Care began with a comprehensive examination by KIRO’s team of doctors. The evaluation revealed reduced left knee range of motion, mild swelling, and muscle tightness in the left quads, hamstrings, and both hips, which contributed to abnormal knee mechanics. Subtle postural and gait issues were also identified, including a pelvic imbalance and slight inward rotation of the knees during running, which can increase strain on the joint.

To further assess function, our doctors performed an initial nervous system scan, showing elevated tension patterns through the low back and pelvis, confirming the impact of repetitive stress from running and prolonged standing at work. These findings guided a personalized three-month care plan to relieve pain, correct mechanics, and strengthen the supporting muscles.

Care began with twice-weekly chiropractic adjustments targeting the full spine, knees, hips, ankles, and feet, paired with soft tissue therapy to reduce tension in the quads, hamstrings, and calves. Gentle mobility exercises were introduced to restore safe knee movement while minimizing load on inflamed tissues.

After a month, our doctors repeated the nervous system scan and re-evaluated knee function. The scan showed decreased tension in the lower back, and Tiana reported about 65% increase in comfort while running, ascending stairs, and performing her clinical duties. Based on these objective improvements, care shifted to once-per-week visits, emphasizing strengthening muscles in the hip and knee complexes, gait correction, and long-term knee stability.

Over the following two months, our doctors implemented a progressive strengthening program for the quads, glutes, and hamstrings, combined with balance and alignment exercises to reduce joint strain. Postural guidance and running mechanics coaching were provided to protect the knees during training and reduce the risk of future flare-ups.