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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Further Reading
If you want to read more about the conditions and approaches discussed on this page, the following are reputable sources we recommend:
- American Academy of Orthopaedic Surgeons — Common Knee Injuries
- Mayo Clinic — Knee Pain Overview
- Cleveland Clinic — Knee Pain
- American Chiropractic Association — What is Chiropractic?
Related Services
If you are dealing with this condition, the following services at RXN Performance are commonly part of the treatment plan:
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 →
Patient story: a year of knee pain → 315 lb pain-free squat
Andrew, 35, a powerlifter, had right knee pain limiting his squat for nearly a year. The real driver wasn’t his knee — it was his left hip. After targeted care, he hit a pain-free 315 lb squat single in 12 weeks.
Patient story: post-3-ACL knee → 100 km ride goal on track
Bryan, 59, had three ACL reconstructions and lost the ability to sit down or stand up comfortably. We restored his knee flexion and terminal extension and rebuilt his squat — now he’s training pain-free for a 100 km bike race and hitting a 115 lb box back squat for reps.
Related resource for runners: Runner’s Knee: What’s Actually Causing It and How to Fix It. Written by Dr. Ryan Giniel, D.C.
Patient story: knee pain that blocked pickleball → back to regular gym + training for 5Ks
Brian couldn’t fully flex his knee — even putting on pants took extra effort. Multiple rounds of PT and chiropractic had produced only temporary relief. After care at RXN he’s back in a consistent gym routine and now working toward running three 5Ks a week — a goal he says wasn’t even on the map before.
Knee Pain — Frequently Asked Questions
Can a chiropractor actually help with knee pain?
Yes — especially when the knee pain is driven by issues above or below the joint. At RXN we look at hip mechanics, ankle mobility, glute function, and movement patterns that load the knee. Treating the whole chain usually resolves knee pain that hasn’t responded to rest or icing alone.
Do I need an MRI before treating knee pain?
Not usually. Most non-traumatic knee pain in active adults comes from movement and loading patterns, not structural damage. If we see signs that imaging is needed during your assessment, we’ll refer you appropriately — but it’s rarely the first step.
How long until my knee pain improves?
Most patients feel noticeable improvement within 2-3 weeks. Full resolution typically takes 4-8 weeks of consistent treatment plus the targeted movement work we’ll give you.
Should I keep running with knee pain?
Depends on the cause. Some forms of knee pain (like patellar tendinopathy) respond well to continued loading with the right modifications. Others need temporary deload. We’ll show you how to keep training around the issue while we fix what’s actually driving it.