Performance Sport Care

Got Knee Pain? The Surprising Solution Might Be in Your Hips

Got Knee Pain?

Latest Research Confirms What Sports Medicine Experts Already Know

Groundbreaking research continues to validate what sports chiropractors like Dr. Douglas Cancel at Performance Sport Care have been advocating for years: hip strengthening exercises are a powerful, non-invasive solution for knee osteoarthritis pain and mobility issues.

A comprehensive study published in the British Journal of Sports Medicine analyzed eight clinical trials involving 340 patients with knee osteoarthritis who performed targeted hip-strengthening exercises. The results were remarkable: patients experienced significant improvements in walking ability and substantial reductions in knee pain. The study identified weight training exercises and elastic band exercises as the most effective interventions.

The Growing Crisis: Knee Osteoarthritis by the Numbers

The statistics are staggering and continue to worsen:

  • 365 million people worldwide now suffer from knee osteoarthritis
  • 73% of osteoarthritis patients are over 55, with women comprising 60% of cases
  • Recent studies show knee osteoarthritis prevalence has nearly doubled from 9.86% to 19.5% in just seven years (2011-2018)
  • After age 70, osteoarthritis ranks as the 7th leading cause of disability worldwide
  • In 2021 alone, knee osteoarthritis accounted for 30.85 million new cases globally

With our rapidly aging population and increasing knee injuries in younger, active individuals, healthcare experts predict an unprecedented burden on our medical systems.

The Medical Gap: Why Traditional Treatment Falls Short

Despite international guidelines recommending exercise for knee osteoarthritis management, a critical problem persists: most physicians either overlook exercise therapy entirely or lack knowledge of the most effective programs. Those who do prescribe exercise often make a fundamental mistake—they focus solely on the affected knee joint while ignoring the crucial role of the entire “kinetic chain,” particularly the hip.

This oversight is costly. Recent 2024 research published in multiple peer-reviewed journals confirms that resistance training interventions lasting 3-6 months significantly improve both pain and physical function in knee osteoarthritis patients . The evidence is overwhelming: structured strength training represents a viable, evidence-based strategy for managing knee osteoarthritis symptoms.

The Hip-Knee Connection: Why Hip Strengthening Works

The research is clear: hip strengthening exercises provide the most significant improvements in walking function. Here’s why this approach is so effective:

  1. Biomechanical Optimization: Strengthening hip muscles, particularly the hip abductors, improves pelvic stability and trunk control
  2. Load Distribution: Proper hip function reduces mechanical stress on the knee joint
  3. Kinetic Chain Integration: A strong hip creates better movement patterns throughout the entire leg
  4. Pain Reduction: Multiple 2024 studies demonstrate that resistance training effectively reduces osteoarthritis pain

Why Sports Chiropractic Care Makes a Difference

Sports chiropractors like Dr. Douglas Cancel offer a unique advantage in treating knee osteoarthritis. Research shows that chiropractic manual therapy combined with supervised exercise provides safe, effective, and potentially cost-minimizing relief for osteoarthritis patients.

The integrated approach includes:

  • Manual therapy to improve joint mobility and reduce inflammation
  • Supervised strength training using evidence-based protocols
  • Nutritional guidance to support joint health and reduce inflammation
  • Movement assessment to address the entire kinetic chain

The Performance Sport Care Advantage

At Performance Sport Care in Walnut Creek, CA, Dr. Douglas Cancel has created the region’s comprehensive non-surgical approach to knee osteoarthritis treatment. Our facility combines:

State-of-the-Art Equipment

  • Professional-grade strength training equipment used in elite sports
  • Specialized tools for hip strengthening and functional movement
  • Advanced rehabilitation technology for optimal recovery

Evidence-Based Programs

  • Customized hip strengthening protocols based on the latest research
  • Progressive resistance training tailored to individual fitness levels
  • Integration of weight training and elastic band exercises has proven most effective

Expert Supervision

  • Sports chiropractic expertise in biomechanics and movement patterns
  • Personal, professionally supervised instruction
  • Safety protocols compatible with different ages and fitness levels

Comprehensive Care

  • Manual therapy to address joint restrictions
  • Nutritional counseling to support joint health
  • Ongoing monitoring and program adjustments

Take Action: Your Path to Pain-Free Movement

Don’t let knee osteoarthritis limit your quality of life. The research is definitive: hip strengthening exercises can significantly improve your walking ability and reduce knee pain. With the right professional guidance, you can achieve lasting results safely and effectively.

