Stairs. Getting out of the car. Standing up from a low chair. If your knees or hips complain at every one of these, you are not alone, and you do not have to stop moving. The great yoga teachers and the medical doctors who worked with Mr BKS Iyengar agree: keep the joint moving, the right way. This guide brings together what each of them says about hip and knee pain, recovery after a knee or hip replacement, and what modern research has found. Last updated: 1 November 2026.
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Hip and knee pain: the short answer
Does yoga help hip and knee pain? Yes, and the knee has the most proof. Across the reviews, people with sore knees had less pain and stiffness and moved better after yoga. In head-to-head trials, yoga did as well as strengthening exercise, and sometimes better. After a knee replacement, adding yoga to physiotherapy gave less pain and stiffness.
The hip is different. No trial has yet tested yoga on its own for hip pain, and the research after a hip replacement is thin. Hips appear only inside big reviews that pool knees and hips together, where yoga eased pain about as much as the best exercise types. Not yet studied is not the same as not working. Mr Iyengar set out a yoga approach for the hip as well as the knee, and the yoga doctors explain why it works: movement feeds the joint, strong legs brace it, and props let you move without forcing it.
One thing to keep in mind as you read: most trials tested “yoga” of many styles, taught by teachers with very different training. The trials that tested Iyengar yoga specifically, taught by trained Iyengar teachers, found knee pain eased too, and in our view well-taught Iyengar yoga is likely to go further than the average. Why the kind of yoga matters.
The bottom line: five key moves for hip and knee pain
- Go to a yoga class at your level, several times a week. Two or three classes a week is a good start, and more is better. The trials that worked ran for 8 weeks or more, so give it time.
- Build strong legs. Standing poses, with a chair or the wall, build the thigh and hip muscles that brace the knee. Weak legs leave the joint to take the load.
- Keep moving on sore days. Choose gentle or supported poses, with props, rather than stopping. Stillness feeds stiffness.
- Add breath work (pranayama). A calmer mind bears pain better, and slow breathing and mindfulness have eased knee pain in trials.
- Start now. New to Flametree, or away 3 months or more? 2 free classes, then 10 at half price, in Darwin or LIVE online.
Iyengar yoga is the style we teach at Flametree. During the 20th century, Mr BKS Iyengar was the major person who codified traditional Indian yoga, through his seminal books and widespread teaching. He also pioneered the use of props, so poses can be adapted to almost any body. His style is sometimes called modern classical yoga. This guide is part of our encyclopaedia of yoga for health conditions.
This guide in short
- Mr BKS Iyengar: a yoga approach for the hip and for the knee, worked from the foot up, never forced.
- Geeta S Iyengar: attention to the legs and knees brings the pose under control.
- Dr Timothy McCall: “use it or lose it”, and one key point for Triangle Pose.
- Dr Loren Fishman: walls, chairs and blocks keep stiff hips moving.
- Dr Krishna Raman: do not lock the knees; standing poses come first, before and after a joint replacement.
- After a new knee or hip: what has been studied, and three Iyengar teachers’ own stories.
- The research: 27 studies and a guideline listed below, from small Iyengar trials to reviews of thousands of people.
- Take it further: a free ebook, our hips and arthritis masterclasses, and classes in Darwin and online.
Hip And Knee Pain On One Page
Many voices, one message: strong legs, a free joint, and never force it.
Keep the joint moving. Build support around the knee. Work from the foot up.
Pay attention to the legs and knees, and the pose comes under control.
Use it or lose it. In Triangle Pose, keep the back leg straight but not locked.
Do not lock the knees. Strong thighs brace the joint.
Knee pain eased in review after review. Yoga matched strengthening exercise. After a knee replacement, adding yoga helped.
Each source is set out in full below. Hip pain on its own has not yet had a yoga-only trial.

A lunge with a chair for support. The thigh works hard while the knee stays over the ankle.
“When the legs are shaky, the mind is also shaky.”
Why do knees and hips hurt?
The knee and hip are built very differently, and they hurt for different reasons.
