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15 Major Causes Of Knee Pain When Squatting – Understanding The Underlying Factors

September 5, 2025 by Misbah Fazal

Knee pain during squats is a common concern that many individuals, whether fitness enthusiasts, athletes, or casual exercisers, may encounter.

Squats, a fundamental lower body exercise, are known for their effectiveness in building strength and stability.

However, various factors can contribute to discomfort and pain in the knee joint during this movement.

In this article, we will explore the reasons behind knee pain during squats. Let’s get started!

Here are the top 5 causes of knee pain when squatting:

  • Spraining the Knee
  • Patellar Tendonitis
  • Iliotibial Band Syndrome (ITBS)
  • Weak Glutes
  • Previous Injuries

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Causes Of Knee Pain When Squatting - Infographic

Cause 1: Squatting Incorrectly

When you squat incorrectly, you may put extra pressure on your knees. For example, if your knees move too far forward or if your back is not straight, it can strain the knee joints.

Proper squatting technique involves keeping your back straight, knees aligned with your toes, and not letting your knees collapse inward.

Using improper form can lead to discomfort and pain during or after squats.

Cause 2: Spraining the Knee

Spraining the knee occurs when the ligaments, which connect the bones, get stretched or torn.

This can happen during squats if there’s a sudden twist or an awkward movement.

Ligaments help stabilize the knee, and injury to them can result in pain, swelling, and difficulty moving the joint.

Cause 3: Meniscus Tears

The meniscus is a piece of cartilage in the knee that provides cushioning.

Tears in the meniscus can happen during squats, especially if there is improper form or sudden movements.

Meniscus tears can cause pain, swelling, and a feeling of instability in the knee.

Cause 4: Iliotibial Band Syndrome (ITBS)

Iliotibial Band Syndrome  (ITBS) occurs when the iliotibial band, a tissue running along the outside of the thigh, becomes inflamed. Squatting too frequently or with poor form may contribute to this condition.

According to Physiopedia, ITBS is a common cause of lateral knee pain and can result in discomfort, especially during activities like squatting.

Cause 5: Patellar Tendonitis

Patellar tendonitis is the inflammation of the patellar tendon, connecting the kneecap to the shinbone. Overuse or repetitive stress can lead to this condition.

Patellar tendonitis causes pain just below the kneecap, especially during movements like squatting or jumping.

Cause 6: Patellofemoral Syndrome (PFPS)

Patellofemoral Syndrome (PFPS) involves pain that occurs when the patella does not track properly in the femoral groove.

Factors such as muscle imbalances, poor alignment, or overuse can contribute to PFPS, making it a potential reason for pain during activities like squatting.

Cause 7: Weak Glutes

Weakness in the gluteal muscles can impact the stability of the knee joint during squats.

Glutes play a crucial role in supporting the lower body, and if they are weak, the knees may not have proper support, leading to pain and discomfort.

Cause 8: Hamstring Injuries

According to healthcare sources, aches and pains in the back of your legs may be indicative of a hamstring injury.

Injuries to these muscles, which are located at the back of the thigh, can cause pain during squats.

It may occur if the muscles are not properly warmed up, and the injury can result in pain and tightness in the back of the knee.

Cause 9: Inadequate Warm-up

Before diving into squats, it’s crucial to prepare your body with a proper warm-up. Failing to do so can heighten the risk of injury.

A dynamic warm-up is essential to increase blood flow, raise muscle temperature, and enhance joint flexibility.

Incorporate activities such as light cardio, dynamic stretches, and bodyweight exercises that mimic the squatting motion.

This not only primes your muscles for the upcoming activity but also improves the overall effectiveness of your workout.

A well-executed warm-up can significantly reduce the likelihood of strains, sprains, or other injuries associated with squatting.

Cause 10: Footwear

The shoes you choose for squatting play a vital role in preventing knee pain. Wearing improper footwear or shoes lacking adequate support may contribute to discomfort and potential injuries.

Opt for shoes with a flat, stable sole and proper arch support to ensure optimal weight distribution during squats.

Additionally, shoes with cushioning help absorb impact forces, reducing stress on the knees.

Investing in appropriate footwear suitable to your workout routine can significantly enhance your squatting experience, minimizing the risk of knee pain and promoting overall joint health.

Cause 11: Previous Injuries

Past knee injuries can have lasting effects, especially if not addressed properly. Scar tissue and residual weakness from previous injuries may contribute to persistent pain during squats.

It is crucial to consult with a healthcare professional, such as a physical therapist or orthopedic specialist, to develop a targeted rehabilitation plan.

Tailored exercises and therapies can strengthen the affected areas, improve flexibility, and address any imbalances, allowing you to engage in squats safely and effectively.

