Jake Berman

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Why Knee Pain Gets Worse When You Exercise and How to Ease It…

I got this question sent to me yesterday by a “confused” reader of my newspaper articles suffering with knee pain…


“Hey Jake, I’ve been suffering with a pain in my right knee now for a few weeks. What I can’t put my finger on is what I did to make it start in the first place, and even more confusing is that it’s most painful when walking down the stairs, and comes on only 10 minutes into a run.

Sometimes it aches, sometimes it feels tender and dull, but I don’t understand why I could run fine before and now I can’t without having to stop after 10 minutes. Can you help?

–   Michelle, 47, Naples


Runners Knee

There’s a good chance that the same thing is happening to Michelle as it does to most people this time of year.

With this beautiful weather, we see more people than ever in my clinic suffering with painful knees. The reason why? Because it’s around this time of year that people decide to be more active and take things up like running and walking for longer distances.

Even if they’re used to running, people tend to step it up and run a little longer than usual to get ready for the Spring and Summer, sometimes adding in extra running days going from twice a week, to four times a week.

What’s likely going on with Michelle is something called “Runner’s Knee” – which got its nickname for an obvious and very unfortunate reason. It’s common among runners, and even those who are brand new to running.

If we run often, after a while the stress of running can cause irritation around the knee area. The resulting pain can be sharp and sudden, or irritating and dull. Sometimes it disappears when you’re running, only to return again afterwards.

The pain will generally feel worse when bending the knee, especially when walking or running downhill, or even something as simple as walking down a flight of stairs!

So why is Michelle feeling pain in her knees?

Think of it like this – each time you run and bend your knee, your knee cap rubs against your thigh muscle, and just like if you were to rub your hand against your arm, eventually your arm would get red and become sore after a while… Well the same happens with your knees!

If you’re not used to running, OR, if you haven’t slowly built up how long you run for and how many times a week you choose to as well, then this is going to be a shock to your knees.

Another thing, if the muscles around your knees are weak and tight, they’re not going to be able to support you through a run…

…And without strong muscles to support your knee joints, (or just really tired and weak ones), you’re much more likely to suffer from aches and pains.

So the solution to Michelle’s problem?

It’s likely to be a simple case of strengthening the knee muscles (and hip and lower back ones too), to make them stronger and support Michelle when she runs – not MORE exercising.

See, a lot of people think that exercising more is good for them, and it is to an extent, but only if you’re doing the right type of exercises to benefit everything else you’re doing.

Doing the right type of exercises and stretches to strengthen the right muscles will mean your knees will be strong enough to walk and run for longer, with less pain at the end of the day.

You’ve got to build a strong foundation first before doing more and to prevent any aches and pains suddenly creeping up on you which could put you out for a few weeks.

Dr. Jake Berman

PT, DPT at Berman Physical Therapy
Jake graduated with highest honors from University of Florida, earning his Undergraduate Degree in Health Science.

He went on to finish the University of Florida Physical Therapy Doctoral program. Following graduation, he practiced two years at Orthopedic and Sports Physical Therapy in Destin, FL, learning the complex philosophy of Primal Reflex Release Technique under Bob Seton. Before deciding to open his own practice, Dr. Berman furthered his education by practicing at Innovative Therapy Solutions in Jacksonville, FL, specializing in Functional Manual Therapy™ with Aaron Robles.

A lifelong resident of Naples, Jake opened the doors of Berman Physical Therapy is the very proud father of two dogs, Yeti (the office therapy dog!) and Brady. When he's not spending time with his dogs or his beautiful wife, Jenni, you can find Jake golfing or spending time outdoors.
Dr. Jake Berman

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