- The knee is a hinge. It bends and straightens, with a little turn. Two pads of cartilage (the menisci) sit inside it as shock absorbers. Dr Krishna Raman notes that the knee is the joint most commonly prone to osteoarthritis (wear-and-tear arthritis).
- The hip is a ball and socket. It moves in every direction. Dr Raman’s words: “The hip joint is the strongest in the body.” Because it carries so much weight, it is also prone to wear.
The common reasons for sore knees and sore hips are wear in the joint, old injuries (such as a torn meniscus), tight thigh muscles that pull on the kneecap, extra body weight, and joints that are simply not moved enough. Pain from the hip can also be felt in the groin, the outer thigh or even the knee. Mr Iyengar’s institute in Pune reports that knee pain is as common as back pain, and most common in middle-aged women carrying extra weight.

The knee is a hinge. The hip and ankle do the turning. When they will not turn, the knee pays.
“Always watch your base: Be attentive to the portion nearest the ground.”
What Mr BKS Iyengar taught about hips and knees
In short: keep the joint moving, build support around it, work from the foot up, and never force it.
In Yoga: The Path to Holistic Health, Mr Iyengar sets out a yoga approach for 72 health conditions, including wear in the hips (p. 334) and in the knees (p. 337). His ideas, in our words:
- The hip: break the vicious circle. The hip carries a lot of weight. Pain cuts movement, and inactivity adds stiffness. His long course keeps the hip moving and the muscles around it working.
- The knee: build support. He describes less lubricating fluid in the joint, rough cartilage, swelling, and a knee that loses its bend and stretch. His course builds strength and support in the leg around the knee, so the joint is braced rather than loaded.
- Work from the outside in. Start away from the sore joint, at the far end of the limb, and work towards it. “Do not get discouraged” if it takes time (p. 263).
- Poses lubricate joints, in his words (p. 262). He is plain that a joint may not fully recover, but that yoga can ease the suffering.
- Standing poses build the ankles and knees (Light on Life, p. 45).
- Never force a stiff knee. In The Tree of Yoga (pp. 33 to 34) he warns against forcing a stiff knee into the lotus pose. Understand the stiffness, and go step by step. A beginner learns by joining foot, ankle, knee and hip in order (pp. 149 to 151).
The Leg Is A Chain
A sore knee often sits between a stiff hip and a weak foot. Yoga works the whole chain.
ball and socket: turns many ways
a hinge: bends and straightens
steadies the shin
the base everything stands on
- Start at the base. A dropped arch or a rolled ankle twists the knee above it.
- Let the hip turn. When a stiff hip will not turn, the knee gets twisted instead.
- Strong thighs brace the knee from both sides.
- Work from the far end of the limb towards the sore joint.
Based on Mr BKS Iyengar, The Tree of Yoga (pp. 149 to 151, joining foot, ankle, knee and hip in order) and Yoga: The Path to Holistic Health (p. 263, working from the far end of the limb). A simplified picture.
His institute in Pune, the Ramamani Iyengar Memorial Yoga Institute, adds practical points in an article on knee problems by Sam Motiwala and Rajvi Mehta in Yoga Rahasya, the institute’s journal. Their first caution: no jerky movements, and create space in the knee joint. Tight front thigh muscles and short ligaments add load to the knee. Their props include the wall, a brick under the front foot in standing poses, a pillow or blankets behind the knee in kneeling poses, and a chair to rest the thighs on.
We do not publish his sequences. A sequence needs a teacher who can see your knees and hips and adapt each pose, which is what a class is for.
In Light on Yoga, his first book, Mr Iyengar’s appendix of asanas for ailments has entries for knees (printed p. 427), legs (p. 427), the hamstring muscle (p. 424) and deformity in the legs (p. 420). For the knees he draws on standing, seated and kneeling poses, twists and deep work that opens the hips; for the legs and hamstrings, standing poses, lying leg stretches, forward bends and deep leg stretches. There is no separate hip entry. He advises learning these with an experienced teacher and taking them according to your own ability.
“Pay attention just to the legs and knees and the pose comes under control.”
What Geeta S Iyengar said
In short: attention to the legs and knees, and kneeling poses that rest tired knees.
