16/08/2026
Knee pain.
It occurs for many reasons, and primary osteoarthritis is a top reason. There are many more like patellofemoral pain syndrome and various other traumatic causes. Excluding those that need to be managed surgically, the vast majority do not need surgical management.
Just a mere 20% of the world population does strength training 2 times a week. Poor strength paired with poor mobility of the hips, knees and ankle, put you at great risk of early knee pain. No one needs you to be limber like a gymnast, but you can't sit on a chair without flopping on it, you have some serious issues. If you had to go to the squat down toilet, you would have met your worst nightmare. So don't wait to be stuck in this situation. Work on it now.
Being obese has been linked to earlier knee OA, being obese and weak, that's a far worse combination. Above 30% and 40% for men and women respectively is also not good for other health markers.
Training volume needs to be managed. Run many Kms a week comes with increased wear and tear of cartilage , ligaments and tendons. Managing your technique and volume of training ensures you stay injury free and recover well.
Injections and supplements have their roles, but it is currently sold as some wonder drug.. No it isn't.. none of it is a wonder drug.. they are all good at aiding recovery and healing.. when used in the right place, right time and right patient. Taking these and expecting a miracle is setting yourself up for failure.
Strength, mobility, weight and proper management of training parameters are the most important things tht you have to get in line first.. then the others.