28/04/2026
Why does my knee hurt going downstairs… but not when going upstairs?
This is something people notice quite quickly. Walking upstairs feels fine, but coming down brings on pain at the front of the knee or just under the kneecap.
Going downstairs places a different type of load through the knee. You’re controlling your body weight as you lower yourself, which means the muscles around the knee and hip have to work in a more controlled way. If that control isn’t quite there, more pressure goes through the joint itself.
It’s often not about damage. More commonly, it’s a sign that the knee is being asked to do more than it’s comfortably able to manage at that moment.
This can build up gradually with changes in activity, a bit less strength work or after something like a period of rest or a busy spell where things have been pushed more than usual.
In clinic, I’m usually looking beyond the knee itself at how the hip, thigh and lower leg are sharing the load and helping things move more evenly again.
If stairs are starting to feel like something you have to think about, it’s worth getting it checked rather than working around it.
Treatments can be booked via my website using the “Book your appointment” button: https://essentialosteopathy.co.uk