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Joints and sports

Knee pain and osteoarthritis.

Knee pain is very common, and in adults over 40 the most common cause is osteoarthritis, where the cartilage and bone in the joint slowly change. It can make walking, stairs and sitting on the floor hard. At Rehabify in Bengaluru, Dr. Dharshan N A, a physiatrist whose MD research looked at balance and function in knee osteoarthritis, examines your knee and builds a plan to reduce pain and keep you moving.

On this page
  1. Common causes
  2. Who should see a doctor
  3. What happens at Rehabify
  4. Before and after your visit
  5. When to get help urgently
  6. Common questions
  7. Sources

Common causes

  • Osteoarthritis, the slow wear and repair of the joint, often in both knees
  • Pain at the front of the knee (patellofemoral pain), common in younger and active people
  • Meniscus or ligament injury, often after a twist
  • Tendon pain below or above the kneecap
  • Weak thigh and hip muscles, which put more load on the knee
  • Less common causes such as inflammatory arthritis, gout or infection, which the doctor checks for

Who should see a doctor

Signs to get checked

  • Knee pain that lasts more than 2 to 3 weeks or keeps coming back
  • Pain that stops you walking, climbing stairs or sleeping
  • A knee that locks, gives way or swells
  • Knee pain with falls or poor balance

What happens at Rehabify

  1. 01

    History

    When it started, what makes it worse, your work, activity and any past injury.

  2. 02

    Examination

    Swelling, range of movement, ligament tests, muscle strength, walking and balance.

  3. 03

    Scans if needed

    A standing X-ray is often enough. MRI is advised only if it will change your treatment.

  4. 04

    Your plan

    Exercise to strengthen the thigh and hip muscles, weight and activity advice, and medicines for comfort. An image-guided injection may be offered if pain stays high despite this.

  5. 05

    Rehab

    A graded programme with a physiotherapist and at home, with balance work to lower the risk of falls.

The doctor decides the right tests and treatment for you after examining you.

Before and after your visit

How to prepare

  • Bring X-rays, scans and a list of medicines
  • Wear shorts or loose trousers that roll up above the knee
  • Bring the shoes you walk in most days
  • Note what you find hard: stairs, squatting, sitting on the floor, walking distance

After your visit

You leave with a written plan, home exercises and a review date. You can send questions on WhatsApp between visits.

When to get help urgently

Medical emergency

Go to an emergency department if your knee becomes hot, red and very swollen with fever, if you cannot put any weight on it after a fall or injury, or if your calf becomes painful and swollen. Call 108 or 112 in an emergency.

Common questions

Is walking bad for knee osteoarthritis?

No. Walking and strengthening exercise are among the most helpful treatments. Start with short walks and build up. Pain that settles within a day is usually safe.

Can knee osteoarthritis be reversed?

The changes in the joint do not reverse, but pain and function often improve a lot with exercise, weight loss and good pain control.

Do knee injections help?

Steroid injections can ease a flare for some weeks. Other injections, such as hyaluronic acid or PRP, have mixed evidence. The doctor will explain the options and whether any are suitable for you.

Will I need a knee replacement?

Many people do not. If pain and function stay poor despite good treatment, the doctor will discuss a referral to an orthopaedic surgeon.

Does losing weight help my knees?

Yes. Even a small weight loss reduces the load on the knee and often reduces pain.

Sources

  1. [1]

    National Institute for Health and Care Excellence (NICE) guideline NG226. Osteoarthritis in over 16s: diagnosis and management

  2. [2]

    American College of Rheumatology (ACR) and Arthritis Foundation guideline for osteoarthritis of the hand. hip and knee, 2019

  3. [3]

    American Academy of Orthopaedic Surgeons (AAOS) clinical practice guideline. Management of osteoarthritis of the knee (non-arthroplasty)

This page is for general education and does not replace a consultation. The right plan depends on your examination.

Book a consultation

Tell us where it hurts. We plan the way back.

Start with one consultation. Choose a clinic visit or a video consult, and the team confirms your time by phone or WhatsApp.

Prefer to call? +91 79048 42576

  1. 1

    You send a request

    Online, on WhatsApp or by phone.

  2. 2

    We confirm a time

    By phone or WhatsApp, for the clinic or a video consult.

  3. 3

    You meet your doctor

    Bring your reports and wear loose clothes.