Geeta S Iyengar, Mr Iyengar’s daughter, taught for decades at the Pune institute. Her book Yoga: A Gem for Women gives knee benefits for several poses, in her view:
- Hero Pose (Virasana): kneeling and sitting between the heels, usually on a prop, for rheumatic pain in the knees and gout (p. 168). The whole Hero family is praised for tired legs, knees and ankles (pp. 164 to 179).
- Garland Pose (Malasana): a supported squat, for the knees and ankles (p. 162).
- Side Angle Pose (Parsvakonasana): for arthritic and sciatic pain (p. 125).
- A seated twist (Bharadvajasana II): for the knees and shoulders (p. 233).
Knee pain is most common in middle-aged women, so her careful, practical approach matters here. In class she taught people to open the back of the knee, so the joint widens rather than jams.
“Your intelligence is in darkness in your leg in this asana.”
What Dr Timothy McCall says
In short: movement feeds cartilage, and small alignment points protect the knee.
Dr McCall is a US medical doctor and yoga therapist, author of Yoga as Medicine and former medical editor of Yoga Journal. His June 2019 list of conditions helped by yoga includes osteoarthritis (no. 68), post-joint replacement (no. 84) and total knee replacement (no. 113). His arthritis chapter is built around Marian Garfinkel, an Iyengar teacher who studied with Mr Iyengar from 1974.
- Use it or lose it. Cartilage has no blood supply. Movement pumps joint fluid through it, which is how it is fed.
- The single most helpful point in Triangle Pose for knee arthritis, in Garfinkel’s view: keep the back leg straight, without locking it.
- More space in the joint is her aim in every pose.
- Everyday furniture works as props: a kitchen table or bench.
- How Garfinkel reads a knee. In his chapter story, a runner in her fifties with arthritis in both knees, Garfinkel first watches how she stands, walks and sits, and notices the bowed legs, one hip higher than the other and the weight carried on the ball of one foot. A half forward bend with the hands on a wall shows the leg alignment and teaches it. Standing poses come after that, with a block or slanted board under the front foot, and she asks the student not to sit with the legs crossed.
- Squats may not suit. He says squatting poses such as Chair Pose and Garland Pose may be unsuitable for people with arthritis in the hips, knees or ankles, and that moving in and out of poses, rather than holding them long, is kinder to sore joints.
- Knee osteoarthritis causes more long-term disability in older people than almost any other condition, in his words.
- Adapt the one-legged poses. In his weight chapter, teacher and physical therapist Julie Gudmestad notes that balancing on one leg puts extra pressure on the standing knee. Many standing poses can be done lying down instead.
- After a joint replacement, he describes the practice being adapted for some months, with the range of movement built up gradually.
One of his stories: James, a heavy man who took up yoga, found the early soreness in his ankles and knees went after a few months of practice.
“Open the back of the knee like an eye so it gets widened.”
What Dr Krishna Raman says
In short: strong thighs brace the knee, standing poses come first, and alignment matters most.
Dr Raman is a Chennai physician who trained in yoga under Mr Iyengar. His question-and-answer book on yoga and medical science covers knees, hips and joint replacements, and his book A Matter of Health has a chapter on the joints. His views, in our words:
- Do not lock the knees. The quadriceps (front thigh muscles) should brace the joint instead.
- Standing poses prepare the hips for seated poses and forward bends.
- Knee injuries: for torn ligaments, cartilage tears and a sore kneecap, he says yoga helps most cases when standing poses are done correctly and Hero Pose is included. He also writes that knee cartilage tears are very common, and in his view can be managed without surgery in most cases.
- Alignment is yoga’s special gift to the joints. In his view, pain can ease even where a bony curve cannot change.
- Hip problems: stopping yoga may not be the answer, in his view.
- After a joint replacement: in his view, standing and inverted poses can continue, done without undue force.
What Dr Loren Fishman says
In short: the right movement is a sore joint’s best friend.
