Special Health Reports

Knees and Hips

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Knees and Hips: A troubleshooting guide to knee and hip pain

Do your knees or hips hurt? Most people will at some point have knee or hip pain because these large joints have a demanding task: they must bear the full weight of your body while at the same time allowing for a wide range of motion. Wear and tear, injury, and simple genetic predisposition can all contribute to knee or hip pain. This Special Health Report Knees and Hips: A troubleshooting guide to knee and hip pain, covers a wide range of knee and hip conditions and describes in detail treatments, preventive strategies, and surgeries.

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Your knees and hips are your largest joints. They support your body's weight and must work in close coordination to provide the mobility most people take for granted, until injury, arthritis, or other problems interfere.

Depending on the cause of your pain, the solution might be a set of exercises, pain relief medication, minor surgery, or some combination of these. But for many people, knee and hip problems become so intractable that the best solution is to replace a worn-out knee or hip with a mechanical joint.

This Special Health Report from Harvard Medical School will walk you through the most common knee and hip ailments, discuss the symptoms you're likely to experience with each, and describe how your doctor might diagnose your condition. Inside Knees and Hips: A troubleshooting guide to knee and hip pain, you'll discover:

  • Why joints hurt
  • How to deal with overuse injuries
  • Solutions to common problems
  • Exercises for pain relief and prevention
  • Indications for surgery
  • Knee and hip replacement options
  • Alternative approaches.

This report also includes a Special Bonus Section: Knee and hip replacement, which can help you determine if a joint replacement is right for you. It outlines the procedures, describes the different types of implants, and details the various surgical options available to you.

Whether you've just started to experience pain or have been battling it for years, this Special Health Report is a must-read. It can help you make informed decisions about maintaining your mobility and independence for years to come. Order your copy of Knees and Hips: A troubleshooting guide to knee and hip pain today.

Prepared by the editors of Harvard Health Publishing in consultation with, Jeffrey N. Katz, MD, MSc, Professor of Medicine and Orthopedic Surgery, Clement B. Sledge, MD and Thomas S. Thornhill, MD Distinguished Chair, Brigham and Women’s Hospital and Mass General Brigham. 45 pages. (2025)

Click, clack, pop: When to worry about noisy joints

Do your hips and knees click, snap, or pop? If there’s no pain or swelling, the noises are not usually a sign of trouble. You may hear a tendon moving across a joint. Or you may have momentarily (and harmlessly) broken the seal of synovial fluid that fills the joint capsule. The sound could also be the formation of a bubble of nitrogen gas in a joint moved slightly out of position (like a cracking knuckle). It’s a different story, however, if the noise occurs at the moment of an injury, or if pain or swelling accompanies it; in that case, there may be joint damage that needs medical attention. In addition, a grating or crunching sound or sensation with joint movement, called crepitus, may be a sign of osteoarthritis.

  • Why do your knees hurt?
    • Knee anatomy 101
    • Overuse injuries in the knee
    • Tears in supporting tissues
    • kneecap problems
    • Osteoarthritis of the knee
  • Why do your hips hurt?
    • Hip anatomy 101
    • Overuse injuries in the hip
    • Hip fracture
    • Osteoarthritis of the hip
  • Testing for knee and hip problems
    • The physical exam
    • Imaging tests
    • Laboratory Tests
  • Treating knee and hip pain
    • RICE
    • Heat
    • Medication
    • Therapeutic exercise, including physical therapy
    • Ultrasound, phonophoresis, and iontophoresis
    • Weight loss
    • Injectable corticosteroids and orthobiologics
    • Complementary approaches
    • Surgery
  • SPECIAL SECTION: Stretching and strengthening exercises for knees and hips
  • Knee and hip replacement
    • Decisions to make
    • Knee replacement options
    • Knee replacement procedure
    • Hip replacement options
    • Hip replacement procedure
    • Recovery in the hospital
  • Back on track after joint replacement
    • Getting the most from rehab
    • Dealing with postsurgical pain
    • Resuming your daily activities
    • Potential complications of joint replacement
    • Revision surgery
  • Resources

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