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Why Do My Knees Give Out? (Causes and Treatments)

Experiencing a knee that suddenly gives out can be unsettling and disruptive to daily life. This phenomenon, often referred to as knee buckling, affects a large portion of the population, with studies indicating that more than 10% of adults have experienced this issue at least once. 

Understanding the causes and treatments for buckling knees is vital for effectively managing this condition. Let’s learn more!

Knee instability is a common orthopedic problem affecting millions of people worldwide. It can significantly impact one’s quality of life, limiting the ability to engage in activities. While it can affect individuals of every age and fitness level, it is often associated with osteoarthritis. A variety of aspects can contribute to this unsettling experience.

In this blog, we will explore considerable factors that can contribute to knee instability. We will discuss common symptoms, diagnostic procedures, and effective treatment options. 

Whether you’re an athlete, a senior citizen, or someone experiencing occasional knee discomfort, this information will empower you to make informed decisions about your knee health.

What Happens When Your Knee Gives Out?

When your knee “gives out,” the joint has become unstable, causing it to collapse suddenly. This can indicate a variety of symptoms, including:

  • Pain: A sharp pain may be felt, especially when weight is applied to the knee.
  • Swelling: The knee joint may swell and become tender to touch.
  • Locking: A sensation may occur where the knee feels locked, preventing full extension or flexion.
  • Giving Way: The knee may feel like it’s about to buckle or collapse, even during simple activities.

What Causes Your Knee to Give Out?

Many factors can contribute to the sensation of your knee giving out:

Ligament Injuries

Injuries to the ligaments, such as tears in the Posterior Cruciate Ligament (PCL), and Anterior Cruciate Ligament (ACL), are common causes of knee instability. These injuries often occur during sudden stops or changes in direction. When these ligaments are compromised, they can no longer provide adequate support, leading to a sensation of weakness.

Osteoarthritis

Osteoarthritis is a degenerative joint disease signified by cartilage breakdown. As the cartilage wears down gradually, it can cause excruciating pain, swelling, and stiffness in the knee joint. Over time, this deterioration may cause instability, making the knee more prone to giving out during weight-bearing activities.

Meniscus Tears

Meniscus tears can be initiated by sudden twisting motions or heavy lifting. This injury can result in pain, swelling, and a feeling of the knee locking or giving way, significantly affecting mobility.

Patellar Instability

Patellar instability happens when the kneecap (patella) slips out of its normal position in its groove on the thigh bone. This misalignment can lead to buckling episodes and is often accompanied by pain during activities like sitting or climbing stairs.

Nerve Issues

Conditions that affect nerve function, such as femoral nerve dysfunction or neurological disorders like multiple sclerosis (MS), can contribute to knee weakness. Damage to these nerves can disrupt muscle control, increasing the risk of buckling. Weak muscles around the knee can exacerbate instability.

How to Treat a Knee That Gives Out

If you’re experiencing knee instability, addressing the issue promptly is essential. Here’s a breakdown of effective treatments to help manage and alleviate your symptoms.

Consult a Healthcare Professional

It is crucial to consult with a healthcare provider before beginning any treatment. They can conduct a comprehensive evaluation, including imaging tests like X-rays, MRIs, and physical exams, to determine the underlying reason for your knee giving out.

Physical Therapy

Physical therapy is another productive way to treat a knee that gives out. A skilled therapist can create a highly personalized exercise plan to strengthen the muscles surrounding your knee, improve balance, and enhance flexibility. Exercises such as squats, leg lifts, and balance training can significantly improve stability.

Medication

OTC and anti-inflammatory medications can help reduce pain and swelling associated with injuries or arthritis. In severe cases, corticosteroid injections are prescribed to alleviate joint inflammation.

Bracing

Knee braces can offer additional support and stability, particularly during physical activities. A well-fitted brace can help align the kneecap and reduce the risk of further injury. Consulting a professional can help to identify the right type of brace for your condition.

Lifestyle Modifications

Making specific lifestyle changes can also prove beneficial. A healthy weight lowers the chances of strain on your knees, while low-impact exercises like swimming or cycling can enhance overall knee health without excessive stress on the joint. Consistent stretching can improve flexibility and reduce the risk of injury.

Surgical Options

If conservative treatments fail, surgery may be necessary. Procedures such as arthroscopy, ligament reconstruction, or realignment of the kneecap can help restore stability to the knee joint. Explain the potential benefits and risks with your healthcare provider to determine if this is a good option for you.

Quick Tips for Knee Stability

Maintaining knee stability is essential for avoiding the alarming experience of knee buckling. Here are some actionable tips to help you keep your knees strong and stable:

1. Strengthen Your Muscles: Focus on exercises strengthening the quadriceps, hamstrings, and calf muscles. Effective exercises include:

  • Squats: Help build overall leg strength.
  • Leg Raises: Strengthen the quadriceps without putting pressure on the knee.

2. Balance Training: Activities like standing on one leg or using a balance board enhance stability and instill a sense of security in your movements. 

3. Maintain a Healthy Weight: Extra weight puts additional stress on your knees. Aim for a balanced and nutritious diet and consistent exercise to keep your weight in check.

4. Use Proper Footwear: Supportive shoes can make a significant difference. Look for shoes with good arch support and cushioning to absorb impact during activities.

5. Stay Hydrated: Proper hydration is not just about quenching your thirst. It’s a key player in supporting joint health and maintaining cartilage function, giving you the confidence to push your limits without fearing injury. 

6. Warm-Up and Stretch: Try to warm up before exercise and incorporate stretching into your routine. This primes your muscles and joints for activity and reduces the risk of injuries.

Conclusion

Understanding why your knees give out is crucial for addressing this common yet concerning issue. By recognizing potential causes such as ligament injuries, arthritis, and muscle weakness and implementing appropriate treatment strategies, you can regain confidence in your movements and reduce your risk of falls.

If you’re experiencing frequent episodes of your knees giving out, don’t hesitate to seek professional advice for tailored treatment options that suit your individual needs. Remember: maintaining healthy muscles around your knees is vital for keeping them stable and functional throughout your life!

Picture of Dr. Phillip Carr

Dr. Phillip Carr

Dr. Phillip Carr PT, DPT, MS, PES, owner of BioFix Physical Therapy, boasts 20+ years of athletic training/coaching experience. His diverse expertise encompasses musculoskeletal issues, joint replacements, and more. With a 2018 Doctorate in Physical Therapy, he's a dedicated professional, family man, and youth soccer team assistant coach. Phillip Carr is your trusted source for holistic physical therapy insights.