Experiencing sharp pain in our knee joint when walking up or down the stairs isn’t that rare. In fact, most of us experience that from time to time.

For some, this may be an occasional discomfort that goes away after a brief rest. But for others, knee pain can be a chronic issue that leads to muscle weakness and reduced mobility.

There are numerous knee problems that contribute to the cause of your anterior knee pain when walking downstairs. We’ll discuss each of these problems and identify the activities and treatment options available you should consider. Let’s begin by understanding the structure of the knee.

Anatomy of the Knee

The knee is a complex joint that allows the leg to bend and straighten. It’s made up of three bones: the femur (thigh bone), the tibia (shin bone), and the patella (kneecap). The knee joint is where the femur meets the tibia. The knee also has two other joints: the patellofemoral joint, where the kneecap meets the femur, and the anterior cruciate ligament (ACL), which connects the femur to the tibia.

The ACL helps to stabilize the knee joint. It’s located in front of the knee and is surrounded by a fibrous capsule. The knee joint is held together by ligaments, tendons, and muscles.

The quadriceps muscle group (or quadriceps muscles) are located at the front of the thigh, attaches to the patella, and helps to straighten the leg. While the posterior cruciate ligament, located in the back of the knee, prevents the leg from moving too far backward.

The medial collateral ligament, which is inside of the knee, helps to stabilize the joint. The knee also contains several small bones and cartilage pads that help to protect the joint as shock absorbers.

Together, these structures allow the knee to bear weight and withstand stress while still allowing for a wide range of motion including flexion (bending), extension (straightening), and rotation. However, this wide range of motion also makes the knee joint susceptible to injury, leading to severe pain whether you’re walking or running.

Knee pain can be caused by a variety of factors, including soft tissue injuries, stress fractures, and arthritis.  In severe cases, it may require arthroscopic surgery or other medical interventions.

7 Reasons Why Your Experience Knee Pain When Going Down Stairs

Rheumatoid Arthritis

Rheumatoid arthritis (RA) is a chronic inflammatory disease that can affect the joints, skin, and other organs. RA causes the body’s immune system to attack healthy tissue, resulting in inflammation and joint damage. The knee joint is often affected by RA, causing pain, stiffness, swelling, and warmth. People with RA are more likely to experience knee pain when walking downstairs because the inflammation makes it difficult to bend the knee.


Osteoarthritis (OA) is a degenerative joint disease that occurs when the cartilage that cushions the ends of bones breaks down. This breakdown happens due to wear and tear from overuse or age-related changes. OA often affects people who are middle-aged or older. They often experience pain, stiffness, and swelling in the affected joint. The knee is a common site of OA, and people with this condition often have difficulty walking downstairs due to the pain and stiffness.

Patellofemoral Pain Syndrome

Patellofemoral pain syndrome (PFPS) or runner’s knee is a knee condition that causes pain around the kneecap. PFPS is often caused by overuse, such as from running or jumping. People with PFPS may also have difficulty bending the knee due to the pain.

Iliotibial Band Syndrome

Iliotibial band syndrome (ITBS), also known as IT band syndrome, is a condition caused by inflammation of the iliotibial band, a long stretch of connective tissue that runs from the hip to the knee. Overuse and repetitive motion can cause the iliotibial band to become irritated, resulting in knee pain. In some cases, the pain may be severe enough to make it difficult to walk. Surgery may be necessary to release the iliotibial band.

Jumper’s Knee

Jumper’s knee is a condition caused by overuse of the knee joint. It’s a type of tendinitis, which is the inflammation of a tendon. The tendons are the tough, fibrous cords that attach muscle to bone. Jumper’s knee is most common in athletes who participate in jumping sports, such as basketball or volleyball. However, it can also occur in people who don’t play sports. People with jumper’s knees often experience pain and swelling around the knee cap.

Medial Meniscus Tear

The medial meniscus is a C-shaped piece of cartilage that sits between the thighbone and shinbone. It acts as a shock absorber for the knee joint. A medial meniscus tear is one of the common knee injuries that can occur due to an accident or overuse and can cause severe pain. Symptoms of a medial meniscus tear include pain, swelling, and stiffness.