Dr Fishman is a New York rehabilitation physician who spent a year in Pune with Mr Iyengar. With yoga therapist Ellen Saltonstall he teaches an online course on healthy hips. It uses walls, chairs and blocks to keep the hips moving while reducing wear, and teaches which poses suit a person with sore hips and how to offer other versions in a mixed class. The two describe movement as the best friend of an arthritic joint, provided it is the right type of movement.

The hip moves six ways. Keeping all six alive takes load off the knee below it. From our hip mobility exercises post.
Other yoga voices on hips and knees
- The evidence for yoga in knee osteoarthritis earns four stars. Mary Flaherty, Does Yoga Work?, a careful review of the yoga research. She also names recovery after a knee replacement as an area where yoga helps. Her tip for teachers: props and alignment matter most, and every student needs other versions to choose from.
- A runner with painful arthritic knees walked and ran again after modified Iyengar poses. Told by Dr Mary Pullig Schatz, a medical doctor and yoga teacher, in Yoga Journal in 1985. She held that moving the joint keeps its lining making joint fluid.
- Arthritis poses fall into four kinds in Mr Iyengar’s therapy classes in Pune: strengthening standing poses, knee-stretching poses with a rolled towel or rope, poses that take weight off the joints, and a short list to leave out.
“I got them back after 10 to 12 years of patience with efforts.”
Can you do yoga after a knee or hip replacement?
In short: yes. People do, the few studies so far are all encouraging, and an Iyengar class is built for it.
After a joint replacement, the practice changes. Iyengar teachers adapt poses after a joint replacement and use props: a chair to sit or lean on, blocks to raise the floor, the wall for support, blankets under the knees. Range of movement is built up gradually, at the pace of the new joint. Tell your teacher which joint is new, and the poses are changed for you.
Looking for exercises after knee replacement, or a next step once the first weeks of hip replacement recovery are behind you? A well-taught yoga class gives the same strong legs, free joints and steady balance, with calm thrown in, and it keeps going long after a rehabilitation programme ends.
The research is thin, and we say so plainly. There is one controlled yoga study after a knee replacement, and none yet after a hip replacement. Here is what has been found.
After A New Knee Or Hip: What Has Been Studied
Only a handful of studies so far, and every one found something good.
Physiotherapy plus yoga gave less pain and stiffness than physiotherapy alone, from day 3 to 3 months. Bedekar 2012.
14 yoga teachers with new hips all went back to practising and teaching, on average 2 months after surgery. Yun 2021.
Less pain after a hip or knee replacement, in a review of 2 trials and 299 people. Barton 2023.
A slow breath with a long out-breath eased pain after a knee replacement. Eskimez 2025.
The evidence after a joint replacement is thin, and no controlled yoga trial has yet been done after a hip replacement. Not yet studied is not the same as not working.
- Physiotherapy plus yoga gave less pain and stiffness than physiotherapy alone after a knee replacement, at day 3, 6 weeks and 3 months. The yoga group did modified poses with their therapist, then three days a week at home. Bedekar 2012, 56 people in Pune, assigned to the two groups in turn. Read the study.
- All 14 yoga teachers who had a hip replaced went back to practising and teaching, on average 2 months after surgery, and all could do 14 classic poses. No complications at an average of 5 years. Yun 2021, a review of 19 hip replacements in Santa Monica. Read the study.
- Mindfulness lowered pain after hip and knee replacements. Barton 2023, a review of 2 trials and 299 people. Read the study.
- A short mindfulness programme gave lower pain and less pain interference 6 weeks after a knee replacement. Four 60-minute sessions. Pester 2023, 44 people compared with matched patients. Read the study.
- A slow breath, in for 4, hold for 7, out for 8, eased pain after a knee replacement. Average pain fell from 7.3 to 3.8 out of 10 within 30 minutes. Eskimez 2025, a before-and-after study with no comparison group. This is a simple breathing exercise, not pranayama. Read the study.
Three Iyengar teachers with new joints
Iyengar Yoga Canada has published the stories of three teachers who went through joint replacements. In brief:
- Jayne Jonas, Victoria, a new knee. After her knee replacement she relearned standing, balance and stairs, which took nearly three months to feel natural, then widened her practice step by step with seated, supported and restorative work. Her words: “Progress does not come all at once but through consistent effort over time.” Read her story.
