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Writer's pictureDr. W Zach Smith

The 5 Common Causes Of Knee Pain

Updated: Nov 28, 2022

Knee pain is a common problem that can be caused by many different things. In this blog post, we will discuss the top 5 causes of knee pain and what you can do to prevent knee pain. If you are experiencing knee pain, it is important to see a physical therapist for assessment and treatment. Physical therapists are experts in diagnosing and treating knee pain and can help you get back to your regular activities quickly!


1. Muscle Weakness or Imbalance


Poor knee strength due to muscle imbalance or weakness can contribute to knee pain. Physical therapists are experts in evaluating knee strength and will design an individualized exercise program to address any deficits. Exercises that focus on strengthening the muscles around the knee, such as squats and leg extensions, can help improve knee stability and reduce knee pain.

The knee joint is one of the most complex parts of the human body, and knee problems are often caused by improper exercise, repetitive motion, and muscle imbalances. Muscle imbalances can place excessive strain on the knee joint, leading to knee pain. Many people experience such knee issues due to a number of factors including a sedentary lifestyle, too much time spent on the same activities or exercises and an imbalance in strength between the front and back muscles that support the knee. Muscle imbalances can put excessive force on tendons attached to your knee which can cause patellar tendonitis, as well as affect your hip mobility which is essential for your knee's overall stability. Imbalanced muscles also alter how your knee absorbs shock when you move or jump with one leg, creating excess stress on certain areas. When ignored, muscle imbalances can lead to knee instability, inflammation and even more serious injuries such as tears or ruptures in the ligaments. The good news is that you can avoid knee pain caused by muscle imbalances by regularly engaging in strengthening exercises that target both sides of your body equally and build strength throughout all of your major muscle groups. Setting aside time each day to stretch or foam roll before or after workouts will help maintain healthy tissue flexibility which is key for avoiding injury in general. Taking steps now to maintain balanced muscles will not only reduce knee pain but protect against knee problems for years to come.


2. Poor Flexibility


Tight muscles around the knee can lead to pain and instability. Stretching is important for overall flexibility and range of motion, so physical therapists may prescribe specific stretches targeting the tight muscles around the knee joint. Strength exercises and dynamic mobility may also be beneficial in improving knee flexibility and reducing discomfort associated with tightness in this area.

Regular physical activity may be one of the best ways to reduce knee pain, but it's just as important to stretch correctly. When physical therapists work with patients who have chronic knee issues, stretching is a key step in their rehabilitation plan. It helps to loosen tight muscles and improve joint mobility, reducing pain and restoring good posture. The most important muscles to stretch to reduce knee pain are the quads, hamstrings, and piriformis.


3. Knee Overuse Injury


Too much physical activity can cause knee pain, especially when the knee isn't given enough time to rest and recover from exercise. At first, this typically presents as a sore knee with mild discomfort. This is why it's important to listen to your body and take breaks when needed. Working with a physical therapist can help you identify activities that may be aggravating your knee pain, as well as ways to modify these activities in order to reduce knee strain and discomfort.


Knee pain from overuse often occurs at the front of the knee at the top or bottom of the knee cap. Knee pain from overuse is usually worse with activities such as squatting, lunging, and climbing stairs. Sometimes you will have knee pain with sitting for a prolonged period. This is usually worse after activity.


4. Improper Footwear


Poorly fitting shoes or worn-out shoes can put additional stress on the knee joints, causing knee pain or even injury. When a shoe wears unevenly it can cause the foot to roll in or out too much, with will put stress on the knee. To avoid this, make sure you are wearing properly fitted shoes that are designed for the activity that you are doing! Your physical therapist can help you identify the right type of shoes for your activities.


Finding the best brand of shoe for foot health can seem daunting, with so many different types and styles available. However, there are certain features to look for that can relieve pain and help prevent knee injuries. For athletes, a running or walking shoe should be constructed with a wide toe box and flexible sole that provide adequate space and cushioning in order to reduce pressure on the feet and maximize shock absorption. A shoe with added arch support is also beneficial in ensuring maximum stability. For everyday wear it is best to go for shoes with laces as opposed to slip-ons, as this will better support the foot and ankle during longer periods of standing. If shoes that offer more arch support can't be found, using custom orthotics could provide comfort while walking or running. The key is to find a shoe that fits well, supports the foot correctly and has been designed with materials that are comfortable throughout an entire day's wear. Taking into account these factors will ensure optimal foot health when selecting a brand of shoes.


5. Injuries or Accidents


Traumatic knee injuries can cause lasting knee pain and instability, so it is important to seek medical attention if you experience knee pain as a result of an injury or accident. Physical therapists are skilled at evaluating knee injuries and providing appropriate treatment plans that focus on restoring strength and stability to the knee joint. Some common injuries of the knee include:

  • Torn meniscus

  • Dislocated kneecap

  • Anterior cruciate ligament injuries / sprain

  • Patellar tendon rupture

  • Osgood Schlatter

  • Rheumatoid arthritis

  • Patellar tendinitis

  • Patellofemoral pain syndrome



No matter what is causing your knee pain, physical therapy can help! A physical therapist can assess your knee and design a personalized exercise program tailored specifically to your needs. If you are experiencing knee pain, don't wait – contact a physical therapist today! They will be able to provide advice and exercises that will help reduce.



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