Ready to Start Your Recovery?

Performance Sport Care is Walnut Creek’s leading sports chiropractic and rehabilitation facility. Dr. Douglas Cancel and his team are ready to help you implement an evidence-based strength training program that targets the contributing factors behind your knee pain.

Contact us today:

  • Phone: (925) 945-1155
  • Location: Walnut Creek, CA
  • Service: request an appointment. your comprehensive assessment and customized treatment plan

Don’t wait—every day you delay treatment is another day living with unnecessary pain. The science is clear, the solution is available, and the results are proven. Your journey to pain-free movement starts with a single phone call.

Dr. Douglas Cancel is a sports chiropractor specializing in manual therapy, supervised strength training, and nutritional guidance for athletes and active individuals. Performance Sport Care serves the Walnut Creek, CA area with evidence-based treatments for knee osteoarthritis and sports-related injuries.

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Dr. Douglas Cancel, DC

Dr. Douglas Cancel, DC, provides evidence-based Chiropractic Care, Manual Therapy, and Supervised Strength Training to Athletes and active individuals at Performance Sport Care in Walnut Creek, California.

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Ready to Start Your Recovery?

Are you struggling with recurring shoulder, back, or neck pain — or looking for ways to optimize your athletic function? See how our targeted Performance Sport Care approach in Walnut Creek can help you achieve pain-free movement and peak performance.

We specialize in customized treatment plans for athletes and active individuals — including those who've already tried other care without lasting results.

