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Knee Pain

Posted on 8/2/25 at 12:32 am
Posted by TigerJack8
Member since Sep 2009
188 posts
Posted on 8/2/25 at 12:32 am
About 4 weeks ago, I started having really bad knee pain, in particular my left knee.

When I squat down flat footed it’s pretty bad. It’s not as bad if I get on my toes and squat. Both knees just feel really stiff; but I haven’t seen any obvious inflammation around the knees. This is strange because I’ve never had knee pain in my life.

Im 34, 6’ and about 160, so I’m not a fatty. Any suggestions?
This post was edited on 8/2/25 at 12:33 am
Posted by MemphisGuy
Germantown, TN
Member since Nov 2023
13422 posts
Posted on 8/2/25 at 8:06 am to
'You're fat. Work out more"

Mingo, probably
Posted by lsugerberbaby
baton rouge
Member since Mar 2008
3025 posts
Posted on 8/2/25 at 10:48 am to
Maybe start doing some iso stuff.

Peterson step ups (my favorite)
Split squat holds
Single leg squats
Sled pulling
Single leg hinges
Heel elevated squats
Kettle bell swings

Start low weights and build up.

Check out Knees Over Toes guy. Also, start training your hips more.
Posted by PrezCock
Florida
Member since Sep 2019
855 posts
Posted on 8/2/25 at 11:14 am to
This isn't just for you, but for everyone that wants help. You need to give more information...

Where is the pain? The knee is a big joint. Is it above the kneecap? Is it below the kneecap? Is it medial/lateral/anterior/posterior? Is it deep in the joint? Is the pain sharp/achy?

The more info you, or anyone else, gives the better we can help.
Posted by jose
Houma
Member since Feb 2009
29644 posts
Posted on 8/2/25 at 3:00 pm to
quote:

Where is the pain? The knee is a big joint. Is it above the kneecap? Is it below the kneecap? Is it medial/lateral/anterior/posterior? Is it deep in the joint? Is the pain sharp/achy?


Also any swelling?
Posted by Deadeyedick
Member since Apr 2015
706 posts
Posted on 8/2/25 at 4:29 pm to
I’m having the same issue, but my pain is above the knee and it’s a burning feel any time I bend my knee, I was belt squatting and my knee twisted a little, I’ve been taking it easy hoping it would get better but it’s not
Posted by PrezCock
Florida
Member since Sep 2019
855 posts
Posted on 8/2/25 at 5:56 pm to
quote:

my pain is above the knee


Above the knee, anterior pain, while bending with a load would usually be something like a Quadriceps Tendinitis.

Myofascial release (foam rolling/massage gun) should help with the pain. If it's just started, rest should take care of it. If it's been going on for awhile, myofascial release along with Eccentrics/Heavy Slow Resistance. Tendinopathies take about 12 weeks to rehab, so stick to the Eccentrics/Heavy Slow Resistance. 3 times a week, 3 sets of 8 reps. Choose a weight where it isn't too painful, 1 or 2 out of 10 pain.

Check out Voodoo Flossing for knee pain. Here is a good link;

https://www.youtube.com/watch?v=5rHpp1QIOQg

Hope that helps.

ETA: Twisting under load can damage your meniscus as well. Since your pain is above your knee I doubt it's your meniscus, but keep an eye on it.
This post was edited on 8/2/25 at 5:58 pm
Posted by Gifman
Member since Jan 2021
16898 posts
Posted on 8/2/25 at 8:01 pm to
You need to get on test immediately and possibly tren
Posted by cfish140
BR
Member since Aug 2007
8637 posts
Posted on 8/3/25 at 6:18 pm to
Same issue as soon as i hit 33 2 years ago. Mine is tendonitis in both knees or "jumpers knee" right below the knee cap. I cant squat at all anymore, dosent hurt as bad with a smith machine, but i just stay away from squats altogether. It was a bummer at first but ive found you can still have a solid pair of tree trunks without squats. Lots of leg press, lunges, bulagarians, and RDLs with machine work mixed in.

Im not sure what caused it, but it came out of nowhere. Probably from going arse to grass for so many years or maybe my form was bad and i never realized it.
Posted by PrezCock
Florida
Member since Sep 2019
855 posts
Posted on 8/3/25 at 8:58 pm to
quote:

Im not sure what caused it, but it came out of nowhere. Probably from going arse to grass for so many years or maybe my form was bad and i never realized it.


Tendinopathies are usually caused, in cases like this, when someone adds something new to their training. My best guess, from your post, is you added something knew (quad related) that caused that tendinitis. Since it's been a while since onset, I'm pretty confident to say it's evolved to tendinosis. Look at my prior reply about eccentrics/HSR training. That should help you.

If you have the mobility and musculoskeletal structure to go "arse to grass", it wasn't that which caused the tendinitis. Be proud of your good squat depth.

I hope this helps.
Posted by cfish140
BR
Member since Aug 2007
8637 posts
Posted on 8/3/25 at 10:25 pm to
Thanks for the reply. It's been over 2 years now so i cant remember what i may have changed up, but i know around that time i tried to do Kris Gethin's 12 week body building program which had leg days that i found to be totally unrealistic for anybody not on gear, but i gave them hell anyway. I cant remember if it started before or during that program but i know that program didnt help matters.
Posted by boxcarbarney
Above all things, be a man
Member since Jul 2007
25445 posts
Posted on 8/4/25 at 8:41 am to
quote:

so I’m not a fatty.


We'll have to let Mingo weigh in on this before we choose to believe you.
Posted by oliver646
Member since Jun 2024
57 posts
Posted on 8/29/25 at 1:44 pm to
I had almost the same pattern last year. What helped first was a two-week dial-back, a small heel wedge, and two isometric holds a day for the quads which calmed the front-of-knee ache fast.

I still got checked because I wanted a clean plan and Steven Thornton (knee surgeon here in Dallas) did a quick exam, ruled out anything scary, and gave me a staged return with cues. Back to full squats now but I keep ankle work and lateral band walks in every warm up. If your pain climbs stairs or lingers after sitting, do not grind through it.
This post was edited on 9/4/25 at 1:16 pm
Posted by Rico Manning
NOLA’s Secret Uncle
Member since Sep 2025
222 posts
Posted on 9/3/25 at 2:04 am to
quote:

Peterson step ups (my favorite)


This is the best answer in this thread, especially based on your description.

You’ll want to make sure look this up right because you’re not actually stepping up, it’s also called a step down or reverse step up because you’re dropping down with a single leg, not stepping up onto a box. Most people start with a slant board on the ground. You’ll want to get to the point you’re able to drop 6-8” (shut up kids) under control and back up, you can add a single db to one hand to add weight and also you can and should hold something to stabilize with the ground in the other hand.

Additionally you will walk backwards, this can be done on a treadmill with it off. You can find hills or inclines for this as well. Very important in early stages but always a good idea.

The split squats are the next most important thing. You’ll watch Ben Patrick form Knees Over Toes videos for this.

You should buy two heel blocks on amazon or wherever instead of a slant board, imo.
This post was edited on 9/3/25 at 2:05 am
Posted by litenin
Houston
Member since Mar 2016
2643 posts
Posted on 9/3/25 at 9:30 am to
I’m 46 and have been playing basketball regularly all of my life and add in jumping exercises a couple of times per month.

At my age now, I feel like I need at least 20 minutes of warm up time before starting exercises or I’ll get what I think is minor jumper’s knee. Fortunately it’s never bothered me more than a couple days.
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