strength testing

Author: Dr. Amanda Lewin, PT, DPT
Practice: LeWIN Physical Therapy and Performance (Aliante, North Las Vegas, NV)
Target Keywords: North Las Vegas knee pain physical therapy, Aliante runner knee rehab, knee pain physical therapist near me, knee osteoarthritis treatment North Las Vegas, 1-on-1 sports physical therapy


If you’ve ever mentioned knee pain to a doctor, friend, or trainer, you’ve likely received the same tired advice:

"Just take some ibuprofen, ice it, and rest for two weeks."

So you take two weeks off from running along Aliante Parkway or hiking at Red Rock. The initial throbbing subsides, and you assume you're healed. But the moment you lace up your shoes for a run, jump back on the golf course, or go down a set of stairs, that familiar, sharp ache right under or around your kneecap comes roaring back.

Why? Because rest treats the symptom, not the cause.

At LeWIN Physical Therapy and Performance, we see active adults and athletes every day who have spent months—sometimes years—in a vicious cycle of resting, reinjuring, and frustration. Here is the truth about why knee pain happens, why generic care fails, and how specialized, 1-on-1 physical therapy fixes the root cause so you can stay active without relying on injections or surgery.


The Knee is the "Middle Child" of Your Lower Body

One of the most important concepts we teach our patients in North Las Vegas is that your knee is caught in the middle.

Biomechanically, the knee joint is stuck between your hip and your ankle. It primarily moves in one plane (flexion and extension—bending and straightening). When your hip lacks strength or control, or your foot and ankle lack mobility, your knee is forced to absorb rotational forces and stress it was never designed to handle.

If you have knee pain while running, squatting, or going down stairs, the knee is often just the victim. The true bully is almost always upstream at the hip or downstream at the foot:

  • Weak Glutes & Hip External Rotators: If your hip muscles aren't firing to stabilize your femur (thigh bone), your knee collapses inward (known as dynamic valgus) every time you land or squat, putting immense strain on your patellar tendon and cartilage.
  • Stiff Ankles: If your ankle lacks dorsiflexion (bending forward), your body compensates during squats or running by forcing the knee too far forward or twisting the joint.
  • Quad Imbalances: An imbalance between the dynamic power of your quadriceps can pull your kneecap out of its smooth tracking groove (patellofemoral pain syndrome).

Placing an ice pack on a sore knee doesn't fix a weak hip or a stiff ankle. Specialized physical therapy does.


Why "Assembly-Line" PT Fails Your Knees

If you’ve tried physical therapy before and felt like it didn't work, you likely experienced corporate, "assembly-line" care.

In high-volume clinics, a physical therapist spends 5–10 minutes with you before handing you off to an aide, leaving you on a stationary bike or giving you a generic printout of leg lifts. Everyone with knee pain gets the exact same cookie-cutter protocol regardless of whether they are a 25-year-old trail runner or a 60-year-old golfer.

We reject that model completely.

At LeWIN PT, you receive 1-on-1, undivided attention from a Doctor of Physical Therapy for your entire session. There are no aides, no generic exercise sheets, and no guessing.


How We Solve Knee Pain at LeWIN PT: We Measure, We Don't Guess

To solve chronic knee pain permanently, we combine advanced hands-on clinical care with objective sports-science technology:

1. Objective Force & Imbalance Testing

Instead of asking "How does it feel on a scale of 1 to 10?", we put numbers to your movement:

  • AXIT Dynamo Force Plates: We measure exact peak force and rate of force development (RFD) in your quads, hamstrings, and glutes to identify side-to-side strength deficits down to the pound.
  • EMG Testing: We measure eccentric hamstring strength to ensure your knee joint is protected during decelerations and downhill hikes.
  • Voltra Harness Load Tracking: We analyze dynamic horizontal drive and power to make sure your legs can handle real-world athletic demands.

2. Targeted Muscle Release (Functional Dry Needling)

Chronic knee pain often causes surrounding muscles—like the quadriceps, IT band, tensor fasciae latae (TFL), or popliteus—to lock up in protective spasms. We use Functional Dry Needling to release deep muscular trigger points, reset the nervous system, and immediately restore joint range of motion without long recovery times.

3. Progressive Tissue Loading

Bones, tendons, and cartilage require gradual, structured load to heal and strengthen—whether you are managing patellar tendinopathy, meniscus irritation, or knee osteoarthritis (OA). We build a customized, progressive loading plan that builds tissue capacity so your knee can handle daily life and sports without flaring up.


Stop Waiting for Knee Pain to "Fix Itself"

Knee pain doesn't mean you are getting old, and it doesn't mean you have to give up running, climbing, or hiking. It simply means your body is asking for an intelligent, data-driven solution.

Whether you are dealing with a fresh injury or a nagging ache that won't go away, you deserve care as active and dedicated as you are.

Ready to get back to moving without pain?

Stop guessing and start measuring. [Claim Your Free 15-Minute Discovery Call] with Dr. Amanda today or book your 1-on-1 evaluation online at lewindpt.network.


LeWIN Physical Therapy and Performance is conveniently located in Aliante, serving active adults, runners, climbers, and athletes throughout North Las Vegas, NV.

Amanda Lewin

Amanda Lewin

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