Knee Pain When Climbing Stairs: Causes and Relief Strategies - Orthopedics

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Pain in one of the tendons of the knee joint?


Hello, Doctor.
Recently, my knees often hurt when going up and down stairs, especially when going down.
Even sitting at my desk, just slightly bending my knees causes pain.
When I press on the painful area, it feels like one of the tendons near the knee joint is hurting.
This condition occurs in both knees but at irregular times! However, since I am currently abroad and cannot see a doctor immediately, I would like to ask if there are any alternative solutions (such as exercises or dietary changes) that could help alleviate the pain for now.
Thank you!

Jen, 20~29 year old female. Ask Date: 2006/01/28

Dr. Shi Guozheng reply Orthopedics


Reducing the number of times you go up and down stairs may help, and try to avoid squatting as much as possible.
Your symptoms may be caused by tendonitis near the joint.
If it doesn't improve, you might consider taking some pain relievers for relief; if that doesn't work, you will need to see a doctor.

Reply Date: 2006/01/28

More Info


Knee pain during activities such as climbing stairs is a common complaint and can stem from various underlying causes. Given your description of pain when bending your knees, especially during stair descent and while sitting, it suggests that there may be issues related to the knee joint, tendons, or surrounding muscles. Here’s a comprehensive overview of potential causes and relief strategies.


Potential Causes of Knee Pain
1. Patellofemoral Pain Syndrome (PFPS): Often referred to as "runner's knee," this condition is characterized by pain around the kneecap (patella) and is commonly exacerbated by activities that put stress on the knee, such as climbing stairs. It can occur due to muscle imbalances, overuse, or improper tracking of the patella.

2. Tendinitis: Inflammation of the tendons around the knee, particularly the patellar tendon (which connects the kneecap to the shinbone), can cause pain during movement. This is often seen in athletes or individuals who engage in repetitive activities.

3. Meniscus Tear: The menisci are cartilage structures that cushion the knee joint. A tear can occur due to sudden twisting movements or degeneration over time, leading to pain, swelling, and difficulty with movement.

4. Osteoarthritis: This degenerative joint disease can lead to pain, stiffness, and swelling in the knee, especially during activities that involve bending or weight-bearing.

5. Bursitis: Inflammation of the bursae (small fluid-filled sacs that cushion the knee joint) can cause pain, particularly when bending the knee or during activities that involve kneeling.


Relief Strategies
While you are currently unable to see a healthcare provider, there are several strategies you can implement to alleviate your knee pain:
1. Rest and Activity Modification: Avoid activities that exacerbate your pain, such as climbing stairs or prolonged sitting with bent knees. Allow your knee to rest and recover.

2. Ice Therapy: Applying ice to the affected area for 15-20 minutes several times a day can help reduce inflammation and numb the pain.

3. Compression: Using a knee brace or wrap can provide support and reduce swelling. However, if you experience significant discomfort from wearing a brace, it may be best to avoid it.

4. Elevation: Keeping your knee elevated can help reduce swelling, especially after activities that aggravate the pain.

5. Gentle Stretching and Strengthening Exercises: Once the acute pain subsides, gentle stretching of the quadriceps, hamstrings, and calf muscles can improve flexibility. Strengthening exercises targeting the muscles around the knee, such as straight leg raises and wall sits, can help stabilize the joint.

6. Over-the-Counter Pain Relief: If you are not allergic, nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen or naproxen can help reduce pain and inflammation. However, consult with a healthcare provider if you have any contraindications.

7. Dietary Considerations: Incorporating anti-inflammatory foods into your diet, such as fatty fish (rich in omega-3 fatty acids), nuts, seeds, fruits, and vegetables, may help reduce overall inflammation in the body.

8. Weight Management: If applicable, maintaining a healthy weight can reduce stress on the knees, potentially alleviating pain.


When to Seek Medical Attention
If your symptoms persist or worsen despite these measures, it is crucial to seek medical attention as soon as you are able. A healthcare provider can perform a thorough evaluation, which may include imaging studies like X-rays or MRI, to determine the exact cause of your knee pain and recommend appropriate treatment options.

In summary, while knee pain can be frustrating, implementing these strategies may provide temporary relief. However, a definitive diagnosis and treatment plan from a healthcare professional are essential for long-term management.

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