Knee

Knee Osteoarthritis Treatment That Looks Beyond "Just Your Knee"

You’ve been told it’s “just arthritis,” to take painkillers, maybe wait for surgery. Meanwhile stairs are your enemy, sitting stiffens everything, and you’re scared your knee will “give out.”

We don’t just treat the sore spot.

We assess your hip, ankle, and overall mechanics so your knee isn’t taking a beating alone.

We combine advanced tech + targeted strength.

Focused shockwave (ESWT), EMTT and hands-on care to calm pain, then progressive glute and quad work to keep it away.

We support you long term.

Our “AI robot trainer” guides your home exercises so you don’t slide back the moment physio ends.

60-minute one-on-one assessment + treatment plan.

No pressure, no contracts.

Is This You?

If any of this sounds familiar, you're in the right place.

45+ and active (or want to be)

Pain climbing stairs, getting out of chairs, walking longer distances

“Stiff after sitting” that loosens up but never really goes away

Tried physio, maybe injections or a knee replacement, with partial or short-term relief

You want non-surgical options before committing to another procedure

The Real Problem

Why Your Knee Still Hurts After "Trying Everything"

Explore 4 slides on Knee Osteoarthritis

Most people have several of these happening at once. That’s why we assess the whole chain, from hip to ankle, not just the painful spot.

OUR APPROACH

The Unpain 3-Part Knee Osteoarthritis Relief Program

INITIAL VISIT

Whole-Body Root-Cause Assessment

Detailed history, movement and strength testing for hip, knee, ankle, and spine

Identify which drivers matter for your pain: strength deficits, mobility blocks, alignment, inflammation, loading patterns

Clear, written plan: what we’ll do in-clinic and what you’ll do at home

First 3 to 8 Weeks

Pain & Inflammation Modulation

Focused ESWT shockwave to calm stubborn knee pain and improve function

EMTT to support tissue healing and load tolerance

Targeted manual therapy and chiropractic-style work to correct compensation patterns

Make walking, stairs, and exercise tolerable, fast.

6+ Weeks and Beyond

Strength & “AI Robot” Aftercare

Progressive glute, quad, and core strengthening to offload the knee

Ankle mobility and gait retraining so forces travel correctly through the leg

Ongoing digital coaching and robot-guided exercises so you keep your gains instead of sliding back

What To Expect

What Results Can I Expect?

Every case is different, but research and our clinical experience consistently show:

Noticeable pain and function improvements within 4 to 8 weeks of a structured program.

Better confidence on stairs, longer walks, easier sit-to-stand. Patients report returning to activities they’d been avoiding.

For many patients, delayed or avoided surgery. Or better outcomes after surgery on the other side.

Our promise: we will tell you honestly at the assessment if we don’t believe you’re a good candidate for this approach.

EVIDENCE

The Research Behind Our Approach

Exercise programs improve pain and function compared to usual care, confirmed by a 2024 Cochrane review of 139 randomized trials.

Hip strengthening specifically reduces knee OA pain and improves function, supporting the whole-body approach.

Shockwave therapy has been shown to reduce pain and improve walking distance in knee OA across multiple trials.

EMTT improved pain and physical function versus placebo in a double-blind randomized trial, with benefits persisting at 12 weeks.

App-delivered exercise programs can improve pain and physical performance in knee OA within 6 weeks.

Outcomes are group averages from clinical trials; individual results vary.