- Sheri Berkowitz, Winnipeg, five hip replacements. Surgery forced her practice to change, and she rebuilt her handstand preparation with a wall and chairs. Her words: “Doing less has brought so much more.” Read her story.
- Victoria O’Duffy, Montreal, two hip replacements. She could not walk at 37. Her teacher gave her modifications: the first year was physical, the second was about trusting her body again. Her words: “Iyengar yoga has been essential in the healing of my body/mind.” Read her story.
A story: a runner’s knees
In Dr Timothy McCall’s book Yoga as Medicine, a runner in her early fifties had wear-and-tear arthritis in both knees. She had already had keyhole surgery, and even stairs were hard. She went to Marian Garfinkel, a long-time student of Mr Iyengar. Marian first watched how she stood, sat and walked. She carried her weight in her knees, her legs bowed out and her head came forward. Marian taught her to line up her knees and ankles, then gave her standing poses with props such as a table and a block. After three lessons, the book says, her alignment was better and her knees hurt less. She never went back to running, but Marian says the practice gave her hope.
Source: Timothy McCall MD, Yoga as Medicine, chapter on arthritis. The book uses a made-up name for her.
What does the research show for hip and knee pain?
In short: the knee has strong evidence, the hip has very little of its own, and the trials keep coming. Most of these studies tested yoga in general, of many styles. The Iyengar yoga trials are listed on their own below. Why the difference matters.
The Research At A Glance
Four studies that sum up the evidence. All of them, with links, are listed below.
Yoga lowered knee pain and stiffness and improved function. Lu 2024: 8 trials, 756 people with knee osteoarthritis.
Yoga did as well as strengthening exercise, and was ahead on stiffness, function and mood. Abafita 2025: 117 Tasmanians with knee osteoarthritis, 12 weeks. Yoga in general, not Iyengar yoga.
After a knee replacement, adding yoga gave less pain and stiffness. Bedekar 2012: 56 people in Pune, followed for 3 months.
Iyengar yoga added to usual care roughly halved knee pain and disability scores. Nambi and Shah 2013: 30 people, 8 weeks. Pain fell 56.8% with Iyengar yoga against 38.2% without.
Every study is listed in full in this section, with a link to read it.
Reviews of many trials
- Yoga lowered pain and stiffness and improved physical function. Lu 2024, a review of 8 trials and 756 people with knee osteoarthritis. Read the study.
- Yoga improved pain and function, most consistently at 8 weeks or more, with the biggest effect at four to seven sessions a week. Zhou 2026, a review of 14 studies and 1,183 people with knee osteoarthritis. Read the study.
- Yoga eased pain about as much as the best types of exercise, and no type was clearly ahead. Liang 2025, a review of 92 trials and 6,079 people with knee or hip osteoarthritis. This is the only big review that includes hips. Read the study. Note: this tested yoga in general, of different styles. Iyengar yoga has not yet been tested against exercise on its own. Why it matters.
- Mind-body exercise, yoga included, eased pain and stiffness, improved function and mood, and people walked further. Qiao 2024, a review of 17 articles and 1,122 people with knee osteoarthritis. Read the study.
- Ten of 14 yoga programmes reduced pain or improved function. The ones that worked ran about 8 weeks, around 53 minutes a session, and most included breathing practice. Biswas 2024, a review of 16 trials. Read the study.
- Yoga helped knee pain, function and stiffness, against both exercise and non-exercise groups. Lauche 2019, a review of 9 trials and 640 people, mainly with knee osteoarthritis. Read the study.
- Yoga helped knee pain and movement, with effects showing after as little as two weeks. Kan 2016, a review of 6 studies and 372 people. Read the study.
- Yoga eased knee pain, close behind tai chi. Wu 2025, a review of 13 mind-body trials and 558 people. Read the study.
Yoga Against Exercise, Head To Head
Four knee trials put yoga up against exercise programmes. Yoga never came off second best on pain.
Better
than therapeutic exercises on walking pain, tenderness, swelling and knee bend. 250 people, 3 months. Ebnezar 2012.
