Knee Pain: How Physio Helps at Every Age and Stage

September 17, 2025

Knee pain can creep up on anyone - school kids after sport, busy adults juggling training or work, acute injury during sport or at home and older adults noticing a niggle on the stairs. Whether it is new and sharp or a long-standing ache, knee pain is frustrating because it limits the things you love. The good news? Physiotherapy can help at every stage - often without pain medication or surgery, and get you back to your previous activities, your wanted activity, or your sport. 


Who gets knee pain? Everyone! Just in different ways.


For sporty kids and teens, it is often linked to growth spurts, training load, or a sudden change in sport. Think patellofemoral pain around the kneecap, tendon irritation, or a twist at footy or netball. 


For active adults, it might be a return-to-running niggle, a gym personal best pushed a little too far, or gradually increasing pain with hills, stairs, or squats. 


For older adults,  knee osteoarthritis is common but “wear and tear” does not mean “give up.” With the right guidance, most people improve strength, confidence, and function without needing an operation. 


There are also pre-surgical and post-surgical moments. Before surgery, targeted prehab builds strength, mobility, and conditioning so you go in stronger and come out better. After surgery - such as ACL reconstructions, meniscal repairs, or knee replacements—a structured rehab plan is essential for healing well and safely returning to daily life and sport. 


How can your physio help your knee pain?


A thorough assessment comes first.  We listen to your story, test strength, mobility, and control, and look at how you move, squat, step, run, or jump. We then explain what is going on in plain language and map out a clear plan. 


Treatment blends hands-on techniques to settle symptoms, tailored exercises to build strength and resilience, and practical tweaks to training load, footwear, technique, and daily habits. We may use taping or bracing in the short term and we progress your plan so it stays effective. If you are a runner or court athlete, we assess stride mechanics and change-of-direction control. If you are post-op, we guide milestones; range, swelling control, gait retraining, progressive strength phases, and return-to-sport criteria, so you know exactly where you are heading. 


At EBR Physio we also deliver evidence-based hip and knee osteoarthritis programs such as GLA:D. These focus on targeted education and exercise to reduce pain and improve function. It is not about smashing the joint; it is about smarter loading, stronger muscles, and more confident movement. 


Can physio help you avoid surgery or pain medication?


In many cases, yes.  A lot of knee conditions respond well to the right mix of load management and progressive strengthening. Patellofemoral pain, tendinopathy, early osteoarthritis, and many overuse issues often improve without injections, long-term pain medication, or surgical referral. When scans show “changes,” that does not automatically mean you need an operation - your symptoms, function, and goals matter most. If we think medical imaging, a GP review, or an orthopaedic opinion is warranted, we will tell you straight and coordinate your care. 


What about kids and teens? 


Growing bodies are resilient, but they need load that matches their stage.  We help balance sport, school, and recovery, teach simple warm-ups and technique cues, and build strength around hips, glutes, and calves to take pressure off the knees. The aim is to keep them involved, not bench them for weeks. 


What about older adults?

 

Ageing knees still love movement.  Graded strength work, balance training, and confidence with everyday tasks, getting up from a chair, tackling stairs, and walking further—make a big difference. Education reduces fear, improves pacing, and helps you stay independent. Many people delay or avoid surgery altogether by sticking with a well-built exercise plan. 

When to seek help (and when it is urgent) 

If your knee pain is persisting, stopping you from moving freely, or keeps flaring when you try to be active, it is time to see a physio. Seek urgent care if you cannot bear weight after a significant injury, if there is a sudden “pop” with rapid swelling, if the knee is hot and feverish, or if there are signs of infection after surgery. 

Your next step


You do not have to put life on hold or reach straight for pain medication. With the right plan, most knees get better - stronger, steadier, and happier so you can get back to the things you love. In many cases physiotherapy helps you avoid seeing a surgeon and relying on pain medication. 

Book a consultation with EBR Physio in Bentleigh East and let us get your knee moving well again. We will listen, assess, and create a clear step-by-step plan to return you to your previous activity, your wanted activity, or your sport—without unnecessary scans, drugs, or surgery. 

We are ready when you are - set up your consult today. 


FAQS


Do I need a scan before I see a physio for knee pain?
Most people do not need a scan first. Your physio can assess and advise whether imaging is necessary based on your symptoms and goals.


How long until my knee feels better with physio?
Many people notice change within two to four weeks, with steady progress over eight to twelve weeks, depending on the condition and consistency.


Can physio help knee osteoarthritis?
Yes. Education, strength training, and load management can reduce pain, improve function, and often delay or avoid surgery.  Long term benefits made be achieved with joining our 
GLA:D program


When should I see a surgeon about knee pain?
If there is significant instability, locking, or failure to improve after a thorough physio program, an orthopaedic opinion may be appropriate. Your physio will guide this.

