Amari Method / Conditions / Knee Pain / San Francisco
Knee Pain · San Francisco

Knee pain relief in San Francisco.

Knee pain is almost always a hip problem. The knee is caught in the middle, absorbing forces it was never designed to handle on its own. Dr. Garrett finds where your body is out of balance and teaches you how to correct it yourself.

25+ years of clinical practice First session guaranteed San Francisco + virtual
Dr. Garrett Hewstan In session · San Francisco
Why it keeps hurting

The knee is where the pain lives. But it's almost never where the problem starts.

01

The pattern nobody has explained to you

Your knee is a hinge. It does what the hip above it and the foot below it tell it to do. When parts of your hip stop doing their job, the knee starts absorbing rotational forces it wasn't built for. That shows up as pain around the kneecap, along the outside of the knee, or deep inside the joint. Most treatments look at the knee directly without asking why it's under so much stress in the first place.

02

Why strengthening your quads hasn't worked

The standard approach to knee pain is quad strengthening. But if your hip isn't controlling how your thigh bone rotates, you're just loading a misaligned joint harder. You end up with stronger legs and the same faulty mechanics. The pain stays because the pattern driving it hasn't changed.

03

Why braces and injections don't last

Braces redirect force temporarily. Cortisone reduces inflammation temporarily. Neither one changes the movement pattern that's overloading your knee in the first place. When the brace comes off or the injection wears off, the same forces return because nothing upstream has changed. The Amari Method addresses both ends at once: what's overworking releases, what's underworking re-engages, and the knee stops taking all the load.

This is exactly what your first session finds.

Book your first session — $225

First session guaranteed · In person SF or virtual

The pattern

Where knee pain actually comes from.

The knee is a transmission point. What's above it determines how it moves.

01 HIP CONTROL

Your hip isn't controlling your thigh bone.

When the muscles on the side and back of your hip aren't doing their job, your thigh bone rotates inward with every step. That inward rotation pulls the kneecap off its natural track and creates stress on structures that weren't designed for that load. This is the single most common pattern Dr. Garrett sees in people with chronic knee pain.

02 IT BAND OVERWORKING

Your IT band is overworking.

The IT band runs from the hip to just below the knee. When the hip isn't stable, the IT band picks up the slack. It tightens, creates friction on the outside of the knee, and becomes painful. Foam rolling the IT band can feel good temporarily, but it doesn't change the fact that the hip still isn't doing its job. The tightness comes right back because the cause is still there.

03 PATTERN PAIN

Your knee is absorbing forces meant for other structures.

Whether your pain is patellofemoral, IT band syndrome, meniscus irritation, or general achiness that gets worse with stairs and running, the pattern behind it is identifiable. Dr. Garrett assesses how force moves through your hip, knee, and foot and finds the specific imbalance creating your symptoms.

What happens in your first session.

Full assessment, guided protocols, and a take-home practice. 60 minutes.

01

Assessment

Dr. Garrett assesses how your body moves. Where it's overworking, where it's shut down. He's looking at your whole body, not just the part that hurts.

02

Guided protocols

Using simple props (yoga blocks, foam rollers, gymnastic rings), Dr. Garrett guides you through protocols adapted to your body in real time. You're not lying on a table. You're moving, finding positions where your body starts to rebalance itself.

03

What changes

Most clients feel a noticeable shift during the first session. The overworked areas release. The underworked areas start to re-engage. You feel the difference before you leave.

04

Take-home practice

You leave with a short practice for what was worked on that session. About five minutes. You do it on your living room floor. It maintains the changes and keeps your body moving in the right direction between sessions.

Virtual sessions work well for knee pain. Dr. Garrett assesses your movement patterns and alignment via live video and guides you through protocols in real time. Most clients notice improved knee mechanics and reduced pain during their first virtual session.

People who came in with the same thing.

"
One visit with Dr. Garrett gave me better results than three months of physical therapy.
Katie
Katie Runner
"
I've spent decades not listening to my body. Retirement gave me the time. Dr. Garrett showed me how.
Victor
Victor Newly Retired
The guarantee

Most clients feel a difference in their first session.

Book a session with Dr. Garrett. If you don't experience noticeable relief, we keep working with you until you do, at no additional charge.

$225 · First session · San Francisco + virtual
HSA / FSA accepted · Affirm available — series as low as $108/mo

Common questions.

If something isn't here, ask on a free discovery call. Dr. Garrett answers everything before you book a paid session.

My MRI shows nothing wrong with my knee. Why does it still hurt?

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A clean MRI is actually good news. It means there's no structural damage, which means the pain is mechanical. Mechanical knee pain is caused by how forces are being sent to the joint from the hip above. Your knee is being loaded in a way it wasn't designed for because something upstream is out of balance. This pattern is highly correctable without surgery or injections.

What is runner's knee and can it be treated without stopping running?

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Runner's knee (patellofemoral pain syndrome) is pain around or behind the kneecap, usually worse going downstairs or after sitting for a while. It happens because the kneecap isn't tracking correctly, and that's almost always because the hip isn't controlling thigh bone rotation. Correcting the hip restores normal tracking and the pain resolves. Some temporary mileage reduction can help during the acute phase, but complete rest is rarely necessary. Most runners can keep running while implementing the protocols.

I have IT band syndrome. Does foam rolling actually help?

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Foam rolling temporarily releases tension in the IT band, but it doesn't change why the IT band is tight. The IT band is overworking because the hip muscles aren't doing their job. Every step you take without adequate hip control reloads the tension. Restoring hip function removes the source of tightness and allows the IT band to return to normal on its own.

I was told I need a knee replacement. Is it worth trying this first?

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If the recommendation is based on osteoarthritis or chronic degeneration, it's always worth trying a conservative approach first. Many people experience significant pain reduction by improving hip mechanics and reducing the abnormal load on the knee joint, even with documented cartilage changes. The goal isn't to reverse the degeneration. It's to stop the mechanical pattern that's been accelerating it. Dr. Garrett has worked with clients who were told they needed a knee replacement and found enough relief to continue their lives without one.

I sit at a desk all day. Could that be causing my knee pain?

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It's a contributing factor for a lot of people. Prolonged sitting changes the balance between the front and back of your hips. The front gets tight, the back stops engaging. When you stand up and walk, your hip can't control your thigh bone properly, and the knee absorbs the consequences. The protocols in the Amari Method are specifically designed to counteract what sitting does to your hip mechanics.