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What Our Patients Say

Performance Sport Care - Douglas F. Cancel, DC
Excellent
5.0
Based on 120 reviews
Jere Carroll
22 hours ago
Beyond erasing pain no one else was able to solve for twenty years with the therapy I received, I also did a workout plan with them and built the strengh needed to never feel that pain again. I love being in my body again and can do activities like I was fifteen years younger! Highly recommend doing both their therapy (passive) + their workout program to get to a place that is more than therapy could ever get you to imo. Awesome folks who get to know you is a big plus too.
Kyle Tinker
2 days ago
⭐⭐⭐⭐⭐ I’ve had a great experience with Dr. Douglas Cancel and Dana at Performance Sport Care. I came to them with some shoulder and back concerns, and both have been incredibly helpful throughout the process. Dr. Cancel took the time to address my concerns, and Dana has been great to work with on the exercise and training side. I really appreciate their knowledge, professionalism, and willingness to help me improve how I feel and move. It’s clear they care about their patients and want to help them get back to feeling their best. I highly recommend Dr. Cancel, Dana, and the team at Performance Sport Care to anyone dealing with aches, pains, or mobility issues. Great people and great care!
Scott Martineau
2 days ago
I cannot say enough good things about Dr. Doug Cancel at Performance Sport Care. Having dealt with chronic pain for many years, finding someone who genuinely understands and provides consistent relief is rare. Dr. Doug has been an incredible resource for me over the years. He is always available when I need him, deeply compassionate, and completely dedicated to helping his patients get back to living comfortably. If you are struggling with pain and feel like you've run out of options, I highly recommend Dr. Doug. He is truly the best!
nickt610
6 days ago
I started seeing Dr. Cancel about two weeks ago for a serious knee injury I sustained in May 2026 during Brazilian jiu-jitsu. With a long background in wrestling and grappling, plus a physically demanding job, that knee already had years of wear and tear. Dr. Cancel was very understanding of that background and clearly knowledgeable about this kind of injury. After the injury I had an MRI, and the initial assessment was that it wasn’t serious. Dr. Cancel saw it differently, and I can’t thank him enough for his experience, professionalism, and attention to detail. His treatments and adjustments have stabilized my knee, improved blood flow and recovery, and restored function not just to my knee but to my lower body overall. If you’re a grappler or combat sports athlete dealing with a nagging or misdiagnosed injury, I highly recommend him. - Nick T.
Chris M
2 weeks ago
​Dear Dr. Cancel, ​Thank you for always treating me with dignity, respect, and patience. I truly appreciate that you take the time to sit with me without rushing and explain my MRIs and how the body works in clear, easy-to-understand terms. ​You have successfully treated many of my sports injuries over the years, allowing me to keep doing the things I love in life. I’m sharing this note in the hope that someone else looking for high-quality, compassionate care finds their way to your practice. ​With sincere gratitude, Chris
Michael Turcotte
2 weeks ago
At 59, I'm still competing in bodybuilding, and I owe much of that to Doug Cancel. When I lived in Walnut Creek, I saw Doug whenever anything started to bother me, and he corrected it in a single session. To this day, I've never had a gym-related injury. After I moved, I never found anyone half as effective. When I developed shoulder pain and limited range of motion, I tried many practitioners and nothing helped. Finally, I flew to California, rented a car, and had Doug treat me. It was painful, but the problem was resolved in one session and the pain never came back. More recently, I had a severe shoulder injury at work. I improved a lot, but an underlying issue kept the pain coming back and disrupted my sleep and training. On a video call, Doug diagnosed the root cause, a deeply buried muscle in my upper back that was throwing off my shoulder's motion, and gave me movements to correct it. That got me back in time to compete in 2 divisions and 4 classes at the Florida State Championship, where I medaled in all 4. Calling Doug effective is accurate, but it falls short. He is a true expert in his field.
Tom Del Beccaro
4 weeks ago
If you are serious about ending your pain, Douglas Cancel should be your first choice. His tagline could be "Cancel your pain." He listens, he understands and he helps you. Even better, he teaches you how to avoid pain in the future, 5 stars for sure.
kyle gaulke
1 month ago
I have been having an ongoing problem with my elbow for three years. All of the doctors I have seen in the past only tried addressing the pain in the elbow. Ive seen doctors, chiropractors, physical therapists, gotten multiple PRP injections, and the pain kept coming back. Dr Cancel was the first one to address WHY the pain kept coming back, and helped me understand what was actually going on. (It wasn't just the elbow that was the problem). No one else went further than the elbow. His treatment, along with his recommended maintenance program, has given me great progress, and a freedom from the frustration of not knowing why this was happening. I feel more confident now than ever that I will be able to do my job without constant pain and get back to the hobbies I used to enjoy. Cant recommend him enough. I also started seeing Dana to do some supervised strength training to aid with the recovery and learn the correct form of exercises to avoid future injuries. For years now, I have been too afraid of stepping into a gym for fear of injury. I now feel a lot more confident to go on my own. If you are looking for a very personal and welcoming place, this is it.
Tommy Bierly
2 months ago
Haven’t felt pain relief like this in years - upper back pain between shoulder blades. Doug is the man, fixed my posture and gave it to me straight. Highly recommend… trust the process!
Joe G.
2 months ago
Dr Doug Cancel is amazing he worked on me years ago on my back and worked miracles where delayed my back surgery for me over 10 years where the doctors said nothing else we can for me besides surgery. And in the delayed time the technology changed dramatically where it speeded up my recovery time. Now having issues with my neck and again doctors want to do surgery with minimal evaluation just by checking my images and not by checking me out for all my symptoms. So again i decided to go get checked out by Doug Cancel. He did a complete evaluation and even went over all the doctors different doctors notes to come up with a game plan and to again postpone surgery until I really need it just like my back which again the technology will be changed dramatically. I live in Placerville and drive all the way to Walnut Creek to see him thats how much I believe I know he can help me again. Thank you Doctor Doug Cancel for being so caring to your patients!
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