 


By Miriam Wynne December 13, 2025
Building confidence before and after injury or surgery When you’re facing surgery or recovering from an injury, it often feels like your body has let you down. You might worry about whether you’ll get back to normal, whether movement will hurt, or whether you’re doing the “right” things. It’s completely normal to feel unsure, frustrated, or even a bit scared, especially when everyday activities suddenly feel harder than they used to. Before and after surgery, confidence can take a real hit. Pain, stiffness, and uncertainty can make you second-guess every step. You are absolutely not alone in feeling this way. Confidence isn’t just a mindset, it’s a key part of recovery, and it can be rebuilt with the right guidance and support. Why confidence matters Understanding the psychology of confidence Confidence isn’t about pretending everything is fine or pushing through pain. It’s about knowing what your body is capable of, understanding what’s normal, and recognising your progress - even when it feels slow. Recovery isn’t just physical, confidence, education and reassurance are are all key parts of progress. When you understand the “why” behind each exercise and what sensations to expect, fear is replaced with clarity. And clarity builds confidence. Consistency leads to results People who feel safe and informed tend to stay consistent with their rehab. That consistency is what builds long-term strength, mobility, and trust in how your body moves. Preparing before surgery How prehab builds confidence Feeling nervous before surgery is perfectly understandable. Prehabilitation (prehab) helps you feel prepared rather than overwhelmed. You build strength, improve mobility, and learn the exercises you’ll use afterwards so nothing feels foreign once you’re home. VicGov’s Better Health Channel explains the benefits of preparing physically and mentally before surgery: https://www.betterhealth.vic.gov.au/health/servicesandsupport/seeing-an-allied-health-professional What a typical prehab plan looks like A personalised prehab program often includes: • Gentle strength work (e.g. quads, glutes, core for lower-limb surgeries; shoulder and scapular stabilisers before rotator cuff repair) • Mobility exercises to improve joint movement • Low-impact conditioning for overall fitness • Education about what to expect in hospital and immediately afterwards. • Learning early post-op exercises ahead of time • Strategies for reducing swelling, pain and inflammation Walking into surgery feeling prepared boosts both physical and mental confidence. Rebuilding trust after surgery The early stages of recovery Once surgery is over, recovery really begins. Pain, swelling, or stiffness can make you doubt your body, even when everything is progressing exactly as expected. Gentle, guided movement is what helps tissues heal, restore function, and rebuild trust. The Australian Physiotherapy Association recommends early, guided movement after many procedures to support safe healing: https://australian.physio/ What a typical rehab plan looks like Rehab is structured in stages and matched to your surgeon’s protocol. Early phase (Week 1–3) • Swelling and pain management • Gentle range-of-motion exercises • Supported walking or gait retraining for lower limb or simple arm exercises for shoulders • Safe activation of key muscle groups • Clear guidance on what and how to avoid Middle phase (Week 4–8) • Progressive strengthening • Balance and stability work • Gradual increases in load • Functional tasks such as stairs, sit-to-stand and controlled bending Later phase (Week 8+) • Higher-level strengthening • Functional or sport-specific activities • Hydrotherapy or Clinical Pilates for controlled, confidence-building movement • Planning for long-term independence Each phase is explained clearly so you always know what’s safe, what’s normal, and what comes next. From recovery to resilience Why rehab doesn’t stop when pain settles Pain relief doesn’t mean your recovery is complete. Long-term confidence comes from restoring strength, balance and control. Many people continue with guided exercise, Clinical Pilates or maintenance physio as part of their ongoing wellbeing. The bigger picture • Prehab prepares joints, muscles and the nervous system • Rehab guides how well and how safely you heal • Lifestyle choices; sleep, nutrition, daily movement all support long-term recovery Confidence develops when your recovery has structure, clarity and consistent support. Explore our ongoing exercise and Pilates options . Where EBR fits in Continuing your care after specialist treatment Once your surgeon or specialist completes their part of your treatment, physiotherapy becomes the next essential step. Our physiotherapists work closely with specialists across Melbourne to ensure your rehab aligns with your medical plan. Feeling supported makes it easier to rebuild confidence. Our goal is to guide you from uncertainty to strength, from hesitation to trust, and from recovery to long-term independence. Key takeaways • Confidence is a major factor in surgical and injury recovery. • Prehab helps you feel physically and mentally prepared for surgery. • Early, guided rehab restores trust in your movement. • Progress is gradual but powerful when you have structure and support. • Long-term resilience comes from ongoing strength, stability and good movement habits. • You don’t have to navigate any of this alone. FAQs Do I need to feel confident before surgery? Not at all. Prehab helps build confidence by preparing your body and teaching you what to expect. Is it normal to feel scared to move after surgery? Yes. Pain and stiffness can make you hesitate, even when everything is healing well. How soon will I trust my body again? Many people feel more confident within a few weeks as movement becomes easier and strength starts to return. Can I do the exercises on my own? You can, but physio guidance ensures you’re progressing safely and avoiding compensation or delays. Do I need physio even if the pain has gone? Often yes. Pain relief doesn’t always mean your strength, balance or stability have fully returned. Call to action If you’re preparing for surgery, recovering from an injury, or feeling unsure about how to trust your body again, we’re here to help. Book an appointment online Have questions? Contact our team You can read more about how we support patients preparing for surgery here: https://www.ebrphysio.com.au/our-services
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