Knee Pain from Treadmill?

Toddrific
Toddrific Posts: 1,114 Member
It seems my knee hurts, but only running on a treadmill.
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#17.

Does this sound normal?
It doesn't bother me doing other activities or throughout the day.
If I try running on a trail after running on the treadmill, it does still bother me.

On days I don't run, I do squats. I'm thinking this might be related.

It's really not bad enough to see a doctor as it doesn't linger very long after using the treadmill.

Any ideas would be appreaciated, Thanks!
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Replies

  • brianz72
    brianz72 Posts: 17
    I don't know about "normal", but it's common... knees are pretty complicated pieces of machinery. I'm 39 and my knees hurt sometimes from the treadmill. They make painless grinding/popping noises all the time, but only hurt once in a while. When they hurt, I give them a rest. I also mix in some rowing machine work just to add variety.

    Wouldn't surprise me if the squats were more at fault than the treadmill though it's hard to speculate. I find that my knees are noisier with the grinding/popping when I lift heavy objects.
  • Toddrific
    Toddrific Posts: 1,114 Member
    Good idea about mixing it up, back to swimming.
    Thanks.
  • Silver_Star
    Silver_Star Posts: 1,351 Member
    Maybe because the surface is pretty hard? My knees hurt sometimes too, and i just walk even...
    would wearing a knee bandage ( neoprene?) help?
  • kbmnurse
    kbmnurse Posts: 2,484 Member
    I know what you mean. Bilateral knee pain when I run on treadmills. So I don't.
  • Toddrific
    Toddrific Posts: 1,114 Member
    Yeah, if it hurts when you do something, don't do it =)

    Now that I think about it, I might have a knee bandage...good idea.
  • lisapr123
    lisapr123 Posts: 863 Member
    All I know is when I run on a treadmill I experience a whole host of problems I don't experience when I run on the road.

    Specifically knee, foot, and ankle pains.

    I think my gait isn't as natural on a treadmill. I've traded treadmill runs for outdoor ones, regardless of weather.

    Hope it goes away soon for you!
  • josavage
    josavage Posts: 472 Member
    I take glucosamine every day. If I don't, my knees hurt when I run. I didn't take it at all on my vacation in March and when I got back, my knees really hurt. After about 2 weeks of taking the glucosamine again, I'm now running pain free.
  • marycmeadows
    marycmeadows Posts: 1,691 Member
    running is hard on the knees period - whether you do it on the treadmill or outdoors. (don't get me wrong, I still do it, but it's really hard on your body)

    Typically when I get knee pain it's actually from muscles in other areas being tight and pulling on my knees. foam rolling and rolling with the stick -- along with a little ice - usually help clear it up. This is also true of my back pain, had back pain for years, thought I was just stuck with it, but got introduced to foam rolling - fixed that problem. :)
  • TluvK
    TluvK Posts: 733 Member
    The typical problem with knee pain associated with running is your shoes. I also have knee pain though and have been diagnosed with runner's knee, but it's not the same pain location as you've indicated you're having problems. I'd check your shoes. Have you been fitted? You really do need to get new shoes pretty often if you run regularly and I firmly believe it's really important to get fitted. I used to run, before my knee problems, about 40 miles a week, and got new shoes about every 3 months or so.

    I'm seeing a physical therapist for my knee and she's told me things to watch out for with squats and lunges:

    Squats: Feet should be shoulder width apart, chest up, pressure on your heels.
    Lunges: Keep your body straight - no bowing forward - this puts unnecessary pressure on your knees and not enough pressure on the area that you're meaning to improve.

    As for the knee wrap or neoprene - it won't do much for you except give you a little piece of mind - but that's worth something, right?
  • I was thinking along the same line as lisapr123 - being very conscious of your foot fall on the treatmill vs. outdoor.

    I had a smiliar issue when I started on the treadmill (foot pain vs. knee) but I paid attention to how my foot hit the treadmill and I was being lazy and not picking my foot up enough, so I worked at correcting my gait on the treadmill and now it no longer bothers me.

