What Causes Knee Pain Going Down Stairs?

Published on: August 22, 2023
A person feeling knee pain when going down the stairs.

Knee pain is a common problem that affects many people, especially those who are older or who have had previous knee injuries. One of the most common causes of knee pain is going up or down stairs. If you have knee pain going down stairs, it may indicate a few different knee conditions.

When you go down stairs, you put a lot of stress on your knees, which can cause pain and discomfort. There are different factors that can contribute to knee pain when going down stairs and options to provide knee pain relief.

Causes of Knee Pain When Going Down Stairs

One of the primary causes of knee pain when going down stairs is overuse. This can occur when you engage in activities that require repetitive bending of the knees, such as running or jumping. This can result in a few different conditions that can cause knee pain going down stairs, including:

  • Runner’s knee (Patellofemoral Pain Syndrome). Runner’s knee occurs due to overuse and stress on the kneecap. To avoid overuse, it is important to engage in moderate exercise that is appropriate for your fitness level and to take breaks when you feel pain or discomfort.
  • Chondromalacia patella. This condition results in a break down of the cartilage under the knee cap, which can cause knee pain when going up and down stairs. Chondromalacia patella can be caused by overuse, obesity and other factors.
  • Arthritis. Another common cause of knee pain when going down stairs is arthritis. When arthritis affects the knees, it causes knee pain when going up and down stairs. There are many different types of arthritis, including osteoarthritis, rheumatoid arthritis, and psoriatic arthritis.
  • Injury. Injuries to the knee due to overuse or accidents can also cause pain when going down stairs. This can include ligament tears, meniscus tears, and fractures. These injuries can occur as a result of a fall, a sports injury, or a car accident.
  • Poor alignment and muscle imbalances. If your muscles are not balanced, it can put extra strain on your knees when you go down stairs. This can cause pain and discomfort over time. To address this issue, it is important to engage in exercises that strengthen the muscles around your knee and improve your overall alignment.
  • Bursitis. The knee has multiple bursae that can become inflamed (bursitis) and cause pain during movement, including going up and down stairs.
  • Obesity. If you are overweight, it can contribute to knee pain when going down stairs. When you are overweight, it puts extra strain on your knees, which can cause pain and discomfort. To address this issue, it is important to maintain a healthy weight through a combination of exercise and a healthy diet.

It is estimated that over three times your body weight is stressed on the knees while going down stairs. This explains why if you have any knee condition, going down stairs is likely to cause the most pain and discomfort.

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Relief for Knee Pain Going Down Stairs

If you are experiencing knee pain when going down stairs, there are several things you can do to alleviate the pain. One of the first steps is to rest your knee and avoid activities that exacerbate the pain. This is often effective for minor strains and sprains that cause knee pain. Some other treatments include:

  • You can also apply ice to the affected area to reduce inflammation and pain. Apply ice packs for about 15 minutes per session multiple times a day.
  • Over-the-counter pain medication, such as ibuprofen, can also help alleviate pain and discomfort. NSAIDs can relieve inflammation caused by injuries or arthritis.
  • Losing weight can reduce the stress on your knee and reduce the pain when climbing or going down stairs.
  • Changing footwear or using a knee brace can be helpful in relieving knee pain going down stairs.
  • Physical therapy can also be an effective treatment for knee pain when going down stairs. A physical therapist can help you develop an exercise program that strengthens the muscles around your knee and improves your overall alignment. They may also use techniques such as massage and stretching to alleviate pain and discomfort.

In some cases, surgery may be necessary to address knee pain when going down stairs. This can include procedures such as arthroscopy, which involves removing damaged tissue from the knee, or knee replacement surgery, which involves replacing the entire knee joint with an artificial joint.

Knee pain when going down stairs can be caused by a variety of factors, including overuse, arthritis, injuries, poor alignment, muscle imbalances, and obesity. If resting your knee and using conservative methods are not effective for pain relief, you may need medical treatment.
A man suffering from knee pain sitting on stairs.
If you are experiencing knee pain when going down stairs, it is important to see a doctor to get a proper diagnosis and treatment plan. With the right treatment, you can alleviate pain and discomfort and get back to your normal activities.

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