A man in black shorts is holding his hurt knee, highlighted by the presence of redness around the affected knee area.Source

Cause 12: Osteoarthritis

Osteoarthritis is a degenerative condition where the joint cartilage breaks down over time.

Squatting can exacerbate the pain for those with osteoarthritis.

This condition commonly affects older individuals, and symptoms include stiffness, swelling, and pain in the knee joint during movement.

Cause 13: Bursitis

Bursitis involves inflammation of the bursae, small fluid-filled sacs that cushion the joints.

Squatting with improper form or excessive load can irritate the bursae around the knee, leading to bursitis.

Symptoms include localized pain, swelling, and tenderness.

Treatment often involves rest, ice, and anti-inflammatory medications, along with addressing the underlying cause, such as correcting the squatting technique.

Cause 14: Tendinopathy

Tendinopathy refers to the degeneration of a tendon, the tissue connecting muscles to bones. The patellar tendon, located just below the kneecap, can be affected during squats.

Overuse, improper form, or muscle imbalances can contribute to tendinopathy. Symptoms include pain, stiffness, and swelling around the patellar tendon.

Treatment typically involves rest, physical therapy, and exercises to strengthen the muscles supporting the knee.

Cause 15: Bacterial Joint Inflammation

Bacterial joint inflammation is a rare but serious condition where bacteria enter the knee joint, leading to infection.

Though uncommon, it can result from injuries or surgeries involving the knee.

Symptoms include severe pain, swelling, redness, and fever.

Prompt medical attention is crucial, as bacterial joint inflammation requires antibiotics or, in severe cases, drainage of the infected joint.

Knee Pain When Squatting Causes FAQs

1. How do I stop my knees from hurting when I squat?

To reduce knee pain during squats, ensure proper form by keeping your knees aligned with your feet, not overextending, and engaging your core.

Warm up, stretch, and gradually increase squat intensity. Consider knee-friendly exercises like leg presses or lunges.

2. Why does my knee hurt when I crouch?

Knee pain while crouching may result from issues like tight muscles, joint inflammation, or improper biomechanics.

Ensure proper warm-up, maintain flexibility, and if pain persists, consult a healthcare professional to address underlying causes.

3. Is it good to squat with knee pain?

Exercising with knee pain can worsen the condition. Modify activities, use knee-friendly exercises, and consult a healthcare professional for a personalized plan.

Rest, ice, and elevation can alleviate mild pain, but persistent discomfort requires professional evaluation.

4. How do you treat knee pain?

Treatment for knee pain includes rest, ice, compression, elevation (R.I.C.E.), over-the-counter pain relievers, and physical therapy.

Severe or persistent pain may need medical intervention, including medications, injections, or surgery.

5. Can knee pain go away naturally?

Mild knee pain may improve with rest, gentle exercises, and home remedies.

However, persistent or worsening pain requires professional assessment to identify and address underlying issues.

6. Is walking good for knee pain?

Walking is generally beneficial for knee health. It strengthens muscles, promotes joint flexibility, and aids weight management.

Choose supportive footwear and maintain proper form. If knee pain persists, consult a healthcare professional.

7. Which food is good for the knees?

Foods rich in omega-3 fatty acids (fish), antioxidants (berries), and anti-inflammatory properties (turmeric, ginger) promote knee health.

Calcium-rich sources (dairy, leafy greens) and a well-balanced diet support overall joint function.

8. Which exercise is better for knee pain?

Low-impact exercises like swimming, cycling, and elliptical training are gentle on the knees.

Strengthening exercises for quadriceps and hamstrings, as well as flexibility exercises, can help manage knee pain.

9. How to strengthen knees?

Strengthen knees with exercises like leg presses, squats, lunges, and leg curls.

Focus on proper form, use resistance gradually, and include flexibility exercises. Consult a fitness professional or physical therapist for personalized guidance.

10. Which food is not good for knee pain?

Limit processed foods, sugary drinks, and excessive red meat, as they can contribute to inflammation.

Consider reducing foods high in refined carbohydrates and saturated fats.

11. Can knee pain go away?

Mild knee pain may resolve with rest, ice, and proper care. Persistent or severe pain requires professional evaluation and intervention.

Addressing underlying causes is crucial for long-term relief.

12. What is the best tablet for knee joint pain?

Over-the-counter pain relievers like ibuprofen or acetaminophen can help manage knee joint pain.

Consult a healthcare professional for personalized advice and consider non-pharmacological interventions such as physical therapy or joint supplements.

Resources Consulted

  • Wikipedia – Squatting
  • Healthline – Squats Benefits
  • Wikipedia – Squatting Position
  • Real Simple – Squat Form
  • Johns Hopkins Medicine – Knee Pain and Problems

Filed Under: Causes

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