    I hope you find your fix - there are some really good options here for you!
  • Toddrific
    Toddrific Posts: 1,114 Member
    Just finished a little session with me and my foam roller. I also did a bent knee calf stretch and that aggravated it, thinking maybe the tight calf pulled on the knee?
  • TluvK
    TluvK Posts: 733 Member
    running is hard on the knees period - whether you do it on the treadmill or outdoors. (don't get me wrong, I still do it, but it's really hard on your body)

    Typically when I get knee pain it's actually from muscles in other areas being tight and pulling on my knees. foam rolling and rolling with the stick -- along with a little ice - usually help clear it up. This is also true of my back pain, had back pain for years, thought I was just stuck with it, but got introduced to foam rolling - fixed that problem. :)

    This is also very true. Knee pain often means you have tight quads - usually from bad form with squats and lunges and another common culprit is a tight IT band, which is a great thing to roll out on a foam roller. Feels SO good!!! I think everyone that exercises should own a foam roller!
  • Toddrific
    Toddrific Posts: 1,114 Member
    Have you been fitted? You really do need to get new shoes pretty often if you run regularly and I firmly believe it's really important to get fitted.


    Squats: Feet should be shoulder width apart, chest up, pressure on your heels.
    Lunges: Keep your body straight - no bowing forward - this puts unnecessary pressure on your knees and not enough pressure on the area that you're meaning to improve.

    As for the knee wrap or neoprene - it won't do much for you except give you a little piece of mind - but that's worth something, right?
    I've been fitted for shoes, bu they may be over their mileage.
    Still working on my squat form.

    Thanks for the tips everyone!
  • Brinasacat
    Brinasacat Posts: 505 Member
    I've got bad knees, arthritis, missing cartilage. i had one scoped out which wasn't entirely successful. the surgeon offered more sugery, but I declined! any way, my orthopedic prefers I do low impact stuff, like biking and swimming. I love aerobics and mostly kick it down to low impact. My fitness instructor makes a big poimt of saying when we do lunges, to make sure our knees don't go beyond our toes, in order to protect our knees. I have to make a conscious effort to hang my rear out, to keep my knees safe.
  • SMarie10
    SMarie10 Posts: 956 Member
    Neoterrar - are you using any ice packs or ibuprofen for the swelling? Might help to ice the knees down once in a while. I always switch to swimming in the summer months to give mine a break - not much of a runner, but figure the less impact the better, No jumping jacks for me.
  • Toddrific
    Toddrific Posts: 1,114 Member
    Thing is, I don't really notice any swelling. I put an ice pack on it just in case.
  • Shelby814
    Shelby814 Posts: 273 Member
    If you haven't already done it, I would invest in some good running shoes. I would suggest being fitted by one of the places that specializes in this. We have aplace called "Runners" in my area & it has made all of the difference in the world for me.
  • DakotaKeogh
    DakotaKeogh Posts: 693 Member
    I recently had knee pain so severe I had to see an orthopedic surgeon. He couldn't rule out a tear in soft tissue. But he couldn't rule out a flare in arthritis, either. By the way, this is when I found out I have arthritis in that knee. Anyway, as part of the visit I asked if there were any limits I should follow at the gym while it heals. First thing he ruled out was the treadmill. Just sayin'.
  • TluvK
    TluvK Posts: 733 Member
    Thing is, I don't really notice any swelling. I put an ice pack on it just in case.

    You won't always notice swelling - internal swelling is very common with knee issues. Ice is also very good. In fact, I was told to do it 3 times per day.
  • Toddrific
    Toddrific Posts: 1,114 Member
    Thanks again for all the replies. ~Gets out the ice pack again~
  • em9371
    em9371 Posts: 1,047 Member
    the combination of running and squats is no good for the knees :(
    i have issues in the same place no 17, mines been xrayed, poked, prodded you name it, de to see a physio in 2 weeks.
    diagnosed as runners knee (chondomalacia patella), its never really painful more aching / feels like kneecap is moving around a bit.
    Dr ordered me to stop any high impact / weight / full knee bend exercise, im now ok with a few minutes jogging, but squats or full on running seriously aggravate it.
    If this sounds like what you have, lay off the running and squats for a bit, look up some isometric strengthening exercises that work the leg without ending, and hopefully by building up muscle correctly around the knee it should sort it out!
  • Besides properly fitted and not worn out shoes, I would recommend running on the treadmill with no less incline than 2%. I just recently read (sorry I can't find the article in the time I have right now) an article that suggested treadmills are hard on knees unless you use some incline as well. Like I said minimum 2%
  • litatura
    litatura Posts: 569 Member
    Besides properly fitted and not worn out shoes, I would recommend running on the treadmill with no less incline than 2%. I just recently read (sorry I can't find the article in the time I have right now) an article that suggested treadmills are hard on knees unless you use some incline as well. Like I said minimum 2%

    Interesting! I find the opposite - the higher the incline, the more my knee hurts, especially when I do power-walking on the treadmill. I'm prone to tendonitis, so I have to be careful. I wear my Tensor band whenever I hit the treadmill. What I do is rotate cold and heat (if my knee hurts after getting off the treadmill, I'll ice it and then I'll put the heating pad on it before I go to bed).
  • I think the general idea is to get us to stop heel striking when walking/running. So pay attention to how your foot hits the ground and adjust accordingly. Shorter steps can also help.

