Why Does My Knee Hurt After Standing For Too Long?

"I need help, both knees need repair cartilaginous Plus my right kneecap is bad, painful and the back of my knee get stiff, and weaker I cannot stand more than 2 hours. Please help, thank You." - Thelma North
This comment came in on the video:
"The 3 Most Important Exercise Tips When Repairing Knee Cartilage"
• The 3 Most Important E...
Knee pain often comes on when standing for too long. If the knee pain doesn't improve, the standing time tends to decrease over time.
Understanding why knee pain comes on when standing and walking is really important so that you can keep the knee problem from getting worse.
Knee arthritis, knee meniscus tears and knee cartilage damage are usually the diagnoses behind the knee pain when standing.
#elpasomanualphysicaltherapy #drdavidmiddaugh
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DISCLAIMER:
Any information available at this channel is intended for general guidance only and must never be considered a substitute for advice provided by a physician, medical provider or a physical therapist. El Paso Manual Physical Therapy will not be liable for any injuries that happened due to performing any exercises or advice on this channel.
Always seek the advice of your physician or other qualified health care professional with questions about your medical condition or to diagnose any conditions.

[@MitziJaxon]

This is my absolute WORST problem!!! I cannot STAND for more than 10 minutes before the PAIN sets in my left knee kicks in🤢

[@epmanualphysicaltherapy]

Oh no Sandra! Sorry to hear this :-( You've got to calm down that knee pain! You've likely got a knee muscle imbalance that is setting up your knee pain when standing.

[@king19867]

hi i have the same problem how do i stop getting the pain 😢

[@deborc2705]

I love your explanations, you make it relatable.

[@epmanualphysicaltherapy]

You’re welcome Deb!!!

[@Cindy-jo3xy]

Thank you! Great information

[@paulineclark2743]

Watching from UK. Love watching your videos explaining things so we can understand. Thank you doctor.

[@epmanualphysicaltherapy]

Of course! You’re welcome Pauline! 🇬🇧

[@jaff5854]

Wow ! You are one smart dude David 👏🏻bravo x

[@epmanualphysicaltherapy]

Thank you Jaff!!! 🙏

[@beritgyllenebern4250]

Hi, Your advices has helped me à LOT. Thanks!

[@epmanualphysicaltherapy]

You’re welcome Berit!! We’re happy to help!

[@TaraBW]

You are such a gift. Thank you SO much for sharing and helping us!! Wishing You and Yours a Happy Thanksgiving 💕🙏

[@epmanualphysicaltherapy]

You’re welcome Teresa! We’re happy to help!!! Happy thanksgiving to you too!!!

[@luxmibhatoolaul5013]

Thank you. Very valuable. 🙏

[@epmanualphysicaltherapy]

You’re welcome Luxmi!

[@cassandracuyler6668]

Thank you

[@kattfranklin6933]

Thank you so much. I have been struggling with pain on the front of my legs. I am unable to wear long pants for a long time. Since using the "penguin walk " it is better but I hurt all over. God bless you from all of us who need a person who understand muscles.

[@epmanualphysicaltherapy]

Hey Katt! Sorry to hear about the pain you have in the front of your legs :-( We're glad to hear that you got some relief. But it sounds like you might have something else going on if wearing pants is affecting your pain. You might have nerve irritation that is causing the pain in the front of the legs and causing you to hurt all over. A knee problem usually only hurts at the knee and won't spread all over. You could have both problems combined. We don't have videos for widespread nerve problems at this time.

[@eugeniacamara8880]

Thank you for this valuable teaching. You are simply the best physio therapist in the world and a beautiful caring human being. Thank you so much. God Bless 💕

[@epmanualphysicaltherapy]

Awwwe those are very kind words Eugenia! Thank you so much. We’re happy to help! God bless!

