Published on: 5/22/2025
Pain behind the knee when walking down stairs can sometimes be caused by patellofemoral pain syndrome, a condition where the kneecap and its surrounding tissues are strained, especially during activities like descending stairs.
When you walk downstairs, your knee has to work harder because it bends a lot, putting extra stress on the joint and the soft tissues around your knee. This can lead to a problem called patellofemoral pain syndrome. Changes in the way you walk, known as altered gait patterns, can also increase the stress on the knee, making the pain worse. If this pain continues or gets worse, it may be a good idea to see a healthcare professional. They can suggest treatments like rest, ice, exercises to strengthen the leg muscles, or other methods to help improve the way your knee moves and relieve the pain.
(References)
Gaitonde DY, Ericksen A, Robbins RC. Patellofemoral Pain Syndrome. Am Fam Physician. 2019 Jan 15;99(2):88-94. PMID: 30633480.
Arazpour M, Bahramian F, Abutorabi A, Nourbakhsh ST, Alidousti A, Aslani H. The Effect of Patellofemoral Pain Syndrome on Gait Parameters: A Literature Review. Arch Bone Jt Surg. 2016 Oct;4(4):298-306. PMID: 27847840; PMCID: PMC5100443.
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