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Published on: 5/6/2025

What Causes Knee Pain When Squatting or Kneeling?

Knee pain when squatting or kneeling is usually caused by extra stress on the knee joint, which over time can lead to wear and tear on the cartilage and joint tissues. This can eventually result in conditions like inflammation or early osteoarthritis.

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Explanation

When you squat or kneel, your knee joint works hard because it supports a lot of your body weight. The forces in your knee increase when you bend deeply or support heavy objects. This extra pressure can stress the cartilage—a smooth tissue that helps your knee joints glide smoothly. Over time, repeated stress from squatting or kneeling can cause tiny injuries or wear away this cartilage. Such damage might cause pain, swelling, or stiffness. In some jobs or activities, people kneel, squat, or lift heavy loads very often, which adds extra stress on the knee. This work-related stress can encourage early signs of osteoarthritis—a condition where the joint wears out. The way your knee moves during a squat creates forces that push the bones closer together than usual. These forces, if experienced too often, can hurt the knee tissues. Using proper body posture and taking breaks may help lessen the stress on your knees, which may reduce pain when squatting or kneeling.

(References)

  • Amin S, Goggins J, Niu J, Guermazi A, Grigoryan M, Hunter DJ, Genant HK, Felson DT. Occupation-related squatting, kneeling, and heavy lifting and the knee joint: a magnetic resonance imaging-based study in men. J Rheumatol. 2008 Aug;35(8):1645-9. Epub 2008 Jul 1. PMID: 18597397; PMCID: PMC2758236.

  • Heidari B. Knee osteoarthritis prevalence, risk factors, pathogenesis and features: Part I. Caspian J Intern Med. 2011 Spring;2(2):205-12. PMID: 24024017; PMCID: PMC3766936.

  • Escamilla RF. Knee biomechanics of the dynamic squat exercise. Med Sci Sports Exerc. 2001 Jan;33(1):127-41. doi: 10.1097/00005768-200101000-00020. PMID: 11194098.

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