29/01/2026
Knee Pain — So Why Is a Thai Massage Therapist Working on Your Hips?
Because a knowledgeable and attentive therapist understands that
in many cases, knee pain must be addressed at the hips — especially the glutes.
This is the hidden relationship between the gluteal muscles, which act as the “controllers” that keep the knee stable and protected.
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**You’ve had knee pain.
You’ve had your knee massaged many times.
So why does it still hurt?**
Have you ever checked your glute muscles?
Have you truly understood the real cause of your knee pain?
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When the hip muscles are weak, the knee slowly breaks down
😱 When people feel knee pain and go for a massage,
a therapist who doesn’t understand this root cause often ends up
massaging the knee repeatedly or applying balm directly to the painful area.
But from a biomechanics perspective,
knee pain is often just the victim — the result,
not the real problem.
The real culprits are usually:
• Weak gluteal muscles
• Weak front thigh muscles (quadriceps)
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🍑 Gluteal Amnesia
(also known as “lazy glutes”)
From years of clinical experience, this condition is very common among people who sit for long periods, such as:
• Long-distance drivers
• Office workers who sit for 8+ hours a day
In these cases, the gluteus medius gradually , becomes inactive, and weakens.
This muscle plays a critical role in:
• Hip abduction
• External rotation of the leg
Think of it as a “controller” that keeps the knee aligned when we walk, run, or go up and down stairs.
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⚠️ Chain Reaction
When the hip muscles become weak and unstable:
• During weight-bearing activities (walking, running, stair descent),
• The thigh bone rotates inward (internal rotation),
• Causing the knee to collapse inward (knee valgus) with every step.
This abnormal movement places excessive stress on:
• The patellar tendon (pulled in the wrong direction)
• The cartilage surface (repeated friction at the same point)
Over time, this leads to pain, inflammation, and degeneration.
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💡 The Solution
If you want long-term relief from knee pain,
you must address the root cause, not just the symptom.
This includes:
• Strengthening the glutes with exercises such as clamshells
• Squats with proper knee alignment (focusing on pushing the knees outward)
• Adding hip-strengthening exercises into your regular self-care routine
• Receiving regular massage therapy for prevention and maintenance
When the hip muscles become strong,
knee stability improves naturally and automatically.
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Why an experienced therapist works on the hips and thighs — not just the knee
This article is meant to help you understand why
a skilled and knowledgeable massage therapist
will focus on the hip and thigh muscles,
rather than only massaging the knee itself.
Choosing where — and with whom — you receive massage therapy
should be done thoughtfully and carefully.
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For those who sit for long hours
Regular massage is strongly recommended
to prevent knee damage before it starts,
especially for people with sedentary jobs.
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Good health
is not just about treatment.
It’s about understanding your body
and caring for it in the right way 🌿
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might help someone
start taking better care of their health — the right way.
💝💝
With care,
Thai Relax at Unanderra 😇