See full references
  1. [1] Lawford BJ, Hall M, Hinman RS, et al. Exercise for osteoarthritis of the knee. Cochrane Database of Systematic Reviews. 2024;(12). DOI: 10.1002/14651858.CD004376.pub4
  2. [2] Thomas DT, Shruthi R, Prabhakar AJ, et al. Hip abductor strengthening in patients diagnosed with knee osteoarthritis. BMC Musculoskeletal Disorders. 2022;23:622. DOI: 10.1186/s12891-022-05557-6
  3. [3] Ko NY, Chang CN, Cheng CH, et al. Comparative effectiveness of focused vs radial ESWT for knee osteoarthritis. Int J Environ Res Public Health. 2022;19(15):9001. DOI: 10.3390/ijerph19159001
  4. [4] Hsieh. Extracorporeal shockwave therapy for knee osteoarthritis: a meta-analysis. International Orthopaedics. 2020. DOI: 10.1007/s00264-020-04489-x
  5. [5] Imamura M, et al. Radial ESWT for disabling pain due to severe primary knee osteoarthritis. J Rehabil Med. 2017;49:54-62. DOI: 10.2340/16501977-2148
  6. [6] Hollander K, et al. EMTT for management of musculoskeletal disorders: a double-blind, placebo-controlled, randomised trial. J Back Musculoskelet Rehabil. 2025. DOI: 10.1177/10538127251400083
  7. [7] Gerdesmeyer L, et al. Extracorporeal magnetotransduction therapy as a new form of electromagnetic wave therapy. Biomedicines. 2024;12(10):2269. DOI: 10.3390/biomedicines12102269
  8. [8] Serrano-Garcia B, et al. Effects of manual therapy and strengthening exercise on pain in knee osteoarthritis. Applied Sciences. 2025;15(1):215. DOI: 10.3390/app15010215
  9. [9] Perlman AI, et al. Massage therapy for osteoarthritis of the knee: a randomized dose-finding trial. PLOS ONE. 2012;7(2):e30248. DOI: 10.1371/journal.pone.0030248
  10. [10] Perlman AI, et al. Massage therapy for osteoarthritis of the knee: a randomized controlled trial. JAMA Internal Medicine.
  11. [11] Skou ST, et al. iBEAT-OA randomized clinical trial. JAMA Network Open. 2021. DOI: 10.1001/jamanetworkopen.2021.0012
  12. [12] Bennell K, et al. Behavior change text messages for home exercise adherence in knee OA. J Med Internet Res. 2020;22(9):e21749. DOI: 10.2196/21749
  13. [13] NICE. Osteoarthritis in over 16s: diagnosis and management (NG226). 2022.
  14. [14] AAOS. Management of osteoarthritis of the knee (non-arthroplasty) clinical practice guideline.
  15. [15] American College of Rheumatology. Osteoarthritis clinical practice guidelines (2019 ACR/AF).

Knee OsteoarthritisFAQ

Here are answers to some of the most common questions about Knee Osteoarthritis.

6 results found

Is walking bad for knee osteoarthritis?

For most people, no. The issue is usually how much and whether your muscles are strong enough to handle it. We test and dose this for you.

Does shockwave therapy really work for knee OA?

Multiple clinical trials show meaningful pain and function improvements when ESWT is combined with proper rehab. We use shockwave as an adjunct, not a magic wand.

Do I need glute or quad exercises?

Both. Strong hips control how your knee moves; strong quads help absorb load and protect the joint.

How many sessions will I need?

Typically: Shockwave 3 to 5 sessions, EMTT 8 to 10 sessions, strength and aftercare usually 6 to 12+ weeks depending on severity and goals. We map this out for you in your first visit.

My X-ray looks terrible. Does that mean I need surgery?

Not necessarily. Research consistently shows that X-ray severity often doesn’t match how much pain someone feels. Pain can be driven by inflammation, soft tissue overload, and nerve sensitivity rather than cartilage loss alone. Addressing those contributors can often make a real difference. We review your imaging at the assessment and give you an honest opinion.

What if I’ve already had a knee replacement on the other side?

You may still benefit from structured treatment on the remaining knee. One of our patients had a replacement on one side, chose our program for the other, and saw meaningful pain reduction and mobility improvement. We assess your specific situation and tell you honestly if we can help.

YOUR NEXT STEP

Ready to See What’s Actually Driving Your Knee Pain?

Stop guessing, stop collecting random treatments, and get a plan that treats the system, not just the joint.

Initial Knee Osteoarthritis Assessment — Edmonton

60-minute one-on-one session. Here’s what’s included:

1

Full-body movement and strength assessment (hip, knee, ankle, spine)

2

Identify which pain drivers matter for your case

3

Review of history and imaging if available

4

Clear written plan with transparent pricing before you commit

No referral needed. No obligation to continue beyond the first visit.

No pressure, no contracts.

We will tell you honestly at the assessment if we don't believe you're a good candidate for this approach. If your condition needs something different, we'll refer you directly.

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