issues that caused the pain. If you have had injections that helped temporarily and then the pain came back, that is your sign that the root cause was never addressed. Conservative care is the long-term answer.
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About the Author
Dr. Ryan Giniel, D.C. is the founder of RXN Performance. He earned his Bachelor’s in Kinesiology from Central Michigan University and his Doctorate of Chiropractic from Parker University. Dr. Ryan combines a background in strength and conditioning with exercise injury rehab to help active Dallas adults move, perform, and feel their best. Read more about Dr. Ryan →