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Conditions › Lower Limb › Knee Pain

Lower Limb

Knee Pain

The knee takes enormous daily load β€” no wonder it's one of the most common places people feel pain.

Knee Joint Shin Thigh

A hinge joint under constant load

The knee is a hinge joint stabilised by ligaments and supported by the surrounding thigh and calf muscles, with cartilage cushioning the bones and the kneecap tracking in its own groove. Pain can come from any of these structures, or be referred from the hip.

CAUSE
Repetitive impact or muscle imbalance
TCM MECHANISM
Stagnation along the Stomach, Spleen & Gallbladder meridians of the knee
EFFECT
Pain with stairs, squatting or prolonged activity

What commonly causes knee pain?

πŸƒRunning / Repetitive Impact
πŸ‹οΈSquatting Under Load
πŸͺœStairs
⚽Sudden Twisting Movements
πŸŽ‚Age-Related Joint Wear
πŸ’ͺMuscle Imbalance

Knee Pain may also cause

Pain with stairs or squatting
Swelling around the knee
A grinding or clicking sensation
Instability or a feeling of giving way
Stiffness after sitting
Pain that worsens with prolonged activity

How the tissues involved actually behave

Patellofemoral Joint

The kneecap's tracking in its groove is a very common source of pain, especially with stairs and squatting.

Ligaments

The knee's stabilising ligaments can be strained with twisting or sudden directional changes.

Menisci

These cartilage cushions can be irritated or torn, particularly with twisting under load.

Quadriceps & Hamstring Balance

Imbalance between these muscle groups is commonly associated with patellofemoral pain.

Joint Cartilage

Gradual wear of the joint surface contributes to age-related knee pain and stiffness.

Referred Pain

Hip problems can sometimes present as knee pain, which is why we assess the whole leg.

How Traditional Chinese Medicine views this condition

Qi, Blood & the Meridian Pathways

The knee is crossed by the Stomach, Spleen, Gallbladder and Bladder meridians in Traditional Chinese Medicine. Persistent knee pain and swelling is traditionally understood as stagnation of Qi, Blood, or in some cases accumulated Dampness, along these pathways.

This is the traditional framework that guides our treatment approach β€” not a claim that has been scientifically proven. We combine it alongside modern musculoskeletal assessment, never in place of it.
  • Stomach Meridian Front of the knee
  • Spleen Meridian Inner knee
  • Gallbladder Meridian Outer knee

Assessment first, then a plan built around you

Assessment
Remedial Massage
Chinese Tuina
Fire Cupping
Dry Needling
Trigger Point Therapy
Stretching
Self-Care Advice

Knee Pain β€” your questions answered

Is my knee pain a torn ligament or just muscular?

This distinction usually requires proper assessment, and sometimes imaging, especially if there was a specific twisting injury.

Can massage help knee pain?

Yes, particularly for muscular imbalance and tightness contributing to patellofemoral pain, alongside strengthening exercises.

Should I stop running with knee pain?

Often a temporary reduction rather than complete stopping is recommended, alongside assessment of the underlying cause.

Is clicking in my knee something to worry about?

Painless clicking is very common and usually not concerning; clicking with pain or swelling is worth assessing.

How long does knee pain typically take to improve?

This varies widely by cause, from weeks for muscular imbalance to longer for structural issues.

Will strengthening exercises really help?

Yes, quadriceps and hip strengthening is one of the most well-supported approaches for common patellofemoral knee pain.

Is this related to my hip?

It can be β€” hip weakness is a recognised contributor to knee tracking problems.

Should I use a knee brace?

Some people find temporary bracing helpful during flare-ups or specific activities, though it's not a long-term fix on its own.

Can dry needling help knee pain?

It may help with tight surrounding muscles like the quadriceps or IT band contributing to knee strain.

When should I get a scan?

If there was a specific twisting injury, if the knee gives way, or if pain and swelling persist despite conservative care.

What you can do between sessions

Strengthening

Gradual quadriceps and hip strengthening supports knee stability.

Load Management

Modify high-impact or deep squatting activity temporarily if aggravating.

Stretching

Gentle stretching of the quadriceps, hamstrings and calves supports overall leg balance.

Footwear

Supportive, appropriate footwear can reduce strain through the knee.

Ice

Icing after activity can help manage swelling and discomfort.

Know the red flags

Seek medical attention if you experience:

  • Inability to bear weight after an injury
  • A knee that gives way or locks
  • Significant swelling appearing suddenly
  • Visible deformity following trauma
  • Signs of infection (redness, warmth, fever)
  • No improvement after several weeks of appropriate care

This page is general education, not a diagnosis. If anything above applies to you, please see a doctor or visit an emergency department rather than booking a massage.

Ready to Address the Root Cause?

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