Better
than aerobic and strengthening exercise on arthritis symptoms, anxiety and fear of falling. 83 older adults. Cheung 2017.
As good
as strengthening on pain, and ahead on 7 other measures over 24 weeks. 117 people, Tasmania. Abafita 2025.
As good
as machine strengthening on pain and function. 31 women. Kuntz 2018.
All four tested yoga in general, of different styles. Iyengar yoga has not yet been tested against exercise on its own.
Trials of yoga for sore knees
- Yoga did as well as strengthening exercise on knee pain, and was ahead on 7 other measures, including stiffness and function over 24 weeks, mood at 12 weeks and quality of life at 24 weeks. Abafita 2025, a trial of 117 adults in Tasmania, 12 weeks. Read the study. Note: this tested yoga in general, of different styles. Iyengar yoga has not yet been tested against exercise on its own. Why it matters.
- Yoga beat aerobic and strengthening exercise on arthritis symptoms, anxiety and fear of falling. Cheung 2017, a trial of 83 older adults with knee osteoarthritis, 8 weeks. Read the study.
- Yoga beat therapeutic exercises on walking pain, knee bend, tenderness, swelling and walking time. Ebnezar 2012, a trial of 250 people in Bengaluru, 3 months. Read the study.
- A knee-friendly yoga programme eased pain and improved function as well as machine strengthening. Kuntz 2018, a trial of 31 women, 12 weeks. Read the study. Note: this tested yoga in general, of different styles. Iyengar yoga has not yet been tested against exercise on its own. Why it matters.
- Yoga eased knee pain and stiffness, and people stood up from a chair more easily, with gains still there at 20 weeks. Cheung 2014, a trial of 36 women averaging 72, 8 weeks. Read the study.
- Yoga improved walking, getting up and going, grip and knee movement in just one week. Deepeshwar 2018, a trial of 66 people in Bengaluru. Read the study.
- Yoga with a changed walking pattern was the only programme that lowered the load on the inside of the knee, and all three groups had less pain. Bokaeian 2021, a trial of 59 people. Read the study.
- An online yoga video programme improved knee function, stiffness and quality of life at 12 weeks. Bennell 2022, a trial of 212 people in Melbourne, three sessions a week at home. The gains faded by 24 weeks once the programme stopped, which is a good reason to keep going with a live class. Read the study.
- Yoga improved physical health, walking distance (by about 125 metres), mood and depression scores, with gains still seen at 9 months. Moonaz 2015, a trial of 75 adults with knee osteoarthritis or rheumatoid arthritis. Read the study.
Iyengar yoga studies
These studies tested Iyengar yoga specifically, taught by trained Iyengar teachers, with props and adapted poses.
- Adding Iyengar yoga cut knee pain by 56.8%, against 38.2% without it, and disability scores by 59.2% against 34.1%. Both groups had the same usual care; one added 8 weeks of Iyengar yoga. Nambi and Shah 2013, 30 people with knee osteoarthritis in one knee. This is the Iyengar knee study listed by the Iyengar associations of the US and the UK. Read the study.
- Adapted Iyengar yoga lowered knee pain and improved function, with no adverse events. Eight weeks, once a week. Kolasinski 2005, a small pilot, co-written by Marian Garfinkel. Read the study.
- Iyengar yoga improved function and quality of life. Bukowski 2006, 15 people with knee osteoarthritis, 6 weeks. Read the study.
Hip pain
No trial has yet tested yoga on its own for hip pain or hip osteoarthritis. Hips appear in the Liang 2025 review above and in one mindfulness trial below, both pooled with knees. Not yet studied is not the same as not working. Mr Iyengar gave the hip its own course, and in a well-taught class the hip is worked in every direction it can move.
Meditation and mindfulness
These trials tested mindfulness programmes, not pranayama. Pranayama trains the same steady attention through the breath.
- Four 30-minute mindfulness sessions eased knee symptoms, and did better than a sham therapy. 55% of the mindfulness group had a meaningful drop in symptoms, against 13% on the waiting list. Hanley 2025, a trial of 164 adults with knee osteoarthritis. Read the study.
