Hip rotation and knee pain. What we have been saying.

We have been pounding the floor on this topic on and off for the last 6 months it seems.  Lack of internal hip rotation or too much internal hip rotation ……. both abnormal hip kinematics, is a result of reduced hip-muscle performance as opposed to structural issues of the hip (anteversion, retroversion etc).

If you are not assessing for impaired hip muscle function in your knee patients, you could be missing the boat …….. and it is a big boat…… Titanic in size.

Don’t be like so many others and be tunnel visioned when you have a knee patient, expand your vision, at least to the hip and foot. 

We are……. The Gait Guys……. Shawn and Ivo


Am J Sports Med. 2009 Mar;37(3):579-87. Epub 2008 Dec 19.

Predictors of hip internal rotation during running: an evaluation of hip strength and femoral structure in women with and without patellofemoral pain.

Souza RB, Powers CM.

Musculoskeletal and Quantitative Imaging Research Laboratory, Department of Radiology and Biomedical Engineering, University of California, San Francisco, California, USA.