[@kinyozinyumbani2268]

Absolutely true. 💖 I have watched many videos about knee pain and his tips on engaging the glutes while walking have indeed reduced my right knee pain .In the beginning it was not easy though tightening the glutes while walking..😅.However, with practice it helps immensely to reduce knee pain.

[@SuperShopping-ts8qw]

Thank you dr.

[@epmanualphysicaltherapy]

You're welcome Super Shopping!!!

[@yojanasingh7057]

As I Recover from mcl tear my quads and calf’s have started paining . And their is lot of stiffness in the leg as I recover . Many thanks for what u are doing . 🙏

[@epmanualphysicaltherapy]

Hey Yojana! We're happy to hear that you're recovering from your MCL tear. It's normal to get quad pain, calf pain, and stiffness as you recover. Keep going!!!

[@yojanasingh7057]

@@epmanualphysicaltherapy thanks 🙏

[@angiefuentes2021]

Watching your videos from Philippines thank u for infos

[@epmanualphysicaltherapy]

You're welcome angiefuentes2021! Thank you for watching 😊

[@josieugalde6667]

Your good!! Im glad i able to watch your Vlog’ thnk’s also... josie

[@epmanualphysicaltherapy]

You’re welcome Josie! We’re happy to help!

[@hopefaith179]

Thank you so much so much I truly appreciate you... I used to teach exercise classes and I would tell the class to puch their hip forward to fell their glutes tighten

[@epmanualphysicaltherapy]

You're welcome HopeFaith!!! Great that you were already thinking about glutes! You probably helped a lot of people!

[@heatherwestergard7950]

Right knee pain and limp Left knee replaced 2 years ago Sciatica pain also Right knee sometimes collapses when walking I use walking poles for balance to prevent limping

[@epmanualphysicaltherapy]

Sorry to hear about your situation Heather :-( It sounds like your muscle imbalance is serious and has affected many body parts. You've got to get those glutes stronger to help your balance, limping, pain, knee collapsing and sciatica!!! “Top 5 Glute Muscle Exercises For Knee Pain” kzbin.info/www/bejne/hInHdJ2KZ7angKM

[@CricketNewJersey]

My left knee hurts after sitting for 30 minutes or more. I can’t walk for the first few steps as my knee is completely stiff.

[@epmanualphysicaltherapy]

Sorry to hear your left knee hurts after sitting CricketNewJersey :-( This sounds like you've got a moderate to severe muscle imbalance - over-dominant quads and weak glutes. The over-dominant quads will set up extra pressure at the knee joint that causes pain when sitting as well as stiffness when getting up. Start getting the glutes stronger!!! “Top 5 Glute Muscle Exercises For Knee Pain” kzbin.info/www/bejne/hInHdJ2KZ7angKM If you're looking for a more comprehensive exercise program for your knee problem, then you've got to learn more about our 28 Day Knee Health & Wellness Boost Program. It's a 100% online and on-demand program for improving knee health. It's packed with exercises, advice and coaching from Dr. David. You can learn more about it here: www.epmanualphysicaltherapy.com/knee-health

[@jayaramjayaram3482]

Doctor, when would you come online again

[@epmanualphysicaltherapy]

Hey Jayaram Jayaram! We're not 100% sure exactly what time, but Dr. David is likely to come on live today between 9am and 2pm MST, based on his clinic schedule flexibility. He'll usually post on our community tab before he comes on. You can see those posts on your youtube feed if you're subscribed to our channel. We hope to see you online today!!!

[@AsifKhan-eq5cn]

Anteror minicus tear left leg age 61 can be repaired by therapy?

[@MrCarstennielsen]

AZlternative to legpress: One leg squat without eeights and maybe hold onto something in order to take pressure of front of thigh so to focus on letting glutes do the work?! Not geting too low seems preferable and avoiding full staightening as well as NOT getting below horisontal (not getting too low); I am aware of kneeovertoeguy goes very low, but that can be very dangerous as it create a lot of pressure on the knee ala using lots of front thighpower, which we are warned against here in the video and wich seems as good advice..

