KNEE PAIN: CAUSES, INJURIES, & HOW PHYSIOTHERAPY CAN HELP

Knee pain is one of the most common reasons people seek physiotherapy. Whether it starts suddenly after an injury or gradually builds over time, knee pain can affect walking, running, cycling, navigating stairs, getting in and out of the car, standing up from sitting, and everyday life. At Therapy X, our physiotherapists help people identify the root cause of their knee pain and create a plan to get them moving comfortably again.

This guide explains common knee pain causes, frequent knee injury diagnoses, and how physiotherapy can be an effective, long-term knee pain treatment.

Common Causes of Knee Pain

Knee pain rarely has a single cause. It often develops due to a combination of movement patterns, strength imbalances, training load, and tissue stress. Some of the most common knee pain causes we see include:

  • Overuse from running, cycling, or high-impact sports
  • Sudden increases in activity or training volume
  • Muscle weakness or poor load control at the hip, knee, or ankle
  • Reduced mobility in the hips or ankles
  • Previous knee injury that never fully resolved
  • Poor movement mechanics when walking, squatting, or using stairs
  • Osteoarthritis

People often notice knee pain during specific activities, such as knee pain going down stairs, prolonged sitting, squatting, or kneeling.

Common Knee Injury Diagnosis

Understanding the diagnosis behind your knee pain is key to choosing the right treatment. Some of the most common knee injuries and conditions treated with physiotherapy include:

Patellofemoral Pain Syndrome (PFPS) aka Runner’s Knee

Often felt as pain around or behind the kneecap, this condition is common in runners and active individuals. It is frequently associated with knee pain from running or knee pain after running, especially when going downhill or down stairs.

Meniscus Injury

A meniscus tear can cause sharp pain, swelling, locking, or catching in the knee. Many people report knee pain inside of the knee, particularly with twisting, deep bending movements, or simple movements such as stepping off a curb.

Ligament Injuries (ACL, MCL, LCL)

Ligament injuries usually occur after a sudden twist, pivot, or impact. Physiotherapy plays a critical role in both non-surgical management and post-surgical rehabilitation.

Patellar Tendinopathy (Jumper’s Knee)

This condition affects the tendon below the kneecap and is common in runners, and athletes who jump, sprint, or change direction frequently.

Iliotibial Band Syndrome (IT Band Syndrome)

Frequently seen in runners and cyclists, IT band syndrome can cause outer knee pain and discomfort during repetitive activities such as knee pain from cycling.

Osteoarthritis of the Knee

Degenerative changes in the knee joint can lead to stiffness, swelling, and pain with weight-bearing activities. Physiotherapy helps manage symptoms and improve function at any stage.

Knee Pain From Running & Cycling

Running and cycling place repetitive loads through the knee. Knee pain from running or knee pain after running is often linked to training errors, footwear, strength deficits, or altered running mechanics. Similarly, knee pain from cycling may stem from bike setup issues, muscle imbalances, or excessive training volume.

Physiotherapy addresses these factors through movement analysis, strength training, and load management rather than just treating symptoms.

How Physiotherapy Helps With Knee Pain

Physiotherapy is one of the most effective, evidence-based approaches to knee pain treatment. At Therapy X in South Granville, Vancouver, our approach focuses on understanding why your knee hurts and what your knee needs to heal.

Your physiotherapy program may include:

  • A thorough assessment to identify the true cause of your knee pain
  • Manual therapy to improve joint and soft tissue mobility
  • Progressive strengthening to support the knee and surrounding joints
  • Targeted knee pain exercises to restore control and confidence
  • Gait, running, or cycling assessment when relevant
  • Education on activity modification and injury prevention
  • Corrective exercises 

Rather than resting indefinitely, physiotherapy helps you return to movement safely and efficiently.

Knee Pain Exercises: Why They Matter

Specific knee pain exercises are essential for recovery. Exercises help strengthen the muscles that support the knee, improve joint control, and reduce stress on painful structures.

Exercises are always individualized based on your diagnosis, goals, and current ability. The right exercises performed consistently can significantly reduce pain and prevent recurrence.

Physiotherapy for Knee Pain in South Granville, Vancouver

If you are searching for physiotherapy for knee pain in South Granville, Vancouver, Therapy X offers one-on-one, personalized care focused on long-term results. We work with active individuals, runners, cyclists, and people managing everyday knee pain.

Our clinic is conveniently located in South Granville and serves clients from across Vancouver who want expert assessment and practical, long-term solutions for knee injuries and knee pain.

Frequently Asked Questions About Knee Pain

What causes knee pain without a clear injury?

Knee pain can develop from overuse, muscle weakness, poor movement mechanics, or gradual tissue overload, even without a specific injury.

Should I stop running if I have knee pain?

Not always. Many cases of knee pain from running can be managed by adjusting training, improving strength, and correcting movement patterns with physiotherapy guidance.

Why do I have knee pain going down stairs?

Knee pain going down stairs often points to issues with load control around the kneecap or weakness in the quadriceps and hip muscles.

Can physiotherapy help knee arthritis?

Yes, physiotherapy is a proven treatment for knee osteoarthritis and focuses on improving strength, mobility, and daily function.

How many sessions do I need for my knee pain?

Recovery time depends on the cause and severity of the knee injury. Many people notice improvement within a few weeks of consistent physiotherapy and exercise.

Do I need imaging for knee pain?

Not always - a detailed physiotherapy assessment can often identify the cause of knee pain without imaging, and many conditions respond well to conservative care.

If knee pain is limiting your movement or performance, physiotherapy can help. Book an assessment at Therapy X in South Granville, Vancouver, and take the first step toward lasting relief.

With Care,

Therapy X Collective