- An 8-week mindfulness programme lowered pain at 6 months in people with knee or hip osteoarthritis. Marais 2022, a pilot trial of 40 people in Montpellier. Read the study.
Breathing practice (pranayama)
No trial has yet tested pranayama on its own for knee or hip pain. Breathing practice was part of most of the yoga programmes that worked, though the papers rarely say which techniques were taught, or how. Not yet studied is not the same as not working. The pranayama we teach (staircase, ocean, alternate nostril, humming and a gentle shining skull breath) is slow, nasal and taught step by step. Why the kind of breathing matters.
Guidelines
- Yoga is conditionally recommended for knee osteoarthritis, and exercise and weight loss are strongly recommended for both knee and hip. American College of Rheumatology and Arthritis Foundation, 2019 guideline (Kolasinski 2020). Read the guideline.
“I have been known to slap a man’s thigh and say, ‘Willpower is here.’”
Hip and knee pain: for men
Knee and hip pain is not only a women’s problem. It affects men too, and men tend to be stiffer in the hips and the backs of the legs, which leaves the knee to take the twist. Our stiff joints guide explains why men stiffen.
Men do far less yoga than women, and that is the gap to close. About a third of the people in our classes are men, and many of them like our back classes and the rope work, where the wall ropes take the load off sore knees and hips. Strong standing poses build the thigh muscles Dr Raman says should brace the knee, and the hip work that frees the knee below it. Bring a mate or come alone, but give it 12 weeks. Our free ebook for men, Stay In The Game, tells the stories.
How this comes together in a Flametree class
Everything above points the same way, and it is how we teach in Darwin and online.
- Props in every class: chairs, blocks, belts, blankets and the wall, so each pose fits your knees and hips.
- Classes adapted to the people in them. No one-size-fits-all. Tell your teacher which joint is sore, or new, and the poses are changed for you.
- Strong legs, free hips: standing poses build the thigh and hip strength that braces the knee, and the hip is moved in every direction.
- A practice for every kind of day: our gentle yoga and restorative yoga classes suit sore days, and the Darwin build-up, when joints swell and stiffen in the heat.
- Breath and calm: every class ends in rest, and our pranayama classes go further.
Read more on knees and hips
- Foot pain and plantar fasciitis: the full guide to heels, flat feet, bunions and Achilles pain, because the feet and ankles change the load on the knees
- Knee pain relief: why your knees hurt, and the yoga that lets you keep moving
- Yoga for hip pain: how Iyengar poses look after your hip joints
- Iyengar yoga for knees and knee arthritis
- Tight hips and hip mobility exercises
- Yoga for arthritis: the research, and how to protect sore joints
- Menopause joint pain and chair yoga for seniors
- Full guides: arthritis and yoga, stiff joints, bones and balance and back pain
Take it further
Free ebook: Strong Bones, Steady Feet. Why strong legs and steady feet matter after 50, and how standing poses in an Iyengar class build them a little at a time.
New to Flametree, or away 3 months or more? 2 free classes + 2 ebooks, only available via this offer. Already a student? You can still get this book. Get your free copy of Strong Bones, Steady Feet
- Classes, in Darwin or LIVE online: new, or away 3 months or more? 2 free classes, then 10 at half price. Already practising yoga? See the non-beginner half price pass. See every class time.
- Masterclasses with Chris Lalor, Certified Senior Iyengar Yoga Teacher and certified Yoga Therapist: yoga for stronger and more flexible hips on Sunday 6 December 2026, part of the 2026 Sunday Arvo Masterclasses, and yoga for arthritis on Monday 28 December 2026, the first of the 2027 masterclasses, with strong standing poses for the muscles around the hips and knees and props that take the strain off a knee.
- Retreats: a week of daily, adapted yoga in Bali. See the retreats.
Other conditions are in our encyclopaedia of yoga for health conditions.
Hip and knee pain: questions people ask
What did Mr BKS Iyengar teach about hip and knee pain?