[@epmanualphysicaltherapy]

Great insight Carsten! Single leg squats might work very well for the more fit person. But they have to have great balance. Someone in their 50s or older might not do a single leg squat. The reason for not going too low is because the lower you go, there’s in increased chance of using the quad muscles and having them dominate the motion. If you train your glutes to work in a high squat, then over time you should be able to squat lower while still using your glutes throughout the squat. We like knees over toes guy! We think it’s a good concept for squats, especially for the more athletic person. But his information might be too advanced for someone who is 50 or older with severe knee arthritis or a meniscus tear. We would not recommend those people doing full depth squats. The high squats we showed here are a much better starting point to get glutes working and correct the muscle imbalance.

[@saritabhure]

Hi, I get swelling above my right knee after standing for 3 plus hours. What could be the issue and how do I fix this?

[@gbnmovies5033]

I had an ACL surgery before a month. But, one point is hurting me daily. I do not know waht to do. I had 3 broken point in my knee.

[@koblerville923]

The stronger your glutes get, are they automatically firing or do we always have to consciously engage them? Thank you.

[@epmanualphysicaltherapy]

Great question James! Theorithey should automatically fire the stronger they get but that doesn’t always happen. Sometimes you do need to consciously fire them during exercise and walking. For some they might always need to consciously make them work for the rest for the rest of their lives. But they might fire a lot easier after having dedicated a month or 2 to making them work consistently.

[@MitziJaxon]

I CANNOT ENGAGE MY LEFT GLUTE separately without also engaging the Right GLUTE when WALKING🥴 Interestingly, I CAN engage my GLUTES separately whilst sitting SOOO, my question is: Does it matter if I use both GLUTES when walking?😉 Enjoying your You Tube tutorials and I THANKYOU most sincerely for them.

[@majid5898]

I'm suffering from inner knee pain on the right knee with medial meniscus injury. Doctor diagnosed it as OA and advised me for cycling and swimming. Please give me a suggestion if you think otherwise.

[@epmanualphysicaltherapy]

Hey Abdul, sorry to hear about your medial meniscus injury :-( Cycling and swimming is a very common recommendation by doctors that may or may not work. You're next best step is to watch these videos and learn more about how meniscus injuries heal so you can exercise appropriately: "Knee Meniscus Help" kzbin.info/aero/PLJVIPiFvv1mZ9Vh4eRH3UlmMeqOUtB-6a

[@katherinesolero7985]

Is standing on a Arabic step with cushion rug glued to it all day hurting my knees. I am a teller too short to reach my window?

[@jaff5854]

David , as I use the gym a lot , I think you hit nail on head with overly strong quads , and right knee ache and gets hot !I do lots of squats, should I leave off them and maybe concentrate on pure glute exercises ,hypers,glute bridges ,bands etc And try to counterbalance the quads more ? Thanks in advance jaff x

[@epmanualphysicaltherapy]

Absolutely yes, stop all quad focused exercises and get obsessed with getting glute strength. You'll still work your squats with some exercises, but avoid isolating them. We go into fixing this imbalance in our 28 Day Knee Health & Wellness Boost Program. It's a 100% online and on-demand program for improving knee health. It's packed with exercises, advice and coaching from Dr. David. You can learn more about it here: www.epmanualphysicaltherapy.com/knee-health You should really consider doing this program to fix your knee ache!

[@yashnaik82]

Cannot walk more ten 5 minutes or stand.... Started paining

[@unibird632]

Dear Dr. I have a problem with my right knee I tried to push my bed mattress into place by standing and push it into place with the side of my right knee, now I can hear a grinding in my tight hip is there anything I can do to get my right knee straight. It does not pain walking nor standing but it looks ugly when standing it looks like the letter "K". Thanks in advance.