    As always, no one is the same, so please always do what works best for you and listen to your body. This is all just suggestions to help.
  • Toddrific
    Toddrific Posts: 1,114 Member
    I'll have to try the incline thing if I use the treadmill again.

    Going to take a few days off from leg exercise and see if trail running aggravates it, and go from there.

    Thanks all.
  • CampKelly
    CampKelly Posts: 172 Member
    My knees are killing me! Or should i say...Jillian Mchaels is killing my knees! Gona try the Advil and ice packs right now :frown:
  • jessmars
    jessmars Posts: 131
    Im not a physical therapist (I'm a physical therapy assistant & have been there ALONG time & have learned a lot) these are some of the tips my PT's give to their patients who are runners (and to me since Im starting to run more).

    SHOES:
    Don't use the bottom of your running shoes to determine whether you should replace your shoes. The midsole, which provides the cushioning and stability, usually breaks down before the bottom shows major signs of wear. If you've been feeling muscle fatigue, shin splints, or some pain in your joints (especially your knees) you may be wearing running shoes that no longer have adequate cushioning.

    Replace your running shoes every 300 to 400 miles, depending on your running style, surface you use & body weight. Smaller runners closer to 400 miles, heavier runners should consider replacing shoes closer to 300 miles. If you run on roads, you'll need to replace your running shoes sooner than if you mainly use treadmills.

    WARM UP: if you skip or skimp on your prerun routine, you risk injury.For treadmills start with 10 minutes on a low to no-impact cardio machine. Add a few one-minute segments at a harder effort until you reach 15 minutes. Then go on the treadmill right away & increase the speed until you reach your regular running pace.

    STRENGTH TRAINING/STRETCHING: strengthening your quadriceps will improve patellar tracking, and stretching your hamstrings and calves will help with the tracking. Do dynamic stretching BEFORE your run and STATIC stretching after(google it if you aren't sure what these are)...DONT do it the other way around. Strength training and cross training are good for runners.

    ICE: ITS NEVER A BAD IDEA TO ICE

    *If the pain keeps up I know you said its not bad enough to see a DR. but maybe if you go see one and get a prescription for a physical therapy it can help. We see A LOT of runners, usually 1-5 visits and some of them have odd biomechanics when running that is creating a problem to cause pain. Some of our patients have had custom orthotic inserts made because their ankles do weird things when they run causing knee problems and the orthotics help stop that ankle movement. Some of them need a better stretching or strengthening routines. Plus having multiple visits helps to tweak the plan if something doesn't work or create more pain.

    Hope your knee starts to feel better...sorry this was long ; /
  • Toddrific
    Toddrific Posts: 1,114 Member
    Hmm, I've usually went slow for about 3-5 on the treadmill before running. I am very awkward on the elliptical.
    Definitely going to get new shoes before I go back running. I've had these from last summer.

    The doctor route always bothers me because he loves ordering tests. The always come back negative, except for the people cashing the checks =/

    I tried static stretching while not warmed up because it got tight. Stretching the soleus really aggravated it =/

    Thanks all.
  • knel216
    knel216 Posts: 2 Member
    I have a similar issue. I have a long history of knee issues, and have found that far and away it's much better for me to run on the road.

    When I HAVE to use a treadmill, I reduce it to walking briskly -- I almost never take it up to running pace. And at that point I'm doing it just to move and get SOME exercise in.

    As for the road being better, sure it's a harder surface -- but I think I make these automatic micro-adjustments to my pace to accommodate my knees/body. So it's not 4.5mph ALL the time -- it's 4.8, then 4.4, then 4.5 all within a minute. While my average is the same, these small adjustments in pace let me quickly go faster or slower as needed. That is not as easily achievable on a treadmill, and the adjustment between pace is not as fluid since you have to press a button or hold down a switch, etc.

    I honestly think the instant flexibility on the road is what has made all the difference for me -- that and the fresh air whizzing past my face. I wouldn't trade it for the world.
  • Running can put a lot of pressure on your joints, but running on a treadmill can really make your joints hurt because you are doing a repetative motion over and over again. The speed and surface of the treadmill are controlled, so that repetative motion can really aggrivate your joints and muscles.

    When running outside, the ground is not flat and has different inclines and drops so your muscles make small adjustments to these as well as adjusting your speed as you run over the un-even surface.