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

Dr. Jake Berman

After graduating from the University of Florida, Dr. Jake Berman, PT, DPT sought out mentorship first from Bob Seton in Destin, FL and then from Aaron Robles in Jacksonville, FL. Both of these mentors have 20+ years of experience helping people keep active and mobile so they can enjoy high quality active lifestyles. What Jake found was that back pain was by far the most debilitating pain and the highest factor leading to decreased physical activity later in life. These experiences are what inspired Jake to specialize in helping people aged 50+ keep active, mobile and pain free despite the aging process. There is nothing more rewarding than being able to alleviate somebody’s back pain so that they can get back to living their best life- especially in Naples! Over the years of helping 100’s of people aged 65-75 become stronger and pain free, one thing for sure has become apparent: “he who rests rots”. Jake is a firm believer that we become stiff then old, not old then stiff. Seriously, think about it...
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