I'm an active 63-year-old with knee osteoarthritis—bone on bone on the medial side of my left knee. My daily activities are pain-free, but running has become a challenge. Strength training has helped for 20 years, but now I experience instability and moderate pain when my foot strikes the ground while running. My general practitioner advised me to stop running, and my orthopedic doctor suggested a knee replacement when I'm "tired of messing with it"—neither of which I want. I'm considering cushioned shoes and a knee brace for stability. I can jump rope on a ¾-inch pad without issue. Any advice, especially on knee braces?

Disclaimer: Please note, this reply is for informational purposes only. It’s not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician, physical therapist, or other qualified health provider with a medical condition.

Things to Know

  • Cushioned shoes reduce impact and pain.
  • A well-fitted brace adds stability.
  • Strength and gait training improve function.

Thank you for reaching out! While we can’t provide a specific diagnosis without an in-person evaluation, we can offer general guidance on managing knee osteoarthritis and running-related discomfort.

Knee pain is common among runners, even when other daily activities remain pain-free. Make sure your shoes are right for you! Cushioning shoes can help absorb impact and replacing them regularly can prevent excessive wear that reduces their effectiveness. 

A knee brace may also provide added stability and pain relief, though it primarily manages symptoms rather than addressing the root cause.

Choosing the right knee brace

Braces vary in design and function:

  • Hinged braces with rigid supports on the sides can help limit excessive side-to-side movement.
  • Compression sleeves provide mild support and may help with swelling and proprioception.
  • Patellar stabilization braces apply targeted pressure to help control kneecap movement.

For the best fit, ensure the brace is appropriately sized—too tight can restrict circulation, while too loose may slip during activity. A physical therapist can assess your knee’s specific instability and recommend the most effective brace for your needs.

Strategies to improve knee stability

Managing knee osteoarthritis typically involves strengthening the muscles around the knee and hips to reduce pain and improve joint stability. A few additional considerations:

  • Single-leg strength and balance exercises can enhance knee control while running.
  • A running gait analysis can help identify muscle imbalances or movement patterns contributing to pain. Many physical therapy clinics offer this service.
  • A structured return-to-running program developed by a physical therapist can help you adjust your mechanics and gradually build endurance.
A PT works with a patient walking on a treadmill
Physical therapist works with a patient on stability, mobility and pain relief
physical therapist coaches a woman on therapeutic exercise in the clinic

Many runners successfully return to pain-free running with these conservative approaches. If you’re interested in learning more, visit our blog where you’ll find resources for runners including the following:

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Running could just be the perfect exercise. it doesn’t require a membership, you don’t need to take a class or hire a trainer, it gets you outside, and the only equipment you need is a pair of running shoes.

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Combat knee pain with PT

As physical therapists, we know how important your passions are to you. Whether you’re making a comeback after an injury or striving to achieve optimal performance, our passion is to help every patient reach their goals and live an active, pain-free life. Get started with PT today!

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