Do your knees hurt but you can’t remember getting injured? You’re not alone. Many people experience knee pain without any obvious injury. The good news is that understanding the reasons behind your discomfort can lead you to the right solutions. Let’s dive into the common causes of knee pain without injury and how to treat it!
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As a licensed Physical Therapist Assistant with over 7 years of experience, I am passionate about helping women discover how to exercise properly and heal their pain. Join me at Good Mind + Body, where we create a supportive space for women to learn, grow, and achieve their health and wellness goals.
Understanding the Knee

The knee is a vital joint in our body that helps us move. It connects the thigh bone (femur) to the shin bone (tibia). The knee also has the kneecap (patella) in front. Inside the knee, there are cartilage and ligaments.
Cartilage acts as a cushion to protect the bones. Ligaments are like strong ropes that hold the bones together. They help keep the knee stable.
The knee allows us to bend, straighten, and support our weight when we walk, run, or jump. It’s important for all our daily activities.
Conditions Caused by Wear and Tear of the Knee

Bursitis
Bursitis occurs when the fluid-filled sacs (bursae) in your knee become inflamed. This can cause knee pain and swelling, especially when you move.
Rest, ice, and anti-inflammatory medication can help reduce the pain and swelling.
Knee Tendonitis
Knee tendonitis, also known as patellar tendinitis or jumper’s knee, is a common knee problem. It happens when the tendons in your knee become irritated due to repetitive movements or overuse. This condition causes pain in the front of the knee and can lead to severe knee pain if not treated.

Knee Arthritis
Knee arthritis is a common problem, especially in older people. It’s the most common type of arthritis and can cause joint pain and swelling.
Knee arthritis happens when the cartilage, which acts as a cushion between your bones, wears down. This can lead to severe knee pain and make it hard to do daily activities.
Rheumatoid Arthritis
Rheumatoid arthritis is an autoimmune disease where the body’s immune system attacks its own tissues. It can cause chronic knee pain, swelling, and stiffness in the affected knee. This condition can affect people of all ages.
Iliotibial Band Syndrome
Iliotibial band syndrome occurs when the ligament running down the outside of your thigh rubs against the thigh bone. This is common in runners and can cause pain on the outside of the knee.
Hip, Foot, or Ankle Problems
Problems in your hip, foot, or ankle can lead to knee pain. When other parts of your lower body are affected, it can change how you walk and put extra stress on your knee. Addressing these underlying conditions through physical therapy and proper footwear can help alleviate knee pain.
Patellofemoral Pain Syndrome
Patellofemoral pain syndrome, or pain in the front of the knee around the knee cap, is common in young adults and athletes. It often results from repetitive movements or overuse. This syndrome can cause a dull ache that worsens with physical activities like running or climbing stairs.
How to Treat Your Knee at Home
If your knee hurts, there are several treatment options you can try:
Rest and Ice Resting the affected knee and using an ice pack can help reduce pain and swelling. An elastic bandage can also provide support.
Patellar Mobilization / Patellar Gliding
How to do Patellar Mobilization at Home