[@epmanualphysicaltherapy]

Hey Uni Bird, sorry to hear about your "K" shaped knees :-( It sounds like you have a joint alignment problem in the hip and/or knee. Your best bet is to start doing glute exercises as these help both the hip and knee. Here is a video of glute exercises you should start with: “Top 5 Glute Muscle Exercises For Knee Pain” kzbin.info/www/bejne/hInHdJ2KZ7angKM If these exercises don't loosen up the joints and improve the situation, you might have to see a healthcare specialist to investigate what is going on in person.

[@saleharizwan3889]

My right knee is paining, it's from the back of knee too. I noticed sounds too coming from my knee, when I fold it or stretch my leg. Left knee is also painful but right is more painful. Do reply please...Thanks

[@epmanualphysicaltherapy]

Hey Saleha Rizwan!!! Sorry to hear about the pain in both knees :-( Based on your having sounds in your knees when moving it, it is likely arthritis, cartilage damage or a meniscus problem. Here are playlist for knee problem: “Knee Arthritis Pain Help” kzbin.info/aero/PLJVIPiFvv1maa9YF-WmKLF7oI4VoczH8i "Knee Meniscus Help" kzbin.info/aero/PLJVIPiFvv1mZ9Vh4eRH3UlmMeqOUtB-6a "Knee Cartilage Help" kzbin.info/aero/PLJVIPiFvv1mbdl1FVQx8BCGdNaOyGo09p

[@herbalannie7707]

Yep. Just been sitting on couch squeezing butt muscle .

[@epmanualphysicaltherapy]

Fantastic Ann! Get those buns working to help your knees!!!

[@judee.baland6526]

My knee locks up when I stand at my sinks. Then I unlock it it Really hurts for a few seconds.

[@epmanualphysicaltherapy]

Whoa Jude E! That sounds like a meniscus problem. Have you seen our meniscus help playlist. "Knee Meniscus Help" kzbin.info/aero/PLJVIPiFvv1mZ9Vh4eRH3UlmMeqOUtB-6a

[@mercedesguerrido973]

Been on my feet for decades now taking Bioflex to help my pain and function both knees .Does this help?

[@epmanualphysicaltherapy]

Hey Mercedes! It theoretically should help, but alone taking bi-flex or bioflex likely won't fix the knee pain. You'll have to address the root problem which is likely a muscle imbalance.

[@mercedesguerrido973]

@@epmanualphysicaltherapy Thank you for your Healings the natural ways! God Bless you-Have Happy Healthy Holidays 🎄

[@Nicole2Ruby]

so i’m watching play back, i’m a stylist and when i’m standing to long my knees ache really bad after and it doesn’t go away for at least a few hours. I don’t want to keep doing something that can harm me. Please respond

[@Nicole2Ruby]

also why do i wake up and my knees just ache for no reason

[@janekptmgml8319]

Hii its 4.00a.m in the morning my husband has a knee problem and it keeps on recuring after seeing the dr

[@epmanualphysicaltherapy]

Hey Jane, sorry to hear that your husband is dealing with a knee problem :-( We've got tons of videos to help him figure out what the cause might be. If the doctor could not figure it out, then its best he starts learning for himself in case he can't find help from doctors. That's why we created this channel! Here are some playlist options that will help him learn about what is happening in his knee so he can make the next best decision about what to do. "Knee Cartilage Help" kzbin.info/aero/PLJVIPiFvv1mbdl1FVQx8BCGdNaOyGo09p “Knee Arthritis Pain Help” kzbin.info/aero/PLJVIPiFvv1maa9YF-WmKLF7oI4VoczH8i "Knee Meniscus Help" kzbin.info/aero/PLJVIPiFvv1mZ9Vh4eRH3UlmMeqOUtB-6a

[@carlogroag6265]

Why do I still feel so much painful pressure in my knees even when contracting my glutes while standing and even when making sure my quads are not too tight and contracted? I’m an otherwise healthy guy 41 yrs old with a clean MRI and X-ray, no acute injury, just in chronic pain while walking and standing