Knee Pain: Understanding Causes, Treatment, and When to Seek Help from a Podiatrist

Overview of Knee Pain

Knee pain is a common issue that can affect people of all ages and activity levels. While the knee is a complex joint, many types of knee pain are linked to lower limb biomechanics and can be effectively managed with podiatric care.

At Happy Feet Podiatry in The Junction, NSW, we offer comprehensive assessment and treatment for knee pain related to foot function, posture, and gait.

What Is Knee Pain and What Are the Symptoms?

Knee pain refers to discomfort or dysfunction in and around the knee joint. It may arise from acute injury, overuse, poor biomechanics, or chronic conditions like arthritis.

Common symptoms include:

  • Pain in the front, sides, or back of the knee
  • Swelling or stiffness
  • Clicking, grinding, or locking sensations
  • Weakness or instability
  • Pain aggravated by walking, running, stairs, or prolonged sitting

Types of Knee Pain Commonly Managed by Podiatrists

Patellofemoral Pain Syndrome (Runner’s Knee)

Pain around or behind the kneecap, often due to poor alignment.

Iliotibial Band Syndrome (ITB)

Outer knee pain from a tight or irritated ITB.

Medial Knee Pain

Often related to foot overpronation affecting knee alignment.

Knee Osteoarthritis

Degeneration of joint cartilage, often influenced by biomechanics.

Referred Pain

From foot, ankle or hip issues altering gait and overloading the knee.

Understanding Knee Pain Progression and How We Can Help at Each Stage

Early Stage

Symptoms: Mild pain with activity, occasional clicking or stiffness.

Treatment: Gait analysis, footwear advice, and early strengthening exercises.

Moderate Stage

Symptoms: More consistent pain during daily activities, discomfort with stairs or walking long distances.

Treatment: Custom orthotics, muscle rebalancing programs, and load management strategies.

Advanced Stage

Symptoms: Chronic pain, reduced mobility, altered gait, or swelling.

Treatment: Multidisciplinary care, podiatric orthotics to offload affected structures, possible referral to physiotherapy or sports medicine specialists.

Primary Causes of Plantar Warts

Poor Foot Biomechanics

Overpronation, flat feet, or high arches can cause misalignment up the kinetic chain.

Overuse Injuries

Repetitive strain from sport, walking, or standing for long periods.

Muscle Imbalances

Weak glutes, tight calves, or quadriceps may alter knee function.

Incorrect Footwear

Unsupportive or worn-out shoes can affect leg alignment and joint load.

Risk Factors

Athletes and active individuals

People with flat feet or high arches

Occupations involving standing or walking for long hours

Previous lower limb injuries

Inadequate rehabilitation from past knee issues

A podiatrist can help address these factors to reduce strain and improve movement.

How Is Knee Pain Diagnosed at Happy Feet Podiatry?

Our process includes:

  • Comprehensive History: Reviewing your activity level, symptoms, and past injuries.

  • Lower Limb Assessment: Analysing alignment, foot posture, and muscle strength.

  • Gait Analysis: Observing walking or running patterns for abnormal movement.

  • Footwear Evaluation: Assessing wear patterns and support features.

  • Referral for Imaging: If joint degeneration, ligament injury, or unexplained swelling is suspected.

Get a Professional Assessment

Don’t let pain hold you back. Our expert podiatrists are here to help diagnose and treat your condition.

Podiatry Treatment Options at Happy Feet Podiatry for Knee Pain

  • Custom Orthotics: Correct biomechanical imbalances and reduce joint loading.
  • Footwear Guidance: Selecting shoes with proper support, cushioning, and fit.
  • Exercise Rehabilitation: Targeted strengthening and flexibility exercises.
  • Gait Retraining: Improving walking and running technique to optimise movement.
  • Shockwave Therapy or Dry Needling: For chronic soft tissue pain (if appropriate).
  • Activity Modification Plans: To manage load and promote gradual return to full function.

Our approach is collaborative and tailored to your individual lifestyle and goals.

Self-Care Tips for Knee Pain

  • Apply ice to reduce inflammation after activity
  • Avoid prolonged sitting or squatting if it aggravates symptoms
  • Use supportive, cushioned shoes—avoid flat soles
  • Stretch your calves, hamstrings, and quadriceps daily
  • Modify training intensity or volume if you are a runner or athlete

Professional guidance is key to recovery—self-care should complement clinical care.

Prevention

  • Wear appropriate footwear for sport and work
  • Strengthen glutes, core, and leg muscles to improve joint control
  • Avoid rapid increases in activity or load
  • Maintain a healthy body weight to reduce joint stress
  • Address any foot or ankle pain early

Ready to Take the Next Step?

Don’t let pain limit your lifestyle. Contact our expert team today for a comprehensive assessment and personalized treatment plan.

Common Myths

Myth 1: "All knee pain is due to arthritis."

Truth: Many cases are caused by muscle weakness or poor alignment—not joint degeneration.

Myth 2: "Knee pain means you should stop all activity."