Patellar mobilization is a simple technique to help relieve knee pain and improve movement. Follow these easy steps:
- Find a Comfortable Position:
- Sit or lie down with your leg straight and relaxed.
- Make sure your knee is straight but not locked.
- Locate Your Patella:
- The patella is your kneecap. It’s a small bone at the front of your knee.
- Place Your Hands:
- Use your thumb and fingers to gently hold the sides of your patella.
- Make sure you are not squeezing too hard.
- Gently Move the Patella:
- Slowly push the patella to the left and hold for a few seconds.
- Return it to the center.
- Then, push the patella to the right and hold for a few seconds.
- Return it to the center.
- Next, gently push it up towards your thigh and hold.
- Return it to the center.
- Finally, push it down towards your shin and hold.
- Repeat the Movements:
- Repeat these movements 5-10 times in each direction.
- Move slowly and gently to avoid any discomfort.
- Relax and Rest:
- After completing the mobilization, rest your knee for a few minutes.
- You can apply an ice pack if your knee feels sore.
Tips
- Be Gentle: Always move your kneecap slowly and gently to avoid any pain.
- Stay Relaxed: Keep your leg muscles relaxed during the mobilization.
- Listen to Your Body: If you feel any sharp pain, stop immediately and rest your knee.
Patellar mobilization can help improve your knee’s flexibility and reduce pain. However, if you have any serious knee conditions or if the pain persists, consult a healthcare provider or physical therapist for further advice.
Massages for Knee Pain Relief
Deep Tissue Massage:
Focuses on deeper layers of muscle and connective tissue to release tension and reduce inflammation.
Trigger Point Therapy: Targets specific points of tight muscle fibers that can cause referred pain in the knee area.
Myofascial Release: Involves gentle, sustained pressure on the myofascial connective tissues to relieve pain and improve movement.
Lymphatic Drainage Massage: Helps reduce swelling and improve circulation, which can be beneficial for knee pain caused by fluid buildup.
Exercise
Exercises can significantly alleviate knee pain by improving flexibility, strengthening the muscles around the knee, and enhancing joint stability. When you engage in regular physical activity, blood flow to the knee increases, promoting the delivery of essential nutrients and lubrication to the joint. Strengthening the muscles, particularly the quadriceps and hamstrings, helps support the knee and reduces the strain on the joint itself.
Furthermore, gentle movements also help to reduce stiffness, decrease inflammation, and improve overall function, leading to a better quality of life for those experiencing knee pain.
Here are some basic exercises:
Straight Leg Raises:
- Lie on your back with one leg bent and the other straight.
- Slowly lift the straight leg to the height of the bent knee, hold for a few seconds, then lower it.
- Repeat 10-15 times for each leg.
- Heel Slides:
- Sit with your legs straight in front of you.
- Slowly slide one heel towards your buttocks, bending the knee, then slide it back out.
- Repeat 10-15 times for each leg.
- Quad Sets:
- Sit or lie with your legs straight.
- Tighten the muscles on the front of your thigh (quadriceps) by pushing your knee down into the ground.
- Hold for 5-10 seconds, then relax. Repeat 10-15 times.
Other Treatment Methods:
Physical Therapy
A physical therapist can teach you exercises to strengthen the parts of your knee and improve flexibility. Physical therapy is often the best way to treat chronic knee pain.
Knee Braces
Knee braces can provide support and help you move more easily. They can be helpful for different causes of knee pain.
Weight Management
Excess weight puts extra pressure on your knees. Losing weight can help reduce knee pain.
Surgery In severe cases, knee surgery or total knee replacement might be needed. This is usually a last resort when other treatments don’t work.
When to See a Healthcare Provider
If you have severe knee pain, swelling, or a sudden change in your knee’s ability to move, see a healthcare provider. These symptoms could be signs of a serious problem that needs medical treatment.
Knee pain is a common complaint, but you don’t have to live with it. There are many treatment options to help you feel better and get back to your daily activities. If you’re not sure what’s causing your knee pain, a healthcare provider can help you find the cause and create a treatment plan that’s right for you.
The Takeaway
Knee pain without injury can stem from various causes like arthritis, patellofemoral pain syndrome, Baker’s cysts, and more. Identifying the source of your pain is the first step towards effective treatment. Options like rest, ice, physical therapy, medication, and knee braces can help manage and alleviate discomfort. If severe knee pain or sudden changes in knee function occur, it’s crucial to consult a healthcare provider. Understanding the causes and treatment options for knee pain can help you find relief and get back to your daily activities.
The Good Mind and Body assumes no responsibility or liability for any errors or omissions in the content of this site. The use of the information is at the user’s own risk. Not Financial, Legal, or Medical Advice: The content on this website does not constitute financial, legal, medical, or any other professional advice. Users should consult with the relevant professionals for specific advice related to their situation. The information contained in this site is provided on an “as is” basis with no guarantees of completeness.
References
- Sit RWS, Chan KKW, Zou D, Chan DCC, Yip BHK, Zhang DD, Chan YH, Chung VCH, Reeves KD, Wong SYS. Clinic-Based Patellar Mobilization Therapy for Knee Osteoarthritis: A Randomized Clinical Trial. Ann Fam Med. 2018 Nov;16(6):521-529. doi: 10.1370/afm.2320. PMID: 30420367; PMCID: PMC6231921.
- Pereira PM, Baptista JS, Conceição F, Duarte J, Ferraz J, Costa JT. Patellofemoral Pain Syndrome Risk Associated with Squats: A Systematic Review. Int J Environ Res Public Health. 2022 Jul 28;19(15):9241. doi: 10.3390/ijerph19159241. PMID: 35954598; PMCID: PMC9367913.
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