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Understanding and Managing Knee Pain: Chiropractic and TCM Solutions for Osteoarthritis and Runner’s Knee

  • Writer: Dr. Elbert Chao
    Dr. Elbert Chao
  • Oct 17
  • 4 min read
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Knee pain can be a major obstacle, whether you’re a runner hitting the trails or someone dealing with daily joint discomfort. Conditions like osteoarthritis and runner’s knee (patellofemoral pain syndrome) are common culprits, affecting people of all ages and lifestyles. At Leap Chiropractic, we take a holistic approach, combining chiropractic care with insights from Traditional Chinese Medicine (TCM) to address the root causes of knee pain. By focusing on alignment, biomechanics, inflammation reduction, and energetic connections like the gallbladder-popliteus muscle relationship, we help you move better and feel stronger. Let’s explore how our integrated approach can offer lasting relief.


What Causes Knee Pain?

Knee pain often stems from biomechanical imbalances, wear and tear, or energetic disruptions. Two prevalent conditions include:

  • Osteoarthritis: This degenerative joint disease occurs when cartilage in the knee wears down, leading to pain, stiffness, and inflammation. It’s common in older adults but can affect younger individuals with repetitive stress or injury.

  • Runner’s Knee: Often seen in athletes or active individuals, this condition involves pain around the kneecap due to improper tracking of the patella, muscle imbalances, or overuse. It can make running, climbing stairs, or even sitting for long periods uncomfortable.

Both conditions can be aggravated by poor alignment in the hips, knees, or ankles, as well as imbalances in the body’s energy flow, which puts extra stress on the joint. That’s where chiropractic care and TCM come in.


How Chiropractors Help with Knee Pain


Chiropractors take a whole-body approach to knee pain, focusing on alignment, biomechanics, and reducing inflammation. Here’s how we at Leap Chiropractic make a difference:

1. Assessing Alignment from the Hips Down

Knee pain often isn’t just a knee problem—it’s a chain reaction. Misalignments in the hips, pelvis, or ankles can alter how weight is distributed across the knee joint, leading to pain and dysfunction. Our chiropractors perform a thorough assessment to identify these imbalances, using hands-on techniques and functional movement evaluations. By addressing alignment issues from the hips down, we help restore proper biomechanics to reduce stress on the knee.

2. Chiropractic Adjustments for Better Joint Function

Chiropractic adjustments are a cornerstone of our approach. By gently realigning the spine, pelvis, and lower extremities, we improve joint mobility and reduce compensatory patterns that contribute to knee pain. For example:

  • Spinal adjustments ensure the nervous system is functioning optimally, which supports overall body coordination and reduces inflammation.

  • Knee and hip adjustments can directly improve joint mechanics, especially for conditions like runner’s knee, where improper patellar tracking is a factor.

3. Reducing Inflammation

Inflammation is a key driver of pain in both osteoarthritis and runner’s knee. Chiropractic care helps reduce inflammation by:

  • Improving blood flow and lymphatic drainage through adjustments, which helps clear inflammatory markers from the joint.

  • Releasing tension in surrounding muscles and tissues, which reduces pressure on the knee.

  • Supporting the body’s natural healing processes by optimizing nervous system function.

4. Rehabilitation Exercises for Long-Term Relief

To support your recovery, we prescribe targeted rehab exercises to strengthen the muscles around the knee, improve stability, and enhance flexibility. These exercises are tailored to your condition—whether it’s strengthening the quadriceps for runner’s knee or improving hip stability for osteoarthritis. By building a strong foundation, we help prevent future injuries and reduce wear and tear on the joint.


The Gallbladder-Popliteus Muscle Connection: A TCM Perspective


In Traditional Chinese Medicine (TCM), the body is seen as an interconnected web of energy pathways called meridians, where physical symptoms often trace back to imbalances in distant organs. A fascinating example is the relationship between the gallbladder and the popliteus muscle, a small but critical muscle behind the knee that unlocks the joint during bending and stabilizes it against rotational forces.


The Gallbladder Meridian and Its Role

The gallbladder meridian, a yang energy pathway paired with the liver, runs from the outer corner of the eye, along the side of the body, through the hips and outer thigh, and crosses the popliteal fossa (behind the knee) before ending at the fourth toe. In TCM, the gallbladder governs the smooth flow of qi (vital energy) and supports tendon health, joint mobility, and decision-making. When its energy stagnates—due to stress, anger, or a diet high in unhealthy fats—it can cause muscle tightness, spasms, or pain along its path, including in the knee.


The Organ-Muscle Link

TCM teaches that each organ meridian nourishes specific muscles and tendons. The gallbladder meridian directly influences the popliteus muscle because it passes through the posterior knee at points like GB-36 (Waiguan) and GB-37 (Guangming). If gallbladder qi is blocked, it can lead to:

  • Tightness or spasms in the popliteus, causing pain when bending the knee or walking downhill.

  • Weakness or instability in the knee, especially during pivoting movements.

  • Referred pain along the outer leg, aligning with the meridian’s path.

For example, emotional stress (like frustration, a Wood element emotion) or a diet overwhelming the gallbladder can disrupt qi flow, leading to popliteus dysfunction. This can worsen conditions like runner’s knee or osteoarthritis by adding energetic stress to mechanical issues.


Integrating TCM with Chiropractic Care

At Leap Chiropractic, we blend TCM insights with chiropractic techniques to address this organ-muscle connection:


  • Chiropractic Adjustments: Aligning the pelvis and lower extremities supports the gallbladder meridian’s path, enhancing qi flow and reducing strain on the knee.

  • Lifestyle Support: We may recommend a gallbladder-friendly diet (e.g., bitter greens, moderate healthy fats) and stress management to prevent qi stagnation, complementing our hands-on care.

This integrated approach not only targets knee pain but also boosts overall vitality, digestion, and emotional balance.


Why Choose Chiropractic and TCM for Knee Pain?

Unlike temporary fixes like pain medications, our chiropractic approach addresses both the mechanical and energetic causes of knee pain. By improving alignment, reducing inflammation, strengthening the body’s support systems, and harmonizing organ-muscle relationships, we help you achieve lasting relief without invasive procedures. Whether you’re dealing with the grinding discomfort of osteoarthritis, the nagging ache of runner’s knee, or subtle imbalances in the gallbladder meridian, Leap Chiropractic offers a path to recovery.


Take the First Step Toward Pain-Free Movement

Don’t let knee pain hold you back from living your best life. At Leap Chiropractic, our team is dedicated to helping you move better, feel better, and stay active by addressing both physical and energetic imbalances. Book your appointment today to discover how our personalized chiropractic and TCM-inspired care can relieve your knee pain and support your journey to optimal health.


Dr. Elbert Chao D.C.

Leap Chiropractic

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