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Knee Pain When Bending or Squatting: Do I Need Physical Therapy?

by | May 14, 2026 | Knee Pain

A man use pilates ball and hurt knee at gym. Fitness, gym, worko

It usually starts as a quiet annoyance—a sharp pinch under the kneecap when you’re walking up the stairs or a dull, deep ache that greets you when you try to get out of a low chair. You might tell yourself you just “overdid it” at the gym or that you’re just getting older. But when that “twinge” starts making you hesitate before you squat down to pick up a grocery bag, it’s time to stop waiting and start investigating.

If you are searching for knee physical therapy near me, you aren’t just looking for exercises; you’re looking to get your active life back. Here is why that pain happens and why “just resting it” is rarely the answer.

The Usual Culprits: Why Your Knee Protests

Knee pain during bending or squatting usually falls into one of three categories. Understanding which one you’re dealing with is the first step toward effective knee pain treatment.

  • Patellofemoral Pain Syndrome (Runner’s Knee): This is a dull ache behind or around the kneecap. It usually happens when the kneecap doesn’t “track” properly in its groove. It’s incredibly common in active adults who run, cycle, or perform repetitive squatting.

  • Meniscus Wear-and-Tear: Your meniscus acts as a shock absorber. Over time, or due to a sudden twist, it can develop small tears. You’ll often feel this as a sharp pain on the inside or outside of the joint, sometimes accompanied by a “catching” or “clicking” sensation.

  • Osteoarthritis: This is the natural thinning of the cartilage that cushions the joint. It often feels like “rustiness” or stiffness first thing in the morning or after you’ve been sitting for a long period.

A man doing squat exercises with dumbbell at gym. Fitness, workout and training concept.The Trap of “Waiting for it to Get Better”

When a joint hurts, our instinct is to protect it by moving less. However, the knee is a “slave” to the muscles above and below it. When you rest excessively, your quadriceps and glutes begin to atrophy (weaken).

Since these muscles are responsible for absorbing the force of your movements, their weakness actually puts more pressure on the knee joint. This creates a cycle: the more you rest, the weaker you get, and the more your knee hurts when you finally do try to move.

How Professional Physical Therapy for Knees Changes the Game

At PRO Therapy, we don’t just put an ice pack on your knee and call it a day. Our 1:1 care approach is designed to find out why the knee is being overloaded in the first place.

A specialized physical therapist looks at the entire “kinetic chain.” We assess:

  • The Hips: Are your glutes strong enough to keep your knee from collapsing inward during a squat?

  • The Ankle: Do you have enough mobility in your ankle to allow your knee to move forward correctly?

  • The Core: Is your foundation stable enough to support your lower extremities?

By addressing these imbalances, we take the stress off the knee joint so it can finally heal. For those in the North Metro, accessing professional physical therapy in Coon Rapids means getting a plan that is built for your specific goals—not a generic list of stretches.

In addition to manual therapy and corrective exercise, we offer advanced treatments for chronic knee pain, such as Shockwave Therapy, to stimulate healing in stubborn tissues that haven’t responded to traditional rest.

Don’t Give Up What You Love

You don’t have to accept knee pain as your new normal. Whether you want to get back to heavy squats, marathon training, or just playing with your grandkids without wincing, we can help.

Stop guessing and start moving. Book an assessment at our Coon Rapids or Northeast Minneapolis clinic today, and let’s keep you off the sidelines.

Dr. Kevin Spahr has extensive expertise in post-surgical rehab, work-related injuries, sports injuries and motor vehicle accidents. He has clinical experience in treating all regions of the body including neck, back, shoulder, elbow, hand/wrist, hip, knee, and ankle/foot orthopedic conditions.
Dr. Kevin Spahr

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Jonathan F.
Over the summer I was dealing with lower leg injuries after trying to get back into distance running. I had been working towards completing the Twin Cities Marathon (16 years after my first marathon TCM). I was starting to think I would have to drop out but someone I knew referred me here and to Dr. Kelvyn. He shared that he thought the race was still in reach and worked me to in the final several weeks, and I'm proud to say I showed up healthy on race day and completed the 2026 TCM thanks to his help.
Bob H.
10/10 would recommend Kevin and the clinic. The PT is top notch and cutting edge. I had them use the Stemwave technology for my MCL sprain, and noticed a dramatic improvement after just one session, and consistent improvements after each of my next three sessions. Pro Therapy is much more cutting edge and sports medicine based than most other PTs. I’d highly recommend them!
Jane T.
⭐️⭐️⭐️⭐️⭐️ I’m so grateful for the care and support I received from Dr. Kevin! He made me feel comfortable, listened to my concerns, and genuinely cared about my progress. Dr. Kevin is great! He’s very nice, personable, and makes you feel comfortable throughout the process. He always takes the time to explain what’s going on, walk me through my options, and involve me in decisions about my treatment. I really appreciate how he makes sure I understand everything and feel like an active part of my care. I am very thankful for the treatment from Pro Therapy and would highly recommend him to anyone looking for a caring, knowledgeable, and supportive physical therapist!
Martha A.
I am so grateful to Dr. Lily and everyone at PRO Therapy for the exceptional care I received after my total knee replacement. Dr. Lily helped me not only recover, but also return to the activities I love and regain confidence in my fitness journey. Her approach is truly personalized. She is extremely knowledgeable, listens to your needs and goals, and knows exactly how to challenge and motivate you without pain/injury. She also recognizes when treatment needs to be adjusted. Her wonderful personality makes even the toughest days manageable and fun. The entire PRO Therapy staff is kind, encouraging, and genuinely invested in each patient. You feel cared for as an individual—not just another number. Having experienced physical therapy at large healthcare institutions, I can say PRO Therapy is a far superior experience: personal, attentive, and focused on your goals. I’m having my second total knee replacement next month and have already scheduled appointments with Dr. Lily. There is nowhere else I would want to be for my rehab and fitness journey. I wholeheartedly recommend and thank Dr. Lily and PRO Therapy!
Ellie B.
Pro Therapy has been so helpful for me - Dr. Lily is the best!
Dave G.
Pro therapy is great! They quickly make you feel like a friend rather than a patient. Dr Kevin listens first then comes up with reasonable approaches to strengthen the root cause of my knee pain rather than a quick band aid type fix. The stem wave machine is also a godsend!
Ty L.
Have used PRO Therapy for a couple injury's now and they are great! Easy to work with, listen to your concerns and adapt treatments as needed! I highly recommend!
Andrea Mora B.
Anna and Peter S.
Great experience at Pro therapy with Dr Kelvyn. Lots of improvement. He is good at listening
Dennis
The best, care and expert.