In Yoga: The Path to Holistic Health, Mr Iyengar gives a yoga approach for wear in the hips (p. 334) and in the knees (p. 337). For the hip he warns of a vicious circle: pain cuts movement, and less movement brings more stiffness. For the knee, his course builds strength and support in the leg around the joint. He works from the far end of the limb towards the sore spot, uses props so nothing is forced, and tells students not to get discouraged.
Why do my hip and knee hurt at the same time?
The leg works as a chain: foot, ankle, knee and hip. The knee is a hinge between two joints that turn. When the hip is stiff or the foot collapses, the knee often takes the twist, and pain from the hip can also be felt in the knee. That is why an Iyengar class works the whole leg, from the feet up, rather than just the sore joint.
Can I do yoga after a knee replacement?
Yes. In a study of 56 people in Pune, those who added gentle, adapted yoga to their physiotherapy after a knee replacement had less pain and stiffness than those who had physiotherapy alone, from day 3 through to 3 months. Dr Krishna Raman’s view is that standing poses can continue after a joint replacement, done without undue force. Iyengar teachers adapt poses and use chairs, blocks and the wall, so the practice suits the new joint.
Can I do yoga after a hip replacement?
Many people do. In a 2021 study, 14 yoga teachers who had a hip replaced all went back to practising and teaching yoga, on average 2 months after surgery, and all could do 14 classic poses. No controlled trial has yet tested yoga after a hip replacement. Iyengar teachers adapt poses after a joint replacement and use props, so each pose suits your hip.
How does yoga fit into knee replacement recovery?
Recovery takes months, and steady effort counts more than big leaps. In the Pune study, the yoga group began modified poses soon after surgery and kept going at home, and their gains held at 3 months. A Canadian Iyengar teacher with a new knee wrote that it took nearly three months for standing, balance and stairs to feel natural, and that progress came through consistent effort over time.
Is yoga as good as strengthening exercise for sore knees?
Yes, and in some trials better. A 2025 Tasmanian trial of 117 people found yoga eased knee pain as well as strengthening exercise, and was ahead on stiffness, function, mood and quality of life on several measures. A 2017 trial of 83 older adults found yoga did better than aerobic and strengthening exercise on arthritis symptoms, anxiety and fear of falling. Both tested yoga in general, not Iyengar yoga.
Do breathing and mindfulness help knee and hip pain?
Yes. In a 2025 trial of 164 people with knee osteoarthritis, four 30-minute mindfulness sessions eased knee symptoms. A review of two trials found mindfulness lowered pain after hip and knee replacements. No trial has yet tested pranayama, yoga’s own breathing practice, on its own for knee or hip pain, but breathing practice was part of most of the yoga programmes that worked.
Where can I do yoga for hip and knee pain in Darwin or online?
Flametree Yoga Studio teaches Iyengar yoga at Woolner and Coolalinga in Darwin, and LIVE online across Australia, with chairs, blocks, belts and blankets in every class. New, or away 3 months or more? You get 2 free classes, then 10 at half price.
Where this comes from: BKS Iyengar, Yoga: The Path to Holistic Health (Dorling Kindersley), the hip and knee courses and the introduction to yoga for ailments; Light on Yoga, Appendix II (printed pp. 413 to 433); Light on Life; The Tree of Yoga; Sparks of Divinity; Astadala Yogamala. Sam N Motiwala and Rajvi H Mehta, “Knee problems”, Yoga Rahasya. Geeta S Iyengar, Yoga: A Gem for Women, and her Sydney classes, 1996. Timothy McCall MD, Yoga as Medicine (Bantam), the arthritis and weight chapters, and his June 2019 list of health conditions helped by yoga. Krishna Raman MD, A Matter of Health (Joints) and, with S. Suresh MD, Yoga and Medical Science: FAQ. Loren Fishman MD and Ellen Saltonstall, their online hips course. Mary Pullig Schatz MD, Yoga Journal, 1985. Mary Flaherty, Does Yoga Work?. Iyengar Yoga Canada, members’ stories, 2025 and 2026. Studies as linked above. Everything is summarised in our own words.
This page is general information, not medical advice. Flametree Yoga Studio, Darwin and LIVE online.