Truth: Appropriate movement can aid healing. A podiatrist can guide safe activity modification.

Myth 3: "Only athletes get knee pain."

Truth: Knee pain can affect anyone, including sedentary individuals or those with biomechanical issues.

Frequently Asked Questions

Yes. Poor foot posture alters leg alignment, which can place excess stress on the knee joint.
In most cases, no. Conservative care, including podiatry, is highly effective for many knee conditions.
Depending on the cause, improvement can occur within weeks with targeted care.
Yes—especially if your pain is linked to foot alignment or movement patterns.
Yes. While podiatrists don’t treat arthritis directly, we can help reduce load and improve comfort through orthotic and gait-based interventions.
Both may play a role. If your pain is linked to walking or foot posture, a podiatrist is the right place to start.

When to See a Podiatrist for Knee Pain

  • Pain persists beyond 1–2 weeks or worsens with activity
  • Pain affects your walking or daily function
  • You’ve had a change in footwear or activity that may be contributing
  • You’ve tried rest or general exercises without improvement
  • You have flat feet or suspect foot misalignment

Early assessment helps prevent further injury and speeds up recovery.

Ready to Take the Next Step?

You don’t need to put up with knee pain. Book a consultation at Happy Feet Podiatry in The Junction, NSW today. We’ll assess your movement, identify the root cause of your discomfort, and help you return to a more comfortable, active lifestyle.

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References
  1. Healthdirect Australia. (2023). Knee pain. https://www.healthdirect.
    gov.au/knee-pain


  2. Australian Podiatry Association. (2023). Lower limb biomechanics and podiatric intervention. https://www.podiatry.org.au

  3. Therapeutic Guidelines. (2024). Musculoskeletal injury and pain management. https://www.tg.org.au

  4. RACGP. (2023). Knee pain in primary care. https://www.racgp.org.au

  5. Journal of Foot and Ankle Research. (2022). Foot posture and knee joint loading. https://jfootankleres.biomed
    central.com


  6. Australian Journal of General Practice. (2023). Musculoskeletal pain management. https://www1.racgp.org.au/
    ajgp


  7. La Trobe University. (2021). Foot function and lower limb alignment studies. https://www.latrobe.edu.au

  8. Cochrane Database of Systematic Reviews. (2022). Conservative management for patellofemoral pain. https://www.cochranelibrary.
    com


  9. Podiatry Board of Australia. (2023). Clinical care guidelines for musculoskeletal conditions. https://www.podiatryboard.
    gov.au


  10. University of Western Australia. (2020). Gait analysis in musculoskeletal assessment. https://www.uwa.edu.
    au


  11. NSW Health. (2023). Lower limb injury protocols. https://www.health.nsw.
    gov.au


  12. Hunter New England Health. (2023). Community musculoskeletal pathways. https://www.hnehealth.nsw.
    gov.au


  13. Australian Physiotherapy Association. (2023). Exercise in chronic joint pain. https://australian.physio

  14. Sports Medicine Australia. (2023). Joint load management in athletes. https://sma.org.au

  15. Australian Commission on Safety and Quality in Health Care. (2023). Safe care standards in musculoskeletal treatment. https://www.safetyandquality.
    gov.au
References
  1. Healthdirect Australia. (2023). Knee pain. https://www.healthdirect.gov.au/knee-pain

  2. Australian Podiatry Association. (2023). Lower limb biomechanics and podiatric intervention. https://www.podiatry.org.au

  3. Therapeutic Guidelines. (2024). Musculoskeletal injury and pain management. https://www.tg.org.au

  4. RACGP. (2023). Knee pain in primary care. https://www.racgp.org.au

  5. Journal of Foot and Ankle Research. (2022). Foot posture and knee joint loading. https://jfootankleres.biomedcentral.com

  6. Australian Journal of General Practice. (2023). Musculoskeletal pain management. https://www1.racgp.org.au/ajgp

  7. La Trobe University. (2021). Foot function and lower limb alignment studies. https://www.latrobe.edu.au

  8. Cochrane Database of Systematic Reviews. (2022). Conservative management for patellofemoral pain. https://www.cochranelibrary.com

  9. Podiatry Board of Australia. (2023). Clinical care guidelines for musculoskeletal conditions. https://www.podiatryboard.gov.au

  10. University of Western Australia. (2020). Gait analysis in musculoskeletal assessment. https://www.uwa.edu.au

  11. NSW Health. (2023). Lower limb injury protocols. https://www.health.nsw.gov.au

  12. Hunter New England Health. (2023). Community musculoskeletal pathways. https://www.hnehealth.nsw.gov.au

  13. Australian Physiotherapy Association. (2023). Exercise in chronic joint pain. https://australian.physio

  14. Sports Medicine Australia. (2023). Joint load management in athletes. https://sma.org.au

  15. Australian Commission on Safety and Quality in Health Care. (2023). Safe care standards in musculoskeletal treatment. https://www.safetyandquality.gov.au