11 Ways to Deal with Knee Pain

If you’re dealing with chronic knee pain, the first step is to get an accurate diagnosis. This can often be done with a simple MRI scan. Once you know what is causing your knee pain, you can start to seek medical advice and explore treatment options. However, if the pain is caused by muscle imbalances, more intensive rehabilitation may be necessary. No matter what is causing your knee pain, there are treatments available to help you find relief.

Attend Physical therapy

One of the best things that you can do to deal with knee pain is to attend physical therapy. A physical therapist can help you to strengthen the muscles around your knee and improve your range of motion. They can also teach you exercises that will help reduce your pain and get you back into doing your daily activities. In addition, they also perform a physical examination to help identify any other underlying causes of your knee pain.

Ice your knee

Applying ice to your knee can help to reduce swelling and pain. Ice should be applied for 20 minutes at a time, several times a day. Do not apply ice directly to your skin; wrap it in a towel first.

Take pain medications

Prescription pain medication can be very effective in reducing knee pain. However, it’s essential to take them as prescribed and to only use them for a short period of time. If over-the-counter pain medication such as ibuprofen or acetaminophen doesn’t relieve your pain, you may need something stronger.

Elevate your leg

When you’re dealing with knee pain, elevating your leg can help to reduce swelling and pain. Try to elevate your leg above the level of your heart for 30 minutes at a time, several times a day.

Get a massage

Getting a massage can help to relax the muscles around your knee and reduce pain. Look for a certified massage therapist who has experience working with people who have knee injuries.

Apply heat

Applying heat to your knee can help increase blood flow and reduce stiffness. Heat should be applied for 20 minutes at a time, several times a day. Do not apply heat directly to your skin; wrap it in a towel first.

Elevate your legs

Elevating your legs while you sleep can help reduce swelling and pain. Try to elevate your legs above the level of your heart for 30 minutes at a time, several times a day.

Try acupuncture

Acupuncture is a traditional Chinese medicine technique that involves inserting thin needles into the skin at specific points on the body. It is thought to stimulate the release of endorphins, which can help reduce pain.

Use Crutches

If you have a knee injury, using crutches can help take some of the weight off of your knee and reduce pain.

Manage your weight

Excess weight puts additional stress on the knees, making them more vulnerable to pain and injury. If you are overweight, even a small amount of weight loss can make a big difference in your knee health. In addition to managing your weight, you should also focus on strengthening the muscles around the knee.

Have surgery

In some cases, surgery may be necessary to treat a knee injury. Your doctor will only recommend surgery if all other treatment options have failed.


4 Additional Tips to Reduce Stabbing Knee Pain When Going Downstairs

If you’re dealing with knee pain, going up and down stairs can be difficult and painful. However, there are some things that you can do to make it easier.

Use the Handrail

Using the handrail can help take some of the weight off of your knees. If possible, try to use both the handrail and your good leg to go up and down stairs.

Go up one step at a time

Doing this might take time, but it will put less stress on your knees. Start by putting your foot on the first step, then straighten your leg until your good foot is on the next step. Repeat this process until you reach the top of the staircase.

Use a cane or walker

If you need additional support, using a cane or walker can help. This will take some of the weight off of your knees and help you maintain your balance.

Take your time

Don’t try to hurry up and down the stairs. This will only make your knee pain worse. Instead, take your time and focus on each step that you’re taking.

By following these tips, you can go up and down stairs with less pain.

One Day at a Time

Some of the most effective treatments take time to work, and it’s crucial to follow through with the recommended course of treatment. Some people may require different treatments than others, so it’s important to work with a healthcare professional to find the best plan for you. With patience and perseverance, you can find relief from stabbing pain in the knee when walking downstairs.

About the Author

Hi there! I’m Dr. Keagen Hadley, OTD, OTR/L. Straight out of the University of Mary, I’m all about blending my know-how in knee health, well-being, and medical technology. As a licensed occupational therapy doc, I’m here to translate complex concepts into clear, actionable insights – whether it’s knee care or groundbreaking healthcare tech.

Similar Posts