Why My Knees Hurt When I Climb Stairs, and Can Physio Help?

joints, Strain, mobility, flexibility, muscle movement

Why My Knees Hurt When I Climb Stairs, and Can Physio Help?

Knee pain while climbing stairs is more common than you might think, and no, it’s not just something that comes with age. Whether you’re active or recovering from an injury,y knee discomfort can creep in and start affecting your daily routine. It can be frustrating, especially when you start to avoid stairs altogether just to sidestep the discomfort. At our clinic, we often hear questions like, “Why does this happen?” and “Can physiotherapy in Edmonton help?” The short answer is yes.

What Makes Stair Climbing Tough on the Knees?

Climbing stairs might seem like a small everyday task, but it demands quite a bit from your joints, muscles, and coordination. Your knee acts like a hinge, working together with your mobility, muscle movement, and flexibility to keep you stable as you go up or down.

Each time you climb, your body weight increases the pressure on the knee joint by almost four times your weight, depending on how fast or how steep. If there’s even a minor imbalance, tightness, or weakness in your legs, that extra strain shows up as discomfort, clicking, or pain.

Could Daily Habits Be Contributing to Your Knee Pain?

Surprisingly, it’s not always the stairs that are the problem; it’s what happens between the stairs. The way you sit at work, how often you move during the day, and even your footwear can slowly shift the way your body loads your knees.

Everyday Factors That Add Up:

  • Prolonged sitting: This tightens the hip flexors and weakens the glutes, creating poor alignment during stair use.
  • Poor footwear: Shoes without proper arch support can throw off balance and impact muscle movement.
  • Uneven surfaces: Walking regularly on inclines, slopes, or hard flooring can lead to micro-strain on your joints.
  • Lack of warm-up: Jumping into workouts or even stairs without prep can strain cold, stiff muscles.

Could Joint Conditions Be the Real Culprit?

Knee discomfort on stairs might not just be a matter of tight muscles or poor movement; it can also signal underlying joint issues. When we see clients who describe their knees as “creaky,” swollen, or stiff, we consider joint health as a major factor.

Common Joint-Related Causes of Knee Pain:
  • Osteoarthritis: The breakdown of cartilage leading to bone-on-bone friction, especially noticeable during weight-bearing tasks like stair climbing.
  • Rheumatoid Arthritis: This is an inflammatory condition where the immune system affects joint linings, often causing swelling, stiffness, and fatigue.
  • Degenerative Joint Changes: Even without a diagnosis, years of repeated stress or sedentary habits can lead to reduced joint lubrication and efficiency.

These issues reduce your mobility and affect how smoothly your muscle movement supports the joint. 

This all points to knee stress that could be addressed by improving how your body supports itself during movement. That’s where our physio approach comes in.

What Can Physiotherapy Do for Stair-Related Knee Pain?

Our team focuses on understanding why your knee hurts, then guiding you through the steps to improve function. Physiotherapy in Edmonton isn’t just about treating the symptom; it’s about changing how you move to relieve stress and support recovery.

Here’s how we typically help:

1. Movement Assessment

Before we jump into any exercise, we observe how you move through everyday tasks, walking, squatting, and, yes, climbing stairs. These movements reveal hidden compensations and muscle imbalances. For example, you might be shifting weight to one side without realizing it, or your hip may not be supporting you effectively, making your knee work overtime.

2. Muscle Strengthening

We take a close look at your lower body, especially your quads, glutes, calves, and core. If one area is weak, your knee often ends up compensating. Over time, this leads to joint stress. We build a gradual strength plan that targets those weak links, so your knee doesn’t have to carry the burden alone. With better strength comes better support and less pain with each step.

3. Flexibility and Mobility Work

A lot of knee issues stem from tight or restricted movement in nearby areas like the hips, calves, or even your lower back. Through guided stretching, active mobility drills, and hands-on release techniques, we help restore smoother joint movement. This improves how your knee bends and straightens, making stair climbing less of a strain and more of a natural movement again.

4. Balance and Control Training

Ever feel like your knee just doesn’t trust the stairs anymore? That’s often a stability issue. We use targeted balance work to improve your body’s ability to control movement, especially during weight shifts. Whether it’s a single-leg stance, step-down drills, or coordination work, these exercises teach your body to handle changes in direction and pressure, reducing the risk of overloading your knee joint.

5. Stair Re-Training

Yes, we actually work with you on how to climb stairs. It might sound basic, but small adjustments like changing your foot angle, how you distribute weight, or your pacing can make a world of difference. We also show you what to avoid if you’re dealing with knee stress or trying to figure out how to stop knee clicking when climbing stairs. These little tweaks often bring big relief.

When Should You Consider Seeing a Physio?

If you find yourself:

  • Avoiding stairs whenever possible
  • Feeling stiffness daily
  • Hearing regular clicks or pops
  • Wondering if this will “just go away.”

Then it’s probably time to check in with us. These signs suggest that something in your movement or joint mechanics isn’t quite right, and we can help correct it before it turns into a bigger issue.

Climbing Stairs Doesn’t Have to Be a Struggle

Knee pain doesn’t mean you’re broken. It just means your body’s asking for support, and the good news is, we can provide it. At West Henday Physical Therapy, we offer tailored physiotherapy in Edmonton that focuses on movement quality, muscle support, and practical recovery strategies.

Book your session today, and take the first step toward stronger, more comfortable knees.