Common Causes of Knee Pain in Women | SPARSH Hospital

Published in : Orthopedics | May 26, 2025 |

Common Causes of Knee Pain in Women

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Knee pain in women is a widespread issue that affects daily movement and overall well-being. From hormonal changes to anatomical differences and lifestyle habits, women are more prone to certain knee problems than men. Understanding the common causes of knee pain in women is essential for prevention, early diagnosis, and effective treatment.

Whether you are in your 20s, dealing with sports injuries, or over 40, experiencing age-related joint issues, knowing the reasons behind knee joint pain in women can help you take better care of your knees.

Why is Knee Pain More Common in Women?

Research shows that women are more likely to experience knee pain than men due to several biological and lifestyle-related factors. These include:

  • A wider pelvis, which affects knee alignment
  • Hormonal fluctuations that impact joint health
  • Higher risk of certain ligament injuries like ACL tears
  • Wearing high heels or unsupported footwear
  • Pregnancy-related weight changes and joint strain

As a result, knee pain in women can develop from both everyday activities and specific health conditions.

Top Causes of Knee Pain in Women

Here are the most common causes of knee pain in women, categorised by life stage and activity level.

1. Osteoarthritis

One of the leading knee pain causes in women over 40, osteoarthritis is a degenerative joint disease where cartilage wears down over time. Women are more prone to developing arthritis due to hormonal changes post-menopause and genetic factors. Symptoms include stiffness, swelling, and pain during movement.

2. Patellofemoral Pain Syndrome (Runner’s Knee)

This condition is more common in active women and athletes. It involves pain at the front of the knee and around the kneecap, often worsened by squatting, climbing stairs, or sitting for long periods. It can result from misalignment, weak thigh muscles, or overuse.

3. Anterior Cruciate Ligament (ACL) Injuries

Among the most well-documented causes of women’s knee injury, ACL tears often happen during sports involving jumping or quick direction changes. Women are more vulnerable due to muscle imbalances, landing techniques, and hormonal influences on ligament strength.

4. IT Band Syndrome

The iliotibial (IT) band runs from the hip to the shin and can become tight or inflamed, causing outer knee pain. This is more common in runners and those with poor posture or muscle weakness.

5. Meniscus Tears

A torn meniscus can occur from twisting the knee while bearing weight. It’s common in both young athletes and older women with age-related cartilage degeneration.

6. Rheumatoid Arthritis (RA)

RA is an autoimmune disorder that often affects women more than men. It causes chronic joint inflammation, stiffness, and pain, usually affecting both knees.

7. Hormonal Fluctuations

Changes in oestrogen levels can affect joint laxity and inflammation. This is especially relevant during menstruation, pregnancy, and menopause, all of which can influence joint pain in women.

8. Obesity and Weight Gain

Excess body weight puts added pressure on the knee joints, accelerating wear and tear. Women, especially during and after pregnancy, may experience knee joint pain due to sudden weight changes.

Knee Pain in Women Over 40

As women age, hormonal changes and years of wear on the joints increase the risk of chronic conditions. Knee pain in women over 40 is often due to osteoarthritis, bone loss, or decreased muscle mass, making falls and injuries more likely.

Early intervention through exercise, weight management, and proper care can help delay or reduce the severity of these conditions.

Common Knee Conditions in Women

Some of the most common knee conditions in women include:

  • Bursitis: Inflammation of fluid-filled sacs around the knee
  • Tendinitis: Irritation of tendons from overuse
  • Chondromalacia patella: Softening of cartilage under the kneecap
  • Baker’s cyst: Fluid buildup behind the knee, often due to arthritis

Prevention Tips for Women

While not all causes of knee pain in women are preventable, there are steps you can take to reduce your risk:

Stay Active, But Balanced

Exercise helps strengthen muscles around the knee. Focus on low-impact workouts like walking, swimming, or cycling to avoid strain.

Maintain a Healthy Weight

Reducing excess weight eases stress on knee joints and can prevent knee pain linked to obesity.

Strengthen Your Muscles

Strong quadriceps, hamstrings, and glutes provide better support to the knees and lower your injury risk.

Wear Proper Footwear

Choose shoes that support your arches and avoid high heels for long periods. Good footwear alignment helps prevent women’s knee pain caused by poor posture.

Listen to Your Body

Don’t ignore discomfort. Rest when needed and avoid pushing through pain, especially during exercise.

When to See a Doctor

If you notice any of the following signs, it’s time to consult a specialist:

  • Persistent swelling or stiffness in the knee
  • Pain that interferes with daily activities
  • Instability or the knee “giving out”
  • Clicking or grinding sounds
  • Pain lasting more than a few weeks

At the best orthopaedic hospital in Bangalore, you’ll find experts who can diagnose the problem and offer targeted treatment plans. Whether it’s physical therapy, medication, or surgery, getting the right care early can make a big difference.

Conclusion

Knee pain in women can have many causes, from hormonal changes to age-related wear and tear or sports injuries. Understanding the specific reasons for women’s knee pain helps in choosing the right treatment and prevention methods. Lifestyle changes, strength training, and expert care are key to managing knee pain effectively.

If you’re dealing with knee discomfort, don’t ignore it. Book an appointment with the best orthopaedic doctor to get a clear diagnosis and a personalised recovery plan. Taking care of your knees now means more freedom and movement in the future.

Frequently Asked Questions

1. Why do women get more knee pain than men?

Women are more prone to knee pain due to anatomical differences, hormonal changes, and muscle imbalances, especially during puberty, pregnancy, and menopause.

2. What’s the most common cause of knee pain in women over 40?

Osteoarthritis is the leading cause. Cartilage breakdown combined with hormonal shifts and past joint stress contributes to pain and stiffness.

3. Can exercise help with knee pain in women?

Yes. Low-impact exercises like swimming or cycling can strengthen muscles around the knees and reduce pain. However, it’s important to avoid activities that strain the joints.

4. Are certain sports more likely to cause knee injuries in women?

Yes, sports like basketball, soccer, and volleyball increase the risk of ACL injuries, which are more common in women due to their knee structure and movement patterns.

5. When should I see an orthopaedic doctor for knee pain?

If your knee pain lasts more than a week, limits movement, or worsens with activity, it’s time to see a specialist. Early diagnosis helps prevent long-term damage.



Categories: Orthopedics


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